25 July 2025
Story #1140
R. Linda:
I took Mam to meet with a pulmonary specialist this morning. She had gone for her annual physical back in April, feeling fit as a fiddle (her words) and getting a clean bill of health, she was told she was due for a pneumonia shot. Since the COVID shots, she's become suspicious that those shots have made her feel out of sorts for years since she got them. So, another shot was not exactly what she wanted to attempt, but she was prone to pneumonia, so she reluctantly agreed to it.
That night, she started coughing. The next day, the cough got worse, so she looked at the pneumonia medical guide for side effects, and well, coughing was one of them. Therefore, she let this go, and the cough got worse and was constant. She'd cough until she was coughing so hard she would choke. By the next month, after all of us telling her that her cough was not normal, she went to the doctor. Doctor, said she had post-nasal drip and probably acid reflux (probably? Like Mam wouldn't know that?) and to get Claritin and Pepsid, and that should help, but no (doctor said), it wasn't from the shot she had developed the cough.
Mam wasn't convinced it wasn't the shot. So she bought the drugs, and they did nothing. She went two more weeks as the cough got worse. Finally, I'd had enough and told her call doctor and make another appointment. She did. She got the nurse practitioner this time and a script for steroids. It took two scripts of steroids to knock the cough out. She had also gone for chest X-rays, and it seemed the bottom of her lungs were not holding oxygen as they should. So she was sent for pulmonary testing. That was done in the middle of her taking the second set of steroids. She wasn't surprised that the tests wouldn't be good because she was still coughing up a storm. The test results came back suggesting that she had either an asthma condition or COPD, or BOTH!
Imagine our surprise at the COPD because no one in our home smokes. Mam never did, and she isn't around smokers. The asthma was a surprise, too, because she's never had the condition. So she was sent to a pulmonary specialist. That appointment was a month after her coughing condition had cleared up. She's been fine ever since. She said the appointment was silly because everything had cleared up, and she was back to her old self.
So we got to the pulmonary place and took a seat. Everyone in there was at least 100 years old. Most could hardly walk without a cane, and their limbs were discoloured from poor circulation. And there was spry Mam, looking like she had just gotten off the plane from a holiday.
It seemed everyone was looking at her, wondering why she was there. Then a nurse called a man in to see the doctor, but he announced to the entire waiting room that he had to pee, so just a minute, he'd be right there. And off he went, as the nurse apologised to all of us for that announcement.
When he came out of restroom, it was hard not to applaud him, but we all sat on our hands snickering.
When it was our turn (I went in with her), the specialist came into the room, and right away, you could see it wasn't a doctor; it was an ego that walked in. He was so full of himself that it was uncomfortable. Bedside manner? He had none; he was cold and rough. Before he could say anything, Mam apologised for wasting his time. She said she had completely recovered and was back to her old self.
After getting his answers and examining her, he agreed with her assessment. He said testing should have been done AFTER she recovered, not during, because during would show exactly what they already knew was going on. She should have been tested after she finished medication and had a week to see if the condition would return. He was rather pissed at the person who ordered the testing. Then he was pissed that yes, we were wasting his time, said in so many words by this important personage. We already knew that, but one does keep appointments when a doctor orders a patient to be thoroughly checked out. This is to ensure the first doctor is not accused of malpractice, and also, if there be an underlying condition, they can be told what to do about it.
He listened to her lungs and found nothing. He did find she had a heart murmur, something she knew about. He asked her, "Who's your cardiologist?" She answered that she had none. Why? Did she need one of those? No, was the curt answer. That was that, BUT hey, she has sleep apnea. Does she snore? No, does she wake at night trying to catch her breath? No. "Well, you have a heart murmur and definitely have sleep apnea." OK THEN.
Get retested for the lungs again next year. Make another appointment with Doctor Ego. But if those test numbers come back with flying colours, cancel the Dr. Ego appointment so we aren't wasting his valuable time. That would be one less doctor Mam has to see. OK. In the meantime, talk to Mam's GP about getting tested for sleep apnea. Un-Un.
Walking to the car, I asked her, "You don't snore, so sleep apnea?"
"I doon't wake up in the middle of the night tryin' to catch me breath either." She said, shaking her head in disbelief at this NEW diagnosis. "I doon't sleep on me back or me stomach, so I doon't get it this sleep apnea business."
Me, either! We have the pulmonary test appointment set up for next year. We don't have the GP or the sleep apnea appointment. Mam will wait until her next appointment to discuss that with the GP. Meanwhile, she's feeling "fit as a fiddle" and sees no reason to stress herself with a condition for which she can't check the boxes.
I got the impression that as Dr. Ego got increasingly annoyed that he was seeing someone he shouldn't be, he'd find something, so his time wasn't wasted. And he did! I have come across Mam napping, and a few times when she slept in, I'd check on her. There was no snoring; it was just quiet breathing. I looked at the sleep apnea symptoms, and she doesn't check one box. Anyway, an appointment with the GP is not that far from now. We'll see what SHE says about this.
Gabe
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