It’s Nice When They Go Well

I was anxious as I drove to my appointment today. 😐 Even after I had checked in and was walking down the hallway to his office, I still wasn’t sure if I was going to decide to stop seeing him or not. But once I got to sit down and talk with him, it made my decision to continue going there an easy one. πŸ‘¨πŸ»β€βš•οΈπŸ™‚ I explained how the IME doctor’s report made it seem like my treatment there should be something that demands great concern, with all of the “scary” things that were implied, and (even though we obviously continued our conversation) his reaction told me all that I needed to know. 😏 In a good way.

One of the first things he said, was that it was absolutelyΒ fine if I decided to no longer continue my appointments with him. Not only because my primary care doctor could prescribe the same relatively run-of-the-mill meds that he currently does, but also because he wouldn’t want it to cause me any unnecessary problems with my WC case, as ridiculous as the questioning of my mental health may be. 😎 See, that’s how a doctor should be… giving me his blessing to stop going there, even though he’d be losing a paying client, because he wants to do what is best for me.

That in itself made me decide to schedule at least one more appointment with him, about two months from now… not only so he could follow up on me, but so I could also follow up with him and let him know how the (yet to be scheduled) hearing went. He also said that he’d be happy to write a rebuttal report as well, setting the record straight when it comes to my treatment, as well as correcting other facts that the report got undeniably wrong. πŸ‘¨πŸ»β€βš•οΈπŸ€“ Because, as you’d expect, having another doctor doing things that serve to further the stigma of mental health care… 😟 I don’t think he appreciated it. 😏

So I felt much better leavingΒ that appointment than I did when I arrived, and to let my thoughts stay on that positive path – I took most of the rest of the day off when it came to checking messages, watching the news, or doing anything else that could possibly subject me to negative stuff. πŸ™ˆπŸ™‰πŸ™ŠπŸ€·πŸ»β€β™‚οΈ And now that I have started catching up on the news tonight… 😯 Goodness. I think I made the right choice in avoiding it for the better part of the day. Our government is a mess, man…

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»

Now We’re Cookin’

Another long day of medical stuff. Nothing really new or concerning. So, so much data from all the labs and pathology and whatever… some of the most recent stuff hadn’t even been interpreted so it was presented in its pure data form, but there was still enough “plain english” stuff for him to form his opinion and explain things very clearly. It turns out that not only was the cancer in my left lymph node, but they also found (after the fact) that there was a “micro-tumor” in the right one as well… so it’s good that they sliced them both out to be safe.

The thing that made the overall picture slightly better today is that they also tested the nearby lymph node and the results showed no cancer cells there. So, yeah, it’s just a test, it’s hard to say how accurate it really is, but I’ll take the good news… so we’re gonna go with that for now. Defective thyroid removed, and no cancer in the nearby lymph node. He also made some adjustments to my meds which should help me battle the lack of energy and accidental naps, and I’ll start taking those tomorrow.

The other positive thing from this appointment is that one of the bigger balls is now in motion. I doΒ have to go through the radioactive iodine treatment, which is meant to catch any random cancer cells that may still be hiding out, but there’s not a huge urgency to it – so I won’t start until this time next month. It had to be that way due to my other appointments and schedule, because there’s a 7-day period where I’m supposed to remain isolated so I don’t contaminate the unwashed public by my presence… so of course I wouldn’t wanna see Dr Walter and Nicole during that time.

The process will begin with me getting some sort of injection (to mask the effect of the thyroid medication) on Monday and Tuesday, followed by the actual radiation stuff on Wednesday. After that part is completed I then have to go for a full body scan. I think that’s the next thing that I’m actually nervous about. It’s meant to see if anything was missed, anywhere, and to have a scan to use as a (hopefully) successful baseline for another full scan six months after that. So yeah, it’s quite the glob of activity coming up here soon.

Expropriated Cycles

This proves that I should always make “after the fact” posts, because despite being all geared up with my medical and workers comp projects, I ended up having Cassi come down and stay over last night… which was actually just the mental break that I needed from all of that stuff. πŸ™‚ I mean, I did keepΒ working on it as she was here, but with her as a distraction it kept it all from consuming my brain and occupying 100% of my thought cycles as I worked. 😳

But while she was here (among other progress) I got names, numbers, and addresses for everyΒ local doctor that may be accepting new patients, everyΒ local urgent care that appears to offer services greater than the “I skinned my knee” or “My butthole really itches” type stuff, and every oral surgeon in the area so I can get more serious about getting my remaining wisdom teefs cut out. 😬 I also got new info from BWC and my BWC Rx provider, so that stuff is in much better shape as well. And the pharmacy was also updated, so my meds might possibly, hopefully, maybe get filled in a more timely fashion. πŸ€¨πŸ‘¨πŸ»β€βš•οΈ

Now that I think about it, I probably got more done with her here than if she wasn’t. 🀨 And without getting twitchy. πŸ€·πŸ»β€β™‚οΈ She worked on several things that she needed to do as well, taking advantage of the relative peace and quiet here compared to her house full of family. 😌 Of course she gave her brain a break as well (the main point of her staying) by making and painting some picture frames, and catching up on the last few episodes of NCIS that she still had to watch on Netflix. πŸ‘±πŸ»β€β™€οΈπŸ“Ί I think Maven was even happy for the unexpected visit, ‘cuz she made up to Cassi way more than usual this time. 😸

We talked quite a bit about what’s going on with my health at the moment, along with all kinds of random thoughts that come along with that topic… so it was nice to be able to talk some of that stuff out with her. πŸ‘¦πŸ»πŸ‘±πŸ»β€β™€οΈ I’m not exactly sure what the plan will be for tomorrow and Friday. 😐 Now that I’ve got all this info compiled I imagine I’ll start calling someone… meh… I’ll figure it out when that time gets here. I’m gonna stay in chill mode for the rest of the evening if possible.