Medical Update (so that doesn't sound as good as "Weekend Update" on SNL, does it?)

Well, onward and forward....

I went to the doctor on Tuesday and she found the same results as I had.  She said that there is this CT that would be the next test, but she wanted to speak with the associate from prior to this appointment to make sure she is on the right track (she's a young doctor, but like I said... she's amazing!).  My Mom is a nurse in the office and after seeing me, the doc said to my Mom that it's "unusual" (or a similar word) and Mom said "if it's rare, that's my girl!"

When I got the return call she said she is ordering the test.  Ugh.  Let me explain why:

OK, so I did a search online and couldn't find anything on my "go to" medical sites other than abstracts, which are by definition, pretty much less-than-helpful to a peon like me.  To start, three hours prior to the test, they want me to have 32 oz of water.  And hold it!  They will catheterize me (woo hoo) and put dye up into my bladder just prior to doing the CT scan.

If that isn't enough fun for you, I go to a uro-gynecologist (who knew?) the following week and he will catheterize me again to look into my bladder.  I have to question if this isn't a larger catheter so he can fit a small camera in it, much like a lower endoscopy or something similar.  In which case, OUCH and more than the first time.

I think this does beg the question: do people in the medical field really like catheterizing people that much?  I've had one catheter in my life and it was inserted while I was under anesthesia.  I asked my doctor if I was going to be awake (jokingly) and she said "no, but I can give you something."  I thanked her and said that I had plenty of stuff here.

Of course there is has been a lot of co-ordinating of services - there has to be blood work done at least 2 days prior to the test, the test needs to be pre-auth'd or pre-cert'd (I can't remember which) and after I was done with setting all of that up, I had to schedule with the uro-gyno and make sure that appt is far enough out from the test so the full results would be available.

There are far too many people "down there" - as if the annual gyn appt isn't bad enough.

For fun, in the midst of this, I've been doing aquatic therapy for my back 3x/week, seeing a hand specialist, seeing my neurologist for a hand-related test, and have my monthly psychiatry appt and my weekly therapy sessions.  I'm tired just writing it.

Anyway that's my Weekend medical update.

Any chance I can get on SNL, just for one update???  I didn't think so.

A Fistula? Huh?

To get this out of the way:

A fistula is an abnormal connection between an organ, vessel, or intestine and another structure. Fistulas are usually the result of injury or surgery. It can also result from infection or inflammation. (as defined by the NIH)

Now, getting back to the topic at hand.  I did a test this morning which would rule out a fistula.  I got the results (something required to be done on my end) and called the doctor.  She said "hmmmm.... let me talk with <another doctor in the practice> and I'll call you back."  Ok?  She called back and said it would be rare for me to have a fistula so far out from my hysterectomy (years!) and that she would like me to re-do the test (which is no fun, by the way) and go to the office on Tuesday for her to do the final part of the test so she can see the results for herself.  Gee, this isn't nerve-wracking at all!

It's important to understand that "rare" is the kiss of death for me.  With one injury alone:

1. most people don't need surgery for this injury
2. it's strange that PT didn't work
3. surgery: finds 5 torn ligaments in my ankle when only one showed up on the MRI
4. post-op I thought I popped a stitch, so call the doc.  I get his associate who says to go in.  It turns out I had a large burst hematoma (a pocked of blood beneath the skin)  It's uncommon in your situation and to be directly under the incision, says the doctor
5. I go and see my doctor a bit later (I can't remember if it was no more than 2 weeks later, but I'd imagine it was the sooner part of that) who says that in all his years of practice he's never seen such a this happen (it was ugly, people, super nasty - I won't disgust you by posting a picture)
6. There's nothing else I can do (says the surgeon) but it's odd for it not to heal by now so you'll have to go to the wound care clinic.

This was all in December 2013 when I had my ankle surgery and had the rollator, so that's why I'm saying it was within a shorter period of time.

You get the idea?  Rare = my world

So, I did some research.  I know, I know, the internet is a dangerous place for research, but I try to stick to the NIH, Hopkins, Mayo - reputable sites.  They all basically agreed with my doctor, although she is amazing and I'd expect no less.  There are some pretty uncomfortable tests which could be done after I see my doc on Tuesday.  Surgery is a possible cure.  Yep, rare.  Sigh....