Reverse Stereotypes and Cautious Optimism
Hey Everybody,
I had my first appointment with the rheumatologist this week.
Thanks to the excellent comments on the vampire blog, I went to my appointment looking like I just rolled out of bed, when in fact, I had just rolled out of bed.
Can you believe recent studies continue to show women (especially attractive women, or in my case, women who at least make an effort to look good) are still at higher risk for having their pain issues discounted?
What the actual fuck?
It’s 2020, isn’t it?
*Looks around for someone to concur and finds herself home alone.
No matter.
I’m opening up a can of chronic pain whoop-ass, and I’m doing what I gotta do to get the medical attention I need. *Cue waking up (in pain) the morning of my appointment.
I hobbled to the bathroom, pulled my curly (read frizzy) hair back and secured it with a clip, washed my face, picked the gunk out of the corners of my eyes, and brushed my teeth.
That’s it: no hair products, no makeup, not even a hint of mascara.
To complete my worn out chronic pain look – I wore faded yoga pants, my Johnny Cash t-shirt, and an OPC sweatshirt that used to be slightly too big, but as of now, is slightly too small. Ugh! Hate it when my clothes shrink in the dryer.
*Gives side-eye to the people snickering in the back…
Moving on!
By this point, I don’t like what I see in the mirror. I look tired (because I am), I look bloated (could be, who knows, I’m not the best judge), I look unhappy (I’m not, but I am sad at the news of the unexpected passing of a dear friend), and I look like I made zero effort to face the day (I did make zero effort, so, goal achieved).
But do I look like I’ve been battling chronic pain for the last twenty-four + years?
In MY head, I do.
I rarely do this – leave the house looking like my hair went ten rounds with a Brillo Pad and lost the fight. It’s not vanity, at least, not entirely. When I’m in pain, I make an effort to dress better, put on makeup, and do my hair.
The higher my pain levels, the more I focus on my physical appearance when I’m out in public, mostly because it’s one of the few things I have control over when it comes to my body. There are other reasons as well; we’ll get to those in another blog.
This blog. THIS blog – is all about THE Doctor.
Let me start by saying, THE Doctor is not a vampire. He is, however, young and good-looking. My initial reaction when he breezed into the exam room before I completed the paperwork on my medical history was – oh, great.
I’m fucked.
Here’s this young, hip, sweater-wearing, Twitter doctor who’s probably in a hurry to get back to his Starbuck’s Triple, Venti, Soy, No Foam Latte.
That assumption was my mistake.
My BIG mistake.
And a perfect example of why stereotyping individuals is not to our advantage.
Doctor Sadly Not a Vampire sat down after an efficient introduction and proceeded to take an extensive medical history. Without any prompting from me, he hit all the symptoms I wanted to raise, and some I hadn’t thought of on my own (hair loss, in particular, was a surprise and is also the subject of another blog). He further revealed through our discussions that he had reviewed my previous x-rays and medical information sent to him in preparation for our appointment.
At this point, I’m cautiously optimistic. Also, I’m schooching my butt around the chair like I’ve got a case of restless hiney syndrome because my buttocks are starting to hurt from the hard pleather.
He then did a quick, albeit full physical exam of my joints and Fibromyalgia tender points. This involved a lot of poking, pulling, manipulating of body parts into painful positions that are probably not painful for most people, and measuring range of motion in back, chest, and hips.
Then we sat back down, and here’s what he said:
He agrees with the Fibromyalgia diagnosis. I didn’t think it mattered to me if he did or not, but I feel weirdly vindicated. Probably, because I mostly self-diagnosed my Fibro way back in the late ’90s.
He also suspects something is going on in addition to Fibromyalgia. He mentioned Ankylosing Spondylitis along with some other types of arthritis, again, with no prompting from me.
Seriously…NO PROMPTING FROM ME!
I know, right!
I could hardly believe it either.
Next he wrote orders for the following blood tests:
HLA-B27 – a positive result means HLA-B27 is in your blood, and you may have a higher-than-average risk of certain autoimmune diseases, such as Ankylosing Spondylitis. However, a negative finding also does not mean you don’t have an autoimmune disease.
ESR – Erythrocyte Sedimentation Rate is a test that indirectly measures the degree of inflammation in the body. I’m pretty sure I’ve had this blood test before, and the results were negative.
CRP – A C-reactive Protein test measures the amount of C-reactive protein in your blood, giving a general idea of the inflammation level in your body. High levels of CRP can be caused by infections and many long-term diseases. I believe I also had this test previously.
He also ordered x-rays of my lower lumbar and sacroiliac (hip) joints.
Then he prescribed Naproxen/Esomeprazole – Naproxen is a non-steroidal anti-inflammatory drug (NSAID) used to treat joint pain, among other pain issues such as tendinitis, bursitis, and gout. Esomeprazole is a proton pump inhibitor (PPI) that blocks acid production in the stomach, a potential complication/side effect of the Naproxen.
If you’ve ever seen me try to swallow a pill, you’ll understand why I’m thrilled that these two medicines are combined into one capsule. Yay! I only have to take two pills a day, and if I don’t register any improvement in back pain, I’m to advise my doctor and request another NSAID.
Next, we talked about the things I should be doing on my own, like getting better sleep. HA! Yes. He saw my eye roll and admitted better sleep was going to be difficult to achieve with Fibromyalgia, but he insisted I try anyway. We talked about exercise and what the right kind was for me – swimming, walking, yoga, Tai Chi. Basically, anything with no to low impact.
Finally, we talked next steps, and he advised he wanted to see me back in four months for a follow-up. He even made sure the appointment was booked before I left the hospital.
Uhh, wait? What? You mean – I get to come back? You mean – I’m not dismissed, good luck, don’t let the door hit you in the sore patootie on your way out?
Did you see my hair?
I look like a shorter version of Kramer.
Well, alrighty then…so, there you have it.
I am cautiously optimistic that maybe – MAYBE – Doctor Sadly Not a Vampire is the wellness partner I need to get my chronic pain under control.
Highly cautiously optimistic! (Rose-colored glasses, remember?)
And so my journey continues one day, one week, one month at a time. Glad you’re still here and hope some of what I learn along the way can help you in some small measure, too.
In the meantime, let’s keep the discussions going! Leave a comment and tell us about some of your positive and negative experiences with stereotypes. Or don’t. That’s cool too. Feel free to do with these blogs as you will, but just a reminder either way, if you hit the subscribe button you’re entered to win one of the Caring is Sharing Prize packages. Nothing else required.
Until the next blog – peace out pain sufferers.
Current pain level 6/10.
** Never one to avoid a camera, this blog is dedicated to Christine Newman. Guaranteed, her infectious smile will continue to brighten the memories of those who loved her.
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