Showing posts with label anxiety. Show all posts
Showing posts with label anxiety. Show all posts

Saturday, November 19, 2011

Healthcare - Conspiracy in the Biggest Little City

     Having MS has shown me a side of health care that I never thought I'd see. The world of Neurology.  My first neurologist is very good in the MS world but I'm afraid that when it comes to the human element, his people skills are not good at all.  I will refer to him as Dr Terrorist. When I first started seeing Dr Terrorist it took me a while to catch on to his rude behavior.  I would chalk it up to a bad day because he wasn't always that way.  During discussions with other MS patients, at least 90% of them always had a very terrified expression when I would mention his name.  Their experiences with him were way too much for them to handle and it didn't take long for them to look for someone else. 

     Then the day came when I couldn't take it anymore.  I cannot truly remember specifically why I left, it was a series of things regarding his behavior.  He was just too disrespectful.
     The next neurologist that I chose didn't know much about MS at all.  He was more of the psychologist type.  Let's call him Dr Shrink.  I didn't do my homework and I assumed that all neurologists would know how to treat MS.    That's when I recognized that neurology has many, many sub fields and when I think about it, it makes perfect sense.  MS affects our central nervous system and anything that's central is usually pretty complicated.  I relate the central nervous system to a computer.  Dr Shrink was great because he really did care.  I was at least able to discuss my concerns with a doc who would listen.  Since he didn't know much about MS, he is the one that sent me to UCSF where I was exposed to even more neurologists. 

At UCSF (Univ. of California San Francisco)I met another type of neurologist.  One who specializes in MS in African-Americans.  I shall call him Dr Afro/MS.  If you follow my blog then you have read my post about this.  Dr Afro/MS is the one who suggested a more aggressive approach to my treatment which is my current treatment, Tysabri.  Now, the funny part about this is that Dr Terrorist and Dr Afro/MS are very good friends and colleagues.  Soooo, I eventually ended up going back to Dr Terrorist because he really knows his MS and I needed a local doctor that I didn't have to educate about my condition.  Plus that gave me access to Dr Afro/MS without having to travel to San Francisco.  It seemed like a good idea at the time.
     For the past 3 years, I handled Dr Terrorist pretty well because I didn't have to see him very often.  Recenly Dr Terrorist hung up on me twice for no reason.  I had an appointment scheduled with him and I called to find out if it was really necessary for me to be seen since I had just saw him a month prior and I was doing very well.  I will admit that I am very forgetful at times.  He told me to just come in, but then he hung up.  He never answered my question, and he didn't say bye.  So I call him back and said, "I think we got disconnected somehow."  Once again with no explanation he tells me to come in and hangs up.  I know that if it was important he would've told me.  You hang up on me once, shame on you, you hang up on me twice, shame on me.  There wasn't about to be a 3rd time.   This was the final straw of disrespect.  My husband was ready to pay him a visit and trust me, in this visit Dr Terrorist would become Dr Humble and would not have the upper hand.  I think my husband just wanted to teach him a thing or two about respect.  Having MS is hard enough without being treated like a loser by the one whom you depend on to manage your condition.

     I attempted to schedule an appointment with another neurologist.  The first group of neurologists that I contacted had a scheduler who wanted to know who reffered me.  I told her that I referred myself and that I was looking for a new neurologist.  That's when she informed me that they do not take previous patients of Dr Terrorist because apparently he does all of their hospital calls.  What does that have to do with me? Whatever happened to patients rights?  This is an entire group of neurologists.  Can they really refuse to see a patient based on these grounds?  Now I'm very frustrated and sad and mad and at that moment I just burst out into tears.  That's when I realized that there was a "Conspiracy in the Biggest Little City."  That only left about 2 or 3 neurologists in the Reno/Sparks area to choose from that are familiar with MS.  First I prayed, then I contacted the TOUCH program.  This is the program that every doctor and patient must be registered with in order to prescribe or receive Tysabri due to the high risk associated with this treatment.  I reported Dr Terrorist then requested their assistance finding a new neurologist in my city. 

     In the meantime, God was working on a plan.  I get teary eyed just thinking about how this all went down.  You see, by this time I had a good relationship with a well known coordinator who actually helped me become an MS advocate.  How appropriate right?  Well at my first speech last month, the coordinator introduced me to a local neurologist who agreed to see me.  I will call her Dr Savior.  She was also good friends with the guest neurologist at the dinner.  This guest neurologist from New York shed some light on MS that I had never heard before.  I consider him to be an ally because he knows all 3 sides of the fence:  doctor, patient and treatment.  He has MS and is also on the same treatment, you guessed it Tysabri.  Do you see how God worked that all out?  Remember earlier I mentioned that the first thing I did after breaking down in tears was pray.  What are the odds of me ending up as a speaker at a dinner where I would not only meet Dr Savior but also be introduced to a neurologist who was also a patient, Dr Ally.  And let's not forget the coordinator.  We were all in the same room at the same time and I didn't even get a picture.

     I had my first appointment with Dr Savior 2 weeks ago.  She understood everything that I was going through, including the "Conspiracy in the Biggest Little City."  She doesn't have to rely on any of these other neurologists when it comes to her patients.  It turns out that Dr Terrorist didn't discriminate when it came to his behavior.  He is this way with other doctors and anyone else who comes in  contact with him.  So you mean to tell me that every body is scared of him, not just his patients?  He should be retiring soon.

    I left my appointment with Dr Savior feeling so liberated and I cried but this time it was tears of joy.  I didn't realize the level of anxiety that I had until it was all over.   Thank you Lord for ordering my steps and using people to answer my prayers and bless me.

Thursday, March 3, 2011

Awake

It's a calm, quiet night around 11:00 p.m. and I'm already half-way asleep.  I wake up to get a drink of water and go to the bathroom.  Once I get settled back into bed I am unable to get back to sleep.  A familiar sensation on my torso begins to take form.  It feels like something is crawling on me, mainly directly beneath my skin.  Oh no, not again.  I hate it when this happens.  I am unable to get back to sleep until 1:30 in the morning.  Sometimes when this happens, I get up and rub lotion all over my body.  Maybe my skin is too dry.  Other times I drink a few sips of Riesling. 
Wine often helps me settle down and get back to sleep within 30 minutes.  I don't do this often because I don't want to become dependant on any substance to relieve my symptoms. My primary care doctor recently prescribed me some Ambien 5mg.  I was somewhat nervous about adding to my list of meds and I'm skeptical abut sleeping aids because I don't want to become dependent on them or wake up feeling groggy but Ambien supposedly isn't like that.  I took one of the tiny 5 mg pills for the first time a few nights ago and it didn't take me long to get to sleep at all.  The next morning I actually felt great  much to my surprise .

There are different reason's why a person might feel this creepy, crawling sensation on their skin.  Sometimes it happens as a result of withdrawal from a drug like heroin, oxycodone, amphetamines, or alcohol.  It can also be the result of side effects from medications such as Ritalin or Lunesta to name a few.  I recently realized that this is also one of the many symptoms of MS.  I'm not sure why I didn't make that connection at first.


Diagram of nerves beneath your skin
   It's a nerve issue and we have thousands of them branching from our spinal cord to every part of our bodies from head to toe to skin.  I have googled this symptom quite a bit.  I found out that this is a rather common problem for many people.  Stress, anxiety, or lack of sleep can also cause this unwelcome sensation  to happen and it seems to be more of a night time issue for most sufferers.   The first time I had this problem, it went on for 2 consecutive weeks.  I thought I was losing my mind.  It's kind of scary when you can't figure out what your problem is and trying to describe it to someone might make you seem a little crazy or paranoid.  To add insult to injury, one night we were on our way somewhere in the car and it felt like something was crawling in my hair.  This time there really was a spider in my hair.  Aaghh, I was really freaking out and I'm so glad my husband was there to kill it with his bare hands which is typical of him.

The human body is so uniquely amazing at giving us warning signs.  Our God given instincts tell us when something just isn't quite right.  It might be a good idea to let a few weeks pass before going to a doctor but if it goes on for more than a month, I encourage you to get it checked out.  Also, be your own advocate or get someone very close to you to help you research and stay on top of your health issues.  You cannot depend on doctor's to do as good of a job as you can.  No doctor knows you better than you know yourself.  God bless you and take care of you.