Thursday, December 10, 2009

developing stories

Got to the rheumatologist yesterday. It was a long visit -- a history, exam and a chat. She gave me a TB test in case I end up on drugs for inflammatory arthritis and explained the difference and the relationship between inflammatory and mechanical (osteo) arthritis. She thinks it's likely to be inflammatory, given the symptoms, the rapid development of arthritis, and family history. The visit turned into an odyssey, as she sent me for x-rays (pelvis, hip, sacro-iliac and hands) and then for blood work (15 different tests requiring 9 tubes of blood.) I won't know anything for a couple of weeks, but of course I'm bothered both by the possibility that I have one of these inflammatory forms and more so by the fact that none of the orthos even mentioned this as a possibility. Even if it turns out not to be (fingers crossed) it's the kind of thing that should be evaluated and ruled out (or in.) It was really because of Jeff's partner's email (the doc I've been emailing with) and my experience with RA via our client relationship that this came up at all. Disturbing. And another example of our fragmented, fractured healthcare system, where there's no systemic coordination and everyone evaluates and treats within their own silo.

Otherwise all fine. Busy week leading up to next week's full-travel schedule. Tonight we're seeing a new play called "Or,", and tomorrow night we're taking Liv and Jon to see "The Heart is a Lonely Hunter." Dinner Saturday with Wendy and Perry. Should be a fun and full weekend.

Liv is excited about her possible path to celebrity via the talent agent, and now we've got to take and collect photos of her that show her more fresh-faced and less made up than in her comp card. Matt's travel plans over the break are shaping up; he sent me confirmations yesterday of his inter-European flights and hostel reservations. He's going to have a blast, no doubt.

So just digging in for the rest of this week and next, which are incredibly intense. But it all ends the week after when the long holiday break starts, which will be great and welcome.

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