{"id":1809,"date":"2010-04-18T16:46:35","date_gmt":"2010-04-18T23:46:35","guid":{"rendered":"https:\/\/www.rnsmith.com\/?p=1809"},"modified":"2010-04-18T17:20:16","modified_gmt":"2010-04-19T00:20:16","slug":"the-cold-was-winning-picture-for-april-18-2010","status":"publish","type":"post","link":"https:\/\/www.rnsmith.com\/?p=1809","title":{"rendered":"The Cold Was Winning &#8230; Picture for April 18, 2010"},"content":{"rendered":"<figure id=\"attachment_1806\" aria-describedby=\"caption-attachment-1806\" style=\"width: 239px\" class=\"wp-caption alignleft\"><a rel=\"attachment wp-att-1806\" href=\"https:\/\/www.rnsmith.com\/?attachment_id=1806\" target=\"_blank\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"1806\" data-permalink=\"https:\/\/www.rnsmith.com\/?attachment_id=1806\" data-orig-file=\"https:\/\/i0.wp.com\/www.rnsmith.com\/wp-content\/uploads\/2010\/04\/IMG_2775.jpg?fit=956%2C1200&amp;ssl=1\" data-orig-size=\"956,1200\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;}\" data-image-title=\"IMG_2775\" data-image-description=\"&lt;p&gt;The ingredients are &lt;a href=&quot;http:\/\/en.wikipedia.org\/wiki\/Guaifenesin&quot; target=&quot;_blank&quot;&gt;Guaifenesin&lt;\/a&gt; and &lt;a href=&quot;http:\/\/en.wikipedia.org\/wiki\/Codeine&quot; target=&quot;_blank&quot;&gt;Codeine&lt;a\/&gt;. The first is a expectorant and readily available over-the-counter. The second is a narcotic, the most used opiate in the world. For that reason, it is available only by prescription in the United States, whereas it&amp;#8217;s available over-the-counter at a pharmacy in just about every other country in the world.&lt;\/p&gt;\n\" data-image-caption=\"&lt;p&gt;American Version of Cough Syrup&lt;\/p&gt;\n\" data-medium-file=\"https:\/\/i0.wp.com\/www.rnsmith.com\/wp-content\/uploads\/2010\/04\/IMG_2775.jpg?fit=239%2C300&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/www.rnsmith.com\/wp-content\/uploads\/2010\/04\/IMG_2775.jpg?fit=604%2C759&amp;ssl=1\" class=\"size-medium wp-image-1806\" title=\"IMG_2775\" src=\"https:\/\/i0.wp.com\/www.rnsmith.com\/wp-content\/uploads\/2010\/04\/IMG_2775.jpg?resize=239%2C300&#038;ssl=1\" alt=\"American Version of Cough Syrup\" width=\"239\" height=\"300\" srcset=\"https:\/\/i0.wp.com\/www.rnsmith.com\/wp-content\/uploads\/2010\/04\/IMG_2775.jpg?resize=239%2C300&amp;ssl=1 239w, https:\/\/i0.wp.com\/www.rnsmith.com\/wp-content\/uploads\/2010\/04\/IMG_2775.jpg?resize=119%2C150&amp;ssl=1 119w, https:\/\/i0.wp.com\/www.rnsmith.com\/wp-content\/uploads\/2010\/04\/IMG_2775.jpg?resize=815%2C1024&amp;ssl=1 815w, https:\/\/i0.wp.com\/www.rnsmith.com\/wp-content\/uploads\/2010\/04\/IMG_2775.jpg?w=956&amp;ssl=1 956w\" sizes=\"auto, (max-width: 239px) 100vw, 239px\" \/><\/a><figcaption id=\"caption-attachment-1806\" class=\"wp-caption-text\">American Version of Cough Syrup<\/figcaption><\/figure>\n<p>This morning I finally had enough. After several bouts of coughing spells last night during which I could hardly catch my breath, my whole chest was SORE and my diaphragm especially so. It even hurt to just breathe. The cold was definitely winning.<\/p>\n<p>So, I made my way down to an urgent care center to see someone about a prescription for something that would stop the cough. After filling out three pages of medical history I then went into an examination room where a nurse took my vital signs. The machine to take blood pressure was not going to succeed, so she did it the old fashioned way and came up with a blood pressure of 210 over 142. Not good! She immediately went to get the Physician&#8217;s Assistant who was seeing patients. He came in and took my blood pressure in my right arm. A little better: 160 over 108. We went through the rest of his process and he agreed (after I had a couple of coughing spells while he was there) that I needed something and wrote a prescription for Cheratussin AC Syrup. He then took my blood pressure again in my left arm and got 132 over 86, a much nicer number.<\/p>\n<p>I got the prescription filled and came home. It&#8217;s kind of working. I took a nap and woke up coughing, so took another dose. Since then it&#8217;s been better.<\/p>\n<p>But that got me wondering &#8230; what was the difference between the Calmylin from Canada I was taking and the prescription? It turns out that the prescription itself was twice the price of the Calmylin from Canada and half the potency of codeine. That doesn&#8217;t take into account the cost of the visit to the urgent care facility. I&#8217;m hoping that when I get to a position with sufficient codeine in my system, that taking the prescribed dose will maintain a reasonable suppressant level.<\/p>\n<p>Because I&#8217;m now a Medicare \/ Blue Cross person, the urgent care facility first bills them and then whatever they don&#8217;t pay gets billed to me. So, I&#8217;ve no idea what this visit to see the PA actually cost. There was a sign with a price list and the cost associated with &#8220;cold or flu&#8221; was $55. That may not be the Medicare price, though.<\/p>\n<p>Meanwhile, another front on the battle with this cold has been opened. It&#8217;ll go away some day, I&#8217;m sure of it.<\/p>\n<p>TTFN!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This morning I finally had enough. After several bouts of coughing spells last night during which I could hardly catch my breath, my whole chest was SORE and my diaphragm especially so. It even hurt to just breathe. The cold was definitely winning. So, I made my way down to an urgent care center to &hellip; <a href=\"https:\/\/www.rnsmith.com\/?p=1809\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">The Cold Was Winning &#8230; Picture for April 18, 2010<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[1],"tags":[],"class_list":["post-1809","post","type-post","status-publish","format-standard","hentry","category-general"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pnKxs-tb","_links":{"self":[{"href":"https:\/\/www.rnsmith.com\/index.php?rest_route=\/wp\/v2\/posts\/1809","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rnsmith.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.rnsmith.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.rnsmith.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rnsmith.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1809"}],"version-history":[{"count":0,"href":"https:\/\/www.rnsmith.com\/index.php?rest_route=\/wp\/v2\/posts\/1809\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rnsmith.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1809"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rnsmith.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1809"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rnsmith.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1809"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}