What I like about my doctor is that he almost always come on time.

I arrived at St. Luke’s around 9:30.

I handed out my lab results to the secretary and did not ask if he was already there.  I sat in the hall.  A few minutes had past and the secretary called me  into the doctor’s office.

While I was glad that I did not have to wait long for my doctor to see me, I was not quite pleased with the lab result or the way the consultation has went .  Although the protein creatinine ratio has improved, it is still high plus by cholesterol level is at 291.

I am already on medication for three months and no dramatic changes or signs of improvement I can see.

I just feel stupid not to ask my doctor the things that have been bugging  me.

I know it is my right to know my chances of getting well or if I will ever be getting well.  I just can sense that he is not willing to or capable of  answering my questions.

There is something in me that tells me he has not handled the same case as mine before.

I have to pop the questions to him next time.

Oh btw, he has increased my dose of Crestor to 20 mg.

I need to get to work.

What I hate about blood chemistry work up is the fasting.  It requires you to take nothing by mouth from 10 to 14 hours.

To make things worse, producing urine when you have had nothing ingested within the fasting period seems to be a very impossible dream to achieve.

Every month, these are my dilemma.  They are not just my dilemma, they are just the tip of the iceberg.  The icing on the cake.

I had a consult with our in-house cardiologist this morning and she interpreted that the fluid in the space around my heart is minimal.  She said that it usually doesn’t exacerbate although heart problems would be among the complications of my illness.

I also learned from her that if my attending wants to rule out pleural effusion, he should have ordered for chest x-ray.  (I have mentioned in my earlier post that I just had a chest x-ray at LCP and I found out that my chest is clear of any negative findings. For sure, the radiologist is not just looking for tuberculosis signs but other possibile lung conditions that might be contagious or might affect me carrying out my trainee duty.)

She just informed me to continue taking in the diuretics so as  to  avoid over accumulation of fluid and she will see me after a month and she will order for a repeat 2D echo-cardiogram after three months.

She also asked me if I am seeing an immunologist.  I said not yet because my attending who is a nephrologist if focused on my proteinuria.

Actually. I have been asking myself if I need to have a immunologist consult.  I will be asking my nephro in my next check up.

In my last check up, I asked him if my diagnosis is final. He said that we have to wait if I will respond positively to my  6-month treatment. By then, if I have not, then he will order for a repeat biopsy.

Honestly, I am having mixed emotions on this thought. If I did not respond well, then I might have been misdiagnosed and  I could have a common curable disease but if I did, then it confirms my life long health condition and I have just gone on remission and just wait  for the will pray not to have the next exacerbation in ten years.

Oh God, help me.