FRUSTRATIONS of a Medical and Medicinal Kind

This post also appears on 'Mal's Murmurings' under the title 'CONSULTATION FRUSTRATION'

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It shouldn’t really be like this; anger and despair turn out to be the result of a visit to the GP. Having finally yielded to my beloved’s advice, I got around to arranging an appointment with my local doctors practice. My reluctance to make this appointment is the knowledge that they’re only equipped, or allowed the time, to deal with a specific singular ailment, not a complex multiplicity or whole people.

First annoyance came when he (being the doctor) stated that the medications I was on had a tendency to conflict / counteract each other to some degree. Considering the length of time I’ve been on this assortment of potentially self-conflicting cocktails, I begin to wonder why the practice had been oblivious to this over the course of the past couple of years.

When conflicting advice, between medics in the same practice, as to whether certain meds should be used pre-emptively or only when absolutely necessary, adds a further quandary for the patient as to the efficacy of using the practice at all.

Anyway, a couple of the prescribed medications are no longer to be used; they are replaced by a single different medication. Worrying for me is the following statement, on the Patient Information leaflet:

 take special care if you:

suffer from conditions like abdominal pain, muscle weakness, mental confusion.

[there are times – regularly for the first two, occasional for the latter - when I can tick all those boxes]

The doctor further suggested that I should use co-codamol instead of tramadol, even though I’d had to stop using co-codamol, because of the effect it was having on various abdominal organs, a few years back. Tramadol, thankfully, remains on my prescription.

Next came the little prep talk suggesting Graded Exercise Therapy would help, even performing the same limited exercise on ‘bad’ as well as ‘good’ days. Obviously he has no understanding of what a PwME’s (even moderately so) ‘bad’ day is like. I explained that even the visit to the opticians, a limited amount of exercise involved, was sufficient to cause payback, his response was that obviously was too much exertion!

Well, it seems that I’ll have to stick with my own pacing regimen which essentially curtails any exertion on bad days and, ensuring that I always have some spoons in reserve when I exercise on good days.

The preceding events, at least their physical & mental toll, necessitate a temporary postponement of my visit to hospital for further blood tests

I’m quite proud of myself for refraining from the use of expletives during this little rant; expletives remain in my personal domestic space for the time being

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Malcolm Evison doctor even told me that there's no connection between overload of pain stimuli and the corresponding nausea that I experience !!!

sunshine and celebration

Sometimes it seems as if the day is almost over before I even get started. In one way this is good, it’s generally a sign that I’m appreciating each waking moment, so much so that it’s sometimes a real struggle to stop myself resenting the earth’s rapid orbit.  Recently we’ve been sighting a bright glowing orb in the sky, bringing a little warmth and elevating one’s spirit; after weeks of dull wet days the sunshine has proved most welcome.

As my beloved took a few days off work, around the time of our wedding anniversary, time seems to pass even more sweetly as we enjoy each other’s company. Visits to Café Culture, for a cuppa and cakes, and Al Bivio Ristorante helped heighten the sense of celebration. We also paid a visit to the garden centre at Otley where I acquired a new bird feeding station for the garden, finally using the vouchers that I’d received for my birthday last June; although the centre is less than ten miles away this was the first time I’d really felt up to spending a little time there browsing around. I especially enjoyed looking at the reptiles in the centre’s pet shop.

Meantime, I’ve acquired 5 more golden and 5 white cloud minnows which, having first spent ten days in my quarantine tank,  have now been added to the Main aquarium.  It’s really quite strange that, having introduced my beloved OH to blogging. I have to check out Helen’s blog to see what I’ve been up to!

On Wednesday I had an appointment with my GP, a lesion on my leg, which I’d been attempting to alleviate with a 1% hydrocortisone preparation, wasn’t showing any improvement (quite the opposite in fact) so I was going to see the doctor who specialized more in skin disorders. He was quite baffled by this particular sore spot, it was quite unlike anything he was familiar with, definitely not discoid eczema or Bowens etc;  so he prescribed a potent topical corticosteroid (Mometasone Furoate) which I’ve to apply once a day for a fortnight. He also checked a small occasionally weeping lesion on my chest which he says is a basal cell carcinoma and has duly referred me to the District Hospital. [I’ve had previous experience of having a bcc excised – see ‘Sunshine and Blanket Stitch’] If the ointment applied to my leg hasn’t healed the lesion he suggests I also have the specialist look at that when I have my appointment for the bcc!

Another positive outcome of the visit was to confirm that the recent X-Ray of my hips, following a quite prolonged period of chronic pain, apparently emanating from the right hip, showed no abnormality on the right hand side but, it did show that I had arthiritis on the left-hand side. Fortunately, after copious doses of tramadol & co-codamol the pain had eventually abated!

I received a further acupuncture treatment on Thursday and, I’m no longer averse to expecting resultant miracles. Life goes on and I’m determined to enjoy it – if only I could discover some refreshing sleep all manner of things would be well!   

ailing and rejoicing

It seems really strange how quickly the days, weeks, months and even years, scurry by! I often think of how little I manage to do each day, and yet, time still manages to pass almost too quickly for comfort. Even on days where my sundry ailments are crying havoc, and I wish the pain and discomfort would quickly pass, I can never wish the day to end as I look forward to my OH’s return from work. I wish the ailments would disappear but not the day.

 I appreciate every moment of my existence, the piscine activity in aquarium and pond, the birds visiting our garden but, most importantly,  the more time I can spend with my beloved the better; each moment of life is to be savoured and I give thanks that I still have the ability to appreciate it.

As I write I’m sitting in comfort at the fireside, listening to Berlioz’s Overture to King Lear (courtesy of Radio 3) and, casting an eye over the garden; I never thought multi-tasking was something I could manage! My furthest ventures out in recent weeks have been to the local shops and, on one occasion, the extra few minutes trudge to see my doctor.

Even after 8½ years, since succumbing to this illness, I still find it difficult to accept that I can no longer take a “proper” walk! I can at least manage many things better than was the case in the not too distant past. As long as I remember to PACE myself, take appropriate medication, and feel and express gratitude for all life’s blessings (including the ministrations of my physiotherapist – herself a PwME – as she applies the acupuncture needles ), I do experience reasonably long periods when many of the symptoms appear to have gone into remission.

I am currently battling (unsuccessfully for the past six to eight weeks) with acute, although spasmodic, pains in the hip and left lower limb joints and muscles. Externally applied Ibuprofen gel had barely any effect. A thorough examination by my GP, who I saw once these symptoms started interfering further with an already erratic pattern of unrefreshing sleep, left me feeling rather more bruised and battered. He prescribed 2 x Co-codamol 15/500 to be taken (in alternate doses) with my usual 2 x 50ml tramadol and the usual pre-bedtime amitriptyline.

 So far the results are not at all promising but, tomorrow I’ll be going to the District Hospital for a hip X-Ray and blood tests, and the possibility of a further scan.

Although I initially thought it may just be a bout of sciatica, rather than a recurrence of my herniated disc problem, I’m no longer prepared to self-diagnose.

As I continue writing the Red Kite has entered my field of vision, circling just beyond our garden boundary. I’m quite surprised to see it today as conditions are wet and blustery. At lower level, blue tits, coal tits, and a robin have been visiting our feeders.

This evening, emotional and physical stamina permitting, I’m hoping to attend the AGM of our local Labour Party.

I rejoice and am glad in this day the Lord has made.