WWYD - Husband I’m well and I’m due to go on holiday

[AmIEnough]

Hi all! I’m posting for a bit of advice here as I really don’t know what to do. My DH has been on Mounjaro for a period of time and about a month ago became very unwell with an upset tummy. He wasn’t replacing fluids as much as he should and ended up incredibly dehydrated and after three days of continually getting worse he finally collapsed. Long story short I ended up calling an ambulance and they took him into hospital where they gave him bags and bags of fluid and IV antibiotics. He was there overnight and it transpires that they were incredibly worried about him because he has heart disease and his haemoglobin levels were so high that his blood was really thick and they were concerned that he was going to have a heart attack. They actually told him that had I not called the ambulance when I did they would be looking at a very different situation.

Fast forward to today and he’s now got an upset tummy again. I think self-inflicted because he’s gone up to the next dose having only been on the lower dose for one week which is not the norm.

He’s managing it better as he’s drinking a lot and I’ve bought him isotonic drinks to help replace the salts and electrolytes but my dilemma is that my 18-year-old daughter and I are due to go on holiday on Saturday for the first girls only holiday we’ve ever had. It’s taken me a year to save up for it and we’ve booked ourselves a couple of trips.

My question is do we go or do I cancel it or try and rearrange it? I think I’ll probably end up losing all my money and my daughter will be devastated, as will I of course but I just can’t predict how my husband is going to be this time round and whether he will manage things better knowing that his fluid intake was nowhere near sufficient last time.

Just looking for advice really.

To add, his 21-year-old son also lives here and will be around.

Are you for real?
What an awful way to treat a spouse!
Just horrible.

Self-inflicted. It's a nasty drug that does horrible things to people. He shouldn't be using it if he's reacted like that.

Go on your holiday.

Nah, better he should manage his own stupidity

The GP will get a discharge report from the hospital detailing the issue and treatment he has had. There will also be a paramedic report. They might contact him for a follow up review.

Your add of your 21 year old son being around answers that. He's old enough to check on him and call for help if he gets in a bad way. Go on your holiday.

Go on holiday with your DD.
In your heart you know this man is trying to exert coercive control over you. It worked on your birthday-now he is using a similar approach for your long anticipated and hard-saved-for holiday with your DD.
If you let him ruin this holiday he will use this behaviour again...and again..

This.

If he's been admitted to hospital then they should have informed his GP of his admission and the reason. However it can take our surgery two weeks to scan in the letter and then if a GP reads it, they will think he's stopped taking it as per advice.

Do you know what other than dehydration they found during his hospital admission? It required antibiotics so there's obviously an infection element. To continue to take it against this advice is beyond very stupid and suggests the medical staff have grave concerns about him using it. It's possible that his collapse was due to pancreatitis which is one of the more serious side effects that can happen. It could explain the pain and nausea. If it was acute pancreatitis then he's putting himself at risk of chronic pancreatitis which is life threatening and needs to stop using it immediately.

Even when you are self funding Mounjaro it's supposed to be being monitored and it shouldn't have been possible to get a higher dose with only one week of 5mg. I have heard of people buying it from two separate places or providing incorrect information or photos purely to obtain it. I have also heard that the monitoring is different between providers, some will phone and talk through the increase in dose before approval etc. As it's remote, it does require the patient to be honest with them and I would be amazed if there wasn't a requirement for him to inform them of any serious side effects. Being hospitalised and advised to stop taking it is certainly something they need to know!

As a diabetic NHS patient I had a nurse appointment every two weeks at the start until I was on a stable dosage and blood tests every 3 months. I am always advised of the danger of pancreatitis and possibility of other serious side effects and told to call immediately should I even suspect that there's something like that starting.

With him continuing against medical advice I would definitely be making his GP aware as it could be very dangerous. I know that losing weight is very difficult but so is dealing with a serious chronic illness that you bring on yourself. Nobody would want to take a potentially life improving treatment away from someone, without a good reason. He needs to at least go to the GP and talk through it, so he's got an informed decision if he insists on continuing Mounjaro.

I hope you went on holiday today. This sounds like a man who only thinks of himself and his vanity. I hope that's all it is and that he isn't trying to control you and your ability to go on holiday. I guess you'll know by now.

Enjoy your holiday!

As his current situation is partly self-inflicted - and particularly as there will be a 21 year old at home, I think you should go.--

Is he a 2 year old. You and your daughter should go ahead with your plans. Buy him a case of water before you go. You’re not his mommy. Yucky