Today I went and saw the stomach doctor…well, before I continue I should preface this with how picky I am about my doctors. I’m so picky about my doctors that I don’t technically have an endocrinologist because I don’t like the ones I can choose from at the hospital where my CDE is and I won’t change networks because I like my CDE. I’m so picky about doctors that if I see one once for something and don’t like them, not only will I not ever see them again, but I won’t go see anyone else for whatever the issue is either. I’m a bit stubborn like that. I’m so picky about my doctors that all my doctors (with the exception of my CDE which is magically in network this year) are out of network and I pay big money to see them (stupid insurance). Now back to the stomach doctor.
I saw the stomach doctor. He had all information necessary because I had thoroughly filled out the patient medical history form. He even read it before coming to see me. Points for him. But! Even though he knew the information he still asked me questions and took notes. More points for him. He asked me about the diabetes. He seemed knowledgeable. Do you see the points adding up here. And then the thing that sealed the deal in my like of him, he said “let’s see that evil stomach of yours” and it made me grin a big grin. This doctor, he knows how to put a smile on my face in light of the bad things going on. He explained everything on a level that even if I didn’t already know it all (yes, I knew it all, I’m well informed like that) I would’ve understood it. POINTS, he scores more points.
He told me how the stomach works, which, this part I didn’t know. Apparently when you put food in it, the door between the stomach and the small intestine close while the stomach works (it is a muscle) on churning the food into nothingness, and then the door opens and it all drains into the small intestine. So, he told me that and then said that food requires that the stomach actually work. Then we talked about liquids and how they don’t require that the stomach work they just require that gravity works and last time I checked, my feet are still on the ground so gravity is working fine.
He talked with me about what we were going to do…oh, I should back up…to where he told me what he thinks I have. His theory is diabetic gastroparesis (I already knew that) and he said that it was his job to confirm it (thanks stomach doctor, I’d appreciate a confirmation because I’m tired of it already and I’m really hoping you find an ulcer instead, which he said we could possibly find an ulcer and if it were at the door between my stomach and small intestine that it could be causing these problems. pray and cross your fingers. I will do the happy dance and post a video of it if I have an ulcer.)
So, confirmation, there are three things I get to do in order to get confirmation. Well, four if you count the blood tests.
We did a blood test to check for celiac, my thyroid, and for autoimmune markers. Celiac I was tested for in 2008 and didn’t have it, but he just wanted to verify. He wanted to be assured that my thyroid is working. And he’s checking for autoimmune markers to verify that we’re not missing something that could cause all kinds of trouble (I like him for that, he gets more points.)
He’s going to have my stomach section-ish area (i wasn’t fully paying attention because this was the least enthusiastic thing on the road to confirmation) ultrasound’d to see if we see anything like maybe a broken gallbladder.
He’s going to scope my stomach (from the mouth down) to make sure that there’s no blockage in my stomach and to biopsy it. (Remember, in the event that he sees an ulcer, I’m doing the happy dance because an ulcer has a cure.) I was originally excited to get scoped because I wanted to be awake for it while he looked at my stomach because I wanted to see my stomach but he said I have to be sedated so I’m not as excited about getting scoped.
BUT! I’m really excited for this.
I get to eat a radioactive sammich, or something radioactive and get x-rayed so that we can see how fast, or slow in my case, my stomach empties. I’m excited about this because I get to eat something radioactive, and that just sounds cool, like maybe it will make me glow or something. That would be awesome, especially if super powers came from me glowing, that’d be a bonus (ok, i know that’s not going to happen, but I have to look at the bright side of this, and glowing is as bright as it gets).
OH! The thing that really won me over with him is that he didn’t jump the gun, he made a point of not jumping the gun. Instead of discussing gastroparesis with me in depth he said “we’re going to confirm you have it and then we can talk about how to manage it”.
Overall, I think he summed up what’s going on with me well (once we get confirmation of course) when he said “what we have here is a diabetic who’s blood sugars are out of control and has gastroparesis”.
I love my stomach doctor. He’s awesome. If you’re in Albuquerque, NM and you need a gastroenterologist, feel free to contact me or leave a comment and I’ll let you know who this fantastic stomach doctor is.