Tuesday, March 26, 2019

Another Day, Another Trifecta

Yesterday was a day off from the office, but I kept up a pretty brisk pace and scheduled things pretty tight. Luckily, all three appointments run like a Swiss timepiece, and I was able to deftly move from one to the next, and so on.

First appointment was the follow-up with P4.0. Things went well, and there is some improvement, so the last six weeks haven't been a complete act of futility. She wrote me an Rx for more muscle relaxants so I have them on hand if I need them, and an MRI is scheduled for Friday, and the stage is being set for the hyaluronate injections for both knees (a total of six appointments total--to be repeated again six months from now), and the MRI is in preparations for the nerve ablation in my back to be done 2-3 injections each side (if I remember correctly). 

Second appointment was physical therapy, and while wrapping up my assigned exercises, I asked my physical therapist about the possibility of putting me on the leg press, as surely there is benefit in building up strength in my quadriceps. I didn't go into detail how I know my knee caps aren't "tracking right," and the machine would further enhance my physical therapy. As I said, "I don't want to just go through the motions of staying in a holding pattern--I actually want to improve." He put me on the leg press and I managed to knock out a couple more repetitions than he suggested. This appointment was to replace Saturday's appointment which was rescheduled due to some in house training for their staff, and I am looking forward to my normally scheduled appointment tomorrow, so I can continue to build on whatever progress I started on Monday's appointment.


Third appointment was my annual ultrasound of my thyroid. Looks like one of the nodules has gotten bigger--won't know for sure until I get the radiology report. I am set to see my endocrinologist in June--so depending on how much bigger it's gotten, I'll no doubt get a call from her or a message on the patient portal, instructing me on what is to come next (if anything at all). 


The day was mostly self-care, so that's a win in my opinion. 

Tonight is my weekly CBT appointment. Tomorrow is physical therapy. Friday is the MRI.

Additionally, I am feeling the effects (I think!) from the 5HTP, which I was taking before I started the muscle relaxants (and resumed once I was off them). Given that it has been so long since I've woken up feeling actually refreshed when I wake up, it is hard for me to articulate how I feel; however, I don't feel that sense of foreboding and dread, and I'm not groggy--so I'll take that as a minor improvement, and I hope to build on that.

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