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Thread: Help me on how to talk to my doctor Wednesday.....over anxiety!

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    Question Help me on how to talk to my doctor Wednesday.....over anxiety!

    Ok here is back story and then my question.

    I am a victim of domestic violence. Well should I say I am a SURVIVOR of domestic Violence. Because of that I have severe anxiety. I have society anxiety. I have a lot of panic attacks and I have agoraphobia. I also have severe insomnia which I have had that for over 20 years though as my brain won't shut off. I have been on all kinds of sleep meds from Ambien, lunesta, trasadone, Seroquel, Klonopin, etc.... I use to also be treated for my anxiety with Xanax (short acting) and sometimes I was giving Valium two hours before bed to calm down my brain and then I would take my sleep meds at bed time. Sometimes I was given higher dose of Xanax two hours before bed time to calm down brain activity then take sleep meds at bed time.

    In Oct I relocated to a new city several hours away from my docs to get away from my abuser. I was out in a safe house for a short time because my abuser was stalking me again and they felt I was not safe were I was living. So I lost my pain management doctor and other docs. This caused me to come off ALL meds. All pain meds, sleep meds, anxiety meds etc. Since moving I have had some Major health issues start.

    I started getting a major cough that will not go away. I do not smoke and never have. I also keep a sore throat now and stay hoarse. This all started around Thanksgiving and despite being on antibiotics, cough meds, Inhalers, allergy meds it just won't t get better. Then I started getting severe pain in both big toes . Omg I couldn't stand for the covers to even touch my right big toe at night. And my fingers started hurting really bad too. The. I couldn't bend down to put on my socks or pick anything up off the ground. As time went along I noticed other issues. The. I gained 35 pounds in a month. I eat healthy and I am a server and I am always getting in 15,000 steps a day so I was shocked. Finally I went to ER two weeks ago.

    I have degenerative disc disease really bad along with sciatica and Spinal stenosis and annualar tear in my back. The ER doc said it could be Rheumatoid arthritis or tired to my thyroid. He definitely knows something is up with my thyroid but says the joint issues in my toes and hands could be thyroid or something else. So he wanted me to see the endocrinologist. But too see on I have to have a GP first.

    Also the ER doc talked to me about my anxiety. They said all my anxiety, lack of sleep, and major panic attacks I have been having could also be having an affect on body. Which I did agree with him. He wanted me to talk to doc about my anxiety, my abuse, my agoraphobia etc...to get it all under control.

    So Wednesday morning at 8am I see the GP. I am scared. I don't know how to bring up my issues with anxiety, lack of sleep, all the issues my body is going through and explain it correctly and not seem like a seeker to them. I know.now most docs label anxiety patients as drug seeking when I am so after from it. Thus the reason I have not been seen. Because I have so much severe anxiety and PTSD I don't know ow how to communicate how bad it is effecting my life.... And the ER doc was so concerned that he wanted me to get it back under control.

    Can you guys give me some.words of wisdom on how to approach this new doc on how bad this is effecting me right now? I do t care how he treats my anxiety issues I just want to be treated is all.....

    Should I explain how I was treated in the past for my anxiety or no? Please help....I am getting panicked just thinking about the appointment........
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  3. #2
    Hi @feisty. I'm sorry you're going through all these health issues. I get it. Approach the doctor with pure honesty. Also, have your old doctors release your records, to your new doctor, and also get a hold of those ER records. If you don't feel comfortable with this doctor, or if he treats you badly, or pooh pooh's you, then try and find another one.

    Sore big toes could be too much uric acid/gout.

    I hope this doctor can at least become your GP, so he can steer in the right direction.

    I wish you well, and let us know, how you make out.

    Peace
    Helpful Mrs Parker, Jazie, snowy, Bawston, Binky Rated helpful
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  4. #3
    Quote Originally Posted by VEDA View Post
    Hi @feisty. I'm sorry you're going through all these health issues. I get it. Approach the doctor with pure honesty. Also, have your old doctors release your records, to your new doctor, and also get a hold of those ER records. If you don't feel comfortable with this doctor, or if he treats you badly, or pooh pooh's you, then try and find another one.

    Sore big toes could be too much uric acid/gout.

    I hope this doctor can at least become your GP, so he can steer in the right direction.

    I wish you well, and let us know, how you make out.

    Peace
    Thanks for the reply. I am definitely releasing my medical records but they won't get those for like 2 weeks thus why I wanted a "game plan"on how to approach him on my anxiety issues, my depression, PTSD, and thyroid referral which that part will be easy and then all the other issues with my body going on.

    The er doc ruled out gout and lactic acid already. He was leaning more towards rheumatoid arthritis because of how it is on both sides of money body in my joints but of course he didn't do any blood test to confirm that. But your thyroid can cause joint issues too and since I do have a thyroid issues going on right now we are going to start there seeing as how I don't have health insurance and I dont have money to burn docs and testing either. Sigh....... sometimes being me sucks....
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  5. #4
    @VEDA hit all the points I can think of so I don't have anything practical to add, only that I'm thinking good thoughts for you
    and I hope everything goes great and you get the care you need and deserve, @feisty! ::Hugs of support::


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    Helpful snowy Rated helpful
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  6. #5
    Thank you...I am.writing down what I want to say cause I know I will forget......
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    Quote Originally Posted by feisty View Post
    Thank you...I am.writing down what I want to say cause I know I will forget......
    I was going to suggest writing things down feisty but you beat me to it.
    You have a lot of symptoms of thyroid issues, tiredness, coughing/hoarseness and weight gain. My younger sister had thyroid issues and gained 20 lbs. in 3 weeks and she eats like a bird. She also had the hoarseness and fatigue was a real problem for her. She was always cold and her skin was dry. She finally went to her doctor when her face became puffy and it was all thyroid related.
    I hope you get what you need from the doctor. It would help to have a list of which meds you were on before that really helped you. Good luck when you go.
    Helpful Blackbird123, peppergirl Rated helpful
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  8. #7
    Ty @snowy I will let ya know how tomorrow goes for sure....crossing fingers
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    @feisty...you sure have a lot going on so I certainly hope your new doctor has both time and empathy and really listens to you. I agree with @VEDA - be honest and as complete as you can with all the different symptoms you're having. You never know when a particular symptom gives a doctor the correct direction to go in to narrow down the problem. There's so much that it could take time and a lot of testing.

    Writing down the problems is a great idea and maybe prioritizing what seems to be troubling you the most. A lot of doctors and hospitals now have patient records online that you can go directly in to look for yourself, print out, and share with other doctors. I'm not sure how many doctors are up on that but it's definitely helpful. A good feature in the system my doctor uses is a summary list of all conditions. That's a great one to print out for further discussion with other doctors to get into details.

    Let us know how you make out with this new doctor, hope you get a good one!
    Helpful Mrs Parker Rated helpful
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  10. #9
    @VEDA @Mrs Parker @snowy @Bawston

    I had a a great doc visit with one mini meltdown. He said I have gout in both feet and put me.on anti-inflammatory meds righawat. Still not working. He put .me on Lexapro for.anxiety. and Ambien for sleep...he drew to s of blood so we shall see I guess..

    Any wtods of wisdom on this gout?? I made.a server so I have to eat one feet!! Si
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    @feisty...well, it seems like you are happy with this doctor which is great. If it is gout the anti-inflammatory meds are what they usually prescribe but unfortunately (since you're a server) getting those feet elevated is most helpful so after work I'd try icing them down and getting them up. Maybe a couple pillows at night under your feet while you sleep?

    Do you live alone? Reason I ask is that if Ambien is a new med for you might want to be careful because some people react to that one with sleep walking, sleep driving, getting up and doing things they don't remember. I was on it for a while and did not have those reactions but it did make me very groggy into the next day.

    Also, gout can be aggravated by diet so maybe look up various diets/foods that are bad for it (and good).

    Keep on asking the new doctor questions though - make sure you're comfortable with the new situation. Sounds good though!
    Helpful Mrs Parker, trish5959 Rated helpful
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    @feisty

    I'm glad your appointment with the GP doctor went well. If the medications he or she prescribed to you are working that is great. If you feel you may need other medications and or more coping advice to control your anxiety. I would recommend seeing a psychiatrist who specializes in helping people who are victims of domestic violence or have severe anxiety issues. You may find a psychiatrist is better at talking you through your problems. They are also generally more likely to script you small amounts of benzos or other meds to help you during the first few weeks/months if needed. Sometimes it is harder to have your insurance cover all or a portion of your visit to a psychiatrist who is considered a specialist. I know some top rated psychiatrist take cash only. You then need to submit your bill to your ins. company for a 20%-80% partial reimbursement.

    If the GP is helping and the Lexapro and Ambien are working you may not need to see a psychiatrist. Although Xanax, Klonopin and Valium work well treating anxiety in the short term. You don't want to take them in higher doses over a longer period of time. They are difficult to stop after using them more than a couple weeks.

    Good luck on your recovery. It sounds like you are starting to feel better and getting some sleep.
    Last edited by Gladheart; 2 Weeks Ago at 11:31 AM.
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    @feisty, Im sure you already know this but I do know red meat can cause gout to flare up worse. Im sorry I just now seen this post. I hope and pray everything goes good for you.

  14. #13
    Thanks all. I love red meat so this will be an adjustment. I have been on ambien Off and on for years so I am is to it. The gout is sooooo painful and right now the medicine he had me on is not doing anything so I have called to let him know. I am only 43. So I have gout, severe anxiety, severe degenerative disc disease, and and I feel like I am 150 years old......ugh. It sucks..... I did order me some Val's to have on hand just to have if needed. Sucks we have to self medicate sometimes. He is trying to get me Into pysch doc but they arent accepting patients right now .....sooooo here I am. I come home from work and just cry at night from the pain in my feet.
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    Quote Originally Posted by feisty View Post
    Thanks all. I love red meat so this will be an adjustment. I have been on ambien Off and on for years so I am is to it. The gout is sooooo painful and right now the medicine he had me on is not doing anything so I have called to let him know. I am only 43. So I have gout, severe anxiety, severe degenerative disc disease, and and I feel like I am 150 years old......ugh. It sucks..... I did order me some Val's to have on hand just to have if needed. Sucks we have to self medicate sometimes. He is trying to get me Into pysch doc but they arent accepting patients right now .....sooooo here I am. I come home from work and just cry at night from the pain in my feet.
    So sorry to hear all this. I've always heard how painful gout is. Your doc wouldn't give you any "real" pain meds (opiates?) I hope you get some decent relief soon!!!
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    I am going to see a podiatrist who specializes in gout because my GP had no clue!!!! @jaders
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    @feisty...I had gout quite a while ago and yes, that is so painful! I don't know how you stand on your feet all day but can understand you coming home and crashing. I'd be interested in what a podiatrist has to say nowadays about how to treat it so please update us.

    Is it that your insurance plan restricts who you can see for psych? I thought they all had to cover that just as they would any other medical condition.

  18. #17
    @Bawston I don't have insurance and the psychiatrist on his group is accepting patients. So I am trying to find one that is. So can you get rid of gout????? Since you said you had it years ago. Omg I come home and cry it hurts so bad. Today They called me in a new flare up med untim I see podiatrist. So we will see. What did you do for yours????
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    Quote Originally Posted by feisty View Post
    @Bawston I don't have insurance and the psychiatrist on his group is accepting patients. So I am trying to find one that is. So can you get rid of gout????? Since you said you had it years ago. Omg I come home and cry it hurts so bad. Today They called me in a new flare up med untim I see podiatrist. So we will see. What did you do for yours????
    @feisty...I didn't do anything in particular to get rid of it other than trying to stay away from certain foods and although I don't know if it's linked, I pretty much stopped drinking Coke. When I had it, I had a lot of other medical issues, many to do with inflammation and one where I was on steroids. Now I know some doctors refuse to prescribe steroids for anything and I think they are helpful for gout but it seemed around that time that it went away.

    Every now and then I might get a mild flare up and I'm wondering if it's linked to when I get a flare up of the colitis (that's inflammatory too). which I take Budesonide for (steroid but doesn't affect me as badly as prednisone). Maybe ask about steroids if OTC anti inflammatory meds don't do it. For me I've found that with the inflammatory issues I have knocking it back with steroids takes care of things more long term than say ibuprophen.
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  20. Sorry for your troubles, I have suffered from anxiety for many years but not for the same reason. I believe you able to transfer those kinds of restricted drugs (Ambien, Xanax , ect) at least one time. Just let new doctor know whats going on, if he wants to try another plan that doesn't work for you, insist on checking what you used to get prescribed and what worked well for you. There are also other ways to get these types of anxiety medications with some unique knowledge, but I am confident that they can either transfer old Rx's (unless they are too old) or can see what you used to get, and accommodate.

    Good luck to you.
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  21. Help me on how to talk to my doctor  Wednesday.....over anxiety!

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