The Endocrinologist

Monday, July 02, 2012

I had an appt with the endocrinologist today, and I was a little surprised about all that she talked about. I've been seeing endocrinologists for about 18 years now for a pituitary tumor, and just recently had to change dr's. This was the second time I have seen this one, and the first time I wasn't very impressed with her.

The first thing we talked about was my prolactin levels and how they are at a normal level now with the help of medication. That was about all that the other dr's ever checked, and sent me on my way with a "we'll see you in a year and re-check the levels then." I knew when I went last week for lab work that she had a lot of tests down on the script. Next on her list was my cortisol levels. Mine are low which really surprised her, so rather than jump right into it she is going to re-check those levels again to make sure it wasn't a fluke at the lab. She didn't want to discuss it with me until she was sure that it was a problem?!? I'll be doing a little research on-line later to see what is involved with low cortisol;)

Then, the subject of my kidney stones came up. She asked multiple questions on what tests my urologist ran and what his suggestions were. Well, she was shocked at what little was done, and is ordering more tests to see why they are forming. How sad is it that you learn more from the endocrinologist than the urologist when it comes to kidney stones?!? She is checking to see if something in my body is causing them, or if it's in my diet. The urologist just blamed it on my diet and left it at that.

Then came the wonderful subject of being over weight. She just loves to help people lose weight, and obviously I'm her next victim:) She talked about all of the great new weight loss medications that have been approved by the FDA and how each one works. I have never cared for taking any kind of medication, even tylenol, and avoid them at all costs. She really wants me to try one of them, but I am really leary about it. Yes, I know that being OBESE (there I said it) is a very serious health problem. Yes, I know that I need to lose the weight and keep it off. Yes, I am trying to lose it by watching what I eat and exercising. Yes, I want to feel better and look better and I want to grow old to see my children and grandchildren grow up. Why does it all have to be so hard and frustrating!! Sooo, whether I like it or not it's time to get serious about getting out of the obese category.

Even though I don't want to, I will be starting Phentermine and monitoring my blood pressure (mine was high today for the first time ever). I will be sticking to what I have been doing on sparkpeople and adding more exercise in too. She would like to see me lose a minimum of 12 lbs by the time I go back in 3 months. To me, that sounds low if I'm having the help of a weight loss pill, but we'll see. So, off I go to crush the OBESE category and get healthy:) I hope this works!!

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Member Comments About This Blog Post
    My support and encouragement added to the others here...Since this Dr. seems to be trying more than the others to help you I think your trying to go along with the plan is good but I'll insert one caution and that is to remain your own number one priority and protector so as you try this med...be aware of how it affects you and if you have ANY concerns don't ignore them, contact the Dr. with your concerns. As others have said everyone is different and you don't want to ignore your own special needs. Also, as Sharon said, you have made progress on your own so no matter how you proceed at this point, we know you can and will have success.
    3310 days ago
    Thanks for sharing your personal story. It's great that this Dr. is giving you the time and attention you deserve. Take care, and keep on Sparking!
    3310 days ago
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    Sounds like you found a doctor who really cares about the health of her patients! You are so lucky! I'd love to know how things go for you. (I returned to school for nursing.)

    I have been hypothyroid since I was 18. Even with medication, I still showed signs and symptoms of hypothyroidism. It wasn't until 6 years later when I found out that I have a special type of autoimmune hypothyroidism... which, low and behold, was discovered by my psychiatrist!

    Also, prescription medications aren't for everyone (just like all diet plans don't work for everyone), and everyone has an opinion on them. Personally, I feel that if your doctor suggests it, she/he has a very good reason and will be monitoring you closely to ensure no bad effects. On the other hand, a doctor should also work with you on your preferences over your own health.

    Phentermine is one that is intended to be a short-term boost to get you going. However, of my own experience, it made me jittery. I did stick with it for the three months that my doctor prescribed it, and it did great at controlling my appetite. By the end of the three months when he weaned me off, I was able to control my appetite on my own. I kept that weight off (all 82 pounds) for several years. (Why I gained it back is a whole different story, and is related to a negative relationship.)

    Your doctor is also looking out for your health. Losing 1-2 pounds each week is healthy. Any more than that can shock your body and result in health problems. (Not always, but the likelihood is quite high.) Losing 12 pounds in 3 months is a reasonable goal to keep you healthy while losing. If you lose more, that's great... just stay healthy in doing so.

    3312 days ago
    Wow Joy, I always love your blogs, but....I read this with much interest, since we do have some of the same problems. I'm so glad this doctor is looking more into the kidney stones and cause thereof. I thought the Urologist you saw basically blew you off, and I'm thrilled for you that this Endocrinologist is picking up the ball!

    That being said....did you tell her that you have just lost over 16 pounds in the last two months WITHOUT medication? I wish she'd have given you a chance to lose the 12 pounds she's requesting before your next appointment before insisting that you start the meds now -- and especially given your convictions to stay off unnecessary meds.

    OK....I'll get off my soapbox. I'm sure she had her reasons, and that she has your best interests at heart. I'm excited to see the results!
    3312 days ago
    Good for you on seeing an Endocrinologist. I've been seriously considering doing that myself when I get back from vacation. I know my thyroid needs to be increased (I have all the symptoms of hypothyroidism) even though I'm on a very low dose now. I hope this Endocrinologist helps you more than the 1st one did. Keep me informed.

    Judy emoticon
    3312 days ago
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