health note/asthma doc
So asthma doc did some things right at our meeting thurs.
1) Talked to me instead of over me in 3rd person (though I am attributing this to the presence of a resident)
2) Prescribed the stuff I need to start tapering flovent more (lower dose flovent; also Alvesco)
3) Allowed that I should talk to the Endocrinologist about safe tapering for the adrenal side of things.
4) Said I should see him in 3 weeks @ allergy shot time.
But he also did this:
1) Only suggested Alvesco, claimed it was safe, and did not offer any space for discussion. Which is okay only because we'd already figured this was our best bet.
2) Said, for asthma reasons, it was fine to just switch inhalors over immediately, and the tapering was for endocrine-reasons only; this is decidedly not what the medication itself claims -- and it's also ignoring everything I've said about the really seriously bad med effects I can have.
3) Told me I had "labitis", because there's this one study that says steroid-caused adrenal insufficiency doesn't actually kill people as often as you'd expect. It does still kill people, mind, but there are situations in which one can still have some adrenal function with negligible blood cortisol.
This on a day when I went in with a cane cause of the fatigue. Because, ya know, my quality of life is irrelevant!
So... if I don't change asthma care away from Privilege Denying Doc, someone shake me hard.
1) Talked to me instead of over me in 3rd person (though I am attributing this to the presence of a resident)
2) Prescribed the stuff I need to start tapering flovent more (lower dose flovent; also Alvesco)
3) Allowed that I should talk to the Endocrinologist about safe tapering for the adrenal side of things.
4) Said I should see him in 3 weeks @ allergy shot time.
But he also did this:
1) Only suggested Alvesco, claimed it was safe, and did not offer any space for discussion. Which is okay only because we'd already figured this was our best bet.
2) Said, for asthma reasons, it was fine to just switch inhalors over immediately, and the tapering was for endocrine-reasons only; this is decidedly not what the medication itself claims -- and it's also ignoring everything I've said about the really seriously bad med effects I can have.
3) Told me I had "labitis", because there's this one study that says steroid-caused adrenal insufficiency doesn't actually kill people as often as you'd expect. It does still kill people, mind, but there are situations in which one can still have some adrenal function with negligible blood cortisol.
This on a day when I went in with a cane cause of the fatigue. Because, ya know, my quality of life is irrelevant!
So... if I don't change asthma care away from Privilege Denying Doc, someone shake me hard.