Showing posts with label Doctor. Show all posts
Showing posts with label Doctor. Show all posts

Friday, June 19, 2009

Scratching the Surface

One of my doctor's appointments was with the Eye Doctor. That happened yesterday afternoon late. I've been very concerned as my sight seemed - even wearing my prescription glasses... especially when wearing my prescription glasses - to be diminishing at a very rapid rate. I had mentioned this to other doctors who had reacted with cautious alarm. After all, Cimzia is an anti-TNF medication. Permanent eye sight loss is a risk when taking it.

So upon arrival, the usual protocol ensues. The nurse (or whatever she is) came into the room and had me read the eye chart with my glasses on. I couldn't see it! This, of course, confirmed my worst fears. Yes, she admitted, there is a sharp decrease in function since last year. She'll call Dr. Katzin in now to see me.

Dr. Katzin is a very nice man with whom I barely have a relationship. My eyes, fortunately, have not been much of a problem other than standard middle-aged deterioration, so I'm on a once-a-year rotation with him and this was only my second visit ever.

So he comes in and has me put my head into the usual device. "Read the letters. Is the image sharper with this lens or with that? With this one or with that one?" i answered the questions dutifully, and soon he pronounced that my eyes had not changed much at all over the last year. "Very good!" he said.

"But I can't see!" I replied. What about the fact that I can't see much of anything even when wearing my glasses. And he admitted that there was a sharp delineation between the results of his test and that of what his nurse had recorded. "Let me see your glasses" he replied.

He put them under some kind of microscope and peered into it. And then turned to me in surprise. "These glasses are more scratched up than any pair I've ever seen in my career!" he exclaimed. "What on earth have you been doing to them? No wonder you can't see!!!!"

I just shrugged. "I'm kind of hard on stuff."

And so the mystery of my dimming eyesight was solved. After I was dismissed, which was quickly, although not until I had the standard dilation, I went across the street to "Cedars View Optics" and ordered new glasses.

Saturday, February 9, 2008

An Apple a Day...

Different people have different sensitivies, differing triggers. I can lay claim to a lot of them, from social anxiety to issues of finance, but probably my worst one is invasive medical procedures. Unfortunately, with my impending surgeries, I'm left here to cope with the stress.

Yesterday was my pre-op appointment. I'm very lucky to have been referred to a wonderful Internist who I believe understands the difference between "panic attack me" - the one who gets so crazed that I've actually ripped IVs out of my arm and bolted from medical facilities - and the "other" me. Quirky, but farily sane. Certainly he is not at least outwardly judgemental. And I appreciate that.

Dr. Rudin and I met shortly after my fathers death. Dad was a physician too, and rather than have me forced to go see an Internist along with the myriad of other doctors that I require just to stay alive, Dad was quite willing to manage my anxiety medication for me. Yes. The one I joke about although lack of access is not a joking matter at all. Xanax. So imagine me, still in the throes of shock and grief at the loss of my father, having to go into a strange doctor's office with the specific mission of asking for a substance that is well known to be abused. Uncomfortable, at best.

I remember being ushered into his office at the first meeting. Telling him about my situation. Explaining about my many sometimes life-threatening conditions. My medications, especially the prednisone which is a mind-altering substance in and of itself. My family situation. And he was very astute. Understood where I was coming from. Either knew or knew of my specialists. Seemed to know on an intuitive level - correctly I might add - that I would never abuse the privledge of being provided anxiety medication. And took care of me.

Later, I was on Remicade and suffering from what was at that time, one of the first and only cases of Remicade-induced Lupus. I didn't recognize what was happening to my body at the time, and if my specialists did, they didn't believe it because while Lupus antibodies from Remicade were farily common, full blown cases of Lupus were not heard of yet.

Anyway, I was suffering from a cornicopia of symptoms that made no sense. Dr. Rudin immediately figured it out, did a blood test, and confirmed the diagnosis. Had me see a Rheumotologist. Who, along with my GI doctor, dismissed the idea that I could actually have Lupus. It took another nine months for them to figure out what Dr. Rudin had determined the March before. And get me off of the offending drug.

I don't see Dr. Rudin that often. My specialists see me quite frequently, and Dr. R- sees me when I am in the hospital... when I need more care than can be handled on the phone... when I need a pre-operative exam. Which brings me to yesterday.

My appointment was fairly early thank goodness, as I decided to fast before the blood test to get readings for a generalized Health Inventory being done by HMR. I will post about that at another time. I was only in the waiting room for a couple of minutes before being ushered back to the exam area. And barely had time to take these shots of the view out his 16th floor Century City Office examining room before he turned up.



Century City to the left. Double click on this - or any - picture to get a better view.










That is Beverly Hills High School below us - yes, of Beverly Hills 90210 fame - and the Hollywood Hills in the background.








Dr. Rudin had already received information of my impending surgeries from the surgeons, so we were able to expedite the process by me explaining how my knee injury occored. Discussed my ongoing fainting spells for a few minutes, then got on with the exam. He humored me by allowing my blood work to be done first so I could eat the apple that I had brought along. Yes, before the exam was completed. I was starving and made no bones about it.

I was still downing the fruit when I was brought into the X-ray room. (Over age 50 requires a chest Xray before surgery. I must be getting old!) I wonder if pieces of apple show up on the film? They laughed but didn't answer me when I posed the question. They also ignored me when I suggested that "an apple a day" doesn't work.

Did the other tests and exams, and was dismissed by Dr. Rudin a little over an hour later. But before I left, I asked if I could take his picture and then blog about him. He agreed. (I don't know how many people make this request, but I suspect not that many.)

Here is Dr. Rudin. It took three shots to get this picture. Shot # 1 was dismissed because he was
not sitting up straight enough and his mother might not approve. Shot # 2 was a great picture except that I didn't hold the camera steady and it was blurred. But as usual, third time was the charm. He's not only a nice doctor, but kind of easy on the eyes too. Wouldn't you agree? Although nobody can compare to Eric...



After we were done taking his picture, I had one more request. I wanted to know if I had permission to take a picture of the sculpture that he has in his waiting room. And make fun of it. On my blog. Permission granted. So I present to you "The Geisha."

Whenever I see this statue, I always think of the "Everybody Loves Raymond" episode where Doris Roberts makes a giant sculpture of a hoo haa. She's the only one who doesn't realize it, though.

When somebody finally pointed it out to her, she exclaims "Oh my God! I'm a Lesbian!"

This sculpture is just like that except smaller. If I get at the right angle, I can sort of see a Geisha. But that is not what I see unless I am trying very hard.


So I'm home now, and 24 hours past the appointment. Pre-op stress set in yesterday afternoon and everything suddenly seems very real. I am very lucky to have a doctor who is smart enough to understand that I am never going to be a drug addit and abuse the privledge of trust that he invests in me. Yes, my trigger has been pulled and I'm starting to need help with the anxiety, but I will never let him down.

Friday, November 30, 2007

It's Raining, It's Pouring...

The last day of November and apparently that little feeling about the clouds in the sky yesterday
has come to fruition. It's raining outside!







I was delighted. My condominium complex takes on a whole new air when everything is wet and
shiny and clean. The greenery glistens with droplets of water; the noise from the nearby
freeway is dimmed. The air is fresh and the ground almost looks like a reflective pond.
Not slippery at all, though, and the rain today was not heavy enough to cause a torrent of water that
runs riverlike down the courtyard(s) to the parking area. Perfect!







I left home for my doctor's appointment around 11 am, all smug that I had actually had the foresight to

change my windshield
wipers one day before it started to rain. I bet if I had waited until today, they
would have cost twice as much.







As I pulled out of my parking space, a fleeting thought crossed my mind. What if they charged
me for the new windshield wipers yesterday but had not installed them?







But that worry was for naught. As you can see, I could see. Lots and lots of freeway traffic.



"Take two Advil and call me in the morning." That's what - in essence - Dr. Sisto told me today when I

visited him. That is, after he picked himself off of the floor when he realized who I was. I haven't seen

him in a few years and I look a little bit different. We go way back, by the way. He picked up my case when Dr.

Blazina - his mentor and partner - died some 20 years ago.



In a nutshell, I may or may not have substantively damaged my knee during one of the falls last week.

It's definitely not broken and that's great news. The thought that I might have fractured it has actually

crossed my mind. There's a lot of swelling, especially under the knee cap. The question was whether I would get

an MRI right away or give it another week or two to try and heal. "Your knees are so ultra sensitive." was

his comment. "With all the surgeries that you've had and based on the x-rays, I don't even know how you're

standing, let alone walking without assistance. You're not my average patient." I hope not.



I made the call. As much as I love MRIs (and I do, I really do! They stick you in that tube and nobody

bothers you for 45 minutes...), I'd like to talk to my Podiatrist first. If there is something really wrong

with the knee - and it's still possible that I tore something, I wonder if it might be in the realm of

possibility for both men to coordinate surgeries and do them under the same anesthesia. After all, it's all on

the same leg.



Meanwhile, alternate ice and heat (just what I've been doing all along), take drugs, and carry on.
And so I came home and did. Sat down at my beading "office..."







And made startling progress on the seashell necklace. I bet I can have it done by the end of the
weekend.



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