Apr. 25th, 2017

the_rck: (Default)
Good news on the hysterosonogram-- No fibroids, no polyps. Things aren't quite right in ways that the doctors put down to the Tamoxifen, so they want me to have another scan (not clear if another hysterosonogram is needed or if a uterine ultrasound would be enough) in three or four months. I've got moderate sized (about 2 cm) simple ovarian cysts on both sides. If I understand correctly, because of my age and the size of the cysts, those will have to be rechecked every year unless they go away.

There's some confusion about the appointment I have scheduled for Wednesday morning. UHS's system doesn't show any such appointment ever existing, but the patient portal still shows me that I've got an appointment there at 10:50 Wednesday morning. It popped up with instructions for the appointment last night, and I still have the upcoming appointment reminder I got a few days back and the appointment scheduled message. I would rather not need to go to UHS Wednesday morning, but I also don't want to deal with a missed appointment fee or not go if the doctor has something to say.

I crashed hard yesterday at about 4:30. I don't think I slept, but I also wasn't awake. I lay in bed and didn't move much at all for about three hours until it was absolutely necessary for me to eat something and take my dinner time medications. After that, I ended up staying up until my normal bedtime.

I got a response from my email to Interlochen. They do have accessible cabins, and they supply golf carts for campers who can't manage all of the necessary walking (there's a lot of walking. Certainly more than Cordelia could manage day after day on crutches). My impression from what the contact person said is that they put in temporary ramps for whichever cabins need them, but I could be completely wrong.

Scott and I finished filling out most of the forms last night. There's one more that we need to get Cordelia's doctor to sign before we turn it in, but that one doesn't need to go in until June. I had been under the impression that it wasn't mandatory, but apparently it is. It's a permission slip for giving Cordelia specific OTC medications as needed. The form says they'll only do it twice a month without specific other forms from the doctor filled out for each occasion which seems kind of silly for something like, say, ibuprofen for menstrual cramps.

I need to do some laundry today, and the trash needs to go out. I've already done several minor chores, so I'm resting a bit. I kind of want a nap, but I think I need water more than I need sleep because I had very little water yesterday.

I have some ideas for things I can add onto my Fandom5K to make it work better. My first reader pointed out that there's a good bit of time between the deadline Saturday and the reveal, so I can edit if I come up with more text or change things or whatever. I'm very used to thinking of posting deadlines as the end. One of the changes I should make will be painful because it will involve changing POV for some events and losing a few lines that I love. I don't usually have to do the killing my darlings thing, but this time, I need to.

The OT yesterday showed me some hand flexibility exercises. She also showed me some massage techniques for my hand and then told me that I can't do them because the pressure required would be bad for the thumb on the hand doing the massage. Given that, I'm not quite sure what the point of showing me was. I've got a short list of (hopefully) not too expensive things that might help with the exercises or with tasks that I need to do.

She had a pen that she thought might be easier for me to use. Sadly, I couldn't even get it all the way to the paper. It was too long for me to hold it the way I was supposed to, and the way I need to rest my hand to deal with the tremor was an issue, too. Basically, the things I do to work around the tremor actively conflict with the things I should do for the osteoarthritis. Since I can't write at all without dealing with the tremor and can cope with the osteoarthritis long enough to, say, address an envelope, the tremor coping techniques win.

She also showed me their pain scale which doesn't even remotely match mine. For me, pain bad enough to provoke swearing is a six or a seven. Pain bad enough to want to take medication and/or to be constantly aware of it is a three. For them, swearing is a nine, and medication/awareness is a five to a six. I kind of looked at the chart and thought that it was really for people who don't normally experience pain. It basically stretches out the lower end and has no room at the top for severe pain. I've always assumed that anything that hurt enough to rate a ten would kill me because my body couldn't handle it and that a nine meant pain so bad I passed out or mentally checked out in some other way.

ETA: And the nurse from the gynecology clinic just called to say that, oh, she was wrong and I do have an appointment tomorrow. She thinks I should keep it, and I think her reasoning is sound. If nothing else, I can get clarification about what additional scans I need when and see about scheduling anything that needs doing soon. I think that I would also like the gynecologist to talk to the oncology folks. The pain issues had inclined me heavily toward not going back to the Tamoxifen, and I think this is more on that side of the scale. I'm also kind of curious as to why the radiology report said I was post-menopausal when everyone else keeps saying that I'm not there yet (all of them use 'perimenopausal' except my primary care doctor who hates the term while still acknowledging it as a stage of life. I think she considers it too medically imprecise to be useful).
the_rck: (Default)
My SIL finally got back to me. She consulted with her colleagues about knee surgery and is of the opinion that it's not a great idea and should be a last resort. Her colleagues say that the success rate isn't all that good. They didn't give specific numbers, but I get the impression that they think there's about an equal chance of benefit versus no benefit at all. It doesn't seem to make things worse in most cases, at least.

I'm actually surprised by this because I had the impression that the tendon repair part at least was fairly standard and well established as effective.

My SIL's colleagues do recommend wearing a brace pretty constantly on top of PT and lots and lots of exercise. If those don't address the problem, then we should consider surgery as at least no worse than the status quo.

I think Cordelia will be both relieved and disappointed. All three of us are going to be pretty constantly on edge that the dislocation will happen again. I would like a better approach than an ER trip each time.

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