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I went to my doctor today, for an annual physical and so she could write the next Ritalin prescription.
So: I had a fasting blood test last month, and the glucose number was high enough that she is ordering a re-test and an A1C test, which means another morning trip to Somerville on an empty stomach. My "bad" cholesterol is high, but not high enough for her to be prescribing statins right now. My "good" cholesterol is also high, but apparently that's less protective in older patients, and I'm approaching that age.
I also asked her to look at my calves, because I frequently have swelling by the end of the day, especially in the left calf. She said it sounded like a vascular issue, then measured the circumference of both my calves. The left calf is noticeably bigger, which supports the idea that there's some kind of vascular issue.
What I'm supposed to do for that is try to reduce my sodium intake, and try wearing compression socks for at least a little while each day. Reducing sodium intake means I'll be looking at ingredient labels for quantities--right now, I'm mostly checking to make sure that various things don't contain any of the various things that we know that one of the three of us needs to avoid.
Carmen also did a breast exam (no longer part of the standard physical exam, but she asked if I still wanted one, and I said yes), and looked at my back for any suspicious moles or freckles. Also, before the appointment they asked if I was OK having them check height and weight, and I said yes, then asked the assistant how tall I now am. Five feet two inches, confirming what I think is what the neurologist's office said, which is an inch or so less than when I was 30.
But around that, they needed me to fill out a questionnaire that was printed much too faintly. They didn't have time to put in new toner, or do whatever else the printer needed, before I saw Carmen, so she read the questions out loud for me to answer. Not unreasonable, but also not their standard practice.
Also, they have changed to a new version of MyChart, which did not import data well. It will show my current prescriptions, but not who prescribed them, which makes it harder to check whether I need refills on anything. I did all this from memory, and should probably go look at the prescription bottles.
So: I had a fasting blood test last month, and the glucose number was high enough that she is ordering a re-test and an A1C test, which means another morning trip to Somerville on an empty stomach. My "bad" cholesterol is high, but not high enough for her to be prescribing statins right now. My "good" cholesterol is also high, but apparently that's less protective in older patients, and I'm approaching that age.
I also asked her to look at my calves, because I frequently have swelling by the end of the day, especially in the left calf. She said it sounded like a vascular issue, then measured the circumference of both my calves. The left calf is noticeably bigger, which supports the idea that there's some kind of vascular issue.
What I'm supposed to do for that is try to reduce my sodium intake, and try wearing compression socks for at least a little while each day. Reducing sodium intake means I'll be looking at ingredient labels for quantities--right now, I'm mostly checking to make sure that various things don't contain any of the various things that we know that one of the three of us needs to avoid.
Carmen also did a breast exam (no longer part of the standard physical exam, but she asked if I still wanted one, and I said yes), and looked at my back for any suspicious moles or freckles. Also, before the appointment they asked if I was OK having them check height and weight, and I said yes, then asked the assistant how tall I now am. Five feet two inches, confirming what I think is what the neurologist's office said, which is an inch or so less than when I was 30.
But around that, they needed me to fill out a questionnaire that was printed much too faintly. They didn't have time to put in new toner, or do whatever else the printer needed, before I saw Carmen, so she read the questions out loud for me to answer. Not unreasonable, but also not their standard practice.
Also, they have changed to a new version of MyChart, which did not import data well. It will show my current prescriptions, but not who prescribed them, which makes it harder to check whether I need refills on anything. I did all this from memory, and should probably go look at the prescription bottles.
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