The Rats Are Jumping Ship
I think this boat is going to sink soon. I am 34 chronologically, 94 physiologically, and timeless psychologically. This blows chunks.
As a general rule, I prefer seeing a Physician Assistant (PA), since they seem to be able to give patients more time and attention and do not have their noodles over-saturated with the excessive gobbledygook learned in medical school. Recently I have reconsidered the wisdom of that choice and sought a new doctor. I met with him yesterday and think I have found one who will actually LISTEN to what I am trying so desperately to say. I had been losing faith, thinking that the medical profession was failing me....
For several months now, I have suffered profound right-sided weakness among other odd and seemingly unrelated symptoms, so I made an appointment to see the PA at my internist's office since my doctor was booked for weeks. The first visit went something like:
ANGIE: I'm having this weakness that's disrupting my entire life, interfering with my ability to work, interact with my children, and even communicate with my husband.Labs are done and a couple of days later hubby goes to the office to see this chick to see "what's wrong with me." (He thinks I am faking so I do not have to cook and clean and change shitty diapers.) He comes home and tells me, "That girl says nothing is wrong with you" (further assuring him that he is right and I am faking). I call the office to speak with "that girl" myself and get the results of my tests, only to be told "We cannot release that information over the telephone. You'll have to make an appointment to go over those results with Doctor." Worried now (having worked in doctors' offices before and knowing they usually only refuse to give results when they are severely abnormal), and with my complicated history and background knowledge, I imagine 5000 things causing my imminent demise. I make the appointment and go in:
PA: What do you mean?
ANGIE: I can't pick my arm up, and it's a little difficult to sign when you can't raise your arm. Force of will is the only way I get from my bed to my desk or to the bathroom and back. When I get from one place to another, I'm drained and can't do anything once I get there. I'm also having a problem with . . .
PA: Wait, I don't want to talk about that. I want to talk about what may be causing your fatigue.
ANGIE: I came in here for weakness, not fatigue. There is a difference.
PA: Well, we'll check your thyroid and B12 with your history, since they might be causing your fatigue, and we'll see you back in 2 weeks.
ANGIE: (Thinking to self: WTF?!?! TWO WEEKS?!?!?!)
PA: Your labs came back normal, so there's nothing wrong with you.I refused to get up from my seat until she acknowledged that I was not going to see a psychiatrist and that she was going to refer me to a neurologist (NL), but she did nothing to expedite that referral. I had to wait SIX WEEKS to see my own NL (whom I have seen in the past for seizure disorder). She did a physical exam (which the PA did not) and ordered an MRI of my head and neck (which the PA did not), only to find that I have a syrinx in my cervical spinal cord. Nice to know "It's all in my head." Close but not quite the right body part - I guess that PA needs to review her fucking anatomy book. NL also ordered other labs (not neuro related) and found that I have various vitamin deficiencies. She also worked me up with coagulation studies because I had just had my third miscarriage - all things the PA chose to disregard because there was "no indication" and she "didn't want to talk about" because they were "not related to fatigue." I am going for an EMG soon then likely on to either Cleveland Clinic or Mayo Clinic for more poking and prodding. My NL looked almost as pissed as I felt when I told her there was "no indication" for doing anything, and that it was all in my head. She knows my history well and that I had been previously diagnosed with another oddity when there was "no indication" (pernicious anemia at age 21 with no family history), and she knows how I feel about mental illness.
ANGIE: I don't think "nothing" would be causing me to have these symptoms.
PA: It's stress. You work too much. It's all in your head. You need to see a psychiatrist.
ANGIE: *Scrapes jaw off floor* I am not suffering any unusual stressors outside of the ones caused by this weakness. I can't even get the 6 feet to my chair to work most days and it's pretty stressful when everyone from the landlord to the electric company is calling because we have no money to pay the bills.
PA: You work too much. You need to cut back.
ANGIE: I am working less now that I have since 1992. If I cut back any more, I'll need someone pin a note to my shirt to remind me to breathe once in a while.
PA: I can schedule that appointment with the psychiatrist if you want.
ANGIE: In my opinion, 99.99% of so-called "mental illness" is nothing more than malingering, and I am not malingering. I am trying to GET BACK TO WORK, not get out of it! There is something going on, and I want to know what it is. What about...?
PA: There's no indication for that. Now let's go schedule that appointment with that psychiatrist.
It is gross stupidity like this that makes me wonder why they bother to go into the field of medicine in the first place. I know why *I* am there - to help people - so WTF are they doing here with me?











