Wow, a long day and I haven't even gotten to (or not gotten to)
the evening stuff yet. Walked to clinic, got physical exam, will
get referral to orthopedist (for my wrist) in the mail, got several
prescriptions refilled, noticed that it had gotten late while I was
there, walked even farther, got one remaining prescription at old
pharmacy (last one there, I think; the rest should be at the clinic's
pharmacy from here on), walked home, and ohjeepersIamsotired. Ow, my
legs. And back. And head -- between the television showing an
educational tape loop in the waiting room and somebody's very
high-pitched children (they were just-being-kids, but my ears are
hypersensitive to such things today) -- and then traffic when I
was walking walking walking (and walking into the sun having forgotten
my sunglasses didn't help either), I started feeling like I was
being struck repeatedly on my skull from the inside. Ow.
But I got through a bunch of stuff. And I'm not happy about
there being no progress on my wrist, but I'll get that referral
to somebody who should actually be able to do something. With
all the other referrals, I'm going to have a busy couple of months
doctor-wise. Considering that the results of the blood tests in
August and the exam today are that I'm basically healthy except
for the things we already knew about, this strikes me as kind of
ironic. Podiatrist for routine diabetic foot care checkup,
referral to diabetic eye exam, the aforementioned orthopedist,
dentist, I think I've got a referral to a pain clinic that won't
be covered so I need to figure out how to pay for it ... and a
referral to a specialist to look into my longstanding sleep
problems.
Hmm. For the sleep issues, she's sending me to a psychiatrist.
Argh. Okay, maybe the psychiatrist will have useful clues and be
able to help, but the vibe I'm getting is along the lines of "oh,
sleep disturbance is usually a symptom of a psych problem" (which
I don't think is the cause of my sleep problems); in
either case, I'm almost certainly going to have to have the argument
over antidepressants Yet Again, since even if a patient is not
depressed they like to try those first to help regulate sleep
(as was the reason I was given antidepressants last year). I'm
not looking forward to that.
I would have liked to have been feeling better starting out
than I did, but I survived. But I certainly can't complain about
today's weather! Just cool enough to keep me from feeling sticky
(I did walk enough to work up a bit of a sweat), without being
cool enough to feel chilly; and a very pretty day.
I have to go back Wednesday to have them look at my arm where
I got stuck for a TB test (I asked whether I could just take a
digital photo of my arm on Wednesday and email it in; the nurse
said no, but he was amused and agreed that would be awfully
convenient), and I may as well have them take blood for the tests
omitted from the last time (whoops), like cholesterol. *sigh*
I hate fasting blood tests. Let's hope I wake up in reasonable
shape for lots of walking again on Wednesday. (I guess I'd better
not plan to try to do too much tomorrow. So I'll try to get to
the nail salon Wednesday after the clinic, if I'm up to it.)
Though I've got that referral for a more thorough eye exam
later, they did have me read the standard wall chart ... I found
the deterioration of my right eye downright scary, frankly, but
it turned out that the line I could read was the one for 20/30
(which is a better number than the last one I remember for that
eye, but it really did seem a lot harder to resolve detail with
that eye than even a year ago). For my left eye they wrote down
20/20, which I was pretty sure wasn't exactly correct. I went
back later and looked up the rating for the smallest line that
I could read with that eye, which they didn't ask me for, and
it said 20/13. And I know I don't see as well out of that eye
now as I did several years ago, either (and that, in turn, was
worse than my vision in childhood). All my life they've been
telling me my good eye was "20/20". Why do they bother including
the smaller lines on the chart if the doctors never bother
asking whether anybody can read those? And how am I supposed to
guage how my eyesight has changed over the years if they never
want to tell me what it really is if it's 20/20 or better?
Okay, fine, 20/20 is "normal" and therefore I "can't complain"
as long as I can see that well -- what if I want to know abou
rate-of-change, not whether-I've-crossed-that-threshold?
And if they never test for better-than-20/20, how do they
know that the normal range hasn't shifted over the years due
to, er, changes in health care, environmental changes, changes
in nutrition, or even evolution?
So, 20/13 in my good eye but kinda blurry at that size (that
is, I could be certain which uppercase Roman letters I was
reading at that size, but would have had difficulty distinguishing
between a Roman 'F' and a Greek 'Γ'. And still no clue
what my vision was in high school, which bugs me more out of
plain ol' curiosity than anything else.
(The other thing about the "you have nothing to complain
about if you test in the normal range" meme is that even if
a patient had no clue sie was lucky to have "supranormal"
vision -- or any other ability -- before, if one has it, one
uses it and one gets accustomed to using it and
acquires habits and ways of doing things that depend
on it. So a loss of ability still affects a) how sie does
things and potentially b) safety, even if sie has merely
been downgraded to "normal". This relates back to a years-ago
neurological exam where I was told I had "nothing wrong,
nothing to complain about" because short-term-memory tests
showed me as normal for humans-in-general. The problem was
that I was no longer normal-for-programmers,
and found it very difficult to do my job. I didn't give a crap
how I compared to "a normal person"; I cared that I could no
longer do what I had previously been able to, and had been
paid to do.)
But, ah, I digress. I started this post just planning to
check in and describe my day.