Right after my nephro consult, I went straight to see my rheumatologist.
As usual, he greeted me with welcoming smile stating that he thinks of me (of course in a doctor-client sense).
Before I was let into his room, his fellow interviewed me. Then she presented my case to Dr. Lichauco, the consultant.
He was surprised to see that my protein surged and became concered about my high LDL (Low Density Lipoprotein) or the bad cholesterol and my massive proteinuria.
He began telling me that we need to decrease my steroids to which I replied that my nephro actually increased the dosage along with CellCept’s dosage. He stopped for a while, and told me that the steroids aim to cure the inflammation. I knew he explained to me the mechanism of action of CellCept and what it actually targets but I think I am too bombarded with the information that he has been sharing to me. In the end he told me that the “new” care of plan my nephro has made for me is okay and he told me that doctors in St. Luke’s are usually in coordination in terms of patient’s care especially if there’s a conflict. This one I doubted because I was sensing of a tension between them.
Dr. Lichauco asked if I am taking anything to lower my cholesterol and I told him that I stopped taking Ezetrol because of the myalgia and arthralgia that I am experiencing. The myalgia stopped when I stopped taking it while the arthlagia was alleviated. He asked me if it is okay if he will ask me to take another anticholesterol medication that belongs to the family of Crestor (Rosuvastatin) but with a milder side effect – Simvastatin. He said that he is worried about my high cholesterol level and diet modification is not enough.
He also explained to me by asking the fellow the connection of proteinuia to high cholesterol level. I waste protein in my urine particularly the lipoprotein that has direct relationship to my increased LDL.
Then they proceeded with the head-to-toe assessment. This is what I really appreciate more about this doctor because he and his fellow performed the four modalities of physical assessment (inspection, percussion, palpation and auscultation). My BP was also taken and the fellow got 100/70 mmHg. I did not bring up the BP that my nephro has gotten earlier because my BP is within normal range.
During the assessment, he asked me if I was taking calcium and I said I am taking 500 mg. He told me to double the dosage but take each tablet separately. Another good thing about this doctor is that he gives instruction on how medications should be taken.
Finally, he asked me to come back on the 26th because he will be out of the country and will not be back by then. He did not order for any other lab tests as he saw the ones ordered by my nephro.
Prayers, prayers, prayers.
I know God will utilize someone to make me well.