Wednesday, May 20, 2015

Health Concerns

19


After a few months working at the big supermarket, my knees & knuckles started to hurt and my fingers would become cold and never want to warm up. As I worked in the dairy and frozen food departments, it was easy to explain away these problems as my fingers were often being exposed to the cold food packages and my knees perhaps needing to get used to pulling carts full of boxes, again. The only problem with this, though, was that unlike my original years working at the family owned grocery store where I did all these things without pain or cold finger problems, this new grocery store had powered jacks to move boxes of food around and store-paid-for gloves. If anything this job should have had less of an impact on me, physically.
As I had insurance this year through my mother's job at the local hospital, I decided to go ahead and use it... The question is how? Pick a name out of a phone book? Talking to my mother about this, she recommended I start with her primary care doctor and with little other guidance it seemed like a good enough choice. Calling his office, I made an appointment with my mother's primary doctor and soon saw him about it. A younger man with a well trimmed beard and glasses, he was nice, polite, and examined my hands briefly then recommended I see a joint specialist and gave me a name. I was soon off to see the joint doctor. Being more in demand, I had to wait a month before I could get in.
Mother decided to join me on this trip and stayed in the waiting room. I'm unsure why she chose to come, at the time I didn't see any harm to it. Filling out the initial paperwork was a chore given its many pages of handwritten forms and my problems with writing by hand. I had come in the half hour early, as requested, but realized in the future I needed to make sure I had more time than that. Fortunately the specialist was running behind, giving me more time to complete the paperwork before I was taken to an examination room. Unlike the primary doctor who had quickly looked at my hands, the joint doctor's first step was to have me dress into a gown so he could examine all my limbs. This made me nervous given my A.C.E. bandaged area, but as I was told he was going to look over my limbs, I decided just to put on the gown and make sure the opening flaps overlapped so none of the bandage around my chest would show.
A somewhat shorter, but more energetic man, he swooped in, introduced himself, briefly asked me of the history of my symptoms and then examined my hands, arms, knees and legs. I had full motion of them all, just the pain residing in my knuckles and knees. Then I was caught off guard when he noticed circular red rashes on my legs. Once he pointed them out, they were obvious and that seemed to be the final clue for him and he left saying I could get dressed. Once dressed, I was ushered into the waiting room where I touched base with my mother about the doctor, and then we were called to his office. He explained to me that I had Lyme Disease, I had gotten it when driving through Connecticut on my way to Colorado from New England. I felt the need to point out that I hadn't driven through Connecticut on my way here, and he very firmly assured me I had. The circular rashes on my legs were from the recent Deer Tick bites I had gotten going through Connecticut and a blood test would prove his diagnosis and he gave me a prescription for my ''first course of antibiotics'' that would start to cure the disease. As I had driven to Colorado nearly two years earlier, it was hard for me to imagine how any Deer Tick bites I might have gotten during the trip could have been labeled ''recent''. But he was very sure of himself & convincing and since there'd be a blood test to prove it objectively, I didn't see any reason to argue.
Mother and I left his office with her beaming about how great the doctors were in town and we went straight to the hospital to get the blood drawn before I could start the antibiotics. The only previous blood draws that I could remember were in childhood when the doctor would prick my finger with a lance, then take that drop of blood and put it on a slide. This was the first time when they found the vein in my arm and took a whole vial full, or two. Off to the drug store to get the prescription, it wouldn't be ready until the next day.
Sure enough, one week into the two week ''initial'' course of antibiotics, the joint pains went away and I was now sold on the doctor having known what he had been talking about. When I went to see him the following week for a follow-up and get the script for my next course of antibiotics, he was angry. The blood tests had not confirmed his diagnosis and he 'knew' I had started the antibiotics before I had the blood test and didn't I remember him telling me I couldn't start the antibiotics before I got the blood drawn?!? I assured him I had, he called me a liar. Stunned for a moment by this accusation, I realized I had the prescription bottle in my pocket and pulled it out for him, showing the date on the bottle. He took it from me and compared it to the date on the blood test paperwork, then smacked it down on the edge of his desk as his way of handing it back to me. I caught it as it rolled off toward me.
He told me he couldn't have gotten the diagnosis wrong given I'd driven through Connecticut on my way to Colorado. I again mentioned that I hadn't, but instead gone west through New York state, then south. Why hadn't I mentioned that before? he demanded. I fought to retain my cool and not reflect his mood as I responded in an even tone, ''I had.'' He paced his office and I decided I'd try to make him feel better by mentioning that the antibiotics had actually helped and I'd like to continue with them. He told me there was no reason for me to take them and he'd have to think about my case some more. I could leave.
A couple weeks off of the antibiotics, the joint pains returned.




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