On Friday, I had to go in to the doctor for my check-up after the worst sinus infection ever. The doctor I saw this time was the same as the one I’d seen originally for this infection. He had a med student, though, which always makes things a little more interesting. I’ve figured out over the years that med students freak out about things so easily.
My pulse was 137, which is actually quite high, but I’m used to most doctors just being a bit blasé about it. The med student definitely wasn’t being blasé about it. He wanted to know if it was normally high. I told him it was almost always above 100. I also told him that I usually knew when it was in the 150-160 range by the way I felt. He seemed a little relieved by my knowing what symptoms to watch out for when my heart decides it wants to thump like mad. He wasn’t relieved when he looked at my chart and saw that there had been
days weeks months years of my heartbeat being in the triple digits.
He wanted to know if I was a caffeine addict. I said that the only caffeine I get is from chocolate and I explained the reasons for that. He, then, wanted to know if I was into any illegal drugs, since meth and other stimulants could do this. I told him no. (I was tempted to point out that I would so much look older if I was a tweaker.) He asked if I’d ever had someone check into it. I told him that I’d seen a cardiologist at the request of my rheumatologist. We basically played twenty questions about the whole thing.
Apparently, he decided that this was something that he had to get the Resident (aka the doctor I saw last time) to check on. The Resident decided that they needed to order a Pulmonary Function Test because of it. They prefaced the need for the test on the idea that they needed to learn more about my asthma, which may very well be true, but it isn’t the whole story. Their explanation on my chart summary for the day, which all patients get when they leave now, said that they were doing it to rule out a pulmonary embolism as a rare result of sinus tachycardia. I’m not worried about the test, since I’ve had it done (many times) before. Lifelong asthmatics get used to this kind of test. I’m not worried about the results either. I doubt that I have a blood clot in my lungs.
The Med Student, The Resident, and The Attending (the doctor that the Resident reports to) also decided that I need to get a Tetanus, Diptheria, and Pertussis (aka a DTaP) vaccine and a Pneumococcal vaccine to prevent a potentially dangerous infection that triggers my asthma. They were more worried about that because during this sinus infection, I had more issues with my asthma. I guess they want me to be more careful or something. I still have to find out if my insurance will cover the vaccines because they could cost a buttload of money, which I don’t have.