Thursday, March 30, 2017

GYN Appt.

Just thought I would do an entry before it’s too noisy to concentrate. Saw my GYN yesterday, and while I have no problem with her and believe that she’s a knowledgeable doctor, I’ve had enough miscommunication and disorganization with her staff, and I told her so online after I got home and spoke with one of her staff that was at lunch when I was at the office.

First, the folliculitis is improving, but she wants me to continue the steroid gel for three more months, applying it twice a week. She said worst-case scenario – and she didn’t mean to scare me – they could do a biopsy. I told her I already have one done a few years ago and it was determined that I didn’t have cancer.

I showed her the product I got for off-days to verify that it was what she wanted me to get, and it was. I also asked her if she thought my periods would stop this year since, as she said, they usually stop at 51. She said she couldn’t say for sure. I asked if it were possible if I could still have periods up to 55 and she said she would be concerned if I did. I told her I’m not of Ashkenazi descent, but like she said, my risk of uterine cancer is still higher because of the DES exposure, which I’m almost sorry I mentioned, LOL. However, she said I have an even higher risk of breast cancer. I got all get cancer anytime soon, though, if ever. Just my gut feeling. She understands that we usually know what’s normal for us and what’s not since we’ve lived in our bodies all our lives.

I know. This is why, as I tried to tell my old team of doctors, the type of anxiety I was experiencing back then was not normal for me. Nonetheless, that womanly intuition of mine says everything down there is just fine. I was, however, willing to compromise and go ahead and have the damn surgery in July, even though she assured me she didn’t want me to feel pressured into doing anything I didn’t want to do. I picked July because I had too many appointments between May 4 and June 12. She said something about dilating the cervix and filling the uterus with fluid and that I may have bleeding for a week, and that I would be given prescription Motrin and even Norco as a backup to deal with any pain. A block would be put on the uterus when the procedure was done, too.

Now here’s where all the confusion begins. I told her my biggest problem was all the damn appointments and co-pays. I’ve had more appointments in the last three years than in half my life. I really want for these appointments to slow down. They’re a pain in the ass for me, and while Tom can keep himself entertained on his phone while I’m in with the doctors he drives me to, I’d really like to see him be able to take days off just for him. I didn’t get into that much detail with her, but I got my point across. Enough is enough already! My thyroid is treated, I’m working on my cholesterol, and I do appreciate her giving me the steroid gel because I knew all that burning and itching wasn’t normal. I knew there had to be something better out there than the other stuff that only provided temporary relief. But seriously, I’ve had enough!

So I specifically asked her how many appointments the surgery would spawn. She told me that as long as there were no obvious concerns, we could do a phone follow-up. She said she’s never had to admit anyone to the hospital after this type of surgery, so that much was good to hear. Never once did she mention a pre-op appointment.

We finished up and went out to the front desk where she told me she would have one of her staff schedule the surgery, but the person was at lunch. So after we grabbed burgers and fries and decided not to browse Goodwill since it was surprisingly crowded despite being in the middle of a workday, I managed to catch her staff by phone. This is when the woman sprung both a pre-op and a post-op appointments on me, thus one appointment multiplying into three, just as they usually do and just as I feared.

I told her (and the doctor online) that the staff told me one thing after the doctor had told me another and therefore I was declining surgery. This isn’t the first time there’s been miscommunication and disorganization within the staff, and I just don’t think it’s necessary anyway.

The doctor told me she hadn’t had a chance to update the staff member when she called me, and that there are always pre-op appointments to give the patient a chance to ask any questions they may have and to sign a consent form. I was under the understanding that this would be done at the outpatient clinic. According to what Tom heard, though, California doesn’t allow this because then the patient doesn’t have time to think it through. Technically, any kind of surgery can kill you. Not everyone wakes up afterward, so there’d always be the chance of being put under and not coming back.

I have more to update on, but I’m kinda tired now, so I’ll do it later.

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