Thursday, May 13th, 2010 12:11 pm

Christine is keeping me from racing to that place where everything needs to change all at once, as i respond to my doctor's advice about my suspicion i have "silent reflux." It's different than GERD but my doctor lumped in having heartburn with the reflux in her response. But i don't have heartburn. That's the whole point.

Anyhow, so we're going to self medicate for a while and see if the tightness in my chest that i thought was asthma is actually some esophageal laryngeal thing. There's a pit bull in my mind though, that has got a good grab on the idea of diagnosis, and is frustrated with the dribs and drabs solution space. If i respond to a otc proton inhibitor , i probably have "silent reflux." If i *DON'T* respond, though, it's not a signal of anything, and we continue fiddling with the lifestyle and pharma solutions.

I hate that.

I'd ignore this but it's a cause of sinus discharge and allergies ("allergies"?) and asthma and coughing (and since the asthma i've been diagnosed with is all coughing, there you go).

I'm still bloody tired from last summer-fall's fun with lifestyle changes and i'm just sick and tired of fiddling with my health.

Meanwhile, i suspected my doctor wouldn't manage to respond to two different questions in one email, but i ended the email with the statement, "As a second note -- much of my skin issues cleared up while i was taking the massive doses of vitamin D. They've since come back. I've been taking 4000 IU. Should i raise that dose?" She completely ignored it. I've resent the question as a single message.

I've been thinking about the need to simplify communications because folks seem to poorly cope with complicated or multidimensional or simply even multiple issues in email, but i was in a "how hard can it be" impatient space.

I have this suspicion that many bright folks are in "skim mode" most of time, listening and looking for key terms that they can latch onto and respond to without engaging with the complete communication stream.

Today, i have no patience for that (even if i probably fall into the same trap all the bloody time).
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