71 year old male with Wegener's.
Sept 16th. 2nd infusion Rituximab. 4th cycle. As usual followed by cough... antibiotics... cough cleared.
Oct 9th. Cough again... one huge cough pulled/tore muscle in back. Pain went off the register but short lived. Pain only happens when I cough. GP appointment Tuesday 11th... increase pain killers.
Oct 13th. Rheumatology clinic. They are happy with the way Wegener's is progressing. Prescribed different antibiotics. Cough ongoing all the time accompanied by very bad pain. While waiting in blood clinic, I coughed again and felt my lower right rib move.... the pain was the worst imaginable. Only lasted about 15 seconds. That evening while preparing for a shower I found the biggest bruise on my lower right rib area extending from my back bone to my naval.... about 7 inches deep and going from black through magenta to red and yellow. Cough continuing and very painful in my back/rib area. I do my best not to cough but sometimes it comes when I don't expect it.
Oct 14th. Emergency appointment with GP. On seeing the bruise and examining me, I was sent to hospital for surgical assessment. In for 2 days. All manner of tests, scans, probings and still more tests carried out. My arms were covered with needles putting stuff in and taking stuff out. The last big cough had ruptured a blood vessel in my back. The CT scan showed it was not bleeding anymore which they were worried about. All tests etc were announced clear and I came home late on the 15th. I was never so pleased to be home... my own bed etc. Pain is diminishing now, down to ordinary painful when I cough, so I am recovering.
Anyone who criticises the NHS is crackers. I was handled with sympathy, respect and good old fashioned courtesy. Thank you very much to the staff and the NHS.