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»

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I Have My Reasons

Still hangin’ in there, still waiting through this process… 😟 of which the next step will be Monday, when I’ll get (what should be) my final lab work done before they decide if my levels are where they need to be for the radiation dose the following week. πŸ’‰πŸ˜¬πŸ“‰ I’m more anxious about the test than I am the dose later, simply because there’s a chance my levels won’t be right – which would mean going even longer without taking my thyroid meds, until they are. 😐 Without elaborating, I really, really don’t want to have to do this a day longer than I absolutely have to.

Unless it’s unavoidable I’m pretty much just staying at home and trying not to move around too much, to keep from throwing everything even more out of whack. I can’t fake my way through feeling okay right now, so staying at home lets me feel how I feel, protects me from anything that might make it worse, and protects others from having to see me like this, acting how I actually feel. πŸ₯Ί My “game face” is out of order. (I haven’t even been on Facebook for days and days, and the last time was to just let everyone know I was okay. I really hate how this has been affecting my interactions (or lack thereof) with friends and family.)

And I don’t blame people for being concerned, or not knowing how to react, when the topic is cancer and there’s still more “unknown” than “you’ll be fine” at the moment. But this current craptacular phase of “bleh” isn’t (likely) caused by anything cancer related, but is actually due to not being able to take the thyroid meds that I need. But to everyone else, I’m sure it looks and feels as if cancer is kicking my ass, which leads to all sorts of difficult and crappy emotions.

Toni and Shannon invited me out for a bonfire last night, and in my heart I wanted to go… but I wouldn’t have been able to conceal how I felt, physically or mentally, and I honestly didn’t want to be a buzzkill on their evening – which is what I likely would have been. πŸ˜’ If it turns out that the doctors weren’t able to remove all of the cancer, or if it has spread or changed or anything… that’s when I’d be more willing to let people feel bad for me, to treat me differently, etc. I do feel like hell right now, but I would feel like it would come across as “crying wolf” – since even though I know why I’m sick, that’s not how everyone else is gonna see it. I reassure people that I’ll let them know if there comes a time when they truly shouldΒ be concerned or worried for me, so I hope they know I mean that.

Meh… anyway… see what I mean about my mood? The same way I ramble about it on here now and then, I just didn’t wanna end up doing that to them last night. (Or to anyone, really…) Instead, thanks to Shannon texting me again this morning to let me know, they all had a good evening. Sharing lots of happy memories and stories about Mom, while still commenting on how it doesn’t seem real, how it doesn’t seem fair, and how as we all get older – how it’s getting harder to escape all of this type of bleh. Having me there, in my condition, certainly wouldn’t have helped to change that opinion.

But with any luck I’ll get to be one of those surprise cases in the future, where we’ll all be sitting around together, upset at whatever injustices we’re seeing or experiencing, but then someone will be able to say “But hey, you had cancer and you’re still here and fine now… so there’s always hope…” πŸ™‚πŸ€·πŸ»β€β™‚οΈπŸ™πŸ»

Something Like That

This heatwave that we’re currently going through… it’s a pretty good way to explain how I’ve been feeling over the past few days. Just go outside, walk around your property for about 15 minutes, then stand there a while… and that’s basically how I’ve been feeling each day all day. Again, not bitching, just trying to describe it in a way that people can understand.

Thankfully I’m almost half way through the process, so at least there’s a light at the end of the tunnel that I can look forward to. No matter what results I get, at least I can get back on my thyroid meds after the scan has been completed. It makes me feel bad for folks who have suffered with thyroid issues all of their lives, because the constant nausea, overheating, and dizziness… it’s no joke. Not thrilled that it has been made crystal clear that this will indeed be a medication that I’ll be taking for the rest of my life though.

I’m a cheap-ass, so I usually wouldn’t do this, but last night I turned the thermostat all the way down to 68 when I went to bed. I knew I’d be sleeping at least part way into the day and the house would heat up quickly, but despite it staying that cool in the house – I woke up early and completely drenched in sweat again. (Also… gross.) That’s why I mention how far along I am in the process… because if I didn’t know that there was an end to this, it would be some scary shit.

I’ve been drinking a lot more water, so the muscle spasms and dehydration hopefully won’t become an issue. It’s pretty shitty though, that the insurance industry has decided that this is an acceptable thing for patients to go through while preparing for their second radiation dosage. The alternative way, staying on your meds and just getting two injections before the scan… that costs several thousand dollars, so I guess you can’t blame them for trying to find somewhere to cut costs in what has likely been a very expensive surgery.

Again though, knowing that this is a temporary thing for me, it really makes me feel for those folks who don’t have insurance at all, and even for the people that do but have a chronic condition that still isn’t covered by their plan for whatever reason. As with most things like this, it’s something that we don’t think much about until it starts to affect us personally. So, yeah… still feeling super awful… and I feel like it’s continuing to slowly get worse, but I’ll be good as long I just keep reminding myself…

“It’s only temporary. It’s the lack of meds, not anything more scary. You’ll have more answers soon. Just (n) more days and this will all be over. Consider yourself blessed that you’ve made it this far. Plenty of other people have it worse than you, and it’s not temporary for them. Yeah, it sucks… but don’t be a pussy. It’s only temporary.” etc…

I’m trying to stay positive. I need to stay positive.

Bubble Doesn’t Always Work

It’s been a rough, rough week… but I’m not even gonna talk about all of it. I don’t want to take the chance of spreading more negative emotions just because it helps me to get things off my chest. Going to bed early tonight. Hoping for a reset of my body and mind. Glad I made it through the week… sadly, the same can’t be said for one of my old friends from school. He was a couple grades ahead of me, so I was actually closer to his little brother. Definitely one of those things where nobody even saw it coming. But yeah, I’m tired of this week… so the sooner I get to sleep, the sooner it will be over and I can try to start fresh.

Happy (late) birthday, Dad…Β  trying to get good enough where I can visit soon. Sorry… that’s all I can say. 😞

I’m The Right Wrong Person

Being a critter person is awesome, but man can it also be really rough at times. 😟 Maven’s fine… in fact, she’s hogging my recliner right now, zonked out and oblivious to the activities of my day. Unfortunately though, one of my friends has a cat that had a litter of kittens… and well, sometimes everything doesn’t go like you want it to, like youΒ thinkΒ it will, or how you know that it should. πŸ˜₯Β I hate even thinking about it, let alone typing it out and making it feel even more real, but the sad fact is that two of them didn’t make it.

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She lives in an apartment complex, so she doesn’t have anywhere that she could bury them (which she obviously wanted to do) so I guess I was the first person that popped into her mind, when it came to somewhere that the two little ones could rest peacefully and undisturbed. 😞 She’s devastated about it… just like I would be if I was in her shoes… so despite the miserable heat and already feeling run down – I got dressed, went ahead and picked them up, and brought them back here with me.

It’s the least I could do… I mean, there’s no way to make someone feel better when something like that happens… so helping make it a little easier for them and sharing in their pain, those are about the only things a person can do. πŸ₯Ί The older I get though, the less I’m able to absorb this kind of sadness. The curse of being a critter person… you can’t just turn it off and on, and with each critter that you lose (or experience losing with someone else) you end up feeling it that much more each time it happens. πŸ˜₯

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With the tone of this entry, I’m sure you’re looking at the pictures of the double rainbows and wondering what the hell they have to do with anything. 🧐 Well, that’s what I got to see during the last ten minutes of the ride back home. I know that they’re “just rainbows” but in that moment it made me smile, thinking that maybe Mom, God, and all of the other “critter people” were up there recognizing this sad moment, giving me something so brilliant and peaceful to literally follow home, where the little guys will be staying. 😊😒

Once More For Good Measure

The bulk of my current thyroid treatment has been set up. Blood draw, three weeks without any thyroid meds, limiting iodine intake in my diet for that whole time, another blood draw… then the hospital (if the results of the second blood test allows it) will schedule a time for me to go there for the iodine radiation pill again, with the full body scan about a week later. Once everything is said and done (and only if there are zero issues along the way) I’ll be spending a little over a month without my thyroid and without the meds that replace its functions. And no, I’ve got no intention of googling to see how bad it might get.

Same as last time, I’ll have a protocol that I will have to follow for the week after I’ve taken the pill. No contact with anyone for the first few days, no contact with kids or pregnant women after that… washing everything I touch, keeping my distance from the cat when possible, using plastic utensils and paper plates… all that sorta fun stuff. Only this time I have no idea how I’ll physically and mentally feel due to being off of the thyroid medicine for so long. The next month or so will be an adventure.

Meh… there was more doctor stuff today, plus I’m likely gonna be radioactive when I’m supposed to have my next WC doctor appointment, so I’ll have to figure that out… but I just don’t have the mental energy to really keep at it this evening. Found out a couple of sad things with some other friends… I dunno, this day just ended up being pretty crappy. I’m gonna try to get some sleep and try to start fresh tomorrow.

I’m glad that at least this stuff is all on track now and we’re moving forward, I guess…

Trying To Not Read In To This

I got a message two days ago from the doctor’s office that is handling my thyroid cancer treatment. My next session with the radioactive iodine treatment, which should be my final session (if everything goes well), was scheduled to start near the end of July… but they now actually want to schedule that as soon as possible. 😐 They asked me to call in yesterday so we could start making a plan, but to be honest the message had me a little too shook… πŸ˜₯ and since I was actually having a decent day yesterday, I didn’t wanna risk nuking that by bringing all of my thoughts back to the “unknown” about what’s remaining inside me, if anything.

That’s also why I took advantage of the day yesterday to get caught up with some things around the house, because I know that this next step is gonna be a bit of a nightmare. 😣 I have to completely stop taking my thyroid meds for a couple of weeks, and they were clear about how it could have drastic physical and mental side effects. (Also part of the reason that I stopped the Paxil, so I didn’t have one crap thing on top of another.)Β Then once the thyroid medication is completely out of my system, that’s when I’ll go to the hospital for the radioactive pill and another full body scan about a week later. πŸ˜•

Confession… I didn’t call them back today either. 😞 Instead, what I’m going to do is just go into the office tomorrow and talk to them in person. To be sure that I understand the details of the plan, to be sure that everything is scheduled properly… and also to see if I can catch some kind of vibe by the way that they speak with me about it. 🧐 Like I said, I’m trying to not assume that something has gotten worse just because they want to start things sooner. 😳 It could be as simple as being easier on their schedule, and just better for me (or anyone) to do all of this “second phase” stuff sooner rather than later anyway.

So yeah, that’s the next thing on the radar… movin’ in fast. 😟 And lemme tell ya’ something. πŸ˜’ Uncertainty, when it comes to something like this… it’s a special kind of slow, drawn-out torture. I’m ready though. I was doing good at keeping it out of my thoughts up until now – but whether I got that call a couple days ago, or whether we stuck to the original end-of-July starting point… either way the anxiety was gonna come. So I agree… let’s get this shit started. 🀨

Unrelated: I just updated my Windows 10 and all of my emojis now have thick black outlines. πŸ€”πŸ€·πŸ»β€β™‚οΈ