Thursday, June 21, 2007

Citadel












Lizzie is at the Citadel this week and her commander tells me that the kids are all in good spirits. Somehow from these pictures I am having a hard time believing it. She just doesn't look like she's having that great of a time. But she is now more than half way done, and I have not been summoned to pick her up. I wonder if she is going to want to sleep and eat for a week when she gets home. I think I will arrange to have a day at Sixflags...that should be fun....HA!

The Un-appointment

I am even more frustrated that ever. I went to my appointment this morning and went into the lab first as had been requested. This is not the usual way appointments work, but I thought that she'd wanted to see the labs before the appointment. The first clue I should have had was that the staff was arriving at the same time I was. My thought was "good, first appointment, no waiting", wrong! I waited while the lab assistant opened the lab, retrieved the morning paperwork and set up for the day. Then I waited while she searched for my paperwork that hadn't been added to the stack. Then I waited while she called my doctor's nurse on her cell phone to find out where the orders were, and I waited for the nurse to make it into the office to retrieve my orders off a computer where they hadn't been transferred. After being stuck three times and arguing that the lymphedemic arm was unavailable, the test was finally done and the lab assistant said "You're free to go." What? I came for an appointment. No, an appointment hadn't been set up, only lab work. The doctor wouldn't be in until 9:00 and the 9:15 appointment was available if I cared to wait the hour. I looked at the scheduler and said, "you have got to be kidding me!" My doctor will send me the lab results in 2 to 3 weeks. Since when does "make a follow-up appointment in one month" translate out to "come by in a month to repeat the lab work"? I left, angry. But of course I can't let my doctor know that because I couldn't get the message pass the office staff. I am going to let it ride for now because I am angry. But when I get the lab results I am going to make an appointment with her to discuss the results. Then I am going to tell her how upset I am about the treatment that I have been receiving as of late. In the mean time I'm going to research other Internal Medicine specialist in the area.

Wednesday, June 20, 2007

Frustrated

I went to a new doctor because my oncologist wanted me to. I knew that it was an empty exercise. He diagnosed me with garden variety tension headaches. I really didn't expect him to look too far for a diagnosis and I wasn't disappointed. He spent a bit of time going over my list to make sure the drug that he was going to diagnose wasn't on it, and in all honesty it wasn't. But every other drug in that class was so when I left I looked it up on the internet. The perscribing information indicated that it increased the QTc, and was associated with reports of torsades-du-pointes. I called my cardiologist's office just to make sure. The nurse called and confirmed that the drug was clinically known to prolong the QT interval; I couldn't take it. So I called the doctor's office and told them I couldn't take the medication. I actually got the doctor on the phone, but only because he lost his temper in his frustration. He told me to ask my cardiologist what medication that he'd perscribe (my cardiologist wasn't diagnosing this one). I called anyway and wasn't suprised when the nurse told me that they don't do that and suggested that I talk with my pharmacist. The problem is that since the first of the year my drug insurance company has taken up the policy that my drugs aren't covered unless I buy them from them. So I no longer have access to my pharmacist. I called their company and they suggested four drugs that are on the Arizona CERTS list of drugs to avoid. They really didn't try, and that didn't surprise me. The bottom line is that I have chronic tension headaches and no medications to take for it. Frustrating, but not at all suprising. I called today and cancelled the follow-up appointment. The scheduler seemed suprised. I can't imagine why.

Tomorrow I go back to my primary care doctor for a follow-up appointment. This is the first time I will see her since she lost her temper while I was trying to get the ultrasound from Northside Hospital. The tests she will do will show that I do have pre-diabetes if not diabetes. I already know it because I have been testing. I am thirsty all the time. I am tired all the time. I have to go to the bathroom all the time. I have headaches. I want more from her then "Watch your diet and exercise." I know this is the essence of what she has to say, but I would like help with it. I would like a plan, a program, something. I'll be very surprised if I get it. I'm on my last lap with her. I will tell her that I need more; that I need someone who is in the very least interested that I get the care I need. In Emory City with ten thousand doctors there has to be someone who will care, if only about doing a good job.

I am frustrated with my health. I take up walking and the cancer comes back. I give up alcohol and I develop diabetes. I can't take medications for bothersome illness' and conditions. I need to take medications that exaserbate other conditions that I have, so I then take medications to remedy the problem caused by medications. I can't exercise because of LQTS, but I absolutely need to because of the diabetes.

I am frustrated with my medical team. They see me in parts. I am a cancer patient, or a heart patient, a headache patient, an arthritis patient, a surgery patient, nowI will be a diabetic; a problem. They don't seem to see me as a person. They show their frustration with my other conditions as if I could make it go away to appease their anger. And the worst is that they just don't care. They break appointments without thinking about the impact it has. And if I get angry then I am "the troublemaker".

I'm frustrated with myself. I am responsible for the food choices that has caused the obesity. This much is my fault. I'm frustrated that even knowing this, I don't stop. If I want to eat it, I think I may as well, because soon I won't be able to. I am frustrated that I play out their game even when I know the end. I should just confront them with the outcome. I should have said "Why bother with a nuerologist. He will only want to perscribe medications I can't take." I should say "Why do you want me to come in again? Do you want to admire the condition that we both know won't change?" I should say "I need you to tell me how to do what you are asking." or at least "I can't, or I don't want to do what you are asking." and not care about their anger.

I read a blog about a girl who in a fit of anger took a handful of pills. I could almost understand it. That much to me is a scary place to be.

Tomorrow I will atleast do this much for myself. I will tell my doctor that I understand her frustration. However, all she accomplished was keeping me from receiving a needed test. I'm not happy with that and I'm not happy that she sends me notes that say "work on diet and exercise" with no explanation of what that means.

Last lap.

Monday, June 11, 2007

Summons

I went to Northside Hospital with a doctors order to have an ultrasound, and they refused to do it. Not only did they refuse to do it, but they treated me like a bum demanding drugs and food for asking them to do it. Then almost two weeks later after reviewing my records they called to say that there'd been a "misunderstanding", and I should make an appointment to go in next week for the "required" test. FAT CHANCE! Just where do they get off? I would like for one minute to have the consideration for my time and my schedule that I'm demanded to pay for theirs. Even a minute bit of any hint of respect, but no. The patient advocate argued that I really should arrange to have the test done. She even had the gall to insinuate that the misunderstanding was somehow my fault. There is a hospital across the street that runs the same tests. I know because that was where my original cancer had been diagnosed. This isn't Nowhere, Oklahoma. (Yes, I do know that there really is a Nowhere, Oklahoma. I've been there.) I have choices and I'm really pissed that they don't consider that I might just make some of them. I would have to be really convinced that I couldn't get adequate medical care at any of the other dozen or so hospitals in the area to ever want to darken their door again. The really sad thing is it won't even phase them. They really won't care if they lose a patient or two; there are plenty more where I come from.