Have you ever wanted to let someone else take over the decisions and planning, the schedules and the stresses of your medical life? I often think how nice it would be to not be the CEO of mine. Wouldn’t it be lovely to pass that responsibility to someone else? Even for a day? YES. Yes, it would.
My reason this time came in the form of unexpected test results. Not the surprise one wants when getting blood work done. Let me backtrack.
Last week, as I mentioned in the blog and videos, I saw my hematologist. Since he’s a part of the bigger healthcare system that most of my doctors belong to, all lab results get loaded into MyChart. It’s a helpful app that enables patients and caregivers to communicate, make appointments, see test results, etc. That’s how I saw the elevated D-dimer. Saw it. Freaked out about it. Panicked some more. And then, finally spoke to the nurse practitioner about what it means. D-dimer is the protein that forms when clots have been broken up. Soooo….. I had clots forming and breaking up in my body?!?! Commence the freaking out portion of the program.
To be clear, every time they’ve run that lab since the stroke, it was way, way, waaaaay in the normal range. Negative. Nothing to see there. Just how I wanted it.
So last Friday, in my head, I was hurtling towards disaster, probably needing blood thinners again. The elevation, though “slight,” was enough to scare me. In reality, my doctor is not panicking just yet. It’s a watch and wait situation. “We’ll repeat the labs in 6 months.” At that, I was thinking, SIX months?!?! I didn’t want to wait that long. That’s an eternity when you’ve gotten a bad result of any kind. I was imagining tons of clots forming and threatening me around the clock. When I pointed that out, the NP said they could run it again in a week. That calmed me immediately. If there was some dramatic problem, waiting a week wouldn’t be the end of the world. I hoped.
Friday morning came. My d-dimer is back in the normal range!! Barely. But I’ll take a barely normal over a slightly elevated any day of the week. Yay!!! Good news and tremendous relief. Joyful things abound!
BUT……… the reason I wished I could hand over control was a separate lab result. One that, according to MyChart, came back normal. I guess it wasn’t “normal” enough.
My iron. 😒
Last Friday, the NP said, “we’re really more concerned about your extremely low iron.” My low iron? What the heck was he talking about? I went back into MyChart and found the result and said, “it wasn’t flagged as a problem. It’s in the normal range. How high should it be?”
He explained that it should be “at least 50.” At least 50? Mine was 8.9. 😬 What did that mean? Well, I’m having to take supplements for the foreseeable future. He started talking about the various forms of supplements and how – if I didn’t tolerate oral iron – I would have to get IV iron infusions. Whoa, hold on, STOP! I was like, “wait a minute, can I try the pills before we start talking about IV’s?” I don’t need that information right now. (Shudders).
Then I remembered that iron has to be taken a certain way, but couldn’t recall if it was with or without food. I asked family members who’d taken it before. Then looked it up and saw that it’s an “on an empty stomach” type of supplement. I decided to talk to my pharmacist about where I should add it, between all of the other pills. Could I take it with my meds, first thing in the morning, etc.?
Iron can be hard on the GI system, causing all sort of fun side effects. I wasn’t sure if it would affect the absorption of the meds that I take as soon as I get out of bed. According to my trusted pharmacist, no. But he felt I that could take it in the afternoon with OJ, since it’s best absorbed when taken with something acidic. And since I don’t eat between breakfast and dinner that seemed like the perfect time.
For some reason, the thought of incorporating iron, (with all of its potential issues), into my carefully laid out medication schedule completely threw me into a tailspin. I was so amped up and just wanted to skip it. I knew I couldn’t. Sometimes, I wish I could just pick up the schedule of meds and appointments and everything else from someone who’s set it all up for me.
When you’re a patient in the hospital, the doctor or NP orders meds and they’re laid out and administered by a schedule maintained by staff nurses. For example: q.d. (every day), q.6.h. (Every 6 hours), q.8.h (every 8 hours), and so on. But as patients out in the world, we’re prescribed meds the same way, obviously, but no one brings them to us. No one manages all of that. It’s up to me to make sure that all of my 16 daily pills get taken/spaced out appropriately/refilled/etc.
I know it might seem silly to some. But it’s exhausting, if I’m honest. I’d love to have someone else take the wheel. Someone to deal with everything that comes with managing a chronic illness.
I’m not trying to whine, I’m really not. But it hit me last week. I didn’t want to add anything to my day. Especially something that has the power to mess up my stomach. Nobody wants that.
As I write and edit this blog, (on Friday night & Saturday morning), I’m struck by the level of upset that this seemingly simple thing caused me. With time and perspective, I realize I was amped up unnecessarily. I can handle all of it. I already do. And, chances are, I would not have let anyone else take charge. I’m too much of a control freak.
But it’s nice to imagine someone else having to deal with it. Even for a day.
Here’s to wishful thinking, getting a break every now and again, gaining perspective, and calming down. Wishing each of you a low pain, peaceful weekend.
Peace and painlessness,
Beck ❤️
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