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Typed up earlier.
Well, perhaps a glimmer of progress, perhaps not. Went for a followup visit to the doctor Wednesday and this time ended up waiting OVER an hour before finally getting in to see him. This is just ridiculous. There were other people there waiting, one guy had been there since four for a 5:30 appointment and was still waiting when we were at last called in probably after six (my appointment was for 4:45, HA HA LAUGH). I think the only reason he showed up so very early was to talk, since they're always showing Fox News in that lobby and Glenn Beck or whatever his name is is always on and he just yaps and yaps and nobody in the lobby could stand him, he was so frigging annoying, why do they even put on that channel. This guy who'd been waiting for so long got to chattering about the auto industry and the economy and all that jazz and I found it kind of funny because he said Glenn Beck or whoever likes to hear himself talk, and I got that distinct impression from this guy too. Did he even realize just how much he went on and on and on? At one point he was complaining about how Chrysler makes three different kinds of tail lights depending on what country the car is in, and said he wrote a letter to Chrysler to complain, and I thought, "Oh boy, I bet you write a LOT of letters." And there was this other guy who didn't even bother with the waiting room but came in twice to present himself to the receptionist and see if it was time for him to go in yet. Once the lady who was listening and nodding the most to the yappy man realized how long we'd all been waiting, she went out to make a call or something. Another guy just played games on his cell phone the entire time. Nobody was even listening to Glenn Beck or whoever he was anymore, though we did laugh at G. Gordon Liddy or whoever when he jangled some gold coins in his hand and exclaimed, "Hear that? That's the sound of security!" And then the yappy man of course had to expound on the value of gold and let us know how very much he knew on the subject. There's a similar yappy man we occasionally meet in the waiting room at the mental health place, only he's rather weird; Ma can't stand him but I find him amusing and rather wish the two of us could find something to talk about. She said she believes he talks so much because he likes me, but I said, "You're the one he talks to all the time," and it's true, we've never said a word to each other yet. Stupid, thinking somebody likes me. I bet he's married and has a secure job and ten kids or something. 
Anyway, I had used the bathroom out in the lobby before showing up, only to be presented with a cup at the receptionist's desk. So I decided to wait until called. So here I am, sitting in the lobby listening to Glenn Beck or whoever and this yappy guy, holding a little urine specimen cup. Nobody told me I'd have to dish it out again! Cripes, they already know my urine is just fine. I'm good at producing this stuff, believe you me, but I had only just gone. Still, the wait was long enough. When the nurse called me and asked, "So do you think you can go now? After waiting several hours?" (*sarcasm*) I said yes and did so. Jeez, those cups are so very small, I made such a mess. ;_; Got weighed, went into the office, got the blood pressure taken and the usual questions asked again, etc. etc., then the nurse said the doctor was caught up and we shouldn't be waiting much longer and then left and then we waited like another 15 minutes or so. >:/ Honestly. You know those cell phone commercials or whatever where they say, "What if firefighters ran the world?"? Well, what if Tehuti ran the world? Schedules, for one thing, would actually still mean something. I mean, seriously. I realize things happen but they shouldn't happen ALL THE TIME. If you schedule something for a certain time, then do it at that time. If you can't manage, then don't schedule so damn much. I think nurses should run the world. They do a hell of a lot more and are a hell of a lot more hospitable, no pun intended, than doctors. I was honestly hoping I would just talk with the nurse and she would do everything and then we would leave without even having to see the doctor.
The urologist finally came in and actually said hello this time. I still find that the first impression he made wears on me so I remain leery. Interesting, how something so small can stick with you. I got the same stupid questions yet again. He informed me that according to the ultrasound my kidneys are just fine and yes, I'm fully emptying my bladder, DUHCOULD'VETOLDYOUTHATAGESAGOTHANKYOUVERYMUCH. At least they got it out of the way. I was kind of hoping he'd mention the size or capacity of my bladder, as in, "Gee, you have quite the tiny bladder there, don't you!" but he didn't so I guess it looks normal, though I still believe it must be quite small, like a little change purse or something, I don't know. And now came the talk about prescribing me a medication for overactive bladder, UGH. He asked if I had insurance to help cover the cost and I said I only have Medicaid, so it'll have to be a generic..."oxybutynin," the thing says, whatever that is. I'll start on a small dose and try it for a month as that's how long it takes to find out if it's working or not. I guess I was fed up. I at last spoke up to say that I really didn't think the issue was with my bladder--I was going to add, "So this medication, this is just to rule that out for sure, right?" as I don't wish to appear some kind of know-it-all, but he cut in with, "What do you think the problem is?"
Well, at least somebody finally asked. Even if perhaps he was thinking, "Stupid wench, thinking she knows more than a doctor!" I mean, honestly, there is a big honking poster about overactive bladder on his door and I took the time to peruse it before he came in, I DO NOT HAVE THOSE SYMPTOMS. I told him about how I'll first produce an excessive quantity of watery urine in a short period of time, then it'll taper off and I'll produce too little, very dark urine, and it just alternates--"It's like whatever regulates how much and when I urinate is out of whack and can't just level itself out." Hypothalamus, I know, but I didn't want him to think, "Ah, Ilookedituponlineitis," so I didn't say that. I don't want to appear like I think I know more than a doctor, but at the same time, I know I'm not entirely ignorant. I can read a chart that says, "Overactive bladder is characterized by the SUDDEN, UNCONTROLLABLE URGE TO URINATE and by the INABILITY TO CONTROL BLADDER CONTRACTIONS, CAUSING INCONTINENCE" and say that those are not symptoms that pertain to me. You don't need to be a mental giant or anything.
"So how much do you feel is coming out, that it's excessive?" the urologist asked. God he must have been thinking I'm such a know-it-all.
"Well, I don't think I'm actually putting out an excessive amount per day," I clarified (though I sometimes wonder about this, seeing as I drink only about 2.5 cups of fluid a day yet more than that seems to come out!), "but for a certain period of time, like between two to six hours, there'll be an excessive amount coming out for that particular period of time. Like for example once, I had about seven cups come out in seven hours, which is about a cup an hour, and that just seemed like a lot to me." And hell yes, it IS. On a website about diabetes it mentioned excessive fluid intake/urination as being 12 cups/10.5 cups; I did the math, and 10.5 cups a day works out to about .4 cup every hour. That's less than half a cup. And I'm assuming, since this is toward the high end of the scale, it pertains to people who drink a lot, like up to 12 cups of fluid a day, which I have NEVER done--at the most, in summer, I drink up to seven cups in a day. Meaning my urinary output should of course be smaller than .4 cup every hour. Meaning that hell yes, a CUP within an hour is excessive! As already mentioned, even a mere 1/4 cup in my bladder is enough to wake me out of sleep, so you can imagine, putting out a cup in an hour is pretty stressful. And when this problem really acts up, I'm putting out a LOT more than a mere cup in an hour--as I mentioned to him, though I'm not sure he heard, "A third or half of a cup within ten minutes." It's just really hard to properly describe this issue as it's not something that tends to act up 24/7--it really fluctuates, and it's not so much the exact amount of urine coming out as how uncomfortable it makes me that's the issue. Maybe for everybody else, a cup an hour is perfectly tolerable; I felt very lame giving him this stat, since it doesn't sound that bad at all. But for me, it is. A few times recently I've put out a mere 1/3 cup an hour for several hours and THAT bothered me, even though it's nowhere near as bad as when this really acts up. All I can say is, before I had this issue, I was never so uncomfortable every hour. I could have easily gone an hour or even two or three before being too uncomfortable to hold it in. So I must have been putting out a lot less then, meaning, for me, something like 1/3 cup per hour is excessive.
Especially given how little I drink now!
Anyway. He actually seemed to listen to this. Wow. He started to suggest that I should keep a log of when it acts up and before the words were out of his mouth, both my mother and I said that I have. He started looking through his notes as if puzzled and searching for this log, which I had never given him, BECAUSE NOBODY HAS EVER ASKED FOR THE DAMN THING. This irked me the most as when I filled out the form he sent me, in which I described my problem, I also sent along a copy of the letter I typed up to my first doctor in which I clearly mentioned I've been keeping track of how much/how frequently I urinate and will provide a copy if requested. This log was Psychologist's idea, and I've been keeping it, in increasing detail, since the beginning of August. But nobody has asked for it. So I figured nobody was interested. Now he acts all surprised like it's the first he's ever heard of it--well, didn't you read the damn letter I sent you? Cripes. Anyway, to make a long story short, he said we would try me on the medication for a month, and I would be provided with a container to keep track of how many "CCs" of urine I'm putting out when this acts up--he said, "What you should keep track of is the exact amount, and the time of urination," during which my head was bobbing like crazy, I am so beyond used to this by now, I've even been keeping track of the color. I asked, then, should I return to drinking the amount of fluid I normally drink, since I've been abstaining from much fluid for the past month or so?--he said yes, he would like to know how this acts up when I'm drinking as I normally would. It just seemed like the scientific thing to ask. *shrug* In truth, to be most thorough, I should resume normal drinking for a month, without medication, and then start the medication while continuing normal drinking, for another month, to see how it acts up both on and off medication while I'm drinking normally. But I'm to see him in about another month, during which I'm supposed to be taking the medication, and this issue is so frigging upsetting that I doubt I could tolerate that. I have the rough log I've been keeping since August. That itself is record enough of how it acts up when I'm drinking normally and not on medication.
We went to the receptionist to make the appointment ("There's a couple of refills on there, in case we can't get you back in in another month," the urologist said on the way out), and I was about to be sent off with just this, but I again spoke up to say, "I was told I'd be given a cup to count how many CCs of fluid I'm putting out, do I get that here?" Cripes, they did the exact same thing at the first doctor's, told me they'd give me a cup and then almost didn't until I requested it at the desk. The receptionist started to poke around for a little cup but the nurse appeared and said, "I'll get her a urine hat, that's big enough, that way she won't end up filling up this tiny little cup," and then left to get a...urine hat, whatever the hell that is. O_o She returned with some sort of cardboard receptacle that I assume you place upon the toilet seat and/or sit upon, like a funnel, and a large plastic container measured in both CCs and ounces so I can keep accurate track, "Whichever one you find easier to use." Since I haven't any idea what a "CC" is or how much is in one, I've decided to go with ounces. Seeing as I already know there are 8oz. in a cup, and "cups" is how I've been measuring this all along. I eschewed the cardboard thingie since I did not see how anyone could sit on that thing and funnel urine into the plastic container without it soaking through and making a huge mess, so the nurse kept that and we left.
So, I believe I'm to go on this oxywhatever stuff ("It's not related to OxyContin, is it?" my mother had asked worriedly, I almost laughed aloud, how silly) for a month, and keep track of how much is coming out of me, while resuming regular drinking habits. I want to resume regular drinking habits since it's such a pain waiting until like four in the afternoon before having my first (and one of only two) cup of tea, but this means I'll probably be sleeping very little and feeling utterly miserable the upcoming month. -_- I doubt this medication will do squat since, as I said, although it's obviously small and sensitive, my bladder is not my problem. And my kidneys are not my problem. I think this stupid-ass hypothalamus is my frigging problem. But I guess I have to do it, to get this sorted out. Stupid process. It's been so wonderful, actually getting moderately normal sleep. *sigh*
I'm kind of glad to have this new container, though it's so big I can't sit down and use it, I have to...transfer the urine from the small cup to this big one. Sorry about all this. But it's more accurate now. I see I've in fact been overestimating how much I'm letting out; for example, what I estimated as around 1/7-1/6 cup seems to actually be about 1/8 cup, meaning 1oz. However, this just means that my bladder is more sensitive than I thought it was, that a mere 1-1.5oz. can pester me! I've been putting out about 1.5oz per hour most of today and it's very twingey, twingy, however you spell it. Cripes why is my bladder so very small?? I wonder if I should convert my previous records from my rough estimates into ounces based on this cup. Probably too much work, but I want to make my point that this bugs me. Oh, I just realized. This big honking container is...32oz.! The same amount I had to drink for the ultrasound. And it's like almost the size of one of those tall milk cartons! Okay, not quite, but it sure feels like it is. People really have bladders THAT big? Or even half that big? Jeez.
I never did get to ask if this medication causes weight gain. The experience I had with both Prozac and Lexapro has put me off of being so eager to try any kind of prescription med again, no matter how useful it might be. I would rather be depressed than put on another forty pounds. (Especially seeing as I don't believe my depression has a biological basis.) Too lazy to look it up, I'd probably find a lot of nasty side effects and get all discouraged again.
In a past appointment Psychologist had said that I seem "stronger" lately. The last time I saw her, I admitted I had no idea what she meant, as, even though I talk more during sessions, I've just felt so crushed by life lately, I feel weaker, not stronger. She hadn't meant my talkativeness, she said; "It's that you say, 'Well, I hate doing this, but I'll go through with it, if it helps me get this figured out.'" I don't know, I still don't feel any stronger, I think it's more frustration and resignation than anything. I've found that when I seem to be gaining resolve and actually DOING things, it's usually out of sheer frustration rather than any sort of strength. I don't deal well with frustration, so of course I'll end up going through this crap just to get it figured out. If I dealt better with frustration, then maybe I'd be strong. And not feel so crushed all the time. I can't believe the trees are just about bare already.
Anyway, I'm tired of typing this up and have to go to the bathroom, of course, happy fun pee-transferring time, so tar.
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