No birdz allowed – lung stuff part deux
Continued from previous post:
So I left the specialist’s office that day in March with a couple prescriptions – one for oxygen at home, and one for steroids (prednisone) – both of which I’d used a year earlier, and both of which I didn’t want to do, although they help immensely. I knew the oxygen use would be short-lived, as once the prednisone kicked in and inflammation was neutralized, I no longer needed it. While its benefit is huge in that 10 – 14 day time frame, I just didn’t want to deal with it (both the admittance that I needed it nor the growling, hissing activity of the oxygen concentrator, not to mention the medical rental of the machine, although this experience/company was MUCH better than last year’s). And, after all was said and done, I spent over $630 on the rental (insurance only covers so much) for the 10 days of use, because the doctor wouldn’t okay its return until she saw me again…in May. I would have done better to purchase one of my own at that cost!
A few weeks after my visit we got the antigen tests back. And while most everything was in range (they test for a variety of typically encountered organisms) there were a couple of molds that were moderately out of range (high) and two others that I just didn’t expect: pigeon droppings, and pigeon feathers and proteins. Which, of course, means all avian. (I’d tested negative for bird allergies last year.) The doctor knew I had chickens (we’d discussed them with the sheep) and she flatly said I had to get rid of them. I was dismayed, not really understanding if they were outside why I had to get rid of them. I live on acreage. There are birds EVERYwhere. And geez, I’ve been keeping chickens pretty much my whole life (a continuous flock since 1981). But what she didn’t know, and I of course then shared with her, is that I also had a couple of parakeets in the house. And these two, I realized, I would definitely have to place. Dang.
Of course these results, combined with the review/reassessment of my prior tests and procedures/pathology (done elsewhere) by the UW pathologists, confirmed the rediagnosis from sarcoidosis to hypersensitivity pneumonitis. The doctor was very clear that I had to get the birds out, and once they were out, a deep cleaning of the house (wall washing, floors, furniture, etc.) that I was NOT, under any circumstances (even with my fancy respirator mask) to do myself. Okay, but… “Have some friends come over to do this for you.” Um, no. I would hire someone before I asked my friends to do a deep clean on my house.
The first thing I did was take the parakeets, Hugh and Cate, to the vet. I was going to give them away, probably via a Craigslist ad, but wanted to be sure they were healthy before I did so. Hugh was dealing with some kind of mite or lice infestation – not horrible, but his feathers had looked a little rough for the past 8 months or so (I’d treated with mite control, using the vet’s recommended protocol, to no discernable improvement). Cate looked fine, so maybe there was something else going on with Hugh? Sure enough, lab work showed he had some elevated kidney values, moving towards gout (who knew?). And here is where my angels helped me out. As the vet relayed the information about Hugh’s bloodwork and recommended treatment (and expense – I’d already spent over $200 for their checkup and lab tests) – fluids once a day for a week, retest blood work and re-evaluate treatment – I was simultaneously trying to digest the information and figure out what to do. She knew of my health situation, as I’d explained it to her/the clinic when I brought Hugh and Cate in for the exam, and then she very kindly and graciously offered me a solution. If I wanted to, I could sign Hugh over to the clinic, releasing ownership and entrusting his care and eventual adoption placement to them. I hesitated, thinking of Hugh – while he wasn’t a bird I’d handled regularly I still felt affection for him and of course responsible for his well-being. I’d had him for 8 years and he was a cheerful, beautiful little guy. But I knew the treatment he needed was outside my ability at that point, and I didn’t want to place him with the hope that whoever adopted him would do the right thing with his care (nor was it fair to place a sick bird with anyone). What was best for him was to sign him over to a place where he could get the care he needed. I brought him in a week or so later. The vet, Dr. Carter, gave me a hug as I signed the papers and said goodbye. I mostly held it together until I got in the car to leave, and then had to dig around in my glove box for a tissue to wipe the tears away so I could see to drive home.
For Cate, now alone, an equally miraculous solution occurred. She and Hugh weren’t bonded, and in separating them she actually seemed happier. They never fought, but they never seemed to hit it off (I’d had her about 3 or 4 years). The weekend after I placed Hugh with the vet, I went to a local spring fair with a friend who also raises Shetland sheep. It was a great chance for her and I to catch up on the drive down, and go see the sheep and fleeces, and booths from sheep farmers and wool vendors, plus chat with other sheep people we both knew. She asked about my health update as we drove back home that day, and I gave her the whole long story of the new doctor and findings all the way to the need to place the parakeets. As I yakked away, she began texting a coworker whose son was an animal lover and had recently said he wanted a parakeet. I didn’t even notice she was texting until she told me about this possible home being available. The coworker texted back that they had already gotten a parakeet, but said they would think about taking Cate too. From the description, it sounded like a wonderful home, and I sent photos of Cate along with a description of her personality. It turns out the boy, aged 10 or 12, had wanted an all yellow parakeet, and was thrilled to see Cate was exactly what he was looking for. “It’s kismet,” he told his mother, who contacted my friend to let her know they’d take Cate. The boy renamed her Mango, which I just love.
So my house was parakeet-less for the first time in 10 years or more, and it was eerily quiet. But I knew it was for the best and it seemed miraculous that both birds were placed almost effortlessly into situations that were perfect for them. I cleaned up the area they’d been in, vacuuming well and wiping down the wall and windowsill where I’d kept the cage, and of course moving the cage out to the garage (and hosing it down outside first). Next on the agenda was testing my environment for toxins in the form of molds and bacteria.
I contacted one of the companies on the list the clinic had sent me. The fellow there, Payam Fallah, was a wealth of information, and we discussed my antigen test results and the animals I have here. Like my doctor, he too was a dog lover, which felt good. Both of them not only understood the dog connection, they both confirmed that dogs/cats rarely are an issue in these cases. Payam also has a tortoise (I’d shared that my menagerie includes a box turtle), and we had a good discussion about our mutual love of animals. Again, this was reassuring – I didn’t want my animals to be automatic targets for removal because of an overall dislike of animals by the professionals I was dealing with. He sent me sterile swabs/kits for me to take samples in my house. He told me that taking swabs in my detached garage – where I store the sheep’s hay (and the mold inherent therein, which I believe to be one of the major factors in the original manifestation of this health issue) – is pointless, as there are so many molds in the environment/outdoors. Okay…
So I took four samples: one in the bathroom, one in the bedroom, one in my office, and one in the main room of living room/kitchen/“dining” (my house is tiny; this last area, at roughly 500 square feet, encompasses half of it). A week later he emailed me the results. Which basically said my little house was fine. The highest mold readings were in the bathroom (duh), but a) the mold count wasn’t astronomical and b) the molds were not the ones that showed up on my antigen tests. The bedroom, where I was most concerned (for the crawlspace underneath), had a big fat doughnut for results. Which was good. Despite the fact that I sleep in a pile with the dogs (and a brave feline or two) every night, and the crawlspace was an unknown quantity (can’t access), absolutely nothing showed on the swab I took from a wall sconce above my pillow. Thankyoujesus.
I still want to do a swab in the garage, and maybe I still will (have one left, and spreading out the cost is a good thing too – out of pocket, it’s $40 each swab to see if anything grows). But the house is fine.
Now to figure out the chickens…