Tuesday, April 21, 2009

Frustrated or unsurprised?

Still haven't figured out whether I'm frustrated or unsurprised. I am leaning towards unsurprised with a tinge of frustrated.

How did yesterday's round of discussions with RESEARCH doctors (at least supposed to be) go? Paraphrased as follows:

Docs: Well, you really should get back on that medication, it's truly the only thing left on the market for you to take at the moment to help you in any way.

Me: I've been on every form of that medication that is currently offered, and now that medication causes me SEVERE trouble, pain, internal bleeding (forheavenssakelistentowhatIamsaying - internal dialogue)

Docs: Yes, we know, but discomfort is no small price to pay for being on the ONLY thing left that can help you.

Me: INTERNAL BLEEDING. This is acceptable?

Docs: That has got to be caused by something else. You probably have a food allergy or gastric problem we haven't discovered yet.

Me: Um. But:
If Juan NOT taking the medicine AND on B12 -> Juan OK.
If Juan NOT on B12 OR taking the medicine -> Juan VERY NOT OK.
Finally, If Juan taking medicine AND B12 -> Juan VERY NOT OK.
All other foods/medications -> Juan OK.
Seems like one common link.

Docs: The people who are that seriously affected by this medicine are WAAAAAAAAAAAAAY too rare for you to be one of them. You'd be a near anomaly here in our hospital. Because it's such a small statistical sample, you must not be one of them.

Me: (internal dialogue - unutterable grumbings about statistical training for someone being in dire need - hypothesis testing 101 at least) Ok, so on to other situations, what about the pituitary link?

Docs: We can rule that right out. First of all, we've never had a patient at YOUR weight have a pituitary problem (unspoken reason: it's from stuffing their fattie faces with cake and candy, lardass. Also, we'll conveniently overlook that you're 6" taller than our average patient in the room of 1000 patients you could visually survey, and that your muscle mass proportion is also a large part of your weight due to the steroid effect of the insulin).

Docs: Also, if it was even CLOSELY related to the pituitary issues, the majority of your mass would be in your abdomen, not in your arms/legs. No, your arms and legs are not skinny. OK, so distally they really have no fat, but that doesn't mean they're skinny. Your wrist is still much larger than mine. Yes, yes, it's all bone at the wrist, but it's still much bigger.

Me: (sigh) OK, so, what else?

Docs: Well, we need the psychologist to interview you and find out if you're truly not a compulsive overeater, and then send you on to the nutritionist.

(couple hours later)

Docs: Ok, well, the psychologist doesn't think you're a compulsive overeater. However, the nutritionist has decided on a very healthy meal plan for you that on its OWN should have you losing weight even with a sedentary lifestyle.

Me: Um. The plan the nutritionist suggested is 100-300 calories more than what I might eat on a normal day anyway. How will eating the same, or a bit more, HELP me?

Docs: (unspoken: Well, fattie mcFatcheeks, you're probably under-reporting how much you actually stuff your face, and you're a liar about it, regardless of what the shrink says) Well, that's because you haven't tried OUR diet. The way we organize your carb/lipid/protein balance will be what makes the TRUE difference.

Me: The plan asks me to eat 4-5 times a day. Will that not raise my average insulin level on any given day, making the steroid effect worse?

Docs: Not if you follow our diet and keep to the calories we've limited you to.

Me: (Grumble grumble grumble). Sounds great, I'll get RIGHT on it.

-------------------

More later, but it's now 10:45pm, and I have one more oral surgery to get to...

YAAAAAAAAAAAAAAAAAAY. :)

No comments:

Post a Comment