Monday, September 19, 2005

Down in the Dumps

Well,

It's been a frightfully long time since I bothered to update this journal. That's fairly simple to explain.

I've been in pain.

I'm so tired of being in pain. It has taken my spirit and wrung it out thoroughly. I am always tired. I am always short of patience. I am never "up" for anything, anymore. So...things like journaling end up at the bottom of a very long list of duties and priorities that are being left altogether untended to.

The medical care has not gotten better. It's been 9 months since my herniated disk was diagnosed as such. I have yet to see the pain clinic because they have only just now gotten round to scheduling me an appointment. I will see the pain clinic on the 28th of September. I hope to have a favorable update at that time.

As I sit here typing this, I am listening to a mouse chew it's way slowly through my metal air register. We have a mouse problem on this base...and, more importantly to me, we have a mouse problem in this house. Like the medical care on base, the pest control leaves much to be desired.

Following up, yet again, is just one of the many aforementioned items on my list of crap that needs to be done.

I just haven't the energy to pursue it right now.

Tomorrow, I will see a new general practitioner. This will the third GP for me since the new year since the first one retired and the second one deployed.

I hope to have something positive to report once this appointment is done and over with.

Wednesday, May 18, 2005

My Surgeon's Office Sucks & Other Musings

Back in February, we found out that the back pain I've been suffering from over the last several years is from a herniated disc in my lower lumbar spine.

I live on Camp Pendleton Marine Corp Base north of San Diego. My general practitioner (a wonderful nurse practitioner at the Naval Hospital here) put in for a consult with a neurosurgeon so that this guy could look at my MRI films and determine a course of action. She also, at that time, put in a consult for physical therapy.

I called the office back in February, and they told me they hadn't received the consult, yet. No biggie. I left my number and they said they'd call me back when they got the approval. Two weeks passed. No phone call. Label me shocked. So I called them for a second time. An appointment was scheduled for mid-March. Two days before the appointment, the office called to confirm. Their office is down in San Diego at Balboa, so they mentioned that I should bring a copy of my MRI pictures. Um...okay. And where exactly am I supposed to get those?

So...the next day, which was the day before my long-awaited appointment, I go down to the hospital to get a copy of my MRI pictures. They tell me..."oh no. We have 24 hours to get those to you, and there's no way we'll get them today." I say, "But my appointment that took a month to get is tomorrow morning!" Their response, though politely worded, was code for "We don't care. Leave our office, now."

I called the surgeon back and explained that I wouldn't have my pictures until too late to make the appointment. The guy on the phones told me that the doctor didn't have any open appointments and that he would call me to reschedule when something opened up.

That was exactly two months ago today.

So I called this morning to find out if anyone down there gives a flying rat's backside that I haven't been able to put on my own socks and underwear or pick up my child without pain since February. Apparently, they don't. Again...label me shocked. The entire conversation was infuriating. Some new bimbette answered the phone and did that deer in headlights thing where they don't respond at all. I stated my case in a calm tone because I'm a rational human being who realized that this poor girl didn't know me or anything about the fact that I've been in daily pain for 3 months while her office ignored the crap out of me. So...I calmly and cheerfully stated my purpose for calling while trying not to shake with rage hard enough to affect my voice. I got through the story without yelling or cursing...and then she said NOTHING. Dead silence. After a pregnant pause, she said defiantly, "Well, Ma'am, I see that you had an appointment scheduled for yesterday, but that you cancelled it."

I bit my lip and inhaled sharply through the nose.

"That's just absolutely not the case," I said. "I haven't spoken to anyone from your office since March. I had no appointment with your office for yesterday." Then...she put me on hold.

15 minutes passed (no...not "a long time," and I just pulled "15 minutes" out of my ear. 15 actual minutes. On the clock.)

"Ma'am?"
"Yes," I replied.
"All I have here is that you had an appointment for yesterday and didn't show up."

I gripped the phone and gritted my teeth. My Southern upbringing took over and I heard the drawl creep over my voice. I've been uprooted and away from "home" for so long that I don't sound Southern until I'm angry or drunk. I don't drink often. So...when you hear me break out the Arkansas drawl, it's time for all wise men to leave the room.

"Look. I'm not the kind of person to yell over the phone, so let me tell you what I need from you.

I have a 7mm protrusion in my L5-S1. I've had it since February. I can't put on my own panties. I can't pick up my daughter. I can't sit in a chair for more than 15 minutes at a time. That means that I can't sit on the couch and watch a movie. I can't sit through a service at church. I can't get into the car and drive from my house to your office without enduring excruciating pain. I've been in physical therapy so long that my authorization has run out...

And the problem is that I can't get my neurosurgeon to call me back ONCE in almost 4 months!

Now, I don't care what your appointment book says, I did NOT have an appointment with your office yesterday--"

"Oh, Ma'am?"

"Excuse me...yes?"

"Well, I'm sorry, but I see here that it says MARCH 17th, not May 17th. I'm sorry. I was wrong."

"Yes, that's the time I told you that I called to reschedule...and you never contacted me back to reschedule...since MARCH. I am calling you to day because all I want--"

I stopped here to breathe because I was getting lightheaded on account of my low tolerance for brick-thick stupidity

"--is for you to get that book out and schedule an appointment with me to see the surgeon for a consult that my doctor requested 4 MONTHS ago! Now can we DO that?"

Silence.

Envision my very pale skin turning from alabaster (that's Southern for "pasty") to fuschia to outright violet as I try very hard to breathe in through the nose and out the mouth.

"Well. See, Ma'am, your doctor called in a consult but it's not on this desk anymore. Somehow it got lost or sent away and you'll need to call in another one. I can't reschedule without a new consult."

Oh. My. God.

"Ok, then. Who do I need to call to get you another copy of the consult you lost?"

"You need to contact Gladys at the following number."

She gave me the number. I called it. The voice mail (again, color me shocked) picked up.

"You have reached Angela So-and-So at the This-and-Such office....."

I clicked the end button on my phone so hard that it hurt my thumb. As all of us who remember real dial phones that had handsets heavy enough to bludgeon something the size of an elephant to death understand, this was not satisfying enough. I threw the entire handset across the room. It hit the carpet with an impotent thud, and I tried not to cry.

I called my dear, sweet husband and told him my story. He took down all the information and told me he'd take care of it. See...we're on a military base, so having the military member call is often more effective than the civilian spouse calling.

We'll see how it plays.

But the point is that my back hurts. It hurts SO badly. It's been a long time, so I'm used to it, but some days it gets really bad, and all I want is for someone to give a damn.

My physical therapy is over unless I can get an extension...but I can't get an extension until the surgeon asks for one...and I can't get the surgeon to ask for one until he looks at me...and he can't look at me until I get an appointment...and I can't get an appointment without another consult...because they have the lowest common denominator working at the desk in the neurosurgery office down at Balboa.

Anyway. That's my rant. Really confidence inspiring, no? Makes you want to run right out and have spinal surgery with this guy and his staff.

---------------

This post was edited because when I originally wrote it, I said some very generalistic and mean things about people in the medical profession. That was unfair and unkind, so I have removed those statements. I wrote them in anger and that should be a lesson. Don't write something that will be published in public when you're pissed.

Friday, May 13, 2005

Smoking....God, I Miss Smoking

I have now been cigarette-free for 35 days. One would assume I'd be proud of this. I've had a few moments of pride over it, but I'm mostly just sorry that I can't smoke anymore. I really loved cigarettes.

For the past two weeks, I've been pretty much okay without the ciggies...but today was a doozie. I felt like I was back on Day 4 of quitting. If I'd left the house today, I know I would have purchased a pack of cigarettes. This is disconcerting to me because I'd gotten a bit complacent about it.

I mean...if you go for a full month without smoking, you begin to feel that you're in the clear; that you are now a non-smoker. Um, no.

So I'm working through today and I will not smoke. God loves me, so I have a supportive husband and a relaxing evening with him to play on the computers and just really get the Zen vibes flowing again.

I'm beginning to understand, now, that I will never be a non-smoker. I'll always be a smoker; just like an alcoholic is always an alcoholic. I'll simply be a smoker who doesn't smoke.

Thursday, May 12, 2005

Assessing the Damage

In the last three months, I've had some pretty serious changes.

  • In February, I was diagnosed with a 7mm protrusion from my L5-S1 (that's the bottom non-fused vertebrae in the lower lumbar spine).
  • In April (on my dad's birthday), I quit smoking.
  • During the last couple weeks of April, I realized I was seriously packing on the pounds from having quit smoking (and, let's face it, I was no skinny minnie to start with).
Ah...so basically, I'm a mess.

Shortly after I found out that my back was broken, I began doing some serious looking-over with my typical diet and lack of fitness work. It was a pretty bleak picture.

I'm married to a metabolism on legs. He can (and does) eat anything he likes without consequence. It has always been this way for him and it's a fact that does not change even during prolonged periods of sedentary behavior for him.

Not so with me.

Once upon a time, in a not-so-distant place and time, I was a fairly fit specimen. I was smoking a pack a day but, aside from the black lung, I was doing well. I worked out 5 or 6 times per week and had maintained a healthy weight of 140 and a size 6 for a little over two years. In the months right before getting pregnant, however, I began taking some medication that caused me to put on about 20 pounds really quickly. To compound that, I felt like crap during my pregnancy and I didn't work out often at all. On top of that, my OB/GYN forbade aerobic exercise. That reduced me to sporadic stretching...but it's not like I argued with her about it. I didn't over-gain during pregnancy, but I still had that 20 pounds sitting there after it was all over and about 6 or 7 little friends to keep them company.

The upshot of my sob story is that I chunked out a bit and got really, really out of shape...and then my back blew up. So one night in March, I got it into my head that I ought to quit smoking, start working out, and lose those pre-baby pounds that I've been holding onto for almost 3 years, now. You know--so that my back can heal and I won't have to let someone cut my back open to fix the problem with surgery.

So here I am... and this is what "here" looks like:

Weight: 176
Bust Cup: 43
Bust Band: 35.75
Waist: 37.25
Right Thigh: 24
Left Thigh: 24
Left Arm: 13
Right Arm: 13.25