Thursday, August 07, 2008

The Merry-Go-Round Makes me frustrated and dizzy!


It was just a month ago when I went to the doctor and left with the news:

"This surgery is not elective, it is life and death."

"If we don't get this fixed, you will not be here this time next year."

This last month since this doctor's visit was an emotional roller coaster!

This past monday Brad called the doctor's office to get their help with dealing with the insurance company since, after speaking with the surgeon I was referred to, we found out that the insurance was refusing any and all treatment for the surgery. Even thought it was "life and death" according to the referring physician."

So trying to get our doctor's office to help with the insurance situation, we called and explained what we needed them to do. The nurse sounded confused. She did not understand where I got the idea of only having 12 months to live. So she spoke with the doctor and asked for both Brad and I to come in and go over everything today.

She entered the room and front the start apologized profusely that there had been a misunderstanding. She asked to tell her what I thought she had communicated to me. So I repeated word-for-word, her quotes to me:

"This surgery is not elective, it is life and death."

"If we don't get this fixed, you will not be here this time next year."

She apologized again and said that she had really only meant to stress the urgency and drive the point home that the weight and metabolic issues were the top priority.

She then went on to completely dismiss the Lyme diagnosis and said she really did not want to even go there with any discussions. She said the doctor in Louisiana has taken care of that and she is here to take care of the rest of the problems--the real problems.

So I questioned her..."Can being overweight cause hearing loss and vision loss?" (of course, I already knew the answer to that! I was just wanting to make a point!)

"Can being overweight cause a loss of and/or diminished reflexes?"

"Can being overweight cause bacteria to grow in blood cultures and give false positives on a lyme test?"

Her response was...that being overweight was causing problems with my thyroid, hypothalmus, and pituitary gland.

My frustration was growing at this point and I could see we were getting no where. So I just needed to shut up and accept her opinion that my weight is my only issue.

Still trying to get her to at least acknowledge that a persistent INFECTION in the body could cause all of these systems to go awry. So I asked her, "So you think that the Lyme is really a non issue? You think I should not go back to Louisiana?"

Again, being very guarded and careful, she said, "I really don't want to go there with you, but I would like for you to really consider that possibility." (of not returning to Louisiana for further treatment.)

Her mind is made up. My problem is that I am overweight and that is the source of all my medical issues...well, except for the hearing loss, vision loss, absent reflexes, seizure disorder that is detected on EEG, meniere's vertigo, hypercoagulation, and a whole laundry list of other ailments that she cannot explain.

She actually said that if I could lose the weight "the Lyme disease would go away!!"

If only.....

You see, I have been down this path! And I will keep going just to show good faith...

...but in 1985 I lost 35 pounds on Norwell diet center program. I felt better temporarily. I was an active athlete and involved in both tennis and cheerleading at school. I was active...but that did not stop the progressive joint and muscle problems, or the siezures.

...in 1987 I lost 15 pounds on a brown rice diet. That did not help the fatigue, muscle pain or any of the other symptoms.

...in 1994 I lost 30 pounds doing the Susan Powter diet...but still the fatigue was overwhelming and when I wasn't in school, or working out, I was sleeping...constantly.

...in 1998 I lost 50 pounds on the Atkins diet...all the while getting sicker, more fatigued, and emotionally becoming a basket case, irritable, and having major "female issues"...none was alleviated by the weight loss.

...in 2002 I started the First Place diet program...and after following the rules to a T...and 3 months later having lost only 7 pounds....I just gave up. I was sooo sick at that time, it was when I first started entertaining the thought of putting the kids in public school. I had recently been through 4 miscarriages during that time as well....so I knew something was wrong. I had this positive Lyme test, but the doc said it was a false positive because "we don't have Lyme in Texas."

...and it was 3 more YEARS of failing health, 3 more miscarriages, and a second positive Lyme test that made me start demanding some answers. I had been so fatigued that I was sleeping 16-18 hours a day. I finally put the kids in school. I was not even able to handle a 8am - Noon bible study program...I simply was no longer functioning.

I have now been on long term antibiotic therapy for almost 3 years now. My Lyme specialist felt he could get me into remission within 3-5 years of therapy. I am now at a place where I can sleep 8 +/- hours a day, with an occasional nap for good measure. I run an entire home based business, with more than 10 workers across the country, and have national distribution for a newspaper I publish from home (where I can work in my pajamas if I need to!) I have been able to add a significant income increase to our family and help with medical bills or whatever need arises.

Now this local doctor, who just a month ago, for the sake of "driving home a point" had me literally believing her "life and death" and "you wont be here this time next year" exaggerations--just to make a point-- that weight loss is my only real health issue I need to worry about-- she now wants me to seriously consider not going back to Louisiana for further Lyme treatment...

...and end up back where I was 3 years ago?
No thank you...that is no life at all!

I'd rather be on antibiotics the rest of my life, if it means I will continue to get better and re-gain my life... THIS is LIVING.... THIS is LIFE.

For me to do what she is suggesting, to forget the Lyme and move on-- would only land me in a physical condition of regression that would make we WISH that a 12 month life expectancy was days away from being completed...

The way doctor's think..... it can be frightening at times! Especially when they already have in their minds the solution to a problem and can consider no other probability....

It is a blessing of GOD that we hear his voice and can follow Him. I am thankful that I have a God fearing, bible-believing, Jesus-loving Lyme specialist who prays for his patients as well as medically treating them!

I'd place my odds being much better in those hands, than in the local doc!

Thanks for listening to my vent!

Dawn

7 comments:

sneezymom said...

I am so sorry you are going through this. Unfortunately, we have both known that without constant fighting for our health issues, we get nonsense like this told to us as fact. I am thankful you no longer are being told 1 year to live, but wish she had never scared you like that in the first place. God knows what you need and you have been quite good at following His leadings, just keep that up.

Anonymous said...

Oooh I would be livid...wait, I AM livid, and it isn't even my doctor!

While your weight might be a health issue, are they forgetting the possibility, even probability, that the weight issue is BECAUSE of a health problem, not the cause of it?

Yeah, I know being overweight comes with its own set of problems, but not every health issue in the world
happens because a person is overweight ....many times the overweight happens because there is a health problem. Take thyroid problems...can't they make a
person gain weight? Then the person is over because of the thyroid, not the thyroid being off because the
person is over.

When my weight shot up, they ignored the fact that it came on 20 pounds at a time, in a short amount of time 3 separate bursts. They decided, like with you, that
my only problem was being overweight, not that something obviously was wrong to make someone that wasn't eating anything to gain 20 pounds in a 2 week time period.

They are dunderheads...you need to find another doctor, Dawn. I agree, keep going to the one in Louisiana, but most definitely find you one with working brain cells here in TX, too!

I know that sounds rude, but doggone it, I'm tired of doctors that dismiss things that are just plain common sense for them to see!

{{{hugs}}} I'm praying!

Love ya,
Your sis in Christ,
Suz

Dawn Irons, Ph.D, LPC-S said...

You know, the funny thing is... the only reason I even went to the appointment last month is because I knew I was having a thyroid problem. My throat was swelling shut, difficulty swallowing, etc...My energy had bottomed out and I was sleeping for hours on end again-- NOT NORMAL FOR ME. I have been on a good streak for MONTHS!!

So I went to go have my thyroid tested.

She barely even listened to my complaints before she began to chastise me for a 20 pound weight gain in 4 months.

HELLO!! I knew I was having thyroid issues, that is why I came to the doctor!

At any rate, that is when the scare tactics started and the whole weight discussion ensued.

I had to argue with her to get her to order the thyroid test! I know my body! I knew the weight gain was not an eating issue, not with throat having been swollen shut and the fatigue!

She reluctantly ordered the test...and wouldn't you know she emailed me about 3 days later to let me know that my thyroid level was very high!

My thyroid medication had been TRIPLED in dosage the year prior...and had remained at that dosage. So 1 year into the tripled dosage my thyroid levels were still not managed!

So she added a second thyroid medication into the mix now.

I knew it was a thyroid problem all along!

So in todays appointment as she further discussed the weight being the "only problem" she went on to say that all the labs have drawn on me have been normal...to which I added EXCEPT THE THYROID!!

Yes, people gain weight because of an underactive thyroid disorder. You don't get a thyroid problem because you are over weight!

Then I guess the more interesting question that was raised for me was when she asked me to try this new medication for a month that was an appetite suppressant.

I said OK...**BUT** I dont really have an appetite as it is. I wake up in the morning, check my email and begin work and it is about 2 or 3 in the afternoon before I get my first "hunger pain". (Another symptom of a thyroid problem-- you dont have normal hunger sensations which leads to skipping meals, etc...which further throws off and stalls the metabolism...a vicious cycle.)

So I did question the use of an appetite suppressant--when I did not eat 3 meals a day anyway.

But hey...I'm willing to try anything!

Maybe it has something in the injection that will give me energy?

My sister says all appetite suppressants are "speed" with a medicine lable.

Oh, why not! Lets just add a drug problem on top of everything else! Couldn't hurt right? I mean the DOCTOR said it was the RIGHT thing to do! LOL!!

Sheesh.... OK, so I don't have a medical degree...but doesn't a lick of common sense say you don't need an appetite suppressant when you only eat 1 or 2 meals a day and no snacks as it is?

BUT I WILL START THIS MED in the morning...and start eating breakfast for the first time in YEARS.

Hey...whats one more adventure, right??

Dawn

lymesunshine said...

Just a heads up, Dawn. Any stimulant will cause flucuations in hormnones, which you guessed it...makes the Lyme worse. The researchers and doctors don't know why, but it does.

My doctor has told his patients stress, whether good or bad, for extended periods, will cause health problems for us. (Stimulants apply here)
I always tease him that we are going to move into a bubble so that no amount of life will affect us.

Unfortunately, metabolic issues are common place with these infections. I have spoken to so many people over the years that either can't keep the weight on, or can't get it off.
Both my mom and I have Lyme. She can't lose a stick of weight, no matter how much she tries, and I don't have a weight issue, yet we both have a hypothyroid problem. I asked my doc why and he said, "Welcome to the world of Lyme".

This is why our Lyme doctor treats everything for us, except pain management, which he likes done locally. Fortunately, our family is doing well and we no longer need any help with pain. If we have an emergency we have a local, and I see an OB-GYN locally also, but that's it.


It used to really upset me that the other docs I went to just didn't get the Lyme issue and how a multisystemic infection could affect so many areas in my body.
Doctors know everything, right??!!!!!
Well... after working in a hospital on summer breaks, while a nursing major, I realized just how human these doctors are by seeing how many mistakes they were making. If people only knew they would run for the hills!!! That's why I always seek nursing friends advice to find the best docs.

I realized then, and it definitely applies now with Lyme, that I had to be an informed consumer of the medical services I was seeking.
This approach served me well in getting the right doctor and right treatment early on once I was properly diagnosed. Okay...so it took me 35 years, but I finally figured it out thanks to a newspaper article about Lyme disease.

Well...hang in there, Dawn. I hope your thyroid issue turns around soon.

It is very early in the AM and I must put my head in a working mode. I am trying to finish the project I spoke to you about. There has been a ton of reading, writing, rewriting, and rewriting again. Yuck!! But, I am almost done so that's a good thing. I will keep you posted.

Blessings-Lisa

Dawn Irons, Ph.D, LPC-S said...

Trust me, the thought of moving to Louisiana has crossed my mind more than once! My specialist there has a back ground in family medicine as well-- so he could take care of all the issues that surround Lyme & Co.

...but alas, our LIFE is here. Work, church, family, friends...

I remember the story of the woman in Under Our Skin (www.underourskin.com) whose daughter was having issues with regular primary docs not understanding her Lyme protocol and contradicting everything that sound research shows to work--and in the frustration she just told her mom, Mom, they are going to kill me."....and they did.

I have little to no hope at all that the medical community in Texas will ever be open to studying or understanding Lyme. After all the medical school textbooks (probably authored by the IDSA guideline writers) still say the same old mantra, "Easy to diagnose and easy to cure with 3 weeks of doxy."

The TX Medical Board ran off our only Lyme literate nurse practitioner who relocated her practice in San Francisco.

I have become more and more disgusted with the apparent marriage of medical issues, politics and Big Pharma. Managed care has become a medical maffia where the heart of TRUE MEDICINE is lost, "First Do No Harm", and has become infiltrated with the conquest of "the bottom line".

When medicine becomes a money machine, cash cow, etc... the process itself becomes infected with greed. True practitioners of the medical arts often have their hands tied.

The surgeon who is supposed to do my surgery would like to help me, but it is the insurance company that is refusing to cover the expenses... you know the insurance company that we pay $400 a month to for the lovely privilege of us paying 100% out of pocket medical expenses for the first $4500.

Unless there is a hospitalization, we rarely every meet our deductible in a years time...and come January it starts all over again.

There should be a GREAT DIVORCE of medicine, politics and big Pharma!!!

David said...

Dawn, sorry for your frustration- however both doctors want the same thing for you and that is your healing- let's remember that is what we all want for you- that is what we are all praying for- so don't discard one just because you don't agree- 2 opinions or more are always the norm and better in the world of medicine! Set your attitude on your healing not the symptoms- let's talk when I get back. Love you-

Anonymous said...

Dear Dawn,
I am writing to gain more information in your experience in working with Dr. Jonathan Forester in Pineville,LA. I contracted Lyme last year and was treated with 6 weeks of antibiotics and felt better. Now 6 months later my symptoms have returned with greater intensity. My doctor wants to send me to an out of state Lyme Specialist whose treatment can include 1 year on antibiotics. He is willing to work with Dr. Forester though. I read your testimony and was interested in learning about Dr. Forester and his treatment plan. I live in Virginia and am willing to travel to Pineville. It would be such a blessing to speak with you further. My email address is: scrane@integrity.com

Thank you,

Sherri