Tuesday, January 26, 2010

What's Going On

Mama Dooligan had a little meltdown this afternoon. I went to a same-day appointment that THEY insisted on when they heard my symptoms. My Dr. that I have been seeing since 2001 left, and is not accepting new patients (she bought an already established practice). So I called in to work, and figured since I have an terrible headache which has been unrelenting since Thursday, that maybe it was better to take an afternoon off, even though I honestly look forward to seeing the kids. When one of them is absent, I am bummed out. I love my job (even on the bad days). Anyways, I decided I need to deal with this dumb headache... so I took the appointment with this unknown doctor. After waiting a LOOOOONG time for him to make an appearance, he stunned me with his complete lack of knowledge. About my chart. About my current medications. About my various conditions. About simple medical terminology. Normally, I have a lot of respect and deference for medical doctors. But no. Not this guy. I honestly wonder if he could read. Or if he might have been on something. If I was cranky when I walked in there, I was furious when I left. After dealing with the front office staff, and the pharmacy, I stomped out in a huff. Normally I am not a stompy kind of gal. I choose my shoes based on how quiet or loud they are... even though heels make me feel more confident and make everything hang better, I avoid them, because I don't want to be noticed when I walk. But nope, today, I stomped and huffed out of there, because I wanted everyone to know how disgusted I was.
After I made my appointment next week to get established with a real primary care doctor (because, apparently and thankfully so, this guy was not one of the real primary care doctors), he ordered an ultrasound of my thyroid. I don't know why. Probably because I am considered obese. He vaguely mentioned stuff about my heart and said they would probably pick up on my caratoid arteries while they were scanning my thyroid. I would really rather a doctor not count on probably... Maybe the technician will happen to look at your arteries, maybe they won't... I really can't say. It's not as if I have any control over what happens over there at imaging. I am just the doctor. I only write the FRIGGIN' orders for these procedures. And who knows, maybe the radiologist will happen to glance at my arteries and make a comment in his report, but there's no telling. Or maybe, just maybe, my incompetent doctor picked thyroid scan out of a list, eenie, meenie, minie, mo style, and followed the protocol called "Let's-just-pick-a-test-and-go-with-it-so-patient-will-feel-like-we-are-doing-something..."
Pseudotumor cerebri. This is what I am relatively certain I have, since I have had it twice in the past, and I have the same symptoms. All it means is that I have too much fluid behind my eyes, too much intracranial pressure, and it can usually be alleviated by some diuretics and/or a spinal tap. It can be diagnosed first by a careful, thorough eye exam, done by an opthamalogist, and then confirmed by an MRI, ordered by a neurologist. It sounds scary, but it really isn't. However, I would like medical attention because my quality of life sucks right now, because of the symptoms, and also, because if left untreated/unmonitored, it can affect my vision. Additionally, I would like to not diagnose myself based on prior experience and some internet research...I would like some medical attention to reassure me that this is indeed what is going on, and it is not anything more. I have high blood pressure, and I have had it for years. I am also fat. Being fat and being female makes me far more likely to have this condition.
So, just to let you all know what is going on. I am nauseous. I am dizzy. I can't see very well... I have spots and lights all over my vision, and the double vision is starting to set in. My head hurts. A LOT. There is a rushing noise (like a heartbeat, like the noise you hear when you listen to a fetal monitor?) in my left ear all the time that is driving me freaking crazy.
https://health.google.com/health/ref/Pseudotumor+cerebri
To give the doctor some sort of credit, I think there is a legitimate link between thyroid problems and pseudotumor cerebri. Maybe, if these magical pills he gave me, make my headache go away a little, and maybe if I get some sleep and calm down a little, I will not be quite so angry towards this doctor. Just maybe.

1 comment:

Meredith said...

Oh, that sucks that you had such a bad experience! That is too bad that you don't even get an impression of basic competence from a doctor. I really hope that the next doctor you see will really listen to you and help you.