Overdue For One Of These

Had my monthly WC doctor visit today. Good timing for two reason… first, because it looks like we’re gonna get our first measurable snow tonight (possibility of 2 to 3 inches) and second, because my shoulder was bad this morning. 😣 Most of the time when I have my appointments with him, I’m in my typical / average condition. Not good, but not too bad. But luckily, every now and then, my shoulder has one of its little fits while I’m in the office so he can see in real-time what I deal with a lot of days. Of course I never want to hurt, but it’s like when you take your car to the repair shop and it just won’t “make that noise” for the guy… yeah… my shoulder was making all kinds of “noise” for the doctor today.

It kinda doesn’t matter though… πŸ˜• and that sucks. πŸ˜’ I mean, my treatment is based on my condition, and he already knows that’s part of my condition – so seeing it happening “live” isn’t gonna change anything about it. It’s hard to describe the frustration of just wanting to “feel okay” while also knowing that there really isn’t anything that can make that happen. 😐 (And yeah, I know, I’m far from the only person that feels that way.) I’m gonna have to ask him at my next appointment, how much WC is affecting what he’s able to do for me. Lord knows they look for any reason to fight even paying for the meds that I’m on now, so I could see where he might know that some options would just be “off the table” from the start.

Meh… gotta try to not dwell on that stuff. πŸ™πŸ» But that’s why I’m a little more twitchy than usual once a month. Every time my WC appointment comes around, it just brings up all the frustration that I go through, for treatment that just makes things tolerable, and the fun waiting and wondering if / when my pharmacy will be given approval for each of my meds, etc, only to do it all over again a month later. πŸ€¦πŸ»β€β™‚οΈ It’s just a shitty cycle that it seems I’m gonna be stuck in forever.

But like I told the doctor today… yeah, I might have times where I bitch about this stuff more than usual, but I also know that things could be a lot worse. I see the other people as they walk into the office… or, sometimes, as they’re rolled by in a wheelchair. 😟 I know that while my disability is definitely full of suck, there’s a lot of folks that have it a lot worse than me – so I try to keep my perspective. (But it doesn’t stop me from thinking that there’s got to be something out there that could still help me more.)

So, yeah, I haven’t done one of these rants for a little while… so there it is. πŸ˜πŸ€·πŸ»β€β™‚οΈ Honestly, if you took my doctor appointment off of today’s schedule, everything was about the same as any other day – a random mix of good, bad, frustrating, okay, painful, tolerable, etc. πŸ™„ It just happened that today, the worst of the tremors happened at the most influential time. So despite several paragraphs of complaining, I’m fine… just thinking out loud and getting shit off my chest like usual. πŸ™‚πŸ‘πŸ»Β It’s all good…

Ray of Sunshine

No updates this past week because there hasn’t really been that much worth talking about. I did go to my first appointment with the WC doctor at the new facilities. About a month ago they moved to the brand new FMC-connected health care center / emergency room building, from the older medical center directly next door. It’s quite the upgrade. Big open waiting room areas with tall ceilings and tall windows, many more rooms to see patients, and even a few new doctors on the payroll.

But, especially right now, anything revolving around my workers comp case kinda has me anxious – so I did the typical thing the night before, where I couldn’t fall asleep at a reasonable hour and then I also woke up way too early. πŸ˜’ The appointment went fine… they always do… but it also involved going over some things about the rebuttal report that he’s going to be writing for the upcoming IC hearing – and to say that I’m tired of thinking about, talking about, and working on that topic… that would be an understatement.

After not getting enough sleep that night, it managed to shift my schedule to where I’m falling asleep around 8p each night, and then waking up around 3a… while also getting interrupted throughout the night by shitty, stress-themed dreams. (Of which I can’t even usually remember the details.)Β πŸ˜• I’m hoping I can shake things up this weekend and get out of thatΒ rut. Several people I know haven’t been feeling good, a couple friends got some crappy news that they didn’t need, my knee and shoulder are still meh… it’s just been one of those weeks for a bunch of us. 😟 Crossing fingers that next week will bring some positive change.

So, yeah… πŸ€·πŸ»β€β™‚οΈ that’s about it. I mean, there’s been positive things this past week too… got a new mailbox (that I’ve yet to try and install), the little ring of grass around the light post is actually growing, I got the trash cleaned out of my car, completed some random light chores around the house, etc. But yeah, like I said, not stuff that’s really worth blogging about. (I know… when have I ever let that stop me… heh) 😏

World Mental Health Day

(Just got done writing this one. Heh… sorry, it turned out way longer than I anticipated, but here we go…)

Any time you get on Twitter and scroll through your feed, you see any number of people posting something because it’s a “National (whatever) Day” of some sort. Usually it’s not… but it gives folks a good excuse to post cute pictures of their cat, dog, kid, or whatever – but after seeing several posts and doing a quick google, it turns out today really is World Mental Health Day.

It’s meant to raise awareness, show support for folks getting or needing mental health care, and to also reduce the stigma that’s sometimes involved. Often involved, actually. πŸ˜’ For example, a while back at one of my primary care doctor appointments I was discussing some of the things in my life that were causing me anxiety. My disability, pain, the (then) newly discovered cancer, Mom being sick and now having passed, other close friends dying from cancer, dealing with workers comp, etc… 😟 like I told her – stuff that would probably cause anyone to feel stressed. I was just telling her so she’d have the full story, but she said she could refer me to a counselor if I wanted to talk to someone about it. πŸ‘©πŸ»β€βš•οΈπŸ€·πŸ»β€β™‚οΈ

Seemed like a good idea to me. Sometimes just being able to let out your stress or anxiety to someone that’s not involved in your life in any way… it can just take a little bit of the weight off. I saw her like once a month for a few months, and she said she could refer me to their in-house doctor to see if there was any medication that might be able to help. I wasn’t really interested, since I was feeling an appropriate amount of “bleh” in regards to the stuff that was causing it… but I went ahead and took her suggestion.

I now see that doctor about once every six or eight weeks, and I’ve actually got an appointment with him tomorrow where I’ll need to make a decision. πŸ€” Because, despite this feeling like a normal series of doctor visits – just as if I was dealing with a physical health condition – the fact that this doctor gives me medication to help with my anxiety is now being used against me. 😠 And being used against me by the last person that I would expect to further the stigma surrounding mental health care… another doctor. ☹️

And when I say “mental health care” … I don’t even take any type of super serious medication, and I haven’t been diagnosed with any extreme disorders. Until this hiccup happened, I looked at this doctor and my treatment there as “Yeah, I guess it makes me feel a little better maybe… or at least I know it’s not making me feel worse… so I guess I’ll continue going.” Like, in my mind, it was barely a thing, but I continued going since it was now part of my current medical routine.

But when I had to go to the independent medical evaluation for the workers comp system (a week or so before getting that second radioactive iodine dose and scan for my cancer followup) one of the things discussed with that doctor was what medical treatment I was currently getting, and from who. (Regardless if it was related to my WC injury or not, to get a complete picture…) So of course I talked about the cancer doctor and treatment, my WC doctor and treatment, and then my PCP doctor and referral regarding the mental health care.

Now, these exams, they’re initiated by my former employer’s insurer, so of course they’re rarely going to be helpful to my cause. So I expected him to say certain things, but I never expected that being treated by a doctor for occasional anxiety would essentially be “weaponized” and used against me the way that it is. 😟😞 Because this doctor took the names of the two meds I’m prescribed, and picked some of the absolute worst possible reasons that I may be taking them. You know how almost every medication has one “thing” it is known for treating, but then it can also be used for treating a half dozen or more other things?

You could even do this test on yourself. Just grab whatever meds you take, get on WebMD, pick out the most extreme, “worst case scenario” possible uses for each medication, and see how close that sounds – compared to what you’re actually taking them for. 🧐 That’s what this doctor did to me. Taking what is run-of-the-mill, minor anxiety treatment to me, and twisting it into all sorts of implied, speculative, “concerning” mental conditions that could be so severe that they even affect how I interpret / talk about my pain and disability. πŸ˜§πŸ€¦πŸ»β€β™‚οΈπŸ˜  Reading those things in his report was honestly shocking. πŸ₯Ί

The funny thing is, for most people… just the pain that I deal with each day, and the sheer amount of things that I can no longer do due to the disability in my left shoulder and arm… just those things alone are enough reason that a person might want to include anxiety treatment in their normal medical routine. And I was doing it mostly because another doctor suggested it, and it sounded like a “might as well” thing, rather than me desperately needingΒ it or seeking it out. And now it has bitten me in the ass. πŸ™„πŸ˜’

Well, maybe it has bitten me in the ass. (Maybe the commission will see right through it, as they should.) I won’t know how his report will affect my worker comp case until the hearing is scheduled and all of the doctors’ information (from both sides) is reviewed. But now I’m stuck, wondering if tomorrow I should let this doctor know that I no longer need his services. πŸ˜ŸπŸ€·πŸ»β€β™‚οΈ He probably helps me a little bit, but it’s certainly something that I could do away with if it’s going to damage the treatment that I get for my work injury. It’s obviously more important (and logical) for me to want to keep the treatment that keeps my pain to a minimum, which also helps keep my stress and anxiety to a minimum.

Yeah, so anyway, it’s a bit of a clusterfuck… and, unfortunately, anyone that reads my story here… anyone that may have been considering seeing a counselor or psychiatrist for the first time… they’ve now got something to add to their mental “nope” list when it comes to the pros and cons of seeking any type of mental health treatment. πŸ˜’ I don’t take it personally, what the “independent” doctor wrote. I understand that his job is to come up with all of the “worst case scenario” stuff that he can, since my doctors will obviously be talking positively about all of the ways that my current treatment is as effective as the WC situation will allow.

I guess I look at those types of doctors the same way that you might look at public attorneys who are appointed to defend obvious criminals in court. They still have to give that defense their maximum effort, even if it goes against what many people would consider to be “right.” That doctor has chosen that job for reasons only he would know… so I can only hope that sometimes he stops to think about the effect that his actions have on us folks who rely on our WC treatment to keep our pain and lives at least tolerable. πŸ€·πŸ»β€β™‚οΈπŸ˜Ÿ

Happy World Mental Health Day 2019. πŸ˜’πŸŽ‰

A Little of This, A Little of That

The past several days have been kind of mundane, but I suppose that could be considered a good thing. I did make it out to see Bri on Sunday, and Ariel and the girls were also there when I first got there, so it was nice to get to see all of them in one pop like that. πŸ™‚ Bryson’s growing like a weed, and man is he a happy baby… always giggling and smiling at his mama, and for whatever reason he thought I was particularly funny and worth staring / laughing at for most of the time that I was there too. πŸ™„πŸ˜

Once the week started, everything’s just been kinda meh. Tending to bills, various paperwork, doctor calls, dealing with insurance, dropping off medical release forms at my attorneys’ office, etc. πŸ˜’ I could have just mailed those back to them, but because I let my mail sit for over a week before realizing that their correspondence was in one of those envelopes, I didn’t wanna cause any further delay – so taking the forms directly to them was the quickest option. πŸ€·πŸ»β€β™‚οΈπŸ™‚Β (I wanna do whatever I can to help them help me.)

The bills from the hospital didn’t end up being as bad as I was fearing. Six envelopes arrived from them within a day of each other, all having the same appearance as their typical “amount due” mail… 😟 so I just cringed and put them off to the side for a while, not quite ready to start writing checks. But when I opened them the other night, each one was just a form letter that let me know that because I have a fixed income, their financial assistance program covered the difference between what everything cost and what my insurance actually paid. πŸ˜―πŸ˜ƒΒ Nice to have something go my way, particularly right now.

Then today I had to go to pick up some soda, so I decided to go out to Meijer – where I could also grab a bag of dirt, some grass seed, and a couple bags of pebble-type stone. 🀨 The lawn guys kinda “over-whacked” some weed areas, like around my light post and the clothesline poles out back – so the next time we’re gonna have a few days of rain, I’m gonna try to cover those areas. πŸ€” Nobody was working in their garden department to help me get the bags over to my cart, but luckily I was able to just slide them over from the stack and onto the underneath rack of my buggy. πŸ˜₯ Getting them into my trunk, however… that required creative use of my right arm and right leg.Β (And that crap can stay in my trunk until I’m ready to use it, thankyouverymuch.)

Oh, the pebble stones… that’s for out by my mailbox. When it rains a little more than average, that area turns to slop – and not only does it make it slick for the mailman, but their vehicle also then continues to wear away that spot each time they drive through it. πŸ˜• I put sand there a couple of years ago, but it’s just time for me to try something else. I’m gonna wait until it’s wet for that as well, when I’ll drive my car out to the end of the driveway and just spill the new gravel directly out of the trunk instead of effing with the heavy bags.

But that’s been the tone of the first half of the week… just thinking about or working on “meh” stuff and getting it out of the way. πŸ€·πŸ»β€β™‚οΈπŸ˜ Some good, some bad, but most just “whatever.” I’ve been sleeping in the recliner, and that’s actually helped when it comes to getting sleep and waking up in a little better condition, but I’m starting to miss my comfy bed. πŸ˜΄πŸ’­πŸ›οΈΒ  Β (Well, it’s comfy as I’m going to sleep, at least… heh)

One more night in the chair and then my bed gets another shot. This all makes me sound so old… πŸ˜πŸ€•πŸ‘΄πŸ»
Oh… and my friend had her pacemaker installed yesterday, they had her in and out of surgery before noon, and she was back in her room and texting with me like normal by the early afternoon. πŸ˜ŒπŸ™πŸ» We’re fortunate to live in a time where there’s such a thing as “minor” heart surgery like that. I’ve got a short list of things that I wish we had cures or fixes for though, that’s for sure… but overall we’re lucky with what’s available to us when it comes to procedures and treatments for a whole lot of stuff. πŸ₯πŸ‘©πŸ»β€βš•οΈπŸ‘¨πŸ»β€βš•οΈ

You Never Get Used To It

(Oh yeah… this is quite a rambling one.Β  Strap in…)

While I was off of my thyroid meds, losing energy with each day that passed, preparing to have my second cancer scan done, as you may remember – I still had to drive over an hour up to NW Columbus, to go to the “Independent Medical Evaluation” initiated at the request of my former employer’s WC insurer. πŸ˜’πŸ€’ For those who haven’t been through it, it’s essentially one of the methods that can be used to try to get medication or treatments disallowed from a claim, based off of a report from a doctor (like in this instance) who has seen you as little as one single time. 🀨 That almost always sets up an Industrial Commission hearing, where (in my case) that report will be compared against the records of my own doctor, who has been treating me consistently for this work injury and disability for well over a decade. 😯

Of course my thoughts were more focused on the upcoming cancer scan at that point, so I went up, had my exam, went back home, and then mostly forgot about it while I dealt with my other medical concerns. But upon collecting my mail from the box a couple of days ago – I saw that enough time had passed for that doctor to have generated his report, which is easily 30-40 pages (if not more), and have copies sent to me, my attorneys, and my own doctor. I waited a few days to open it, because I knew there would be nothing good about it, nor would there be anything that I could do about that fact. 😟 It might as well have been labeled “Envelope Full of Frustration” but I finally made myself open and read it all yesterday.

I’m going to sugar-coat the shit out of this as I continue. πŸ™„πŸ˜ For my second pass through this thick report, I grabbed a yellow highlighter and began to mark and number the areas where more info was needed. 🧐 Whether it was adding context, pointing out inconsistencies, noting conflicting statements within the same report, or bringing attention to things that were implied, inferred, or assumption… I ended up with 48 different sections that required a response. And, unfortunately, there were several things that were simply false. Absolutely false. But still written in this report as if it were fact. 😠 I’m not saying that this doctor just pulled some things straight out of his ass, but it’s a shame how many “inaccuracies” were made by someone that shouldΒ have the presumption of being knowledgeable and accurate, especially given the duty that he’s performing and the way it could affect the future of anyone that he evaluates.

So now my copy of that doctor’s report has 48 highlighted areas, to go along with a numbered “rebuttal report” that I created to address each of those problem areas. So when I give it to my attorneys, they’ll be able to read my comments right along with the numbered and highlighted areas on the original report. πŸ€“ And despite having another doctor appointment at 11am this morning, I was up until after 2am last night… because correcting or clarifying (what I believe to be) inaccurate things in that report is really the only thing that I can do right now when it comes to “defending myself” or possibly helping my attorneys with their argument points. πŸ€·πŸ»β€β™‚οΈπŸ˜ž But yeah, once I started, the areas that needed my attention just kept coming, and I wasn’t going to stop and go to sleep until I had addressed everything that I felt needed it.

Of course my doctor will write a rebuttal report… something that he’s done many times before, to the point where he’s often repeating himself – because the facts are the facts, and they don’t change over time. But when there’s a hearing, it’s just expected that the doctor of record will submit a report, so he’s unfortunately stuck in this situation just like I am. πŸ˜• Thankfully, my doctor is awesome. And like me, he’s not a fan of having his words twisted, his knowledge and methods belittled… and he’s definitely not a fan of any claims, implications, or “facts” that seem to be based on little-to-no actual evidence. So not only will he write a truthful and accurate rebuttal based on all of the medical evidence, but it also serves as a way for him to “defend” himself – which is the same feeling that I have, and why I wrote my index of rebuttal points. 🀨

I have a ton of other things that I would like to say about the doctor’s report, but it’s in my best interest to just stop at this point. I’ve covered the basics, and you’re more than welcome to imagine the non-sugar-coated version… but even if you did that, there’d still be some things that would legitimately shock you. So now I can only hope that my rebuttal points will be helpful and useful to whichever attorney ends up representing me at the actual hearing. πŸ‘¨πŸ»β€πŸ’ΌπŸ‘©πŸ»β€πŸ’ΌπŸ—’οΈπŸ‘¨πŸ»β€βš–οΈΒ (And I’ve always felt the “commission” folks do seem to care as well.)

But the law firm that represents me is great, and we’ve (knock on wood) got a great track record from the beginning through today… so I know that they’ll have already picked apart many of the same things that I’m bringing attention to, but there still might be something that I say here or there that will contribute to the arguments that they use on the day of the hearing. πŸ€·πŸ»β€β™‚οΈ And at the very least, having more information “straight from the horse’s mouth” will be beneficial in general, since we usually only have about a half hour to sit and quickly discuss the case before the hearing starts.

It would be hard for anyone to find the words to accurately express the feeling and level of frustration that comes along with this situation. πŸ™‡πŸ»β€β™€οΈ To have decisions being made by other people, about things that will dramatically affect your future, knowing that “the truth” is the only weapon that you have… it’s such a helpless feeling, especially when you’re already feeling pretty damn helpless most of the time, due to the disability and pain that this whole thing is about in the first place. 😒 So other than the info I’ll be giving my attorneys, it comes down to sitting, waiting, and hoping… and there’s nothing relaxing or reassuring about that. 😞

Any good luck or positive juju that you want to mentally send my way is greatly appreciated. πŸ€žπŸ»πŸ™‚πŸ™πŸ»

Roll With The Changes

So I tried the Impossible Whopper on my way home from my workers comp doctor appointment today. It’s strange… I don’t know exactly what to say about it. πŸ€” It was different than a normal Whopper, which you’d assume, but not in a way that made it any worse or any better than the traditional kind. πŸ€·πŸ»β€β™‚οΈ I suppose the only thing that I’d have even noticed, if someone had just brought it to me and let me think it was a regular Whopper, was that it was a little dry / less greasy.

But by the time the cheese, lettuce, mayo, ketchup, etc is added – it’s honestly hard to notice any difference. And if it is legitimately more healthy (or at least less un-healthy)… something which I never bothered to Google… then yeah, I’d probably always order it over the “normal meat” Whopper. I think White Castle has the same kind of “fake meat” in a version of their sliders, so I might have to give those a try sometime as well. I’ve got no problem reducing my meat consumption as long as it tastes basically the same and isn’t detrimental to my health. πŸ„πŸ€ πŸ€·πŸ»β€β™‚οΈ

As for my appointment today, again I suppose that I just took for granted that it wouldn’t be much different than any of my other visits with the workers comp doctor. But since it was with his PA (also a “real” doctor, of course) there was a set of “fresh eyes” on all my info. πŸ‘¨πŸ»β€βš•οΈπŸ”Ž He actually did that because the first time I saw him, many months ago, when I was originally going to be moved mostly to his schedule, I wrote a summary letter for the past decade and said I’d appreciate hearing if anything jumped out at him which may not have been something that me and my original doctor had been addressing.

Be careful what you ask for, though… 😏 It’s nothing bad bad, but having new xrays and scans of the area from fairly recently – he took a good long look at them in comparison to the ones from before / recently after my original surgery, as well as whatever few that have been done between then and now. πŸ‘¨πŸ»β€βš•οΈπŸ’» It’s nothing that I’ll have to address any time soon, but as always expected… after over a decade of three of my vertebrae being fused, the one above it is just showing signs of eventually needing attention as well. πŸ˜• Nothing horrible, nothing urgent… and since it’s something that I was already aware of as an eventual and likely possibility, having him remark about it honestly just rattled me because it hasn’t been one of the things on my mindΒ lately… not because it’s an “Oh no, a new surprise thing” thing.

But I like this doctor… I mean, time will tell if I like him as much as Dr Walter… but he talked with me a long time today, despite knowing that I’m still somewhat radioactive, and in detail that let me know he’s aware (or at least assumes) that I’m able to understand more than the average patient. πŸ€“Β I think he’s even older than Dr Walter, so I’m not sure why he’s got a PA position there. It could be he does his “real” doctor-in’ on all the other days when he’s not at this particular office. πŸ€·πŸ»β€β™‚οΈ But yeah, it’s fine… and if anything, I still think the “fresh eyes” are good… especially since he might end up having to write some reports that explain how my original work injury / surgery is what has caused this newer potential issue – because you can bet your ass that I’m going to do everything that I can to get it included into my current claim for wheneverΒ I might have to start doing things that involve it. 🀨

Checking Off Boxes

Typical “workers comp, beginning of the month, get my scripts filled” day today. Three different calls to the pharmacy, issues with my information in the computer, problems with certain ones not being approved… same bullshit as usual, except due to the incorrect information in their system I even had to stop in myself, with receipts and printouts and crap from last month. The folks that work there are great. It’s never the people there that I have a problem with… and after my visit we think everything is now updated, correct, and in process of being authorized – so maybe sometime today I’ll actually be able to pick them up.

I had to be out today anyway, so stopping in to get all this stuff sorted out wasn’t a big deal. I mean, I actually feel kinda bad for them – with how much of a pain in the ass “my case” is for them each month. It makes me wonder if any pharmacies have ever decided that certain customers’ situations were just too much work, too many calls, and too big of a PITA – and just told them to take their business elsewhere. ‘Cuz I can see how they could feel that way about me, if they weren’t such understanding and helpful folks.

But at my other stops, along with having several vials of blood drawn, we’ve started getting a lot more things set in stone. I’ve now got dates (if not exact times, yet) for the next blood draw, the administration of the radiation dose, how long I’ll need to stay away from people (which included rearranging another unrelated doctor appointment), when the full scan at FMC will be, and then the followup with my main thyroid doctor after all of the results are back and interpreted.

It’s surreal… how this is such a “big deal mind fuck” thing for me as I’m going through it, yet I’m just one of many. There are enough people needing this kind of treatment that once a week, every week, it’s radioactive “dosing day” for thyroid patients at FMC. But for whatever reason, even as you’re out in town, seeing other people doing whatever… it’s easy to feel like you’re the only person going through this shit, while actually we probably pass by people each day who are going through the same thing or worse. Working in nuclear medicine, giving the doses… I can see how that job could start feeling pretty heavy after a short while.