Getting Through A Few More Doctor Appointments (or Hoping For Some Positive Outcomes)

I continued with my numerous doctor appointments this week. I had one in-person appointment and one phone appointment so far this week. And this weekend I think I will have some medical testing done. Like I said in my other post, I have a lot of appointments this month and they just happened to pile up. But I’m working on getting through them one by one. But they are all for good reasons and I’m hoping that through all these appointments I will have some plans for how things are going to move forward for me.

My first appointment this week was my in-person appointment. This was with someone in bariatric medicine, which was through a referral from my therapist. There are a few new medications that can help with weight loss, even though they are used off-label, and I wanted to learn more about them. My therapist couldn’t go over those with me since they weren’t her expertise, but she knew that bariatric medicine would be able to do that.

I was a bit nervous going into that appointment. Maybe it’s just me, but I have always thought of bariatric medicine as weight loss surgery. And I knew that I was not interested in doing that. There are a lot of reasons why I don’t want surgery, and I didn’t want a doctor trying to convince me otherwise. I know that surgery is usually the option with the best results, but it just wasn’t something I was willing to do.

Fortunately, my appointment went a lot better than I expected. I really liked the doctor that I met with and she did discuss the various options with me, including surgical ones. But once I said that I was not interested in surgical options, she didn’t discuss it further. We went over the history of my weight, various diets I’ve attempted, and my eating disorder. She was very clear that nothing she could help me with would help with my eating disorder, and I knew that. I take Vyvanse to help with that, but I think my history of dieting and other weight-related issues has really messed with my metabolism. I can have what should be perfect food days for multiple days in a row and I won’t see any weight loss. There should be at least a little weight loss when I know I’m not overeating. Or when I’m sick and not really able to eat, I don’t lose weight when I know most people do. So I wanted to find a tool that might be able to help my body lose some weight while I do the rest of the work myself.

Going into my appointment, I specifically wanted to discuss a few different medications that all were essentially the same thing but with different dosages or protocols. The one downside to these is that they are all injectable medications and I really hated that idea. But I think my desire to see if this would work was higher than my fear so I was willing to try it. And after going over my medical history and other information, the doctor agreed that one of these injectable options could be something that helps me. It’s not a guarantee, but I at least want to try it.

So I was prescribed the medication and then had to be taught how to use the injectable pen. It’s similar to what an EpiPen looks like, but there are multiple doses in each one so I had to learn how to select the correct dose and change out the needle. This is something I will need to inject once a week, and I started the same day I saw the doctor. I was terrified to do it, but I watched all the instructional videos and did it while laying down on my bed in case I passed out. And I was shocked that I didn’t pass out! I was shaking pretty badly before and after the shot, but I think that was just nerves and nothing else to worry about.

I hope that each injection is as easy as this first one was. I won’t have my next one until next week, so at least I have time between each one. And because of how this medication can affect you when you start it, you start with a dosage that is below the therapeutic dose. So I might not notice results for a little while as I build up to the dose that is supposed to work.

My second appointment this week was my phone appointment with a general medicine doctor. This was to get a referral to orthopedics because of the pain I’ve experienced recently. I’m feeling much better now, but I also know it’s better to get checked out since it’s been several years since I’ve seen anyone in orthopedics. I didn’t know if this phone appointment would be all I needed for the referral, but the doctor I spoke to could see my history of working with different doctors in orthopedics as well as the notes that I will likely need more surgeries. So she put in my referral without asking too much or needing me to come in to see her first. And I’ve already spoken to orthopedics and I’ll be seeing them in about a month. I think just making sure I’m ok and having a new game plan will be smart since I know I will need additional surgeries at some point.

And the other things I have to get done are medical tests related to the appointments I had this week. I need to do some blood work for the doctor I saw in bariatric medicine just to have some baseline information since this new medication has some rare side effects and it’s important to have a bit of monitoring around that. And I also need to do a general x-ray of my hips to prepare for my appointment with orthopedics next month. I know that in the past, my hip issues are not seen on x-rays, but that’s the process when you start with a new doctor. And after my appointment, they might order an MRI since that’s how they can really check how things are. I don’t have to do either of those tests immediately, but I would like to get them out of the way so that’s why I’m trying to get them done this weekend.

Over the next 4 weeks, I have 3 more appointments. I don’t know if I’ll have more than that, especially with how quickly appointments piled up already, but at least I’m getting all this done so I can make sure that I’m doing the things I need to do for myself and I’m as healthy as I can be. And hopefully, this new medication will help me with losing weight, and when I see the new doctor in orthopedics I will have a good plan figured out for my next steps.

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