Friday, October 19, 2012

Legs and minor return of strength

Yesterday I mentioned my legs felt better.  At the same time I noticed that there was a bit less shakiness in them. It has been easier to kneel down and get back up.  This being true, I wondered what the old push-up test would suggest.  The last few times I have made attempts, I have only been able to do one or two, and those have been iffy.  Yesterday, I could do ten.  They were not the best because my right arm is still a bit funky, but I managed to do them and generally felt OK during them.   It is interesting how the return of strength relates to cycles of diminished pain, particularly in my legs.   By the way, ten yesterday is all I am interested in now.  Maybe in a week or so I will try again.  But even if I do not, I can tell when my legs get stronger or weaker what part of the cycle I am in.   I sometimes wonder if anyone seeing me out around town wonders why some days it appears I can barely walk, and other days I am walking fairly normally.  This is truly an odd disease.

Thursday, October 18, 2012

Legs a bit better, and a new doctor in my future


You should let me know if you are tired of me and my whacky little posts.  Of course, if you are you will stop reading them I guess.  I will know then.

Just a couple of things. . .  I had been having weird leg pain as mentioned in prior post. It seems a bit better the last couple of days, and almost feels normal right now.  Am I sure this is related to HNA?  No.  But no one has told me it isn’t related.  It would seem that the cyclic nature of the my leg issues seems to fit HNA or what I see of it.  My right arm is still in the mode of aching if I lay too long on it at night- and it definitely wakes me up to tell me.  Last night it was in a dream- in the dream I was having my arm started to hurt and I finally realized it was not just in the dream.

Also- You may remember my mention of my old GP doctor who to my way of thinking was extremely rude to me last time I tried to see him to talk over the results of almost eight thousand dollars of tests he had ordered.  I had called his office to ask if I should come in to talk over the tests results.  His receptionist seemed to think that the doctor would like to see me about the results even though the neurologist had already told me his two cents worth.  I had spent close to two hours waiting past my appointment time.  His words when he walked into the exam room, “What are you doing here? “  After spending all of ten minutes talking to me and basically telling me the neurologist report was all I would get, he told me he had to scoot.  I have not seen him since.  The only good part to the story was that my insurance at the time had a timeliness requirement of two months for billing any charges and since they billed later than that, they got nothing.  I am sure they would have loved to bill me anyway, but the agreement for my policy stated that they could not bill the patient in this case.

Now that I have Medicare, there are new possibilities and also new problems.  I am in a rural city, so that is a problem.  Quite a few of the local doctors who used to take Medicare have bailed on the system. Most all of the doctors who take Medicare around here are not taking new patients.  Funny thing is my old doctor I already have does take Medicare.  If I could only trust him now, I would not have a problem.  How to find a doctor who takes Medicare in an area where doctors are too much in demand to be taking new patients?  Sometimes it takes luck.

Our local weekly paper does a “Best of” promotion every year.  In the issue showcasing the winners, I was surprised to see that the doctor I planned to abandon had been voted the “best” in the area.  Not only that, the medical group of which he is a member came in second place for "best medical group."  It is possible I could have switched doctors and stayed in that group, but I thought it might be weird to see my old doctor and have him realize I was not there to see him.  Plus, I believe him being part of that group was what changed him. When I started with him, he was on his own and took the time to let you think anyway that he really cared about the patient.  Since joining that group, he has seemed more hurried and less attentive to me anyway, evidently not to those who voted in the winner as “best doctor."

Who won as best medical group?  This was a group I had not really heard of. But, along with the write-up, there was an advertisement for a doctor who was part of that group and it mentioned that he was taking new patients.  I dropped by for information, and they do take Medicare patients.  I am in.  He is a Family Medicine/Sports Medicine specialist, so he might be just who I need to take over my overall issues.  We shall see.  Next week I have my patient history appointment. If he ever tells me he has to scoot, I am so out of there.      

Thursday, October 11, 2012

Leg pains and forget what I said years ago


I have to say that I am not enjoying this anymore.  Not that I ever was. But, recently my legs have been bothering me.  It is hard to even sit here typing. They both ache. Walking sometimes is hard. If I have managed to fatigue either of them it is like walking with the proverbial rubber crutch.  I must look like one of those poor people that folks see tottering along in old age. Well, I am old, but not that old yet.  This certainly is a new wrinkle in something that is supposed to only impact shoulders.   So- We have weakness to the point of falling, but not quite yet.  Luckily this usually is only one leg or the other. If both went at the same time, I would be down for the count.  Pain is bearable, but a constant reminder of something that is not right down there.  It starts at lower back almost to my butt and runs down to hips and knees.  Standing makes it worse. Usually sitting is better unless it is as I am now with a desk chair and arms extended to keyboard.

And the arm still bothers me at night trying to sleep.  Actually now that I say that, turning from one side to the other is harder again, and staying any time on my back irritates that achiness.  Oh well.  It is not like I Have to get up and go to work. But, it is harder to get around and stay out doing anything at this point.

That brings up another issue.  I ran into someone recently who asked me if I thought I identified with the disease too much.  I know I mentioned here before that I was trying not to do that- some mumbo-jumbo about not “being the disease.”  I think it is good to try to keep that attitude.  It is very hard to do it with a condition that is chronic, or that is constantly evolving as it cycles through you.  Sure, I do not go up to someone and introduce myself “Hi I am Joe Blow and I have HNA.”  But, there are few times in a day that I am not thinking about it in some way.  If not in a cycle of pain, it finds other ways to remind me it is there.  If I get complacent and forget about it for a while, I usually end up dropping something or hurting myself trying to pick up something that is way too heavy and I should know better than to attempt at this stage.  So, to that person (if you ever make it to the blog and read this) I guess I do identify with it a bit too much- maybe more than I would ever admit.  But, it makes itself hard for me to ignore it.  Now, I really do have to go. Sitting here just is no fun anymore.