I'm not sure why my body is so susceptible to bronchitis, but it is. Pretty much without fail, I will have congestion, gooey nose, and sneezing one day, then a hacking, bronchial cough the very next. Perhaps my throat and airways are very smooth? (I suspect this is its own topic.)
Anyway, in another marvelous bout of poor timing, I am sick. Again. And really badly sick. Again.
But this time, I have health insurance! Ta-da!!!
(I needed health insurance to be allowed on this Italy trip, and since I paid for it, I realized I could in factgo to the doctor and like, use my insurance to receive health care.)
Saturday found me shivering in an exam room, describing the same symptoms I've had a million times. I emphasized over and over that my main concern is that I am going to be flying to Italy in a few days and would very much like to avoid a barking, awful cough through all that. Also, I need to be able to hit the ground running and be a useful worker while in Italy, so I needed to get better right away, immediately if possible.
My doctor (who is a really lovely vaguely French woman - I believe she is from Belgium?) prescribed Biaxin, so that I would not be so vilely contagious and so that I could cough up slightly less disgusting fluorescent green stuff. Then she said I was to take a high dose of guaifenesin, an expectorant. That made perfect sense, I thought, and I knew that was one of the main ingredients in Robitussin DM, which is what I usually take when I have bronchitis.
But then she threw me for a craftily-accented loop, "You must not take any kind of cough suppressant, though. Only the expectorant." She added, "and do not try to be a lady - you must cough productively and bring all that green stuff up. Green stuff up, green stuff out." (She was using my very technical terms here.)
I thought this was an interesting and uncomfortable-sounding idea, and in response to my involuntarily-raised eyebrow, she explained, "If you suppress your cough, you could develop pneumonia, and I don't think you want to experiment with that in Italy."
I was appropriately scared and followed her instructions, buying expectorant pills instead of the DM upon which I generally rely. And then I spent the next two days coughing so much, so violently, and so unproductively that I was certain my frontal bone was going to detach from the rest of my skull and allow my higher level cognitive functions to drip down my face along with so many gallons of gooey stuff. I have never, in all my life, experienced such unbelievable pain at the mere act of coughing. I mean, like,everything hurts, every time.
More alarmingly, I found I couldn't breathe. Like, at all. I spent quite a few hours coughing, struggling to get some air after coughing, and in turn starting another bout of coughing. If I walked to another room, I got so winded I was dizzy and had to sit down gasping for air, as if I'd just sprinted 800 meters (let's talk about my level of physical fitness another time).
Finally, when even my teeth hurt and I was sure I was going to drop dead if I coughed anymore, I decided to disregard my doctor's highly-educated anti-suppressant mandate and took Robitussin DM (which thank goodness, I had not finished the last time I was so recently sick, and found glowing like a beacon of hope and promise that life could go on, in the medicine cabinet). No real surprise, but it has helped dramatically. I am not coughing every few seconds, my chest aches, but not in that burning, oh-God-this-is-it kind of way, and I can get real, oxygenated air to my lungs.
Even though I'm pretty sure that dextromethorphan is supposed to make you drowsy, I tend to metabolize it like speed. My brain gets all keyed up, and I think wildly tangential racing thoughts. (Side note - I'm kind of chuffed that I know what a dextrorotatory enantiomer is, and that I pretty clearly understand all the chemistry in the dexy wikipedia entry.)
But for now the thought which is resounding triumphantly through my brain is that Taking Robitussin was the Greatest Idea I've Ever Had, EVER.
(Also, I really hope I don't develop pneumonia.)