So, as I've blogged before, I have recently dealt with both ADHD and
dysguesia, and I wanted to see my primary care physician about both. For the first, to make sure she agreed with the treatment and my assessment of it, and for the second, to see if she could do anything more than the urgent care physician I'd seen a few weeks ago.
Do your homework. Make notes about your drugs and supplements, your aches and pains. Don't make them pull it out of your question by question. It'll give you and your doctor much more time to discuss the issue.
She came in and said, "So, what's bugging you today?"
I pulled out my notebook. On the first page I had written down all the medications I was currently taking, the last week's readings of blood pressure, weight, and tallied sleep. On the second page I had a list of all the symptoms related to the dysgeusia, including a timeline of when the symptoms came on, and notes about how the ADHD medications came much later, and so forth. On the third page, I had a list of resources I had consulted, and on the fourth I had a list of questions. She looks over my shoulder, laughs, and says, "I love you guys. You make my job easy."
We talked about the dysgeusia first. I noted that I hadn't been kissing any new, although some of the people I kiss might have been kissing anyone new. She finds my love life as entertaining as everything else.
She looked at one note: "Alcohol: j-curve dose (usually)." "What does that mean?"
I said, "You know the
j-curve? The one where one to two drinks actually reduces mortality? That's how much I drink."
She shook her head. "You're gonna live forever." I hope she's right.
By outside clocks, we were running late; the appointment had started later than scheduled. Hilariously, Omaha called to wonder where I was. "You should get that," my doctor said. "I want to talk to her too." They had a brief conversation about her
recent hospital stay, and made sure she had an appointment booked soon.
I love my doctor. She's awesome. She gives a damn. And she appreciates not having her time wasted.
She thinks the ADHD treatment is fine, and I'm "taking the meds the way smart people do." She approved of my personal rules about it: skip it some weekends if I'm not doing anything intellectually demanding, skip it any day where I didn't get at least seven hours of sleep. Its job is to make me better, and I'm never going to be better than baseline without enough sleep. Still nothing about the dysgeusia, though. Having ruled out an infection or anatomical damage, we're scheduling blood-metals labwork next week. Joy.
But really, how to see your doctor: make notes before hand. Do your homework. It will give you both much more time to discuss the problem.