I’m doing better. Thanks so much for asking.
My therapist recommended writing a sternly worded letter addressed to all the doctors involved (including my shrink, who got this whole ball of wax started), basically laying out all the facts (how I took all those tests and did what I was told and waited all that time and drove all that way, only to be given the same evaluation that I was given before). I was in agreement about this line of attack until I called the referring neurologist’s office. They insisted they had sent in all my records. So I was confused and messed-up in the head again. Uber depressed. I didn’t want to write a letter or talk to anyone, anymore. I only ate a couple of ice cream sandwiches over the weekend because I didn’t see the point of eating anything else.
So then I saw my therapist this Monday and told her that I was totally apathetic and didn’t have enough emotion to write a sternly worded letter. Being the wonderful person she is, she did what I cannot do as a patient. She actually got through to the referring neurologist, told him what had happen and asked what was going on. And he told her. Shortly after I had finished my visit with him, the expert neurologist received my records. All except the Huntington’s test. The lab hasn’t sent that one in yet. So we’ll have to wait on that. But he wrote up a very thorough assessment nonetheless and it’s now in the hands of the referring neurologist. My therapist said he felt bad that things played out the way they did, especially with him on vacation and unable to help, and he apologized. And she said she was glad I hadn’t followed her advice and sent him an angry letter. So I guess my apathy paid off :).
So…I see him in ten days. I’m not going to go in thinking I will get a diagnosis, but at least we’ll have something to talk about.
I guess I want answers rather than more tests? The characters have changed, but I have been on this quest for over ten years, and all I’ve gotten are a list of tests to take. I could understand when the symptoms were subtle (and I saw a doctor when they were so subtle that I thought maybe I WAS being a hypochondriac). But now they are noticeable and unmaskable, fitting a pattern that MUST be recognizable by someone who’s an expert of the basal ganglia. I understand that you have to eliminate likely candidates so as not to misdiagnose, but the key word is likely. When the doctor gave me a lecture on all the different types of HDL diseases, not to mention chorea acanthocytosis and a couple of other rare genetic disorders that do not show up in my family history, I was not happy. To me, it was like he was telling me I needed to get tested for a quadrillion other things before he could tell me anything. That all the tests and neuro exams I’ve repeatedly subjected myself to over the past decade are simply not enough. I’m not an MD, but I know that’s now how medicine works. You don’t go on fishing expeditions and expect your patient to share in your academic interests while calmly waiting for what could be a death sentence. Especially when these tests are so exotic that they may not be covered by insurance.
The referring neurologist did not say, “I don’t know what you have.” He said, “You have something, but I’m going to refer you to this guy who is the expert in movement disorders and get his opinion.” This indicates to me that the referring neurologist has a hypothesis, but he needs back-up before he gives it. I don’t mind this at all, and I understand wanting to be careful. I just didn’t expect that I would see the expert and then be abruptly dismissed. I’m glad he wrote up a report and all, but damn. Based on how we parted ways, with him refusing to tell me anything substantial, it didn’t seem like he was going to write much of anything. That was my fear. But it has been allayed.
(I think I would have felt much better about my visit if he had simply said, “I need time to study your case before giving you anything solid” instead of “I can’t tell you anything because I don’t have your test results!” He had relatively good bedside manner until he had to find an excuse for why he couldn’t issue a judgment call right then and there.)
I don’t know what’s to come, ya’ll. I don’t think it’s anything life-threatening like Huntington’s, and if it is, well, I’ll worry about it when the time comes. But I’ll keep you posted whatever the outcome. And ZipperJJ, you should see something next week. I had to wait for the love to come back. 