Later this week I’m taking Ryan out for several images. He will be able to get everything needed in just one outing and at one location. For this visit we hired a transport company (in lieu of the Chick Magnet) since so much is involved in getting him to and from the visit.
Here’s what is scheduled:
- Chest x-Ray. We just want to make sure nothing is brewing in his lungs.
- Femur x-Ray. This is a follow-up image that I will give to the orthopedic in hopes it will be enough to prevent Ryan from making an office visit.
- Forearm x-Ray. I thought we should just double-check this.
- Abdomen and Pelvic CT Scan. These will be taken to Ryan’s urologist to check his bladder, kidneys, and urinary pathways. Mainly we are seeing if there are any obstructions (e.g., kidney stones, inflammation, prostate enlargement, etc) that might be the cause of his frequent urinary tract infections.
- Dexascan. This checks bone density.
Speaking of bone density, we learned that longterm proton pump inhibitor (PPI) use, like Nexium, can lead to bone loss. Even many over-the-counter types can do the same (like Prilosec OTC and Prevacid). Ryan has been on Nexium since his injury to protect his stomach from all the drugs he takes. It reduces the likelihood of aspiration. We are now beginning to work with doctors for an alternative. The apparent path will be to gradually switch him to another type of acid-reducer, called H2 blockers. Zantac is in this class. One thing that is important is Ryan must be slowly weaned from the Nexium. If you’re so inclined, you can read about the FDA warning here.