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Showing posts with label life stories. Show all posts
Showing posts with label life stories. Show all posts

Health in Seattle

Seattle, WA 98115, USA

So I met with a doctor at the UW clinic in Northgate and I was super optimistic about being proactive in finding the cause of my chronic pain and fatigue, and then find the right treatment. I was prepared for the multiple specialists visits, the copays, the waiting game. 

I didn't go into the first appointing with hopes of a miracle answer day one. I wanted to just meet the doctor, feel her out, give her some of the complaints and ask her where we should proceed from there. During this time, not only was I having chronic back pain that began to prevent me from doing the best at my job and affecting my sleep, I also began to have heavy and excruciatingly painful periods that were lasting 1-2 months at a time! I went from having 3-4 periods per year since it all started at 13, to being 30 and almost bleeding constantly with maybe a full week of respite between if I was lucky. So, we set up a wellness exam to begin with. 

When I came back for the wellness exam, the periods were still killing me and I really wanted to get my blood tested to check my overall health. I was convinced that I was developing type 2 diabetes due to being so overweight, and I wanted to check everything that I could to get some answers. In hindsight I can see that my demands were a little all over the place and I just don't think that this young doctor had the experience in her belt to guide someone like me. She also wanted to do a pelvic exam at that visit, but I was so uncomfortable that I asked to just get a referral to a gyno. I did get a flu shot and updated my vaccines though!

After a long wait, I finally got an appointment at Rheumatologist to try to get some once and for all answers. Unfortunately I was not aware that it was going to be yet another, even younger, and male student doctor. His bedside manner was atrocious. He was short and thin and I could tell he immediately just focused on my weight. He listened absentmindedly to my history of do I or don't I have Lupus or some similar autoimmune. He asked me the same questions that even a generic google search could have come up with. Do I have light sensitivity? Where does it hurt? Have I ever had a urinalysis with protein spills? blah blah. Then he said that based on what I've said and answered, he doesn't believe that I have Lupus and isn't going to order any tests. He stood up and said he wanted to test something. He said he was going to press on some pressure points and I was to tell him if it hurts or was tender there. Every spot hurt. It both hurt and felt some kind of relief by being pressed, like the good pain of a massage. 

He excused himself from the room, and I was fuming mad. I felt like he just dismissed me completely. I didn't necessarily hope to have Lupus or another AI, what I hoped for was a doctor who listened to me, who explained things without dismissing me, and who was proactive in finding what was the actual cause of the pain. I sat there just allowing myself to get more and more angry, rather than calming myself down in order to speak up. 

He came back with an older male doctor who said he was his supervising doctor. That's when I realized that I was dealing with a n00b and it turned my anger from red to crimson. The older doctor just repeated what the younger one had said and then said that based on the pressure point exam, I have Fibromyalgia and they handed me a one page printout on what that means. Then they sent me home. No explanation of Fibromyalgia, no advice on how to deal with it, nothing at all about where to go from there. The print out basically told me that Fibromyalgia is a disorder that can't be tested for other than being pressed on and is determined by the doctor based on opinion. It also informed me that Fibromyalgia is often diagnosed when there just isn't any other explanation for the pain but that a certain percentage of the pressure points trigger pain when pressed. And the only treatment for Fibromyalgia was antidepressants, the one that I quit taking.

I remember sitting in my car thinking, That's it? That's the answer? I had a hard time accepting that Fibromyalgia explained everything based on how dismissive the doctors were with what I was actually saying, how little information they got from me before just deciding I have Fibromyalgia, and my gut just told me that it was wrong. I still don't know if it was a true diagnosis or not. 

Shortly after that appointment, I had my gyno appointment. I was so thrilled that it was a woman. I told her about my menstrual experience and also mentioned that I was concerned that it could be PCOS. I had been watching My Big Fat Fabulous Life on TLC and I had so much in common with Whitney's body and health issues. I could sense immediately that the gyno had inwardly rolled her eyes. I told her my symptoms that made me think that it was a possibility. She performed a pelvic exam, took a biopsy sample, swabbed for STD testing (because I asked), and talked me into getting a Mirena IUD with the promise that it would stop my heavy and irregular bleeding as well as being a birth control method. I trusted her, even though it wasn't what I was coming in for. But I desperately wanted the bleeding to stop, so I went for it. She told me it was super easy, she could do it right then and it may only cramp for a day or so afterward. I didn't feel anything at all when it was inserted and got up and walked out feeling like a woman in charge of her own body!

I'll continue this series on my health journey next week. 

xoxo Sheri

More Doctor Shit...

Seattle, WA 98115, USA

And now a continuation of my story of navigating the American healthcare system. 

I moved to Seattle in 2014 and was suddenly faced with the reality that I needed to sign up for Obamacare. I was now self-employed and couldn't count on anyone else to provide me with health insurance. 

I signed up through wahealthplanfinder.org, but my income just couldn't support the monthly payments. Through some research, I found some free clinics, but I made too much money to qualify for them, yet didn't make enough money to pay for healthcare myself. It was a super frustrating time. I was also terribly homesick for AZ and my mental health was in a weak state. I finally found a church that offered some medical and dental services - Puget Sound Christian Clinic. It was somewhat income-based, but I qualified and they asked for a $10 donation for each visit, but if you couldn't pay it, they would still treat you. I tried my best to pay it each time. 

At this point in my life, I had gained a lot of weight. I was concerned about diabetes, the strain the weight was putting on my body - especially my knees and feet, and how it was affecting my overall wellbeing. One of the doctors on the clinic suggested that I go back on antidepressants and anti-anxiety medications again. I was in such a shitty place that I agreed. I went back on generic Prozac at a dose of 20mg as well as a daily Buspirone dose. 20mg of Prozac was too much for me. It took me to a suicidal place quickly. I was able to go back to the doctor as ask for a lower dose. 10mg worked a lot better for me. The clinic was limited on what else they were able to do for me. I was still experience chronic pain but they weren't allowed to give prescriptions for any pain killers that actually worked and I got a lot of samples of Aleeve. They also didn't have the facilities to dig deeper and run any tests. 

I stayed on the prozac for over a year and I was less diligent with the Buspirone. I just never saw a difference in anxiety with or without it. But what happened with the Prozac is that it made me a zombie. It did it's job in the beginning and was helpful when I was in a hopeless place. I needed the help to just allow myself to survive. Then life got better. I established my home in Seattle and became a true resident. I moved apartments and found one that I loved and nested. I was ready to be happy and take control of my life, but the Prozac was preventing me from feeling really anything at all. I spent all my free time just sitting. I was perfectly content just watching TV and being on my phone and avoiding anything magical about life. I didn't want to clean but nor was I bothered by the mess. I had zero motivation for any of the things that I loved. I wasn't depressed, I didn't feel badly, I just didn't feel anything. Joy was rare but so was crippling sadness. 

I had this moment of realization that I was capable of handling myself and my struggles now. I felt secure in the life I set up. Money was a little better. Life was looking up, but I was missing out on it. So, I decided to stop taking the meds. It was a big decision and not one that I made in hast. I talked to my beloved godmother and told her of my decision. I talked to her about it so someone was aware of the change. I needed her to keep an eye on me and look out for any behavioral changes that I may not notice. I talked with my best friend too and asked the same of her. It was a little scary to take away that crutch, but I just really want to feel things again. To me, it was worth the risk of possible discomfort in order to get my personality back. 

I got back on wahealthplanfinder.org in 2016 and selected UW as my provider. I was ready to take charge of my health and search for answers again. I thought that going to a doctor associated with the university would be up-to-date and possible have some new ideas for treatment than I've experienced in the past. What the reality was, was that I was going to be treated by student doctors with limited experience. I wasn't going in for colds or sprains, I was searching for answers to what appeared to be complex issues in my body. 

I developed this chronic pain in my back on the right upper quadrant.  I referred to it as my Marco spot because I thought it was caused from carrying a baby predominately on my right side. It made sense and I tried to consciously hold him on my left side whenever possible, but it just hurt all the time. The area experienced all the types of pain: throbbing, aching, dull, sharp, stabbing, radiating, etc. It affected my quality of sleep, my abilities at work, my temperament. It brought up the decade long questions of "Is this Lupus? Is this a different auto-immune disease?" or is this something else? Is this caused by the weight gain? Am I so large that my body is just falling apart at the age of 30? I'm 6'2" with a strong and sturdy skeletal/muscle frame, but I was carrying 345 pounds of weight. It was the heaviest I had ever been and I was feeling it. 

So I met with my new doctor. She was young and sweet and had a great bedside manner. She seemed ready to listen and eager to help me find answers. I felt like I was on the right track and was about to get some answers. And this is where I will leave off until next time. Thanks for reading and as always, I would love to hear from you in the comments. Tell me about your struggles and successes and whatever else you'd like to share. 

xoxoSheri