More Doctor Appointments
Okay, I've met two. Dr. Cupler & Dr. Lou. Good guys. I like 'em.
I met with Dr. Lou today. He believes that it is likely that I have small-fiber neuropathy, which may or may not be caused by my diabetes. He adjusted my neurontin dosage, which may give me more pain relief during the day. He ordered blood tests, to rule out some other possible causes. He says, "I want to see you for a follow-up appointment in about three months." His staff says, "His first available appointment is in January."
Yes, that's right, January 2008. He may want to see me in three months, but his schedule does not allow that.
My other instructions: keep good blood glucose control and limit alcohol intake.
It's been a tough month, with running up to care for Betty and Orville. Betty's memorial service was great, very moving, and many relatives in attendance. I got up to speak and made it through my piece, which I had on paper.
Orville's doing well. He's testing and recording his numbers, but no insulin. Less math means that it's less likely that he will injure himself by miscalculating his dose.
I should explain....Orville got his diagnosis of diabetes following steroids to treat polymyalgia rheumatica. Since he was over 80, and since Nana was already using insulin, Orville never took oral meds; he went straight to insulin, managed by his wife.
When she died, he was on 5 (units) of Lantus per day, plus regular insulin following his meals. It was tough for him to calculate how much carbs he ate, and then how much insulin he was supposed to take. To top that off, they had recently changed his calulation, from one unit insulin for every 10 gms of carb, to one unit of insulin for every 15 gms of carbs. He found this change very tough.
He's off steroids, and his blood sugar numbers have been reasonable. He just doesn't have to aim for Betty's 'perfect' control-she wanted her average number to be 114 or lower-at his age and with his other health challenges. He turned 90 just yesterday.
I hope to have him for some additional time, but I don't know if that will be two months or two years. As Dr. Lou reminded me today, family is precious and is to be treasured.
The family history chart was interesting, listing out mother, father, maternal grandmother, mother's brothers and mother's sisters, etc, etc. The chart was just full of 'DM' for diabetes mellitus. Full.
Family is good. Especially when they share your challenges.