Thursday, November 20, 2014

Skeptical Doctor

I saw Dr Tacoma yesterday for my neurologic symptoms: spasms, jerking, chorea, speech difficulties, choking, cognitive deficits, numbness, paresthesia, edema, muscle pain and stiffness, shock sensations, difficulty urinating. However, she surmised that my condition is “not neurologic.” I asked her how a movement disorder could not involve the nerves? Aren't our movements and sensations controlled by nerve impulses coming to and from our brains? Dr. Tacoma did not answer my question. I asked her again, pointedly: “How can uncontrolled movements and numbness not be a neurologic problem?” I scrutinized her eyes when I asked the second time, because I was very confused at this point and not a little frustrated. She said that the pattern I am experiencing does not describe any neurologic disorder, and she is quite familiar with them all.

I'm pretty sure Parkinson's, ALS, CMT, and Huntingtons all cause exactly this type of condition, but I did not mention it to her. I asked her what could be causing these symptoms? She did not respond. She said “I have some suggestions for your GP which I will send to her. For example, I would recommend you see a Behavioral Specialist”. I asked her “In what ways do Behavioral Specialists treat movement disorders?”. Dr. Tacoma did not respond to this question. She said, instead, that it didn't make sense to send me for expensive testing given that she didn't recognize a pattern that indicates a specific diagnosis or treatment. I am confused by her inability or refusal to respond to basic questions about my condition and treatment. I have to question if her refusal to engage in a meaningful discussion may be caused by prejudice toward mental health patients, simply due to how common this type of prejudice is among medical doctors. I don't know how else to interpret her reticence.

The doctor asked if I have “evidence” of the movement disorder. She agreed to see me again when I have evidence in the way of either videotape or a 3rd party description of my severe episodes.

I don't think I can operate a video camera while having an attack, but I could return in the summer. When it's hot, and after physical exertion, I am invariably symptomatic. My fear is that if I go back to Dr. Tacoma in the summer by bus, I may have to go to the ER before I get there. The last time I took two buses in the heat was on May 2; on that day I had to go to the ER for hypokalemia, Long QT, and paresthesia before I could stand up and return home. I am terrified of these attacks and would rather try to avoid them.

Friday, November 14, 2014

Drunk Horny Doctor

The GP I was assigned, Dr Mohamedy, was inebriated today at my appointment. His body reeked of alcohol. I wasn't actually upset by it, but I was very annoyed with improper touching. He repeatedly stroked my right nipple with his wrist while holding his stethoscope in place. I can't wear a bra because they trigger severe headaches and pain (due to labile hypotension) but that is not an invitation for anyone to stroke my tits. He also lingered at the side of my lower abdomen after palpitating my abdomen, tickling and langorously stroking one spot repeatedly. I yelled at him and told him to “stop touching me that way”. I asked him why he was touching me in that manner. He said he was “checking for tumours”, at which point he changed his movement.

When I got home I called the clinic and asked to switch to a female doctor. I normally always ask for a female doctor because of this type of problem. It takes longer to get an appointment, but I don't see an option. I also left a message for the clinic director so I can let him know about the problem.