Posts Tagged With: Dr. Laura Kogelman

Day 1304: Crystal Clear

Yesterday, one of my doctors — Dr. Laura Kogelman of Tufts Medical Center — said to me

Your lungs are crystal clear.

Dr. Kogelman  made it crystal clear during my appointment with her that

  1. my pneumonia is gone,
  2. my heart failure has resolved,
  3. I am ready to go back to work today,
  4. I am no more likely to contract pneumonia in the future than anybody else,
  5. we are doing a good job preventing me from getting endocarditis (a dangerous inflammation of the heart which I’ve had three times before because of my leaky heart valve),
  6. she misses seeing my wonderful dentist, Dr. Luis Del Castillo (who used to be her dentist too),
  7. it’s okay for me to go to Edinburgh, Scotland in August with my son and my ex-in-laws,
  8. she thinks it’s going to be “great” when I get a new mechanical valve for my heart in September, and
  9. she liked the idea of my transforming my future open-heart-surgery scar with a tattoo.

I made it crystal clear to Dr. Kogelman that I did NOT like her idea of turning that scar into the medical symbol of a snake climbing a rod.  I told her, “I have plenty of medical symbols on my body already” and informed her that if I do decorate that  new scar after I get it in September, I’ll probably add some flowers and leaves.

What is crystal clear to you, here and now?

Are all of my photos from yesterday crystal clear?

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Is it crystal clear to you that I made that t-shirt and that I especially like to wear it to medical appointments?

Yesterday, somebody named Jeanyne, who works at Tatte Bakery in Boston  (not pictured), made three things crystal clear to me:

  1. she loved my t-shirt,
  2. she wanted to own a t-shirt like that, and
  3. her mother,  Diane, who recently retired, is just now starting a new business marketing cool new wearable items.

Is today’s featured music crystal clear to you ?

 

Crystal clear thanks to all those who helped me create today’s post and to you — of course! — for all your crystal clear reactions.

Categories: personal growth, photojournalism, staying healthy | Tags: , , , , , , , , , | 34 Comments

Day 545: Embracing the shadows

This past week, I’ve been dealing with some shadows.

Of course, we all deal with shadows, like these:

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If the sun — or another source of light — is shining, shadows are going to be part of the picture, somehow.

This past week, I’ve been dealing with lots of different shadows, including:

  • the shadows of envy,
  • the shadows of disappointment,
  • the shadows of annoyance/anger, and (most especially)
  • the shadows of fear.

These shadows have been within me and, I think, within others, too. However, I only know my own experience.

So, keeping the focus on what I DO know, I know it helps me to recognize and embrace the shadows that are there.

I could give you several examples of that, from this past week. For instance, as the week went on, I became more aware that I’m afraid to go to the dentist, this Wednesday.

I’m afraid to go to the dentist, this Wednesday, because

  • I am prone to a heart infection called endocarditis (and have gotten it several times before),
  • In order to prevent that, I have been receiving intravenous (also called “drip”) antibiotics, right before a dental appointment, for several years,
  • My team of doctors recommended that I switch, for this next cleaning, to oral antibiotics, because that would probably do as good a job and, in ways, would be better for me,
  • Nobody knows, for sure, why I get (or don’t get) endocarditis, and
  • While I trust my doctors very much, they are not psychics, and if somebody gets endocarditis … it’s going to be me.

Last week, as the dental appointment got closer, I found myself experiencing shadow-y reactions and feelings, in response to different people and situations. And I kept losing track of why that was.

When I was at work last week, I kept the door to my office closed, all the time. Since my usual style is to keep my door open when I’m not seeing patients, that felt weird. Unbalanced. Like I was hiding.

Each time I took a breath and looked more closely at my inner shadows, I was able recognize the biggest one: the fear of going to the dentist and, as a result, perhaps putting my life in danger.

That, my friends, felt very dark.

This all may sound overly dramatic. This may be an example of the very human cognitive distortion of catastrophizing.  But there were reasons I was having these thoughts (as there always are).

When shadows are all around, I know what helps. It helps me to

  1. shine a light on the problem and
  2. share it with other people.

So, on Friday, I wrote an email to my team of doctors, which included this:

Hi, fabulous team,

So, Dr. Kogelman and I, at our last meeting, decided to shift from 3 to 4 months between teeth cleanings and also from IV to oral antibiotics.

Now that the time is approaching for my teeth cleaning, at Dr. Del Castillo’s practice next week, I’m feeling a tad … anxious. Perhaps because of the two changes in the protocol. Perhaps because I still don’t completely understand why I’ve come down with endocarditis all the times I have before.

So this is just an anxiety-reduction email to my team, to get some reassurance.

As soon as I sent it, I immediately got an automated message that my chief cardiologist, Dr. Deeb Salem, was away from the hospital, and not returning for another week. Knowing Dr. Salem, I wasn’t surprised when I soon got this email, from him:

Ann
There is nothing wrong with being anxious–keeps all of us rightly alert
Deeb

I wrote back, to Dr. Salem:

It keeps you alert, even when you’re away from the hospital!

Are YOU anxious, at all, about this plan?

If the answer is no, no need to answer this email. I will see you soon (as a matter of fact, I’ll schedule something today).

Ann

 I didn’t hear back from Dr. Salem (which is a good sign). Also, I got too busy at work to follow through on my promise about scheduling a cardiology appointment with him.  We might call that procrastination, or avoidance, on my part. Or we might just say, “Hey!  Give me a friggin’ break!  I’ll make the appointment next week!”

Later, I got an email from Dr. Kogelman, who is my medical team’s endocarditis expert, which included this:

Ann If you would feel more comfortable only changing one thing at a time, I have no problem with continuing the pre-procedure IV antibiotics.  I was trying to switch to the PO just to make things a little easier for you.  I do think either the PO or the IV would work fine, but if you want to just switch the schedule for cleanings first, try that for say a year, and if all goes well, then switch to PO, that is totally reasonable. Just let me know so I can work with Kerri to set this up.

Kerri is my IV nurse, who has appeared before in this blog:

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When Dr. Kogelman and I agreed, a couple of months ago, about switching from IV antibiotics to oral ones, I said, “Here’s my one regret. I’m really going to miss Kerri.” Dr. Kogelman replied, “I’m sure you can figure out a way to still see her.”

When I got Dr. Kogelman’s email, I realized that the decision was up to me. I like being an adult, being treated like one, and making my own decisions, but …. there are shadows to all that, too.

What would you do, in this situation, if you were me? How would you assess the risks, balance the familiar with the new, embrace all the shadows,  and make a choice?

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Time’s up!  I’ll tell you what I decided, by showing you what I sent back to Dr. Kogelman this morning:

Hi Dr. Kogelman,

Thanks for this great email.

This is what I’ve decided:

(1) If you can book me for an IV at 12 noon this Wednesday, July 2, let’s do that.  (My dental appointment is at 1:15). That would be my preference, at this point.

(2) If that is not possible, please call in an Rx for Avelox to my pharmacy.

All the best,

Ann

Here’s what I’m noticing about that: I expressed a preference, accepted both possibilities, and left some room for luck, too.

Thanks to shadow-makers everywhere, Dr. Salem, Dr. Kogelman, Kerri (who I may or may not see on Wednesday), everybody on my team, and to you — of course! — for the shadows and light you bring today.

Categories: inspiration, personal growth, photojournalism, quiz | Tags: , , , , , , , , , | 38 Comments

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