Thursday, November 08, 2007

Hamster wheel, part deux

Tom and I left work early yesterday afternoon to go to our dr. appt with our new GP. This is a big deal. I've had a difficult time finding and keeping GPs for the last few years. First there was the lady doc who left without any notice after three years in the office. I saw her on a Wednesday and found out two months later, when I called for an appointment, that she'd just up and left town the next day. I liked her; she always listened to me and was helpful.

Fortunately (I guess) another doctor had bought her practice. I made an appointment for a prescription refill visit, left work, and sat in his waiting room for over two hours. During that time I heard all kinds of griping from his nurses. When he finally saw me, he bitched about the help, told me that he didn't have time to discuss my meds with me, and anyway, he didn't think I should be taking those meds. I calmly told him that the doctor who had the practice before he did had prescribed them, my psychologist had recommended them, and I intended to keep taking them. He hastily scribbled out prescriptions for 30 days' worth and tossed them at me, sneering. The man sneered at me. He then told me to make another appointment to discuss these things.

On the way out, I once again heard the nurses discussing Dr. Charm in low voices. When one finally asked if she could help me, I told her that I wouldn't be returning and would soon have my records sent to another doctor. She was sympathetic.

Tom suggested that I make an appointment with his doctor, whom he liked. I did, and I liked him too. He was always on time, he was thorough, he listened to me closely and was willing to try new ways to manage my cough.

Unfortunately, it turned out that he liked women and self-prescribing drugs, not necessarily in that order, and not necessarily legally. After his first trial was delayed a couple of months, the state medical board suspended his license for a year.

So another doctor came in to fill in for him until he could regain his license. Unfortunately (again), another woman accused Dr. Lover of sexual impropriety in his office, then he was arrested for forging prescriptions for narcotics, and regaining his license became an improbability. Doc Crazy filled in for about 8 months. Doc Crazy was old, very old, and very hyperactive. He couldn't stay in the exam room for more than a couple of minutes before he was up and running to find his prescription pad, some book or other, or to ask the staff a question. He was also extremely slow. The average appointment with him lasted about 2-3 hours. It got to the point that I wouldn't make an appointment unless I was dying. Forget refills.

Last week that office called me to tell me the results of my chest CT scan that Dr. Pulmo had ordered (and who hadn't bothered to call with the results). The nurse said that they had a new doctor, so I made appointments for Tom and me.

We left work early for appointments starting at 3. We shouldn't have done that.

Of course some sickie lady was sitting in the waiting room moaning and groaning and they took her in first (had worked her in). I can understand that, but. Our appts were at 3, and it was 4:45 before the doctor came in. We'd already expressed our displeasure at having to take sick leave and then sit that long, and the nurse said that this was the first time he'd been late in the two weeks he'd been there. Well, the last new doc to come in, Crazy Doc, took 3 hours with my first appointment with him and they'd had to work someone in there, too. But, Dr. New Doc actually listened, even though there were patients waiting after us (he damn well better take time with us). I'd taken in a number of things I'd printed from the internet about my cough, and he read the email from the dr. in Warrenton (who emailed more info today for the GP) and prescribed a low dose of Neurontin (I thought it was for seizures, but it's for neuropathy) that can be increased up to 10x this strength. He said it's well-tolerated by most people, and it shouldn't make me stupid. He told me to stop taking benedryl because it's drying me out, to keep water or warm tea with me all day, and to stop talking as much as possible. (Ha! I answer the school phones for 25% of each day.) He said to start taking Xanax again in combination with Neurontin. Also, his recommendation is to move somewhere it's warm and humid. I told him I can't do that for another 5-8 years, but I'll keep that in mind.

He said that he thinks that my bronchial sacks are probably inflamed and that's what's causing the cough. Water doesn't help because the tickle isn't in my esophagus. He thinks that it might be time to do a brochioscopy to see if my lungs are inflamed. I asked why on earth no doctor had said that before since I've had just about every stinking test other than that; he said that it's invasive and more dangerous because they put a big tube down the throat and into the lungs to take a sample. It can collapse a lung.

So I'll try Neurontin first. I took the first one today. I don't feel too stupid yet.

At least, not much more stupid than usual.

3 comments:

~Tonia~ said...

I am glad that the New Dr. listened and seemed to take an interest in the things that you printed out. I will keep my fingers crossed that he will continue to listen to you and you will be able to work this out.

Hopefully it won't come down to having to have the test done.

Leetie said...

You give 'em heck, Rita!

You must be so tired of this.

{{{Rita}}}

rita said...

Thank you both. I am totally worn out, physically from coughing and emotionally from going on this treadwheel to nowhere.

But it is a bit empowering to say NO to a specialist and walk away!

I'm thinking of buying stock in the Poise company.