Showing posts with label trusting doctors. Show all posts
Showing posts with label trusting doctors. Show all posts

Saturday, June 25, 2016

Day 2385

Janet asked me whether I'd ever heard of GoPro cameras the other day and of course I answered "Oh sure, I've had one for years." When I said this, I realized that I hadn't actually used the camera in years either. Today, I found the thing gathering dust in a drawer and fired it up to see if it still worked. Since I tend to be an early adopter, this was one of the first GoPro's ever made. There was no WiFi, it had a cryptic menu, and I'd lost the software for it a long time ago. Getting this ancient thing going again was a natural weekend project.

You may wonder why I bought the GoPro in the first place, since I don't snowboard, water ski, or ride bicycles down mountains. I think my original intent was to mount the camera on one of the dogs and film them while they were running around at the dog park. The dog camera never happened. There were a few ugly dog fights at the park we usually went to and we quit taking our dogs to public dog parks. Then both dogs got cancer and our lives changed dramatically. GoPro cameras are still a cool concept though. If they had been invented thirty years ago, I would have used them a lot.

Do you ever think about all the repetitive things you do everyday? Every time I brush my teeth, make the bed, clean out the lint trap in the dryer, tie my shoes, check to make sure I have my keys before I leave the house, and turn off the computer each night, some kind of muscle memory kicks in and I realize that I have done these things exactly the same way thousands and thousands of times. Weekend chores are repetitive by nature and I sometimes think that I go through entire days repeating actions I have done for so long that I don't even think about them. I don't decide to brush my teeth or make the bed each day. It just happens.

Cleaning up Dot's poop is rapidly becoming one more of those automatic muscle memory things I do everyday without even thinking. I've gotten so much better at dealing with the mess since her incontinence started. Now, there are poop bags, enzyme cleaners, and disposable pads pre-positoned everywhere. I've learned to recognized the breathing changes and telltale motion in her tail that indicates an accident is about to happen. I don't have to do nearly as much laundry as I did in the beginning, because I've learned what to expect. It's kind of amazing how adaptable people can be when it is necessary. This is why I continue to faithfully do the shoulder strengthening exercises my physical therapist recommended several years ago. I understand how easy it would be to get lazy and just adapt to using one arm instead.

I don't want to get lazy. That's why I'm going to the gym tomorrow, even though I'd probably rather just read a book. I don't want to get sick either. I saw something on TV today that said the third leading case of death in the United States is medical mistakes. I'm sure this is true. Questionable medical procedures killed my Mom. I had a close call myself when I was given two medications that should have never been taken together. How was I to know. You trust that your doctor knows what they are prescribing. We live in a world where we don't trust our politicians, have lost faith in our drinking water, and worry that our doctor is going to replace the wrong knee. I'm not sure there is a solution for this, but it does explain why some people smoke a lot of weed.

Shiner is today's Dalmatian of the Day
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Tuesday, May 10, 2016

Day 2338

Today was Dash's day. Dot spends so much time at the vet that it's easy to forget that Dash has his own issues. We try to address each of those issues at his annual exam. For years, Dash was the problem dog and Dot was the healthy one. He has a history of epileptic seizures, but has been stable for almost five years since he started taking phenobarbital. When we adopted him, he had severe skin allergies. Now, his coat is thick and full. A thyroid deficiency and crystals in his urine are now under control. He still has a heart murmur, but his vet doesn't consider it a risk. Most importantly, his thyroid cancer has been in remission for over three years. Dash got a thorough checkup today and passed with flying colors. I am really thankful that he is doing so well. Several years ago, when both dogs were being treated for cancer at the same time, it was almost more than we could handle.

Dot and Dash are lucky to have some great vets looking after them. Sometimes I wish that vets could treat humans too. I'm convinced that I'd get bet better care if I went to the vet than I do from my own doctors. I trust our vets. I'm not so sure about my own physicians. Whenever I see a lobby filled with pharmaceutical company sales reps, I start to wonder if all the pills I take are actually necessary. To be fair, the dogs take a lot of pills too, but everything seems more honest and direct without all the insurance and pharmaceutical companies in the middle. I think one of the problems with human medicine is there isn't much emphasis on what we eat. When your vet tells you that your dog should eat a specific type of food, that's what you feed them. Humans go the the Cheesecake Factory, eat enormous, gut busting meals, and then wonder why they've got diabetes. Maybe we've got too much freedom. Dot and Dash just eat what we put in their bowls. If they had a choice, I'm sure they'd opt for an all bacon diet.

When Dash and I returned from the vet, the first thing I noticed was that Dot had pooped in her bed. I kind of expected this would happen. It was so hot when I took her outside after lunch that she had no interest in doing anything. It's impossible to get an incontinent dog's pooping schedule coordinated with anything. Basically, it's just like that old bumper sticker. Shit happens. Dot is feeling a little better today. We only gave her a short walk this morning and she spent most of the day sleeping. I canceled her physical therapy appointment tomorrow, so she can rest some more. Hopefully, the added rest will help. You can't be a drill Sargent with a sick dog. You have to let them set the pace. I know that Dot still wants to keep moving. We just need to stay aware of what her body can handle as she continues her long, slow decline.

Dash's big adventure at the vet ate up a big chunk of the day, but I still had time to resolve the equipment problems I was having yesterday. The audio and video gear are working together nicely now. Now that I understand what I'm doing, I wonder how long it will take to put this knowledge to use. You might wonder why I don't just embark on a long, complicated personal project, since I obviously have the time. I wonder too occasionally. I tell people that I can't make movies or write songs because I'm taking care of Dot. That's probably just an excuse. It's one of those been there, done that things. I just don't have the desire anymore.

I do like writing this blog. There's something epic about doing something for so many years, night after night, without any breaks in continuity at all. It's even more epic that I have absolutely nothing to say. My life is about as ordinary as you can get, and yet you're still reading.

Chief is today's Dalmatian of the Day

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Wednesday, September 17, 2014

Day 1737

Dash went to the vet to get his blood tested today. Unfortunately, we will need to repeat the whole process next week. Dash's blood sample contained lipids, which meant the thyroid test he was having would show inaccurate results. Dash needs to fast for at least 12 hours next time so the lab can get a better sample. When I have problems with lipids, the doctors refer to it as bad cholesterol. When a dog has problems with lipids they just call it fat in the blood. I guess it's more or less the same thing.

Ever since my doctor convinced me to start taking Foltanx to improve cognition and prevent memory loss, I have been having very active dreams. I haven't noticed any difference whatsoever during the day, but my dreams are much more complex now. This isn't exactly what I wanted. I think my cognitive abilities are just fine. I make my living using them. The only reason I went along with the doctor and started taking the drug, which is basically just an expensive multi-vitamin containing Folate, Vitamin B6 and Vitamin B12, was that I'd read it was effective at combating some forms of neuropathy that cause numbness in your extremities. I still feel numbness in my feet occasionally, so I really don't know if this stuff works at all. There are lots of reasons for weird dreams, including waking up five times each night to see if Dot has peed in the bed. Maybe this is just one more junk pill that does nothing.

The trouble with meds is that you have to trust the person who prescribed them for you. Unfortunately, doctors don't agree on much and some of them are nuts. Pick just about any drug and you'll find ten different opinions about it. It's frustrating to say the least. Is Niacin a great way to lower bad cholesterol, or will it just increase your chances of getting diabetes? Why am I taking Carvedilol to slow my heart down when it's ticking pretty slow already? Some doctors think Statins can cause memory loss. Other doctors think Statins actually help with brain function and are prescribing them for Alzheimer's patients. I just wish everyone could get on the same page.

A paid some bills today and did a little bookkeeping. As usual, I made a few incorrect entries in Quickbooks Pro and couldn't get everything to balance. I wish there was some equivalent of spell-check in Quickbooks that would warn me about entering payments incorrectly. Sometimes it takes me fifteen minutes just to find a fifty cent error.

Dot seemed tired today. Maybe it was just a reaction to the rabies shot she had yesterday. We all went to training class this evening, but Dot mostly sat on the sidelines and watched Dash and I go through our paces. I think Dot still enjoyed being included in the activities. She seemed happy just sitting in the grass and watching the other dogs. Dash did pretty well, but I think he would have preferred to sit in the grass as well.

Princess is today's Dalmatian of the Day
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Wednesday, July 2, 2014

Day 1660

One of my photographer friends said that people are crawling under cars in his office parking lot, sawing off the catalytic converters and stealing them. Has it come to this? I knew we were getting close to living in a Mad Max Beyond Thunderdome world, but I didn't think we were that close. Every time I hear stories like this, I want to move to a little town that's been frozen in time somewhere around 1955. Now where would that be? I doubt that places like this even exist anymore.

I knew the power company was raising electricity rates, but I really didn't expect my electric bill to go up by 30% in a single month. The temperature has been fairly constant for the past several months, so it wasn't a heat wave that caused the bill to go up so much. It was a greedy power company. I just wonder where this is going to end? Gas prices are up. Meat and dairy products are up. The cable bill has gone through the roof, and now the power company is climbing on the bandwagon.  I keep hearing that inflation is low, but I don't believe it. Inflation is quite high in my world. Prices keep going up and wages keep going down. It's not a good combination.

At least the dogs are happy. If I can get them out on their morning walk around 7 AM, there's usually a nice breeze and the walk is enjoyable for all. We're still able to walk several miles early in the morning, although it's an entirely different story in the evening. During the day, the dogs are content to stay inside with me where the air conditioner is cranked up. They sleep while I work, although today I did a little bit of sleeping as well. Yes, it was another slow day. We got lucky at training class this evening. Instead of a typical hot and muggy July evening, we had a pleasant breeze instead. It felt like a cold front was blowing through town and it probably was, since it is supposed to rain later tonight.

One of my doctors wants me to postpone the prescription changes another doctor made last week. I hate dueling doctors. I never know who to believe and usually end up believing nobody. I see a third doctor about something entirely different next Monday. Maybe this one will be the tie breaker. I'd just as soon ignore all these doctors, but I saw what happened to my Dad when he got older. It wasn't pretty. If any one of these guys can save me from that fate, I'll be happy to go along with the program.

Since Friday is a holiday, I'm wondering whether to make tomorrow my restaurant breakfast day. So many decisions.

Bud is today's Dalmatian of the Day
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Wednesday, March 19, 2014

Day 1555

It's still dark when we leave for the cancer center in the morning. By the time we arrive, the sun is just starting to rise. I get Dash checked in and then take him to pee in a grassy area near the building. The people at the clinic are smart. They let the dogs stay in a doggie-day-care environment where they can play with other dogs until it is their turn for treatment. Then as soon as the anesthesia has worn off after the treatment, they feed the dogs. This is all to build up a positive association about coming to this place over and over again. The plan seems to work. So far, Dash actually seems to like coming to the cancer center. Both dogs hate going to the regular vet, where they are frequently kept isolated in cages while they wait.

I've spent enough time around doctors to realize that they always surprise you with something after your treatment has started. I'm convinced they gloss over a few details, just to make sure you won't freak out and abandon your treatment plans altogether. Today's surprise was a pair of special purple gloves in the bag with Dash's chemotherapy pills. I asked what the gloves were for and the nurse told me that I was to wear them to avoid touching the pills. I was also to keep Dot in another room while I administered the pills to Dash, just to make sure she didn't eat them by mistake. Yup. These gloves would have definitely freaked me out, if I'd known about this procedure in advance. I guess I've always known that chemotherapy drugs are basically poison, but I never thought they were so dangerous that you couldn't touch them with your bare hands. The nurse said the gloves were no big deal, but that was just like my own liver doctors telling me that the occasional heart attack patients have a while taking the Hepatitis C treatment is no big deal either.

Dash didn't seem to have any side effects from today's treatment. There was no coughing at all today. He had plenty of energy on his evening walk with Dot as well. We'll see how he does with the chemo pills. I put on the purple gloves and gave him his first pills with dinner this evening. So far, everyting seems fine.

Tomorrow, Dash gets to rest and won't go back to the cancer center until Friday. Thursday will still be busy though. The landscaping guys are coming over in the morning to clean up the back yard and plant new grass. Later in the day, I need to go to Baylor and have some more blood work done to monitor the progress of my Hepatitis C treatment. Janet's coming home tomorrow too, so I'll need to go to the airport and pick her up.

I need to find an effective way to manage all the pills that are accumulating on the kitchen counter. I take thirteen different pills every morning and another seven every night. Dash takes phenobarbital, thyroid supplements, and allopurinol, in addition to the three new chemotherapy pills. Dot takes a couple of pills to boost cognitive function and ward off dementia. If I ever get these pills mixed up, we're all in big trouble.

Pringles is today's Dalmatian of the Day
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Wednesday, March 12, 2014

Day 1548

I finally talked to an oncologist about Dash. I guess I was hoping for a conclusive answer, but what I heard was ambiguous at best. The oncologist said the pathology report didn't go into enough detail and that she would have to call the lab. What she did see didn't sound good. She said some of the carcinoma cells were the type that tended to get into the blood stream and the only way to effectively treat this was through chemotherapy. How long? Six months was typical, she said. How do you know if the treatment worked, I asked? Well, you don't ever know definitively, she said. Cancer cells are microscopic and they can always be hiding somewhere. I guess this is why you hear people say things like "I've been cancer free for five years." That's all they really know.

Medical issues are starting to wear me down. Doctors are far from infallible and you either trust them or you don't. I am not a trusting person, but what other choice do you have?  If you do nothing, you or your pet dies. If you do everything that is asked of you, you may die anyway. It's very frustrating. Modern medicine is very expensive. Doctors don't always agree on things. And a treatment that is in vogue with doctors today can easily become one of those "Call 1-800-BAD-DRUG" commercials tomorrow. Already, some tests and screenings I had ten years ago, are considered ineffectual or even worthless today. That's the thing about medicine. It is always evolving.

I'm not even sure that Dot's water therapy really works. I'd like to believe that it helps, but how do you know for sure? There could be a dozen reasons why she appears stronger now. She could also stumble and injure herself tomorrow, despite everything I've done. That's just the way life it. I'll continue the water therapy though. Seeing her walking in the tank gives me a positive, hopeful feeling. There is nothing dangerous about the water treadmill either. Chemotherapy is different. There are quite a few risks to chemotherapy. You just hope that the rewards on the other side are worth it.

The editor of the cookbook I'm featured in wrote today and told me that the SXSW Cookbook had just gotten a great review in The New York Times. She also told me that my own recipe was one of her personal favorites and that she's cooked it for breakfast herself. Amazing! This is one development that I never would have predicted. Although I love to eat, I certainly wouldn't consider myself much of a cook. Hey, if I can wind up in a popular cookbook, I might get that Amtrak writer's residency grant too. You never know. I never thought I'd be a spokesperson for Paypal either.

This is why I don't like medicine. I've generally led a charmed life. I bumble around aimlessly, and good things happen to me anyway. Medicine doesn't work this way. Whatever you do, you continue to age. The more you age, the more your body deteriorates. Dash is still a young dog though. In dog years, he's much younger than I am. He certainly deserves a shot at living a normal life for another seven or eight years. I just hope that chemotherapy doesn't make his life miserable.

Lance is today's Dalmatian of the Day
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Saturday, February 22, 2014

Day 1530

Where did today go? It seems like I got up and all of the sudden, it's time to go to bed again. I certainly didn't do that much. The big event of the day was giving the dogs a bath. The neighborhood dog washing place that lost its lease several months ago has reopened in a new location. We always like to support neighborhood businesses, but I sure wish this place was back at its old location. I don't think I'd visit this new place after dark. We encountered some pretty strange people wandering around in the parking lot.

The dogs are nice and clean again though. That's good. They are about the only thing in the house that's clean. I changed the sheets on the bed and did a load of towels, but that's as close to cleaning as I got. The house is still a mess.

My worries about Dash have distracted me. It's hard to believe that he could actually be sick, especially since he looks and acts completely normal. Cancer can be that way. One of my neighbors was playing golf and working in his garden one week, and the next week he was dead. Lots of Dalmatians in the rescue program have had cancer over the years. Few beat the disease entirely, but many were able to live many more happy and active years after treatment.

I've reluctantly learned to trust doctors as a result of my own liver problems. Hepatitis C has few if any symptoms until the very end. It is easy to lull yourself into a sense of false security, since you still feel good as the disease progresses. Hepatitis C is serious though, just like cancer. I've learned now, that if my doctor is worried, I need to be worried too. That's why Dash is going to get the best possible care, starting immediately. Most people and pets don't die from cancer. They die from waiting too long to diagnose and start treating it.

I thought I'd do my monthly assignment for my writer's group this afternoon, but the writing took a different direction than I expected and it surprised me. Oops. I'll finish the piece tomorrow. Why tomorrow? Well, that's when it's due. I procrastinate about everything except my pets.

I noticed that my next door neighbor hired somebody to rake up all their leaves this weekend. Now, they'll probably be mad when my own leaves start blowing back into their yard, as they inevitably will. I hate to rake up all my leaves just yet though. They've been a great way to cover up all the dirt in the back yard and keep the dogs from getting too muddy when they run outside on a rainy day. As soon as the leaves are raked up, I'll need to re-landscape again, since the grass is all dead.

I'm staring at a growing pile of tax documents sitting on the corner of my desk. Is it that time of year again already? I procrastinate with taxes too. I quit doing them myself years ago, but now I find it hard to even gather up all the information for my accountant. There is just no satisfaction in giving the government money it is sure to waste.

Maggie is today's Dalmatian of the Day
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