Pancreas
Today Thursday June 21st at 830 am I had a check up with Dr. Nemeth my internist, primary care physician. We discussed the pancreatic enzymes I have been taking and how they have made a difference. I seem to be absorbing my food better, less diarrhea and I’m losing a little weight. She bumped my prescription up from 8 MT to 10 MT (10,000 unit’s lipase, protease, and amylase) because food is still traveling too fast through my digestive system I am not yet having “normal” bowel movements.
I asked her why I developed this enzyme deficiency. She said from my past medical history it seems I’ve had chronic or recurring pancreatic problem for many, many years. Which can be causes my infection, certain medications, high triglycerides, gallstones etc. Because my pancreatitis was ignored or misdiagnosed I never received proper treated which resulted in scaring of the pancreas. Scaring, causes loss of function and repeated scaring causes more and more damage. So that’s why I am to the point now where I can’t digest food at all and must take pills that contains digestive enzymes.
I have been having more pain in my lower abdomen, that started as just discomfort about 2 years ago after my appendectomy but as I gained weight and had all these other problems its gotten worse. So she is sending me for a pelvic and Abdomen CT scan to check for hernia(s), excess scar tissue, blockage, twisting of the intestine and just to check all rest of my abdominal organs out.
We also discussed the adverse reactions I have been having with the Lasix and both believe it’s due to an electrolyte imbalance caused by the medicine. Also its possible Lasix could be causing a current bout of pancreatitis. So Dr.Nemeth prescribed a second diuretic, Spironolactone, which is a potassium sparing type and should balance the negative side effects of the lasix.
But to be safe she sent me to the hospital blood lab to have a whole bunch of tests done to check my kidney, liver function, electrolytes and some other things.
We also talked about how my seasonal allergies have gotten a lot worse; OTC Claritin is not effective so she prescribed me Zyrtec.
She checked the lymphedema in my legs and feet and was dismayed that the medical supply company did not give me my compression stockings. So she asked me to call them, ask why I was denied and to have them contact her with the necessary info to get it approved.
When I got home form the hospital lab and dropping off my new prescriptions I called medical supply and the receptionist was not so apologetic when she said, oh we seem to have set it aside and lost it. You WERE APPROVED but that was last month we have to call and see if we can get it re-approved for this month. We’ll call you right back today.
I was supposed to work for Joan today at 11am but had to call off because my doctor anted me to get the blood tests right away. When I got home around noon I called Joan to see if she still wanted me to work, but there was no answer most likely her and frank went to the senior center for lunch. I was going to call her again but while I was waiting for the Medical supply to call me back and her to get home I was getting really nauseas and dizzy so I lay down and passed out. When I checked the answering machine later still no call from Medical supply co.
So I need to call and bug them again tomorrow morning.
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