Have returned from a six day hospital admission with an exacerbation that did not involve an infection. On admission had acute on chronic hypoxic respiratory failure, hypocalcemia, elevated CPR, leukocytosis and mild renal impairment with elevated urea. My BP normally well behaved becomes extremely erratic when I am unwell and was swinging from one extreme to the other. Was treated with 50mg Prednisone and oxygen along with usual nebs. Still a wheezing a bit and reducing prednisone, fingers crossed all will settle back to my usual.
It's a bit scary to know that I can have such a scary exacerbation without an infection being involved. One good outcome is a referral to pulmonary rehab, may not happen til the new year but good that it;s in the pipeline.