AZ_HighCountry
INT'L MOD
Well, some good news today following visit with the PCP. First, weight at his office is 215. That is with clothes and shoes on not to mention I had just come from having lunch (morning weigh-in in the buff and prior to breakfast was 208). Blood pressure was 113/69. He was happy with both.
Astonishingly, he did NOT receive the alert from the ER that I had been admitted to the ER. It actually came from the insurance company. So, as he explained it, that made sense why they did not have the results of the work the ER team did. So his staff was making arrangements to obtain copies of the records. So shame on me for not having the copies of the report that was provided with me.
He was skeptical that I had a gall bladder attack. From the way I described the pain, in his opinion it was more gastrointestinal related. The fact a stone was discovered in the gall bladder during the CT scan was incidental. He said had I had a gall bladder attack, the pain should have been under the rib cage on the right side and would have been felt through to my back as well. It wasn't. It was literally right under the sternum.
So, we discussed some more, he said that also explained why the attending doctor stated that if I elected to have the gall bladder out following discussion with the general surgeon then it would be considered elective surgery. The fact they released me indicated they did not find anything wrong with the gall bladder such as inflammation or enlargement. Mrs. AZ confirmed the same thing (glad she was there with me) as I was too "out of it" when the attending doctor was explaining the results.
That said, so I inquired about speaking with the surgeon. He felt if I wanted to then go ahead, that would be fine. So I asked "are you suggesting or recommending?" He responded "I'm suggesting". I'll give him a week to obtain the report from the ER to see if he changes his mind. But he was clear; had they found inflammation or enlargement, it would have been instant admittance followed by surgery. So, we'll see.
We then talked about diet. Continue with the low fat though try and stay away from dairy and increase the fruits and vegetables. He offered to prescribe Nexium or Prilosec to take for "just in case". Asked about the OTC versions. In the case of Prilosec, maximum strength for the OTC variety is 20mg. Prescription starts at 20mg and increased to 40mg. He felt that the OTC would be. So, will get some tomorrow when I'm running errands.
Other than, uneventful but still always a good idea to get a 2nd opinion. Will of course keep my eye on the situation in case things change. As he mentioned, people live with stones just fine.
Astonishingly, he did NOT receive the alert from the ER that I had been admitted to the ER. It actually came from the insurance company. So, as he explained it, that made sense why they did not have the results of the work the ER team did. So his staff was making arrangements to obtain copies of the records. So shame on me for not having the copies of the report that was provided with me.
He was skeptical that I had a gall bladder attack. From the way I described the pain, in his opinion it was more gastrointestinal related. The fact a stone was discovered in the gall bladder during the CT scan was incidental. He said had I had a gall bladder attack, the pain should have been under the rib cage on the right side and would have been felt through to my back as well. It wasn't. It was literally right under the sternum.
So, we discussed some more, he said that also explained why the attending doctor stated that if I elected to have the gall bladder out following discussion with the general surgeon then it would be considered elective surgery. The fact they released me indicated they did not find anything wrong with the gall bladder such as inflammation or enlargement. Mrs. AZ confirmed the same thing (glad she was there with me) as I was too "out of it" when the attending doctor was explaining the results.
That said, so I inquired about speaking with the surgeon. He felt if I wanted to then go ahead, that would be fine. So I asked "are you suggesting or recommending?" He responded "I'm suggesting". I'll give him a week to obtain the report from the ER to see if he changes his mind. But he was clear; had they found inflammation or enlargement, it would have been instant admittance followed by surgery. So, we'll see.
We then talked about diet. Continue with the low fat though try and stay away from dairy and increase the fruits and vegetables. He offered to prescribe Nexium or Prilosec to take for "just in case". Asked about the OTC versions. In the case of Prilosec, maximum strength for the OTC variety is 20mg. Prescription starts at 20mg and increased to 40mg. He felt that the OTC would be. So, will get some tomorrow when I'm running errands.
Other than, uneventful but still always a good idea to get a 2nd opinion. Will of course keep my eye on the situation in case things change. As he mentioned, people live with stones just fine.
.
