Monday, September 04, 2023

Menopause follow up

 I had a video visit with a nurse practitioner on my new PCP's care team last week. It was great; she was super reassuring. She's checking my thyroid (even though my old PCP was great about doing that regularly, since my mom has hypothyroid (and so did my grandma) but said it sounds like I am beginning my menopause transition and should live for the next few years with a constant hormone storm raging in my body. NEAT.

BUT.

Part of the pre-visit prep was to review my chart and make sure all of my meds and medical issues were up-to-date. I have not done this in forever because for in-person visits, this step in optional, and if you forget, the intake person will ask you most of the questions in person, although they usually do not talk about medical issues documented in the chart. It's more of a hey are you still taking prenatal vitamins LOL kind of convo. Video visits, though, won’t let you join the call until you at least open the darn chart. So, imagine my surprise while I was sitting patiently on the call waiting for the provider to join, perusing my chart, and I saw a condition from March of 2022 that said something like “perception of sensation to non present stimuli,” and when I clicked the “learn more” button, it took me to a page about psychosis. Could this be a note from the time the lingering smell of burned chicken made me think I had a brain tumor? Or the time a bruise under my toenail from new running shoes made me think I had melanoma? Or when a new way to part my hair at the salon uncovered a weird cowlick and I thought I had alopecia? You guys! I even checked my blog from March 2022 to see what the heck I could have been seeing the doctor for that caused them to note, like, advanced paranoia, but I came up short. 

At the end of the visit, I asked the lovely nurse practitioner about it, wondering if that note was why I got an appointment at all for something that she so clearly was not even a tiny bit concerned about, and she very seriously read the expanded version on her view of my chart, and then she took her glasses off and looked at the camera seriously, and then she laughed and laughed. Then she apologized and explained it was from a massage therapist who appeared to be trying to say that the pain I was reporting in my neck and shoulders did not correspond to any musculoskeletal issue he could detect but accidentally charted a severe mental health disorder. She deleted it from the chart. I was like oh are you just telling me you’re deleting it, but really you are noting in my SECRET CHART to not talk to me about it again? Luckily, she laughed at that, too. OR MAYBE SHE WAS PRETENDING.

Really, through, every time anything is a little bit off in my body, I assume first that I am facing a terminal diagnosis, especially when it is part of my body I cannot see. So, there’s that— which probably deserves its own note in my chart. And probably has one in my secret chart. 

Back on my Apple Watch bullshit. Usually when I use a fitness tracker, I gain weight, but this time, I am NOT wearing it when I am working out because I want to close all my circles OUTSIDE of dedicated exercise. Cross your fingers.

**I got my period on cycle day 59.


11 comments:

  1. I'm glad you don't have ADVANCED PARANOIA or at least not on your non-secret chart.
    I just listened to a podcast and one of the cohosts said that exact thing about her Apple watch, that she is no longer wearing it during activities. I wear my Garmin all the time so this is foreign to me.

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    1. I have a tendency to eat all of the calories my device says I burned LOL

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  2. I stopped using my Apple Watch for closing rings. It had become an obsession and culminated in my running in the dark at the end of my bed at 10 pm. And I was like: What?! So now I NEVER look at my rings at all. I do track all my walking and running (like if it's a dedicated walk, not just strolling around while I do groceries)...but mostly I use it to see the time (go figure with a watch, eh) and the timer function. Oh, and to check the weather. But the rings were a bad match for mental health.

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    1. I think they are not great for my mental health either.

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  3. Anonymous6:10 PM

    Lisa here. Well I am glad you asked about that random note on your chart! So odd! I see doctors so often that my medical history is very very up to date. It is kind of depressing to see the laundry list of issues I have. My doctor tagged me for a number of things in 2020 so that I would be prioritized when the vaccines were available so that made my history even more lengthy! I am glad the visit was reassuring, though! And I should probably be a bit more concerned about things that surface instead of assuming things are just fine. I had horrible pain in one of my legs during the 3rd trimester of my first pregnancy. A few women were like, ‘oh that’s round ligament pain’. I mean I couldn’t walk but was like, ok, guess I will see a PT for this. Then it turned out that terrible pain was a massive blood clot! And I was pretty dismissive of all of that weird symptoms I had the summer I was diagnosed with RA. So I should probably seek medical help way sooner versus telling myself everything is fine!

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    1. OH MY GOSH! A blood clot! That's scary. I think in between the two of us would be a perfect relationship to potential illness LOL

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  4. Your nurse practitioner sounds terrific!

    And I think your idea to not to rely on your fitness tracker is spot on. I read long ago how fitness trackers give users a false sense of achievement. I mean we're supposed to get 10,000 steps in, but that shouldn't count that as 'exercise' unless age or ability are issues. I know how I feel in my body when I really exercise, and that feels truer than what a tracker could tell me. If I were a real runner or biker, I guess the data aggregation could be useful, but I'm so not :).

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    1. For some reason the idea that I should just get 10,000 steps outside of exercise didn't occur to me, but when I read it I was like OH DUH. I actually get way more than 10K steps usually, it turns out, but some days I needed to remind myself to take a quick walk after dinner to close my "active minutes" ring.

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  5. I mean, are there people who DON'T think every single thing is terminal? My previous doctor was awesome - for every thing I would always follow up with "so... probably cancer?" and she'd laugh.
    "Accidentally charted a severe mental health disorder" - I"m going to use that one to make me feel better when I screw up at work.

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    1. LOL LOL LOL-- love the feel better at work idea. One of my college friends was like oh that's our generation-- everything wrong is cancer, and she's SO RIGHT.

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  6. Oh my gosh that is hilarious!! I love the accidental chart note.

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