Over the weekend,, I fell and hit my chin and bit my lip. Very long story short is that I initially went to the ER, had second thoughts and went to urgent care, was told to go back to the ER, but went home, and to a planned activity. I basically felt fine. And fed up. If anything, the adrenaline from the day had me feeling better than usual.
Having been warned about possible death from brain bleeds or jaw misalignment, I spent the weekend worrying, but decided to just call my doctor today when he was back in the office.
He had me come in right away, examined me and said he could find nothing wrong. But of course to go to the hospital if I had any symptoms. I had been prescribed 500 mg Tylenol tablets by urgent care, to be taken every six hours as needed. I had only taken three of them in three days, and had not had any prednisone since the day before the incident.
My doctor told me not to take any more prednisone, but that I could take as much as 4000 mg of Tylenol a day. I have no intention of taking that much, as I don’t mind feeling where the pain is if it’s there, As long as it’s muted enough to not be bothersome.I was surprised that when the Tylenol is active, my arms do not get too stiff to move, and that I can easily get by with just one or two pills a day at this point.
The issues are still there under the surface, but I am continuing with PT and hope that being able to be more active will help things to improve to the point where more adrenaline steps in and I can get off the Tylenol too.
Assuming there are no surprise repercussions from what urgent care labeled a traumatic head injury… My doctor seemed to think that a lot of people in emergency care go overboard to protect themselves, but the NP seemed like a true believer in what she was saying, and was pretty outraged that the triage guy at the hospital did not discourage me from leaving, when I was already there.
Not the way I anticipated going off of prednisone, but I sure hope this sticks.
"Assuming there are no surprise repercussions from what urgent care labeled a traumatic head injury… My doctor seemed to think that a lot of people in emergency care go overboard to protect themselves."
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The final 3 mg of prednisone were probably the worst part of my taper. Ironically, PMR was well controlled and I didn't have a flare. My problems were related to adrenal insufficiency and a low cortisol level. Fortunately, I had a concerned endocrinologist in my corner. She said for me to keep her informed if "anything happened." Because of the possibility of an adrenal crisis she said I needed an "abundance of caution" to protect myself.