Tuesday, October 16, 2018

It was with mixed emotions that I returned to my endocrinologist yesterday. She looked the best I’ve ever seen her and I like her hair longer (bet she’ll cut it by our next visit) even though she may have put on a few pounds, and while she may be one of the smartest doctors I’ve ever known, I would have preferred never to have to see her again on account of the on-and-off anxiety I’ve suffered for over 4 years now. Just when I think it’s gone for good (along with my period) back it comes with a vengeance!

I ended up leaving her office not so much feeling relieved but definitely feeling both nervous and hopeful. I don’t know how confident she is that the new regimen will help and I didn’t think to ask. All she said was that she hoped it would help since she’s been surprised by others who have responded better to Liothyronine. She said that due to the anxiety I’ve had she had been hesitant to try me on it. She wouldn’t want to try me on Armour because it’s too much, she said. I’ve heard that because it’s pig thyroid it’s not as consistent as the synthetic version.

I am to drop to 50 micrograms for one week and then add 5 micrograms of the Liothyronine which should put me where I was on 75s. Yes, I’m nervous about it, but as I told her, I’ve gotten pretty desperate and I need to try whatever I can possibly try. I guess that if worse comes to worst I’ll have to take just 50 micrograms of Levothyroxine only and leave it at that. I would be so devastated if I started having problems on that but as far as I remember, I didn’t have problems the last time I was on 50s. If I could just go more than 6 months without anxiety, then I could begin to think maybe we’ve figured out and solved the problem.

Levo is T4, Lio is T3. Funny that yet again that very unlucky number 4 is connected to the Levo, a drug that’s made me feel so horrible. I’m still nervous as hell, though, cuz they both list similar side effects. It’s scary because the anxiety and racing/booming heart it can cause is so awful and terrifying. It’s not like I might get a headache or gassy or something like that.

Oh, fuck! I just read that a single dose of Lio can reach its max effect in just 24 hours since it’s so powerful and can even cause cardiac arrest. Great. Just great.

Okay, so Tom and I did more research. It should only be risky if you’re in a coma or something and receiving it intravenously. It also seems to be a short-acting drug which is a bit comforting to know so it wouldn’t take weeks or even months to recover like when she tried me on 88s.

He suspects Doc O thinks the low thyroid is causing my anxiety and that Levo isn’t treating it properly. Not sure if I agree, though. I mean the 88s definitely caused anxiety and panic attacks. Definitely. But could the “stabbers” be the low thyroid? But then why didn’t I have the same problem before I was diagnosed?

As I also told her, I’m doing better overall than I was in 2014-2015, but why this comes and goes when my numbers have never shown me to be hyper, we have no idea. I didn’t seem to have anything wrong with my pituitary or adrenal glands when she checked them way back when, so I’m still thinking that the main culprit is probably what I’ve always suspected, something about the medication itself. It’s too extreme for perimenopause and I can’t believe I would just up and become this way for no reason and so late in life. So if it’s not the meds, then maybe it is something else related to the thyroid.

Anyway, I went to the lab right after I saw her which was on the main floor of the building. Despite the horrible traffic to and from the place at least it has a lab in the building.

When I first entered the Endocrinology Department, it was actually kind of dead. In the past, it was usually crowded. I was checked in by a beautiful young woman with perfect teeth who was so friendly for such a good-looking woman. Usually, women that pretty are snobs.

I was taken in by a nurse who seemed kind of bored, mechanically going through the motions of her job.

BP and HR were slightly high.

The doctor opened the door slowly when she came in, so she knew Tom was there. Did she spot us from an office on the way in or did the nurse tell her I wasn’t alone?

I told her of the symptoms I’ve been having, including the bounding pulse but she didn’t seem worried. She listened to my heart, felt my thyroid, and checked my hands for tremors. My lungs were tight enough afterward that I needed a hit off my inhaler but that was probably due to stress.

What was strange was the doctor’s overall demeanor. I can’t really put a finger on it and describe exactly how she was acting. It wasn’t anything she said although she did seem to talk less and listen more this time around. I swear in her message to me she said she wanted to see me to go over “all the issues” with Liothyronine. Yet the only thing she really said about the stuff was that it can cause the same problems Levothyroxine can cause when it’s too much.

The way she moved and the expression on her face makes me think of anything from amusement to being uncomfortable with me to having a thing for me. Could it be that she was thinking of Peter and perhaps a bit embarrassed? I don’t know what to think or make of the airs she gave off but if I didn’t know any better I would wonder if she was into me in some way or at least liked what she saw yesterday. I can’t believe the last one is the case, though. The last time I saw her I sensed both discomfort and impatience coming from her. She was very businesslike and didn’t even crack a smile that I recall. Again, it’s very hard to subscribe but she was totally different this time. As good as I am with words, I can’t quite put my finger on this one or find the correct words to describe it. It’s times like that that I wish Aly could’ve been a fly on the wall just long enough to observe the scene and give me her opinion. She’s extremely intuitive and smart. I’d like to think I am as well at times but I’m stumped on this one. It’s not important as long as she helps me. I’m just naturally curious. I also have a gut feeling saying she reads my blog. Maybe not regularly but enough to get a general sense of what’s up with me.

She was complaining about the new computer system they just got. Yeah, change sucks. It’s frustrating as there are always problems and new things to learn. They changed the portal, too. Not sure if it’s better or not.

I’m to return to the lab and see her in a couple of months. In fact, I see her the same day I see Dr. A. It’d be great to get them both over with on the same day.

In case I didn’t already say so, I absolutely love my new White Water Fairy. She really does look like she’s kneeling in water! You can also see the finely detailed painted purple flowers on part of her dress better in person than online. Love her long auburn hair too.

We went to the Goodwill before my appointment yesterday but didn’t find anything interesting there. We also picked up “Butterboy,” as I’m calling our butterfly betta, a pastel-colored castle hideaway but he doesn’t seem interested in it. So $14 wasted unless you want to consider it a cute decoration.

With yet ANOTHER project (by Bob & Virginia) I worry about being woken up too soon this week. As is usually the case, this obviously isn’t just a day or two kinda job. I can hear vehicle doors slamming which sound like doors in apartments, and some pounding. No saying for sure that the sound machines will override it.

Furthermore, on top of the usual landscaping and traffic, that fucking car came and went 2-3 times today. Enough that it may as well just live here. God, I hope that doesn’t become a regular thing again! Love how I haven’t heard that obnoxious mutt, though.

Amazed at how fat my outdoor potted cactus has gotten!

Oh, here are my lab results. Results are as shitty as expected. T3 & T4 are normal and I’m just on the edge of menopausal. However, my TSH is 27! I showed her all the skips I charted on Google Docs on my phone so she wasn’t surprised.

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