Archive for August 27th, 2006

Doctors, residents and med students

Sunday, August 27th, 2006

I need to rename this the Vagina diary. So, I was back at my doctor’s office earlier this week. More issues from the PCOS and the hysteroscopy/biopsy/crap. First, though, I need to explain this office. My “doctor” is actually the Women’s Health Department the Medical College of Virginia. Which means, you see various residents for your care. I’ve now seen four different residents and a seperate one entirely did my hysteroscopy. Three of the doctors, and the one who did the procedure are female, the one I saw two days after the procedure, was a guy.

This week, when I went in, the first person I saw was a medical student. He came in to take my history and find out what was going on. Now, the first thing I noticed is he was young. I mean really young. And, obviously is not planning on going into gynecology.

He was scared to death while taking my history and had a very hard time even saying the word “vagina” outloud. When he left the room to go talk with the resident, I burst out laughing. I mean, I watched the color drain from his face when he had to ask about anything related to the reproductive system.

A little while later, he came back with the resident, who discussed a few things with me. Including birth control.

With that, I didn’t even wait for them to leave the room, the laughter just bubbled over. I have polycystic ovarian syndrome, we tried for almost 10 years to get pregnant, I do not ovulate. Why and the hell would I be worried about birth control? Especially, right now with things being screwed up anyway?

Sometimes, I think they don’t actually read the files completely, or they just stick to one script for everyone. Telling an infertile woman with multiple issues stopping a pregnancy from happening, that she needs to be on birth control? Come on, engage your brain.

Don’t get me wrong, overall, they have been wonderful in all this, even though, I am not happy with how they are dragging things out. I go back in two months (if nothing else happens.) At that point, hopefully, they’ll actually do something about all of this. I really am at the point that I can admit that it is likely I’ll lose my uterus to relieve the ongoing issues.

I’m not happy about it, as I really would like to have a bio child but, when it comes down to it, I need to be healthy and if losing my uterus is what it takes, well, I’ll have to accept it. (and yes, I know it’s odd, laughing about birth control but, then discussing wanting a child but, I had held out hopes for infertility treatment, someday, ha.)

I’m taking my medications exactly as prescribed, I’m doing everything I’m supposed to be doing but, it is not resolving. There is one other procedure that might help but, it would still destroy any chance of a pregnancy.

What it boils down to is 2 more months on the hormones, then another biopsy (which they informed me will probably also be under anesthesia.) After the second biopsy, if they hyperplasia has cleared up, then we’ll go forward on other options. So, at least 2 more months of this. Plus, however long it takes to get into the next step.

As of right now, I’ve been bleeding for 8 months. I’m on enough provera for 4 women, I have a uterus with hyperplasia and “fluffy lining” (yes, that’s what they called it.) I’ve had a D&C and biopsy. I’m on 2000 mgs of Metformin for the PCOS. I have costochondritis, again. My world is a giant ball of stress due to all this, which has caused my blood pressure to be up. Well, no shit. Chronic pain in my back and hip for 8 years (which is another entry entirely how that is being “treated”) plus everything else? And, they wonder why my blood pressure is slightly elevated? Duh.