Birth Control

This afternoon before I went to my pulmonary function test, I had a notification pop-up on Facebook saying that Tom Steele had responded to the Metro story about the screenshot. I was a little alarmed, but not completely surprised. That seemed to be his style: to pop back into my notifications weeks after we interacted. So I responded, because I’m me and I couldn’t stand that he was still spewing crap about what happened. Then I went to my appointment. When I came back, I saw a notification that the story had appeared on George Takei’s Facebook page,  which made me feel a little less creeped out by Tom. (There’s a first time for everything.) Since I noticed that the article that was linked didn’t mention the Metro story, I backtracked to the Huffington Post Australia story, which did. Like before, I feel a little guilty that Tom is getting flack, but glad that the issue itself is being talked about. I do worry that he’s going to attempt to try to defame me like he had when the first rush of people started sending him a few tweets. (I’m pretty sure that if we stacked up how many tweets & notifications he’s gotten on the issue, he’s gotten significantly fewer than I have.) Of course, I did have polls, so that caused a few notifications. Anyway, I doubt this has truly up-ended his life, or he would just ignore it. Whatever. Speaking of the polls…. #period #periods #livetweetyourperiod #feminism #reprohealth (please RT) During your period do/did you typically go through: — Janet Morris (@janersm) November 30, 2016 By popular demand: “Weapon of choice” when you’re on your #period? — Janet Morris (@janersm) December 1, 2016 Have you ever had to take birth control for your #period? — Janet Morris (@janersm) December 1, 2016 Have you ever had or considered having surgery because of issues related to your #period? — Janet Morris (@janersm) December 1, 2016 Obviously none of the polls are scientific, but it’s pretty obvious that most people who menstruate use more than 11 pads in a cycle. Since more than 11 pads/tampons got 86% of the vote, I feel a bit less freakish than I did when I didn’t think I’d get more than 20 votes in the poll,1  wrote about my wonky periods, and when I first responded to his Medium post. I mean, I know that my period is super-bad, but I wasn’t totally sure how it compared to normal. While you’re here, please consider donating pads and tampons to A Woman’s Worth Inc.’s Prison Project, which sends feminine hygiene products to inmates. Also, please take some time to research the issue of people not having adequate access to these products while in jail or prison, or when they are impoverished and/or homeless. This is a major problem in the United States, and I’ve noticed, from some of the responses, that it’s also a bit of a problem in other countries. That’s something that we as a society need to work on. Got 17,338. ↩

Out of Nowhere, Oh My.

Well, I’m anemic, but I’m not. It isn’t my iron that’s low.1 It’s my B12. It’s around 300 pg/mL right now, which is low for most of the world,2 but it’s not low according to American standards.34 Fortunately, the hematologist’s office realizes that those standards are messed up and that a person who takes monthly injections of B12 shouldn’t have a level that low. They also realize that the gastric bypass surgery and my family’s predisposition to the B12 deficiency makes me more likely to have issues absorbing it and maintaining high enough levels. So now I get to re-load on B12. That means 1 shot a day for 7 days, then 1 shot a week for 7 weeks, then 1 shot a month like I’ve been doing for years. Fun, right?5 The nurse practitioner also wants me to be checked out by a pulmonologist6 and, possibly, a cardiologist.7 She definitely wants me to undergo a pulmonary function test. She said that it could be that when I fell  at the pool several weeks ago, the water that I breathed in may have caused some issue in my lungs that I’m just not over yet.8 The other possible thing was the day that my dad put Clorox in the toilet. I didn’t think and I peed in a toilet bowl full of Clorox which led to a rather enjoyable release of chloramine gas.9 I coughed for days afterward and felt like something had scorched my lungs and throat.10 Well, technically, there are other possible reasons for my breathing to be so rough. I do have a history of severe asthma and severe allergies. Vitamin B12 deficiency itself can cause shortness of breath, but it’s a rare occurrence when it happens. Of course, rarities are my specialty.11 I need to go shoot up12 with some cyanocobalamin.13 The magic of birth control pills. ↩The low end of normal elsewhere is around 500 pg/mL. That’s where symptoms like fatigue, pale skin, dementia, etc. start occurring. ↩The low end of the American range is 200 pg/mL. ↩Bad standards. Very bad. ↩If you say yes, then there’s something wrong with you. ↩Lung doctor. ↩I guess because I have ongoing issues with tachycardia. Shortness of breath is linked with tachycardia. ↩Face-planting in the water is dangerous, yo! ↩Yeah, science, bitch! ↩A sane person might have gotten checked by a doctor after that experience, but I’ve never been a sane person. ↩As are face-plants, social awkwardness, and gourmet cooking; a lady must have an entire repertoire of mad skillz. ↩My thigh muscle. ↩Don’t call the cops. It’s totally legal. ↩

I’m Not Crazy, I’m Just a Little Unwell

Well, I scheduled the appointment with a family doctor. Not mine. Mine isn’t on the schedule for the rest of February and they don’t have her schedule available for March either.1 I don’t know the doctor that I will be seeing. I’m not anticipating anything good coming from the appointment, but I knew I had to make it anyway. New doctors and me don’t really mesh well. Actually, doctors in general don’t mesh well with me.2 My doctor has had some cringe-worthy moments, but she does listen to me. She understands that I am trying to take care of myself and I’m not trying to do something that my body cannot handle.3 And she’s encouraged me to exercise in the past.4 I’m hoping that she can talk to the doctor who will be seeing me or leave a note in my chart explaining that I’m not a complete masochist who wants to die from falling off a stair-stepping machine. I sent her an email explaining that I needed her help. I need a medical clearance for the Wellness Center to continue my physical therapy exercises on my own. A form was sent one to you, but I was called this morning & told someone else denied clearance because of the Ehlers-Danlos. Specifically, they mentioned skin involvement, which is mild for me. I know what exercises I can and can’t do without hurting my joints. The only things I was thinking of adding in were Pilates and pool exercise, which are both considered safe for people with Ehlers-Danlos because they’re low resistence, high repetition. I’ve never met the doctor that I’m supposed to see, which is hard for me because I tend to be intimidated by new doctors & feel like new doctors don’t always listen to me. I’m scared if Dr. ******** refuses that the strength I’ve built up since last summer and especially since the surgery will disappear. I’m worried that without continuing to do the exercises I will end up having more surgeries. Can you help? Hopefully, she’ll be able to do something. I also sent her one letting her know that I did try to get an appointment for the mini-pill prescription. I tried to schedule an appointment for the Norethindrone prescription, since it is a high-risk medicine for me, but the prescription was called in without an appointment. I thought you might want to know that I haven’t had any signs of clots while I’ve been on it. I also haven’t had any excessive bleeding while on it. Dr. ******, my hematologist, said that being on birth control is going to give me another year without infusions, but that I will probably need one this coming December or next year sometime based on my ferritin levels. I want her to know that I am trying to do things that I’m supposed to do to prevent future health problems. I’ve been by past doctors accused of not trying to take care of myself. I refuse to be blamed for these things. I refuse to let doctors, nurses, and random office workers5 who don’t know me and who don’t care about my overall well-being sabotage the progress that I’ve made and risk my life in the process. UAB Huntsville is prone to this sort of “well they aren’t on the schedule” and “oh, we don’t have a schedule for next week or next month available yet” thing. They do it to every patient, no matter what is wrong with them. No matter how dire the situation. And I’m not saying my situation is dire, but they’ve done it with my mom when she’s tried to schedule appointments for diabetes and blood pressure. ↩When you have a soft voice and you cry easily, doctors walk all over you. When you have a soft voice, cry easily, and chronic illnesses, they walk all over you while wearing heels that have Lego blocks on the bottom of them, bumpy side down. ↩Or she has acted like she understand this. ↩If she doesn’t support my use of the Wellness Center, then she’s being hypocritical. ↩The person who decided that I didn’t need the appointment for the norethindrone prescription was a receptionist with no medical training. ↩

Blood, Sweat, and Tears

As I’ve mentioned quite a few times, I have hypermobile joints. This is due to faulty production of or structure flaws in collagen. It’s something I inherited. It’s something that can’t be cured. It’s something that impacts my daily life. It’s also something that isn’t always well understood by medical professionals. Case in point, the family practice clinic of UAB understands little about the condition in general. As it relates to me, they understand next to nothing.  The Wellness Center sent a medical release to UAB for my doctor to fill out. I’ve been working with my doctor to figure out how the condition impacts my health & daily life. Was it my doctor who filled out the medical release? No. And did I get the medical release? No.  I did get a call from the clinic telling me that the release was denied because I have a “skin condition” that causes my skin to “tear so easily”—an aspect of the disease that isn’t that bad for me.1 It’s an aspect that isn’t really in my chart at their practice, so I figured that they googled it and went with what Google says it is known for; ignoring that the most common form mainly involves joint hypermobility. I told the person who called that I was joining to continue to practice my physical therapy exercises. I’m essentially going to treat the disease and to attempt to prevent future surgeries.  I know the types of exercise that are safe for people with Ehlers-Danlos: low resistance, high repetition. Recumbent stationary bicycles, regular stationary bicycles, pool exercises, Pilates.  More importantly, I know my own limits. I have to. My safety, my life depends on my ability to recognize what my body can go through safely.  But a doctor who I have never met, who has no familiarity with my condition or my history has decided that I can’t do something that I need to do. Oh, but I can get a new release form from the Wellness Center & I can schedule an appointment with my doctor to get the release approved. Of course I have to call back at a later time to do that because they couldn’t transfer me to scheduling. In the meantime, I get to pay for something I can’t even use.  Fun.  Oddly, yesterday I was happy that someone unfamiliar with my chart was making calls on my care.  Yesterday, I tried to schedule an appointment for another 3 month prescription for my birth control pills. Because of my increased risk of clots, they require high risk medication appointments for the prescription. They decided to call it in instead of see me.  I thought the idea of appointments every three months was silly to start with, so I assumed that they’d changed their minds on it. Now, I’m guessing that someone didn’t review my chart properly.  I guess a high risk of blood clots is safe to ignore, but if I might tear my skin or, more likely, tendons & ligaments, then must be stopped. Something that could literally kill me is safe, but something that could happen if I just walk across the room is too risky. Welcome to Bizarro World.  My skin does tear more easily than it does for people without the condition, but my level of skin involvement is mild compared to many who have Ehlers-Danlos. ↩

Do You Even Medicine Bro?

Remember a few months ago when I was trying to see my gynecologist for an annual exam & a prescription different form of birth control? There were tears and angsty fits and arguments with the Defund Planned Parenthood trolls12 and Humana and UAB. All of this before I decided to have the annual/prescription done by the family doctor. Good times.3 Well, I may get to look for another doctor soon.  For several months, my family has received statements from Humana that our routine appointments to the family practice clinic at UAB have been billed incorrectly. Specifically, they were billed as emergencies.4 We have tried getting them resubmitted, but the billing department’s “solution” was that they would contact a nurse in family medicine and have them submit a referral to the doctor. A referral from the family medicine clinic to a doctor within the clinic.5 The real solution could be a lot easier: fix the billing errors & find out who is making them and either teach them how not to make that mistake or fire them. But they’re sticking to the referral solution, which seems like a lot of unnecessary paperwork.  It’s especially unnecessary since it didn’t stop them from submitting my father’s bill to a collection agency. That was after they spent the year telling him not to pay it. Yeah, after that, my family was like, “We need new doctors.”  That’s easier said than done for me. Medicaid keeps my options limited. There aren’t many clinics or family doctors in Huntsville who will take it—even fewer if you combine it & the Humana. So I’m a bit concerned about shopping for a new doctor. I don’t think my family realizes just how hard it is to find a doctor who takes both.  Anyway, I need to get some rest so that I won’t be too exhausted at physical therapy tomorrow.6 #DefundPP can suck it. ↩Congrats to them on the “Center for Medical Progress” trolls being indicted in Texas over those shitty videos. It’s rather amusing to me that they’re the ones accused of attempting to purchase human organs—and that’s just what they tried to do in their little scheme. It’s also amusing to see conservatives bend over backwards to prove there was a liberal conspiracy in Texas by a District Attorney appointed by Rick Perry. There are pills for this kind of thinking. But I digress. ↩ ↩My UTI appointment. My mom’s blood pressure & post-hospitalization checkups. My dad’s physical. Routine stuff. ↩Actually, to different doctors in the clinic since we each have different doctors in charge of our care. ↩Two sessions to go. ↩

Oh the Doctors You’ll See

My hope was short-lived. I reviewed your chart with Dr. Light and the front desk. We confirmed that your insurance would not cover the visit, however, we are willing to call in the depo (prior research showed that Huntsville Hospital pharmacy carries it the cheapest in town) but that you would likely have to pay for the depo out of pocket as well. You could bring the depo prescription in to us when your period starts, and that way you’d only be seen as a “nurse visit” for administration of the depo only (cheaper than office visit). I hope this is a satisfactory alternative for you. Are you fucking kidding me? I didn’t want to be on the Depo any more. I don’t ever want to take the Depo again. How did they think that’s what I wanted, when in the last email, I specifically told the doctor, “I was going off Depo, which was due that week, because of the risk of bone loss. I have Ehlers-Danlos, a Vitamin D deficiency, and family history of osteopenia, so I wanted to avoid bone loss.” Going off the Depo had been mentioned in my need for the appointment and in other communications, including one to this doctor, back in September, where I said, “I would also like to change from Depo to the minipill because I’m worried about bone loss.” I know that I’m not always the best at communicating, but I think I’ve been pretty clear about not wanting to ever have another Depo shot. It’s not a satisfactory alternative because it’s not what I was asking for at all. I’ve already been on the depo for a year, have received the shots from you guys every ten weeks until the last one, and wanted to go off of it because of the bone loss concerns–vitamin d deficiency, Ehlers-Danlos, and a family history of osteopenia. I wanted to go on the mini-pill because it still offers the progesterone, but doesn’t have a risk of bone loss. After the September incident, I waited until October, like I was told, to schedule the annual exam so that I could get the prescription for that. Is there any way that I can have my annual and get that prescription instead of the depo that I do not want to take? I get the feeling that I won’t get the appointment or the prescription, but I’m not going down without a fight on this whole thing. I’m sick of being given the run-around. This is a relatively simple exam. You stick the speculum in, then the spatula, then the brush. Not hard.1 And writing a prescription doesn’t take long at all. Why is this so fucking difficult for them to do? Right now, I’m considering going off the Humana completely & going back to Medicare/Medicaid so that I can find a gynecologist who will do my stupid pap smear and write me this prescription. I don’t understand why this has to be so difficult. I don’t understand why every interaction with these people seems to end with me either in tears or foolishly expecting for them to actually do their jobs before finding out that they don’t intend to do them. I’m flexible enough that I could probably do it myself. ↩

Are You Daft?

Well, I may get to see the doctor after all. I got a response late Friday afternoon to my complaints over the scheduling (or lack thereof) of my annual exam. It was from one of the attending physicians in the OB/GYN clinic at UAB’s Huntsville offices. It sounds like I will probably get to have the exam and may get the prescription for the mini-pill after waiting over a month. I am unsure of what you have experienced with the scheduling. Can you clarify for me what date you were in the office and were told that you could not be seen? I notice a cancelled appointment 9/22/15 with a no-show appointment two days later on a Thursday. I apologize if you perceived the interaction as rude, and I will address the situation accordingly, but I will need specifics of the encounter. Our clinical days are limited, and I won’t be back in the office to respond to an email until Monday, but if you call our front desk, I’m sure they can work with you to get you seen in the office. So I explained what happened back in September. I tried to do it as calmly as possible because I know that if I sound angry that I won’t be taken seriously. The day that I came in the office & was told I couldn’t be seen was actually the Thursday no-show. I showed up for the appointment and, as I was signing in, was told that my insurance wouldn’t cover the visit, so I could either pay $90 to have a birth control consultation or wait a month. I was then told that someone had already left a message that my appointment was cancelled, which was untrue. I tried explaining how I needed the medicine and asking if I could appeal the decision or do something so that I could still go through with the appointment. Again I was told that, unless I paid the $90, I couldn’t see a doctor that day. That is a lot of money, especially when you’re on a fixed income, so I had no real choice. (I was going off Depo, which was due that week, because of the risk of bone loss. I have Ehlers-Danlos, a Vitamin D deficiency, and family history of osteopenia, so I wanted to avoid bone loss.) I left in tears & have been worrying about my anemia since then. I was somewhat surprised that they had marked that appointment as a no-show. I don’t know why I would be as I’ve seen updates to my Electronic Medical Record at UAB’s Huntsville clinics where they’ve falsified results.1 I’ve wondered, since the day in September, why they didn’t go ahead and schedule my annual when I was in the office. It seems like they could have, if they intended for me to come back. And that had me wondering if the reception staff at the clinic wasn’t planning on seeing me again. Does that sound paranoid or delusional or something? Because I sort of feel like their behavior has made me feel a little more paranoid or, at least, more anxious. Anyway, like I said, I’m hopeful I will get my exam and that I will get to go on the much-needed medication asap. This whole situation has been frustrating and tiring. It would be nice for it to resolve already. I’m still waiting to hear back from the customer service people at the insurance company to find out if there are other gynecologists in town that are in network. Knowing their reputation, I would doubt there are. Maybe they’ll prove me wrong. With my strep tests, one went in and changed the ordering physician from the doctor who saw me at that appointment to the one who had seen me the time before–who hadn’t ordered the test at all. If you’re going to falsify data, you might want to make sure you turn patient notifications off. ↩

The No-Show That Wasn’t

After getting the notice that UAB was closing their OB/GYN office in Huntsville, I sent a request for a first available appointment for an annual exam. You know, the exam that I was I could schedule in October…when they cancelled my birth control consultation without informing me and told me that I could either pay them $90 that I didn’t have if I wanted to get my birth control that day or schedule an appointment for an annual in October and get it then. Obviously, I should have fucked up my finances even more and paid for the $90 appointment because I got this response to my request: Unfortunately we are no longer scheduling annuals due to the closure of our office next month. Your last one was 10/14/15 so you can have one at any time. I show you have Human insurance and MC. You should contact Human for a list of preferred providers. Once you find a new Dr you will need to sign a release form for your records. Feel free to call if you have any questions Needless to say, I was not amused. It wouldn’t be a stretch to say that I was pretty pissed off, so I fired off this response: I understand your office is closing, but this appointment is important and time-sensitive. I went off the Depo, then was rudely told my birth control consultation appointment was cancelled when I arrived for said appointment, and was told that day that I would need to wait until my annual exam at your office to get the birth control prescription. Now you’re refusing to schedule the exam? This birth control prescription is to keep my anemia in check and prevent me from having to undergo infusions. I’ve already had some bleeding because it has been so long since I had my last Depo. And I’ve already started having early signs of the anemia popping up. If I am even able to find a local doctor that takes the Humana & the Medicaid, it will probably be 2 months for me to get in, so I would appreciate you making an exception in this case…especially since part of this predicament is on you guys in the first place. Yes, it’s manipulative. Yes, it’s abrasive. Yes, all of that was necessary. The reality of their office closing on short notice is that it’s putting lives in danger. I know that they still have pregnant patients that they need to see, but they also have cases like mine where birth control is a life-saving medication and they have people who may have diagnoses of cancer delayed by months because they had to transfer their care to another doctor. I am so sick of doctors and their employees acting like routine appointments are unimportant. They may not seem to be important to some patients, but they are actually very important for others.1 And it will take a while to find a doctor who takes my insurances. It always does. Right now, I can’t even get the physician finder on Humana’s website to work. Once it starts to work, I can’t even guarantee that who they list will even taken the insurance.2 What am I supposed to do? Am I supposed to let my health get worse? Am I supposed to just pretend like all of this bullshit, douchenuggetry, and dumbfuckery is acceptable? Fuck that. This is my life that they are messing with and they don’t have a right to jeopardize it. I shouldn’t have to sit here and wonder if I’m actually going to get medicine that I need in time to avoid infusions. I shouldn’t have to worry that lately I’ve been cold on hot days and that I’ve been paler than usual. But this is what I have to worry about when medical offices and insurance companies decide to make arbitrary decisions that endanger my life. I know that neither the office nor the insurance company are intending to harm patients by making these decisions, but that is what is happening/can happen when they cut off proper healthcare. Actually, they’re very important for all of them. ↩Humana has a tendency to list people who don’t accept their plans and not list ones who do. ↩

I Need That Appointment

My designer drug came today.1 It’s actually called Pennsaid2 and has the same active ingredient as Voltaren, which the orthopedist didn’t tell me when he prescribed it. Actually, he didn’t even tell me the name of the drug. I have been twiddling my fingers3 since the appointment wondering what this miraculous anti-inflammatory that he assured wouldn’t put my can’t-take-NSAIDs body at risk of going batshit when it encountered the drug. I knew when I saw the name that this was definitely an NSAID.4 And guess what? It has the same big boxed “fyi-this-could-kill-you” warning that all other NSAIDs have. It even says that if you have asthma5 or have issues with NSAIDs6 that the drug might not be safe to take. It goes on to say that despite being a topical drug and having absolutely nothing to do with the digestive tract at all, it can cause ulcers. Well, that’s just grand. I was so proud of the orthopedist for finding something that I could take that might help my leg.7 Clearly that pride was misplaced. I know that I’m more prone to adverse reactions than most people.8 I know that it says that it’s not likely to happen, but that doesn’t mean that it is safe to give it to a patient who has clearly told you9 she CANNOT take NSAIDs. When I tell a doctor I can’t take something, I mean that I cannot fucking take it. I’m not playing around. There are some drugs that I don’t like the side effects of, but will take anyway. NSAIDs are not one of those. I list them with my allergies because I know that they are not just unpleasant, they are contraindicated given my history of stomach issues1011 and the gastric bypass surgery. So now I’m on alert. I’ll try the stuff a couple more times to see if it’s actually safe. If I don’t react, I’ll keep using it, but I will always be on watch. I don’t think that I’ll be taking it long, though, since I’m already having some nausea, acid-filled burps, and some of the most intense upper abdominal pain that I have ever felt.12 I’m hoping that maybe the pain was me psyching myself out and that the nausea/HCl burps were a result of a little too much of my turkey tacos. If it happens again tomorrow13 then I will know that it isn’t the food. I don’t want to stop taking it and realize a long way down the line that it wasn’t actually making me sick. I also don’t want to end up with a perforated ulcer like Jenn, so I’ll be cautious about taking it. Anyway, I guess I could start blogging more at night. Some of the other medicine I’m on for the knee issue and for other issues has been keeping me up to 4 AM lately. If I’m up, I could do something sort of productive. Of course I’d have to be careful because the meds do make me a little more loopy-brained than I usually am. Oh, btw, I want to apologize to anyone14 who got annoyed by all of my tweets today. Over the weekend, I saw that #DefundPP supporters were planning a tweetfest to promote their hatred of Planned Parenthood and their related ignorance of abortion, birth control, etc. I decided to join in, except I would post facts, quotes, personal stories, etc. Basically, I was trying to help give people on Twitter some legit information instead of some bullshit propaganda. I also wanted to piss off the #DefundPP supporters. Considering the tweets that they sent me, I’d say it worked. Between being called evil, being compared to Nazis, being compared to Jim Jones/Jonestown, having my head called fat and ugly,15 and some other pleasant remarks, I’d say that the mission to piss them off was one that I clearly accomplished. There were some real assholes who decided that because I support access to abortions that I must hate babies and that I must have had an abortion. I think people who jump to that conclusion are like homophobic individuals16 who think that if you’re pro-LGBTQ rights that you must be in the LGBTQ community. Anyway, they determined that I was a baby-killer and that they would encourage their followers to harass me for killing this child that I don’t ever remember conceiving let alone aborting. That was the only tweet that I reported to Twitter because people in that movement can go a bit above-and-beyond on that scary, dangerous behavior. What was I talking about? Oh, yeah. I’m sorry for flooding some of your Twitter feeds with my #DefundPP tweets. It was for a good cause, but if it was annoying to you, and I don’t think that you’re a horrible human being, then I am sorry for my behavior. If I think you suck: Who the fuck cares what you think about my tweets? I certainly don’t. I guess that’s all. ‘Night, y’all.17 My dad got me started on calling it a designer drug. ↩I see what you did there, pharmacology people. ↩Or, you know, something else that’s fidgety. ↩If it hadn’t been, then I would give the company major props for their attempt at trolling. ↩Check. ↩Double check. ↩It doesn’t work well either. ↩Yay genetics! ↩As I typed this I thought of Willy Wonka–of the Willy Wonka and the Chocolate Factory film version–in his office at the end of the movie saying, “It’s all there, black and white, clear as crystal!” ↩My father also cannot take NSAIDs without having his acid issues flare up. He’s where I get the 80 mg Protonix + maxed out Gaviscon = still bubbling with hydrochloric acid stomach from. He also passed along his caffeine allergy. ↩Though it’s worth noting that Nana, mom’s mom, goes into anaphylaxis with anything, including skin creams, containing aspirin. ↩Considering that I’ve had GERD for around 20 years, gastric bypass surgery, and gallbladder failure that led to gallbladder surgery, I have plenty of experience with upper abdominal pain. Hell, it even ranks up […]

Mystifying Contraindications