Two dates missing on a current Electronic Health Record (EHR) had led me to dig up an old one. The dates are in the allergy section and they occured three weeks apart. The source was Lisinopril and then all ACE-Inhibitors, and the reactions were 'Renal Artery Stenosis' and 'INCR CREA due to R.A.S.', respectfully. I've been told this could be the source of my kidney atrophy and the reasion I have ESRD. The first date also coincides with an 'Acceptable Risk' stroke I had during a carotid procedure. When I was woken in Recovery, I'm told I was having a difficult time speaking. They then rushed me back into surgery. Since my providers tried to keep me from linking the two, it made me question if other events of that day were as they seemed.
My systolic had remained between 220-240 for the 48 hrs I was out. When I woke, I couldn't feel my ears. Partly because I had lost most of my ability to grasp with my only good hand, and partly because they were enclosed by my neck. My son assured me they were there. When they got me a mirror, it looked like a had a basketball under my tongue, making me look like a human bullfrog with a nasty incision running from the left earlobe, accross my thoat and ending at my right inner catherer. I asked about the swelling and was told they had to rip my face back to get to the clot. I can find no record of this type of perioperative response to a stroke.
How preposterous is it that I could have had 2 different reactions to Lisinopril, one, the Acute Kidney Failure, and two, neck, chin and throat angioedema. So could it be possible that the difficulty speaking was mistaken for a stroke. And seeing as the surgeon was 1 year out of a fellowship didn't recognize the signs or intubate me quick enough, so a hypoxic upper airway obstruction occured. Can this have similar results as a stroke? Are there other Emergency Airway procedures other than a tracheaotomy or Cricothyroidotomy?
I'm asking here because I have had high PTH even before my kidneys came close stage 4. And this being the only surgical procedure that could be responsible for the 7 or 8 surgical clips at the bottom of my neck (see AP view of chest, which has been described as being bent from medianastinal fullness. Could these clips have been used to help close an Emergency Airway? Or am I really reaching.