Tuesday, June 10, 2008

6/10/08, Tues

Developed ache in left shoulder similar to the one in the right shoulder around 1 pm. Slept fairly well but was awake with pain quite a lot.

7 am - Pain levels are all low. Back 2, neck 2, head pain 2, right shoulder 2.

8 am - Put new Fentanyl patch on left side.

Monday, June 9, 2008

6/9/08, Mon.

Slept poorly for about 8 hours. Woke up throughout the night with arm pain and back pain. Woke up with neck pain later in morning.

6 am - Low back very touchy this morning. Getting a lot of pain from reaching down and forward. Right wrist on thumb side is extremely painful. Getting a lot of neck pain on both sides as I sit at the computer.

8 am – Low back still painful, 4 area, but prone to worse spasms with movement. Neck pain built up quickly as soon as I started working at the computer at around 7:15. Neck pain on right side up around 5. Took another Dilaudid.

9 am – No relief from neck pain – up around 6 now. Back is down around 2.10 am - Neck still going in a range from 5 to 6.

10:45 am – Neck still bad – around 6. Took another Dilaudid.Noon – Neck pain somewhat better.

12:15 pm – Neck pain worse – cancelled Pilates.1 pm – Totally knocked out by drugs. Still hurts.

3:45 pm – Lay on couch in office from about 1:30 until 3. Neck pain down around 4.

5 pm - Low back painful this afternoon. Neck pain around 3, back pain around 4. Knees a bit painful when I walk.

9:30 pm - Very tired all evening. Have developed very annoying ache in right shoulder. Neck pain and back pain 1 to 2 at worst.

11 pm - Right shoulder pain around 6. Iced. Tried ketoprofen. Brutal. Took 2 Dilaudid.

Sunday, June 8, 2008

6/8/08. Sun.

Slept moderately well, though woke up with major pain in right arm and shoulder.

8 am - Had a major stab of low back pain while in bed this morning. Low back still a little sticky.

9 am - Developing bad left side headache with some left side neck pain. Burning pain on right side of neck also starting to come on. 5 for headache, 4 for both neck pains. Took a Dilaudid when I got up this morning.

Noon - Neck pain and headache still bad. Took another Dilaudid.

2 pm - Tried to nap. Pain down somewhat.

4 pm - Walked too far. Low back bad, legs not working well.

Saturday, June 7, 2008

6/7/08, Sat

Slept fairly well but feel terrible. Dizzy.

8 am - Neck pain about 2. Took a Dilaudid with the rest of the morning's pills.

9 am - Neck pain rising. Burning pain on the right side. About 4.

11 am - Neck pain up around 5. Feel pretty good otherwise. Shook off dizziness.

Noon - Burning right side neck pain about 5 for annoyance and tension, 4 for pain. Took a Dilaudid.

5 pm - Burning right side neck pain hangs on all afternoon.

7 pm - Went for a walk for 1/2 hour or so. Burning right side neck pain has abated somewhat.

Friday, June 6, 2008

June 6, 2008, Friday

Slept for about 9 hours but not very well most of the time.

8 am - Neck pain around 3, right side. Took a Dilaudid with the rest of the morning pills.

10 am - Neck pain up around 4, right side, with some tingling. Low back stiff this morning with pain in the 2 range. Knees not painful but rather stiff.

Noon - Neck pain a litle better, but still in the 4 range some of the time. Right side mid back painful today.

4 pm - Neck pain down around 2. Went to gym for first time in 11 months (I think). Did PT moves and Piloates moves on mat and did about 12 minutes very low intensity cardio on elliptical trainer.

7 pm - Headache has been very bad for about 2 hours. Took 2 Dilaudid.

8 pm - Went for very brisk walk for just over 1/2 hour. Headache down around 2.

Thursday, June 5, 2008

June 5, 2008, Thurs

Slept poorly most of the night.

7 am - Neck pain on right side has gone from around 2 to 5 in the last 20 minutes. Took a Dilaudid when I got up about 40 minutes ago - took another Dilaudid.

8 am - Burning neck pain on right side persistent, around 5 or 6. Tried icing for about 15 minutes but not much help.

Neck pain was steady at 5 or 6 most of the day. Mostloy right side, but left side with the usual headache came on later in the day to help out. Took 3 Dilaudid at roughly hour intervals throughout the morning. Walked about 2 hours in the afternoon. Pain subsided a bit in the evening but returned at times.

Wednesday, June 4, 2008

Entries From May 30 to June 4, 2008

5/30/08, Fri

Slept well for about 7 hours.

5:45 am – Some low back pain and stiffness. Knees stiff but not painful. Neck pain about 1.

6:30 am – Minor knee pain going down stairs. Getting some pain in left ankle when I walk.

8 am – Neck pain up around 3 after car ride to work.

9 am – Neck pain around 4 with a lot of stiffness. Pain generalized over back of neck. Took a Dilaudid and a Baclofen.

10 am – Neck pain around 3. Neck still very stiff.

11 am – Neck still stiff – pain about 3.

1 pm – Neck pain about 2 for the last couple of hours, Neck rather stiff. Legs doing well.

4 pm – Left side headache and neck pain kicked up to about 4.

7 pm – Pain levels down under 2. Walked about ½ hour earlier tonight – back a little touchy, knees slightly painful but still working well.

5/31/08, Sat.

Slept poorly for about 8 hours.

7 am – Some low back pain, about 3. Neck pain right side about 2. Back very stiff. Did not do Pilates exercises in bed – tired from poor night’s sleep. Took a Dilaudid.

New patch on right side. Next patch Monday pm.

9 am – Back and legs somewhat shakier so far today. More tremor than yesterday. Neck pain rising a bit, from 1 earlier this morning to around 3, most left side, and left side headache about 2. Was ½ day late in putting on new Fentanyl patch.

10:45 am – Walked around about 25 minutes. Low back a bit painful, legs slightly shaky.

1 pm – Walked around another 30 minutes or so. Knees a bit sore. Developed headache on left side about 4 range. Took a Dilaudid.

2:30 pm – Headache persistent, about 5. Took another Dilaudid.

3:45 pm – Headache persists at around 5. Neck creaky but not very painful – around 1 or 2 all day.

5 pm – Walked just over an hour – legs tired and some very minor lower back pain. Headache about 3. Feel pretty fair.

9 pm – Neck pain down around 1 most of the evening. Knees are all right if a little tired.

6/1/08, Sun

Slept moderately well for about 7 hours.

7 am – Low back painful when going down steps. About a 3. Neck pain about 1. No headache. Knees are all right. Not too much tremor and no jerking. Took a Dilaudid.

8:45 am – Low back still painful. Neck pain up to around 4 after an hour or so at the computer.

9:30 am - Getting a shooting pain in right foot in the pad above the littlest toes. Started when walking, now happening when I am not walking. Neck pain up to around 4. Took a Dilaudid.

2 pm – Low back is a bit painful. Neck pain around 2 most of the time, more noticeable when at the computer.

6:30 pm – Finally went out and walked for about ½ hour. Low back painful, around 3. Knees all right.

6/2/08, Mon

Slept fairly well, but had a lot of arm, shoulder and neck pain during the night.

7:30 am – Low back fairly painful – have to be careful how I move or can set off quite a jolt of pain. Neck very tense, but not that painful – 3 at most. Took a Dilaudid when I got up.

9 am – Neck pain on right side up to around 4. Took a Dilaudid and put on collar.

11 am – Back still a bit painful when walking. Neck still around 4.
11:45 am – Neck up around 5 after working at computer for 20 minutes or so. Took a Dilaudid.

3 pm – Neck and head pain persistent – about 4 level. Saw Dr. Price. Blood pressure all right (120-something over 60-something). Bad cholesterol 170-something last time – thinks it may be lower this time now that I’m walking.

6 pm – Dozed in chair for about 1 ½ hours. Tired.

6/3/08, Tuesday

Slept poorly. Woke up about 4:30 feeling very uncomfortable and jumpy. Dozed until about 7 and felt better when I got up. Did Pilates exercises in bed before getting up. May have helped. Have been having a lot of night sweats lately, which seems to be a side effect of the Dilaudid and/or Fentanyl. Put on new Fentanyl patch this morning.

8:30 am – Neck pain on right side starting in after about 20 minutes working at computer. About a 3 at this point. Took a Dilaudid when I got up this morning.

10 am – Low back and knees kind of painful. Stiff. Moving slowly. Took a Dilaudid.

11 am – Started low cholesterol diet today. Weigh 205.

2 pm – Headache on left side came on during Pilates class. About a 5. Took 2 Dilaudid.

3 pm – Headache around 6. Took 2 Ibuprofen.

4 pm – Walked a little over a mile to pick up car from shop. Headache down around 3.

5 pm – Headache still about 3.

7 pm – Went for another walk. Headache down around 2.

6/4/08, Wed

Slept better. Did Pilates moves in bed before getting up.

7 am – Some neck pain in bed this morning. Neck pain about 1 now. Back pretty good. Legs good. Not too much tremor. Some shoulder jerking in bed this morning.

9:30 am – Left side headache and neck pain suddenly turning very mean – around a 5. Took 2 Dilaudid.

11 am - Neck pain and left side headache very persistent. Still around 5.

1 pm - Saw Dr. Gerald Rich. Wants to see me in a year unless Fentanyl is going to be permanent, in which case he wants to do another sleep study.

1:30 pm - Finally have some relief from neck and head pain - down to around 3.

3 pm - Left side head/neck pain up again - 4 to 5 range.

4:45 pm - Walked about an hour. Achilles tendon on right side a bit sore. Knees and lower back also a bit touchy. Walked up the hill to Fremont and back - no trouble with the hill. Neck and head still about in the 4 range, but were down to 2 to 3 range when I was walking.