Ugh, how did two appointments turn into four more? I swear appointments are like cockroaches. They just keep multiplying. But as Tom said, do you want to get better? Yes! Yes, I do.
So I met with Rhonda at 7:30 yesterday morning. While I do appreciate virtual appointments over in-person appointments, damn, was she hard to understand at times! She was garbly and squeaky. Plus, there was a lag in hearing each other, so we would sometimes accidentally talk over each other.
She brought up things I didn't think she would, and didn't bring up things I thought she would. I thought she would bring up female exams, but instead she brought up how concerned she is about my blood pressure always being high every time I go to the office. She asked me to test my blood pressure with her, so I ran and got my wrist cuff, and my systolic number was through the roof. I don't know that I trust it to be accurate, but I'm going to be restarting losartan now that I suspect the stuffy nose I thought was due to that was actually because my turbinates were swelling. I'm to take half a pill at the beginning of my day and the other half before bed.
I asked her if high blood pressure could cause fatigue, and she said it can. But then when I checked a couple of different AI models, they said it doesn't usually cause that. So just when I was about to wonder why she wasn't very truthful, I went to a medical site that said yes, it can cause fatigue because your heart is straining to work as hard anymore. I found that it can also cause arrhythmias, which I didn't know, and even tinnitus. I don't know that it's causing my PVCs because Jessie has that too, and her blood pressure is kind of low. I wonder about the tinnitus, though. I thought it was just age, but who knows. I do sometimes get pulsatile tinnitus when I stand up quickly and feel the blood gushing in my neck.
So we talked about the fatigue and all the possibilities that could be causing it. Now that my CPAP is working more efficiently after the nose job and I can increase the pressure, we're hoping I'll continue to get good AHI scores, which will help, and it seems like it might. Meanwhile, she was a little surprised to learn that no one's monitoring my CPAP and wants me to go to a pulmonologist who's also a sleep expert. I was a little worried when she said he was in my town and that she would refer me to the one we didn't like, but it's actually the one I like best. She's mailing me a referral to him as well as another order for CAC testing at a place in Trinity that accepts my insurance, and a lab order.
We agreed that I'll try to get my TSH under control on my own first. She wanted to do another virtual appointment in 6 to 8 weeks, but she was pretty booked out and what she did have didn't align with my schedule, so I'll be seeing her in 10 weeks. Before that, I'll go to the lab, but I won't have to fast. If my TSH is still elevated, then yeah, we're going to have to start by adding a 100-microgram pill once a week and see if that helps.
Today and yesterday I haven't felt really cold, and it almost feels like some days I'm hypo and other days I'm okay. She's not sure whether absorption issues are a factor or not or if the gland is simply dying off. It was a little strange that she asked me to confirm that I do have a thyroid since she sent me for an ultrasound not long ago. Also, wouldn't I be well over 100mcg if I didn't?
It was amazing how quickly I got a clinical note detailing what we discussed. She didn't miss a thing I said! I guess they record it or something. It doesn't bother me at all, unlike how it used to annoy me when my first Cali dentist would include notes on what we discussed with the bills she'd send us. Like my being multilingual had anything to do with needing a new crown.
I forgot to mention my nasty fall the other day. I'm lucky I wasn't seriously hurt. I was at my desk off the kitchen when I reached forward for something and the chair slipped out from under me. It happened in a nanosecond, and I had no time to brace myself or grab onto anything for support. My inner elbow smacked the desk, leaving nasty bruises, and I crashed into the side of the chair as I went down, bruising the area a few inches below the nape of my neck. The fall felt so violent and rough on me. I'm definitely getting too old and heavy to be tossed around so viciously! Again, I'm lucky it wasn't worse. Had I gone down on my nose or teeth, I definitely could have ended up with a lot more than just a couple of nasty bruises.
I had a really bizarre dream about Officer Johnson, and again it made me wonder if she was thinking of me and that triggered the dream, or if my having the dream is going to cause her to think of me. But I don't think she has thought of me in years, probably not since shortly after I left Estrella. Sometimes I'm tempted to start allowing messages again, but I don't want to hear from anyone I don't want to hear from, even though I suppose I could ignore or even block them. Then again, why would I hear from anyone I actually wanted to hear from?
In the dream, I pulled some kind of prank on her by calling and leaving a message somewhere. I don't know where I called or what I said, but I didn't really expect her to call me back. Yet whoever I called passed my number along to her because a woman who appeared to be a good friend of mine was listening to my voice messages on my phone when she handed it to me and said someone named Rachel left me a message.
First I was shocked that there was a message from her, and then I thought, Wow, so that's her name? Then I thought I would make my next blog title: I Now Know Her Name Is Rachel.
Then I remembered that for some reason I disguised my voice and gave a false name in my outgoing voice message. I hoped this would confuse her if she was pissed at me. I grabbed the phone from my friend, played the message, and heard, "Hi, Jodi, this is Rachel." Her voice sounded kind of weird and definitely not very feminine. Then she hesitated as if unsure of what to say next. I could hear birds chirping in the background and remembered that she liked them as pets.
Finally she said, "Well, this is one non-entrained phone call." In the dream, I didn't know what that meant, so I looked it up and was told it meant surprised or something like that, even though it doesn't really. Then she asked me to call her back and hung up, leaving me unsure if she sounded angry or not. I hoped that in my mind she simply wanted to catch up and see how my life had been, even though I doubted that.
We still lived in Maricopa, and I was worried that my stupid prank may have jeopardized our home or caused other problems if she was pissed at me. I was unsure whether to call her back and torn on telling Tom about what I did and her call. I thought it would be exciting to tell him that I now knew her name and that she called me, but I didn't want him to worry about how and why that came about in the first place.
Speaking of where we're living, I really get the feeling this is our last stop. This is our last car, and our last house. For a while I missed the excitement of change and variety. While a part of me will always miss those adventurous times, it's getting less and less with time. Stability is what we need as older people, even if this place isn't perfect and I can't stand one of our neighbors.
Sometimes I still feel like life is over, and we've done everything we're going to do as far as anything all that new and adventurous. Besides, I've been to so many places and done so many things that things lose their newness and excitement over time anyway. But the good thing is I get a little more okay with that over time, even if, yes, we're essentially just living our lives until it's over. I mean, I know that every living human being is doing that, but still. I can't go so far as to say we're in death's waiting room, but we are pretty much just surviving, trying to enjoy life and our hobbies, and navigate health issues (especially me) until our number is up.
Since I have been doing a little better health-wise overall, and therefore better emotionally, I'm not as anxious to get to the finish line as I was for a while there. So yeah, I'm going to stick around and enjoy the new adult coloring books that are coming today. I just don't know if they'll arrive before I crash.
I'm also more okay with not having local friends and family that aren't toxic. I get Andy's point that he made about having people around if we get in a jam, but how often do we get in jams as retirees? It does kind of suck that I wouldn't have any friends I could call upon to take me to visit Tom if, God forbid, he was ever in the hospital, but there is such a thing as Uber and Lyft, and I wouldn't want to put anyone out to begin with. In other words, even if I had tons of friends and family willing to take me in if Tom died first, as I expect he will, I wouldn't want to put them out. Besides, I would be way too miserable to go on anyway, and we live in such a high-tech world that it would be very hard for me to navigate on my own. Sure, I'm much more tech-savvy than your average 60-year-old, but at the same time I'm not. Things aren't like they were in the '80s and '90s. Fixing things around the house, as well as dealing with electronics and just choosing insurance plans, would be damn near impossible for me. Uber and Lyft or not, transportation would still be an issue, too. Also, you don't want to recover from surgery all by yourself. If I had to have surgery with no one to drive me home and look out for me, well, I guess I'd be pretty screwed. So, as I've always said, I'm on his timeline.
Sometimes I sit back and imagine a 10-year-old kid in a loving home with a loving family at Christmastime or something like that, all excited about what her presents may be and the fact that her grandparents are staying with them for a while, and I relish feeling so safe and naive to the dangers and true hardships of the world.
When I look at old pictures from when I was a kid, it's hard to believe I was once in the same room with three grandparents, two parents, two siblings, two aunts, two uncles, and anywhere from one to four first cousins. It's even hard to believe I was once in the same room with multiple family members on his side.
A random memory came to me the other day of the journal sitting on the table in my parents' hotel room the last time I ever saw them in the late '90s in Phoenix. I still wonder what she wrote in that little book, but I think it's a pretty good guess to assume there were plenty of negative things about me, mostly about my appearance. It's sad just how obsessed they were with appearance. That almost seemed to matter more to them than what was going on inside my body or my head.
It was incredibly hurtful and insulting the day my mother kindly informed me in a letter that she didn't want to hear about "babies" anymore after I stupidly confided in them about our difficulties conceiving—not that that one didn't work out for the better in the end. Part of why I don't have friends isn't just because I don't trust people but because I do a fine job of keeping my own self entertained. So much so that I know I would have resented having to share some of my time with a child. Call me selfish, but the stress and all the work and money that would have gone into that would have been a killer, even though I suppose our lives would have turned out differently as well. I doubt we ever would have been able to leave Phoenix.
Okay, so that concludes this long, rambling entry about what's going on and all the thoughts that run through my mind. I'm going to hop in the shower now. We're going to Walgreens this morning to pick up my new losartan prescription as well as my levothyroxine refill. Yes, I'm going to get a candy bar while I'm at it. I'm only pre-diabetic, not diabetic, lol. Plus, I have plenty of time before she tests my A1C again.