Yesterday Kate had her annual physical. In advance of that, I had written a lengthy letter asking a number of questions and updating the doctor about Kate ’s condition. It turned out that my letter had not gotten to the doctor even though I had mailed it a week ago. I was able to chat briefly with her just before she went in to see the doctor. In addition to letting her know the questions for which I wanted answers, we talked about my being included with Kate and the doctor during every visit. We accomplished this by the doctor’s bringing me in the examination room and telling Kate that she thought it might be good to have another person who could her what was said. Kate agreed. Now I expect this to be a regular part of all future visits.
Before joining Kate, the doctor and I talked about the possibility of Kate‘s seeing a neurologist. She said that would be fine. She told me that not many of their patients see a neurologist. She thought that was because they have a much larger practice of dementia patients. Most people with dementia go to a regular family practice physician or internist, and they are not as familiar with the treatment of dementia. That made sense to me. I did explain that I thought it might be a good idea just to check in with one and not set up routine appointments with one. She asked how Kate felt about it when we were together. Kate looked to me and I gave my nod of approval. We didn’t leave with a referral, but if I don’t hear from the doctor by early next week, I will be in touch to arrange it.
We talked about Kate‘s PremPro and that her insurance company no longer includes it in their formulary. Dr. Reasoner had talked with them, and they agreed to continue it. We also talked about trying to wean Kate off of it. Dr. Reasoner said that would take 4-6 months. We are going to start that right away by her taking 1 pill every other day rather than every day. I’ll start that tomorrow.
We talked about Kate‘s being bored. Dr. Reasoner asked if she felt depressed, Kate said no, something that did not surprise me. She agreed that she is bored. We talked about things she could do to relieve the boredom. Dr. Reasoner encouraged walking, suggesting that would also be good for weight control. She weighed in at 174. That is 8 pounds heavier than six months ago. The doctor mentioned the Shepherd’s Center. I told her we knew people there and would check it out. I had already mentioned to one of them that I was thinking of doing that.
On the way home, I asked Kate if she would be interested in exploring a support group. She expressed an interest, and I am going to pursue this with the social worker. Kate said she thought now would be a good time to do this. She had not been interested in the past.
We also discussed Kate‘s customary visits to her OB/GYN. We decided to have Dr. Reasoner take care of all the things that he has done in the past. She gave Kate a pelvic exam. She also scheduled a mammogram and a bone density scan for March 28.
