WINNING's picture
WINNING
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+ 1 Pip Pain and syncope

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I started a new cycle of sus and eq my first glute injection monday, was 250mg of sust, 300mg eq and 50mg test prop in one pin. All of this while taking my 6.25mg of aromasin in the am. Heres where it gets sketchy.....

The following day tuesday I felt a slight pip pain, no biggie I toughed it out. That night I woke up to pee and walked to the bathroom, with my wife yelling at me to wake up.

Apparently I had passed out and fell on my side. Shortly after I felt dizzy,shortness of breath,weakness and chills.

Its 2am and my leg pain is unbearable to even walk. I checked my temp and it was 97.5 and my bp was 109/59.

I decided to not take a chance and go to the hospital in pain. They run blood test,urine,cat scan and xrays.

Blood came back as 1500 white count!

Cat scan showed no abcess!

Im sure my glute pinning wasnt up to par, its hard to get a good angle for me.

Im in the hospital for 24hr observation, while they shoot me up with morphine.

Any help or ideas? I want to continue my gear, but dont want this again.

This is the second time in two years, the first was time was a quad abcess that landed me 14 days in the hospital.

Also I did do normal sterol techniques with cleaning the bottle and injection site.

Im not to worried being there's no abcess, but passing out and a 1500 white blood count is scary.

Help please!

Chaos's picture

Sounds like you're on the path to a recovery and a return to glory:) glad your doing better my man. I've been around a bit. That's some spooky stuff you had going. Fr sent

WINNING's picture

Thanks for your concern, I returned back to work today im taking it slow. Im going to take preventative measures to ensure it wont happen again.

WINNING's picture

All I can think out is getting back into the gym, food here is trash, I have eaten twice in 36hrs. Lucky me I had the wife bring some chicken veggies and a turkey wrap. If it was up to this place I would be eating trash and laying in bed. I even had my wife bring my multi vitamins and protien shake. I dont want to get fat or loose my diet while here.

MedDx's picture

You will be outta there soon.....if they want to wheel you out in a wheel chair you will probably have to let them....lol.....but if they will let you walk then ask them if they dont mind.....

WINNING's picture

I was so hungry waiting around for a transporter to bring me up that, I took the elevator up and walked back to my room I was so hungry. Came up here and took my muti,fish oil and a protien shake. Haha hows that for dedication.

MedDx's picture

Let us know when you get home bro.....start those Bactrim ASAP....

WINNING's picture

Home now, should I start bactrim?

MedDx's picture

Yes you can start Bactrim. How many days supply do you have? Did the doc prescribe 20 pills?

WINNING's picture

7 pills for seven days. Hey thank you for all your help b.t.w.

MedDx's picture

It is for sure Bactrim? That sure is a short time frame for Bactrim. It must be a new dosage. Glad you are doing better, bro.

WINNING's picture

Yes for sure.

vhman's picture

That's fantastic! I am really glad that you are on the mend. Keep us updated on your progress.

WINNING's picture

Yay, wb count 9,000 today! They are sending me home later with bactrum antibiotics!

MedDx's picture

Thats freakin great to hear....!! Find out if you are going to see a doc in a week for a follow up. Get all the current blood work papers you can before leaving. Is that script for Bactrim for ten days, or for how long? Is your BP in a better range? Sounds like u r peeing good too. WBC is better too...... Ask the nurse what type of bacteria strain showed up from the blood work. They would have to do a culture and sensitivity and a gram stain. Keep in touch....

WINNING's picture

Double posted, see below post.

WINNING's picture

Ultra sound showed no abcess too. Can I workout on those meds? How long before I can do legs? How long before I can inject again? I need to learn how to steralize my bottles.

MedDx's picture

Follow BigBmaj's advice for sterilizing your bottles. Yes, you can workout, while using Bactrim. When you are ready to do legs, just start and be easy. Sulfamethoxole Trimethoprin is Bactrim. You arent using any orals right? You takin any other meds? And, what are your allergies to foods and medications? Make sure to hydrate well and review precautions and drug interactions with Bactrim and AAS. Glad there is no abcess. You could start your injections as soon as you determine there are no interactions with the drugs you will be taking and after you sterilize as mentioned below.

TheFlash85's picture

I love eo, preety much every oil ive jabbed has it in it, cant always blame it.

MedDx's picture

Ethyl Oleate, right?

MedDx's picture

I am going to look into that further.... it could harbor organisms easier....

MedDx's picture

Agreed

WINNING's picture

My bp has been 96/52 or 101/ 56. Whats up with that?

MedDx's picture

Probably from third spacing and endotoxin release......it causes vasodilation of the circulatory system. You should have IV fluids running along with Vancomycin maybe about 50-100 cc/hour. If so, is it a Dextrose 5% with NaCl? Are you peeing bro? What color is your urine? How much are you peeing? And, what is your BUN and Creatinine? Also, they probably never drew two sets of blood cultures, unless your temp spiked above 101.0 F. If you are on a Telemetry floor now, you will probably get moved to a MedSurg floor tomorrow, and then discharged from there before, or on Friday, permitting you are in USA. Also, Vancomycin needs peak and trough blood work to monitor the levels of the drug for therapeutic measures. Make sure they are doing it!! Keep me informed......I will keep up with you......

WINNING's picture

. They gave me iv fluids once yesterday in the E.r., before the vanco. I need to ask about my blood work, I guess they will give it to me upon discharge? They drew a second set of bloods this am, give me a list of questions when I see the doc later ill ask him. Im peeing pretty decent, I filled up the urinal atleast 5 times. I still have glute pain when I stand up, not as severe as yesterday, but it hurts to bend down and stand up. Its sore to the touch, just over the injection site, no redness, just localized pain.

Chaos's picture

What are you thinking Doc? Septic shock? High white count with dipping BP. Curious to know urine output and renal function labs. Keep us posted Winning. Feel better brother.

WINNING's picture

Thanks bro, I just want to get outta here I, have to take my little girl trick or treating.

MedDx's picture

Yes sir. I wish I was there at the bedside. I need to know more pieces of the puzzle to come up with a tentative diagnosis. Establishing an etiology is puzzling in itself. I hope he responds back. I have PM him, so, we will see. FR sent.

MedDx's picture

Do you mean 15,000 WBC elevation? With a temp that low, it sounds like you are already going into cold shock. Do you have a current WBC count and a CBC with a differential? What are the SEGS, BANDS, and NEUTROPHIL readings? Also, the diastolic number (bottom #) of your BP needs to be above 60mmHG to perfuse the renals and greater than 70mmHg to perfuse the coronary arteries and the heart.

Discontinue the TP. Are you still in the hospital?

WINNING's picture

H/h 14.5/ 42.1

bun/creatine- 23/ 1.1

WINNING's picture

Yes im still in the hospital, 15,000 wbc is right.

WINNING's picture

Its just an infection im getting vancomycin now iv hopefully i will be out tomorrow. I mgoing to have my wife pin me from now on. Its the first time I pinned glutes before, im on the telemetry floor because of the syncope episode i had at 2am. Im going to continue my gear when i get out of here after the antibiotics, i love working out too much and have to reach my goal. Its just an infection nothing has been done yet, im in a room now and no longer in the e.r.

MedDx's picture

IV Vanco? Your blood work must have revealed gram positive cocci/rods. Are you aspirating the plunger before you inject? And, are you vigoursly rubbing the injection site and letting the alcohol dry before you inject? Your BP concerns me, too.

WINNING's picture

I didnt aspirate before I injected it was to hard at the angle I was at, this am my bp was 96/56. Then again I am laying down all day, this am I should be getting an ultrsound to see if there might be a small abcess. Im peeing normally, I have been drinking tons of water earlier yesterday it was really yellow then light yellow. They did another set of blood cultures and blood this am. The doctor said somthing about maturation and parasympathetic/sympathetic nervous system, when I get up and pee at night one part shuts off causing me to pass out.

vhman's picture

Glad your on the mend, but do you know where the infection came from? Like I said below, I doubt it was from a dirty needle or the like. It sounds like your gear had some bacteria in it. I would make sure before you pin again. I'm sure you don't want a repeat of last night! Best of luck!

WINNING's picture

Im not sure its quality gear from a quality guy but you never know, how could I even tell? Your right I don't want to waste gear either, I dnt know what the hell to do.

MedDx's picture

I agree. You have spoke about this before. That is how I remember you. Plus, you said something about cutting your oil with grapeseed oil. What is your degree in? I saw the pics you have posted, too. You have made great progress. Also, i agree about the sterilization of oils, especially the propionate esters. Something about propionic acid and bacteria that go hand in hand. FR sent.

WINNING's picture

Oven really teach me homie.

vhman's picture

That would be a good way to cultivate more bacteria if it was in there. I guess it would be a neat science experiment.

vhman's picture

Kidding, no. I wasn't aware that you could boil it, without damaging it. Learned something new. I was assuming that you couldn't bring the temperature that high. If you didn't you would promote more bacteria growth. Makes sense. Thanks for the info.

vhman's picture

Wow. Really sorry to hear about you issues and hospital stay. I'm glad you did the right thing by going in and taking care of yourself. I am not completely sure, but it sounds like you may have bacteria in one of bottles of gear. Obviously you don't have to have an abscess to get an infection and get your wbc up to 1500. You got bacteria in there from that injection somehow, now you need to narrow it down to which bottle or even if it was the syringe. You said you used proper technique and usually if you didn't, you would possibly get an abscess, so again, my guess is your gear. If the oil was "dirty" that gets into your blood and very well could cause your infection. I wish you the very best of luck and hang in there.

MedDx's picture

Agreed...