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[personal profile] elfs
Went back to the doctor today after revealing that I wasn't getting any better on a daily dose of 40mg omeprazole. My supposed "allocated physician," whom I've never actually met ever since Molly moved to Oregon, wasn't there so I met yet another physician. I liked her a lot. She had damn good rapport. "Yup," she said, "your throats inflamed and irritated. Might be ENT. Might be GI. I'm sending you to the GI for consultation and maybe an endoscopy first, because you're reporting an acid taste."

I renewed my subscription for Viagra, since I was down to my last tablet. "But you got ten tablets in May of 2006. Are you just not doing it that often, or don't need it?" I said it was mostly that I rarely needed it, and besides, I only used a quarter tab at a time. The most I ever took was two quarter tabs about four hours apart, and that was for a rather lovely little marathon session. She asked me if I ever got headaches. "Actually, no. And since I have a neurologically-based blue-green colorblindness, I never get the color shifts either. The worst I ever get is the face flush." She regaled me with a tale of a patient who went through a ten-pill bottle in four days. He'd gone down to Mexico with a young, er, "paid lady." Woah.

Anyway, they did a blood draw to scan for the bacteria that causes excessive acid production and ulcers, just in case, and all the other stuff.

Sigh. The eyes, the knee, the guts, the dick. I remember Molly telling me that one of the reasons she was thinking of changing her practice was that most of her patients were moving into that age range where life was nothing but a series of complaints. I now know what she meant. Dammit, I even still have my ADHD, but it's not helping the way it should.

Date: 2008-04-09 08:44 pm (UTC)
From: [identity profile] phyxis.livejournal.com
*grin*

Try tadalafil (Cialis) for a really amusing marathon. :-)
From: [identity profile] pandakahn.livejournal.com
"Sigh. The eyes, the knee, the guts, the dick."

OK, If I am allowed to have first pick of the above then I would be more than willing to take the spleen or other small internal organ later.

I would have thought that with a hottie like Elf more people would have jumped on the possibilities of this comment, or was it really just me?

god please don't let it be just me! How embarrassing would that be?


MPK
From: [identity profile] lisakit.livejournal.com
Hee! Most of us just aren't brave enough to comment.

Frankly I don't know why he's complaining. He's still way ahead of most guys his age.
From: [identity profile] pandakahn.livejournal.com
hehehe...

I may be heavy, but my knees are good, my back is fine, my BP is HWP and my cholesterol is very very low...

...and I can't imagine using viagra at all, but I have not had the sessions he has alluded to.

MPK

Testing for <i>Helicobacter pylori</i>

Date: 2008-04-10 01:51 pm (UTC)
From: [identity profile] edichka2.livejournal.com
The serum antibody test for H. pylori isn't definitive -- many insurers at this point aren't even paying for it. This is a bug that the body very commonly is exposed to and then clears. The test of choice is the urease breath test, but it's kind of a pain in the ass to do, in part because you have to be off your proton pump inhibitor for at least two weeks prior. This distinguishes between an active infection and a resolved one. I guess there is now a stool antigen test too, but I haven't used that yet.

Also, interestingly, although there is clearly a relationship between H. pylori infection and peptic ulcer disease (and also gastric cancer and MALT lymphoma) there seems to be (as of the last lecture I heard on this subject a few years ago) an inverse relationship between the bug and GERD. THere has been speculation about some sort of evolutionary protective benefit of the bug in this regard.

ALso, an enormous percentage of the world's population has or has had the bug, with only a small minority manifesting PUD, gastric CA, etc. So it's the presence of specific symptoms in combination with a positive test (the serum antibody test is still widely considered adequate evidence with positive symptoms) that should indicate the need for eradication treatment, which involves multiple antibiotics for a few weeks. (This is the sort of test that a provider should NOT order in absence of symptoms for screening, since one is semi-obliged to act upon a positive test result.)

- E

Re: Testing for <i>Helicobacter pylori</i>

Date: 2008-04-10 02:54 pm (UTC)
From: [identity profile] elfs.livejournal.com
Thanks for that. I'll keep it in mind when I see the GI specialist.

Don't scare the young folk

Date: 2008-04-11 06:28 pm (UTC)
From: [identity profile] brandywilliams.livejournal.com
I'm trying not to become one of those people who, when you ask me how I am, I *answer*. I discover a great deal more interest in the reports of 80-year-olds. And whenever I am in the gym, working out with my 59-year-old guy, I remember you saying something like, "between 40 and 60 it's all about not losing capacity."

Re: Don't scare the young folk

Date: 2008-04-11 06:51 pm (UTC)
From: [identity profile] elfs.livejournal.com
http://xkcd.com/222/

Besides, there are some things you have no control over. Smooth muscle retention is one of them.

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