I may have blogged about some of this, but I don’t know. I can’t be arsed to go and look.
As an adult, I have never had good luck with doctors. I suppose I should start with getting pregnant. Every doctor I had ever spoken to had told me that the chances of getting pregnant right after stopping the pill are virtually nil. When I moved to Michigan I had a 1 month lapse in taking the pill… we used condoms instead, but I wasn’t really too worried. It wasn’t until after I found myself pregnant at 17 that I learned that you ovulate extra when you stop taking the pill so that your body can catch up with its cycle. Yeah… that’s something that young women really should be made aware of, as opposed to giving them information that is the opposite of the truth.
When I was pregnant with Spawn, I was under the care of Certified Nurse Midwives (CNMs). It was a practice of 4 women and during my pregnancy I saw three of them. Wouldn’t you know that when I was actually in labor the one that I didn’t know was the one on duty. Though I intended to have a natural birth, Spawn’s heart-rate plummeted when they tried to induce labor, so they put me on a Pitocin drip and whisked me off to a room. I was in excrutiating labor for hours when the CNM decided to give me a shot of morphine "so I could sleep." Yeah, apparently my body doesn’t work like that and the morphine woke me the fuck up. I had pillows propping me bolt upright in bed while I did crossword puzzles at 3am. The nurses chuckled and said it was something they’d never forget. That morphine took my pain away, but it didn’t allow me to sleep.
Once the morphine wore off, I hadn’t slept and the pain was even worse. They decided to give me another shot of morphine which, this time, didn’t do a damn thing for me.
Keep in mind I had just turned 18 and it was me and my then-boyfriend/future (ex-)husband. I didn’t really want any of this, but when you’re young and scared and you don’t know what’s going on, you tend to listen to the people with the medical training.
Eventually, they decided that it had to be a c-section. It may have turned out that way, anyway, all of Dragonmaker’s family have quite large heads, but it wasn’t a pleasant experience for me. It wasn’t until later that I was told that the CNMs were supposed to be advocating for me. Not that I would have been really able to get that had I know, my CNM was the one I had absolutely no relationship with at all.
For a long time I stayed away from doctors, but, of course, I had to take my son for his well child visits. At one point I was talking to one of his doctors, who clearly looked down on me and thought that because I was young I was also very stupid. She got on my case about Spawn not drinking milk, because if he doesn’t drink milk, he isn’t getting enough calcium. Well, that’s simply not true. The boy ate yogurt and cheese and plenty of broccoli. He had plenty of other sources of calcium, well-researched and validated, but for this doctor it wasn’t enough. If you’re not drinking milk specifically, you cannot be getting calcium.
Again, putting off the doctors, at least for myself.
But I got sick and needed to take antibiotics. And I’m a smart, well-read woman who is prone to research. I KNOW that smoking makes most prescription drugs less effective, but when the doctor told me that if I smoked, the drugs wouldn’t work AT ALL? That was when I pretty much wrote off doctors entirely, unless I had a serious problem.
And I had a few physical problems. I sprained my ankle and I sprained my back and both of those were no problem other than the severity of the actual physical damage I had done to myself, but when I started fighting what was probably sciatica, I went to an Urgent Care place. The doctor there decided that I was looking for drugs and didn’t want to hear anything I had to say about my pain or when it was bad or how much mobility I actually had. I tried to explain that I didn’t want something to stop the pain, I wanted something to stop the PROBLEM. She reluctantly gave me some kind of steroid and told me to find somewhere else to get painkillers. Thankfully it fixed the problem.
My mother eventually talked me into going to her doctor’s practice. For years my close friends and family had been telling me that they thought I had a thyroid problem for reasons beyond my weight. And, really, they’ve been saying this to me for probably at least a decade, maybe more. My mother and my father’s widow had recently been diagnosed with Grave’s Disease and it runs rampant through both sides of my family. Having heard wonderful things about how progressive this practice is and that they don’t eschew herbal or alternative methods, I decided to give it a shot.
The doctor told me that I didn’t have a thyroid problem. They’d test it, but she gets 5 or 6 women a week who are fat and want to blame it on their thyroid. "Unless your hair is falling out in chunks," she said, "you don’t have a thyroid condition." (Although I have discovered that hair loss is actually only applicable in severe late-term cases. Way to go with the preventative medicine there, doc.) In the meantime, she asked me, have you considered stomach-stapling surgery? I am not a candidate for that surgery. She asked me if I had tried diet pills. She went on to tell me that I should stop smoking. Oh, you won’t gain weight. Well, you know, my personal history says that I will. Oh, you want to put me on Chantix? Well, considering that I ALREADY battle with depression (a hypo-thyroid symptom, BTW), maybe a drug that can cause suicidal thoughts and actions is not the best method for me right now. She told me I ate too much carbs and, since I was a vegetarian, obviously I was doing it wrong and eating processed and junk foods. Stop eating carbs and you’ll be fine, she told me.
And I got the blood work done. Normal thyroid levels are .5-5.0 My levels were .76, so low, but not outside of the realm of normal. Except that what’s normal for one person isn’t necessarily normal for everyone, and I thought (stupid me) that maybe this was worth looking into and doing further testing on. No, she said, the real problem is that I have high cholesterol (yet another symptom of hypo-thyroidism) and I should eat more whole grains (read: carbs).
I firmly believe that this sort of doctorial behavior is exactly the reason that the medical agencies in the US claim so goddamned many undiagnosed cases of thyroid problems. If you’re fat, then you’re looking for an excuse. If your hair isn’t falling out, then clearly you’re fine. Even if your levels are on the extreme end of the low side, you’re making a big deal over nothing.
That was a year ago, and I haven’t gone back.
I changed my diet pretty radically at first, cutting out almost ALL cholesterol. Most experts say that such a change in diet will cause weight loss, but I’m still holding steady at EXACTLY the same weight I was. I walk at a fast clip everywhere, unless I’m taking the bus or riding with friends, and even then, I’m often encouraging people to walk with me, walk further. This doesn’t matter. I’m at EXACTLY the same weight I was one year ago.
And, probably, my cholesterol is still high. Certainly I’m still battling depression, still fat and unable to lose weight at all, still having trouble sleeping, constantly exhausted, now having weird hormonal-based things going on… but, you know, it couldn’t possibly be hormonal or glandular. Sur
ely my patchy dry skin weirdness, my acne breakouts, my new development of coarse, dark facial hair, my fatigue (that I push through anyway because I haven’t given myself an out of the "no car" thing), my depression, my insomnia… it’s all the fault of too many carbs. Or all the fast food that I don’t eat. Or maybe it’s caused by cooking so much from scratch or the large amount of fruits and vegetables that I eat. Ya think?
So I had a day with an old high school friend and we caught up. I talked to her a bit about what was going on and she reminded me that she had problems with hypo-thyroidism in high school. Similar situation where she was on the low end of normal, but her doctor thought it might be wise to look into it a little further and to see if what was low-normal for the "average" person was actually low-bad for her. She gave me his name, and I made an appointment for next Thursday.
And I think, considering all the other stuff that I’m feeling and going through right now, if this guy doesn’t take me seriously, or lies to me, or belittles me, or even just brushes me off as a "fat chick looking for an excuse", then I’m going to give up on doctors, too. Because, at this point, I can’t take another situation of a bad doctor treating me like an idiot. I need *something* to change, and I’ve had enough bad that I feel like I’ve earned the right to one good doctor. Someone who will explore the possibilities and help me figure out what’s WRONG with me, because there is something wrong with my body, beyond being fat and a smoker.
I really don’t feel like that’s too much to ask for.