after 5 solid months of extreme cfs prostration I Went To See A Doctor. i made sure said doctor believed in the fact of chronic fatigue syndrome. in the good words of rose of roses on the moon, “why don’t they just believe women’s stories?”* but they don’t. this is the first physician in my very tiny repertoire who actually believes that chronic fatigue syndrome is real.
* i can’t find the precise quote to save my life, but it’s out there on the internet; rose, feel free to protest if you think i’m putting words in your mouth. [see second comment for the correct quote. thanks, rose!]
that didn’t make any difference to his behavior, though.
first, he treated with Friendly Amusement the adrenal stress index test given to me by my alternative medicine practitioner. according to the results my adrenal glands are one step from atrophy. he asked, “who prescribed this?” i thought, “who cares who prescribed it?” but told him nonetheless. he asked, “how much did you pay for it?” i thought this question really, really Deserved No Answer so didn’t give it any. he said, “if these results are valid i should give you estrogen, testosterone or steroids, but i have no reason to believe they are.” i thought, “why don’t you check in a way that looks credible to you, then, kool guy?” i didn’t tell him anything, though, because i know he doesn’t know how. the test my alternative guy prescribed is the only test that measures adrenal function. if this dude has never seen it there’s nothing he can do about my adrenals, atrophied or not.
he told me to keep exercising. that’s what everyone tells people with CFS. in america, exercising is the cure to all evils.** if my adrenals are in fact as depleted as the test says they are, i should avoid any kind of stress. exercising when one doesn’t feel up to it is extremely stressful on a depleted body. it uses borrowed energy, except there’s not an ounce of credit in the bank, zero funds to pay off the debt.
** am i the only person on earth whose depression, when there, is made consistently worse, not better, by exercise?
this is what alternative people tell you to take when your adrenals are on the ropes: licorice and adrenal cortex extract. when i take these supplements, i feel almost immediately better. not ready to run the 90-degree chicago marathon, but better enough to walk across the room without swaying and breaking into a cold sweat. i said this once to a friend who’s a doctor and she said, “it must be the sodium in the licorice.” never mind.
at the doc’s appointment my blood pressure was very low. my blood pressure is always very low. you figure that would be something one would look at. but no, the only direction in which blood pressure is meaningful in america is high. low blood pressure is a Good Thing even if you basically pass out every time you get up from a chair.
the friendly doctor had a medical student in the room. she was very sweet. the friendly doctor addressed himself to the medical student as much as he addressed himself to me, while talking to and about me. we didn’t like this. we really didn’t.
the only thing the doctor had to say about our health (rose, i’m speaking like you!!!) was that our cholesterol is high. it is high. fuck knows why. the doctor was in a hurry to put me on drugs but i said i’ll cut down on cheese first, see what happens. apart from cheese, i have a very low cholesterol diet, and frankly, one can eat only so much cheese in one’s week, but whatever, i’ll cut that, too. i mentioned the high cholesterol thing to my mom. she immediately proceeded to Jump Down My Throat. that’s the way she reacts when she gets worried. i told her to calm the fuck down. she told me there was no way my high cholesterol was genetic because there is no history of high cholesterol in the family. she means her side of the family. she hasn’t spoken to my dad in 25 years. i doubt they spent much of their troubled marital days discussing his cholesterol. i told her, “mom, i have a father, too.” she had to admit that she didn’t make me by herself.
my father has had like 25 heart bypasses so it is somewhat consistent with his medical history that he might have high cholesterol. i can’t ask him, though, because he’d feel compelled to give me his whole medical history from the Origin Of Time and i can’t sit through it right now.
my new doctor’s waiting room, examination room, and premises in general are entirely accessorized by Big Pharma. i have never seen such an abundance of pharmaceutical pamphlets and pharmaceutical junk. they spill over from containers and piles everywhere like toys in a spoiled 6 year old’s room. the handout he gave me about low cholesterol diet was brought to me by [insert cholesterol-lowering drug here] and basically told me that dieting doesn’t help much, really. you should really think about taking the drug.
i shredded it for recycling the moment i got home.***
*** the city where i live does not recycle paper so i bring my recyclable paper to work. since the recycling bins at work specify that they are Only For Office Paper, i shred the paper that is not office-related for camouflaging purposes and put it there anyway.
the following day i went to the newly opened Whole Foods supermarket near my house and bought licorice and adrenal cortex extract. i was so physically busted that i kept forgetting why i was there. i walked up and down the aisles trying to concentrate for a good half hour. finally i bought some freshly squeezed carrot juice and a chocolate mint energy bar (my favorite packaged health food combo) and sat down. that made me feel alert enough to realize that all the customers in the place where white and all the personnel were african american. i thought, who needs jim crow? cutthroat trickle down capitalism (reagan, bush sr, clinton, bush jr) has taken care of that. i felt sick to my stomach.
i renewed my decision to vote for dennis kucinich. a kucinich vote, by the way, is a pro-disability vote. something to be taken into account.


12 Comments
October 15, 2007 at 4:18 pm
“after 5 solid months of extreme cfs prostration” sorry the doctor didn’t help. You are smart and I think its up to you to find the answers, if there are any.
October 15, 2007 at 5:38 pm
I think the quote you’re looking for is “what is so threatening about women telling the truth about our lives?” It’s on the “authors” page of our blog.
I’m not surprised exercise makes you depressed when you are tired and sick and you need to rest.
A friend,who is also a doctor, told us that eating a few walnuts every day does wonders for cholesterol problems (both a high bad and a low good). She also recommends oatmeal. Just passing that along.
It’s also kind of a dirty little secret in medicine that they haven’t actually proven that cholesterol causes heart attacks, strokes, etc, or that lowering a high “bad” cholesterol makes any difference in your chances of having those problems (though there is at least a tenuous link between having high “good” cholesterol and general good health). It’s just a faddish thing to natter about right now, like seratonin re-uptake. Does it really have anything to do with anything? They’re not sure.
One of my fondest daydreams is for doctors who don’t listen to be subjected to the same treatment by their doctors. Wouldn’t THEY be in for a surprise!
October 15, 2007 at 6:00 pm
rose! and i even checked! thanks for the health tips, and thanks for the very quotable passage. most importantly, thanks for the permission to eat walnuts: i love walnuts! how many is “a few?”
October 15, 2007 at 7:12 pm
Ama, did you tell this doctor you had mental health issues? If yes, do you think that knowledge affected how he treated you?
The last time I went to see a doctor, very many years ago now, I admitted that I had PTSD and had spent time in a psychiatric hospital. That doctor’s demeanor changed instantly and she told me she couldn’t accept me as a patient because she didn’t have time for “somebody like me” because her practice was very busy. This despite the fact that she was advertising for new patients in the newspaper. She even had a billboard on the sidewalk outside her office that read ‘new patients welcome.’
New patients who aren’t mentally ill, that is.
We might have socialized medicine in Canada but that only means we don’t have to pay out of pocket for care. Equal access to medical care is a myth. Doctors don’t have to accept anyone as a patient they don’t want to.
There is a doctor shortage in the city I live in so when a new doctor starts practicing, they announce it in the newspaper and on the radio and people go to the office to fill out application forms. The doctor picks and chooses who they want to accept into their practice from the stack.
A woman who has bipolar disorder went with her friend and they both filled forms at the same time. Surprise, surprise. Her friend was accepted and she was denied. She complained to the newspaper and her story was on the front page. It is an ongoing complaint, how doctors are cherry picking patients and the mentally ill are left to rot at the bottom of the barrel.
The newspaper interviewed an official who stated that doctors can legally refuse to accept anyone they don’t want in their practice by maintaining that they do not feel they have the skills required to properly care for them.
So at least you got a doctor to agree to even see you.
October 15, 2007 at 9:04 pm
Cate, I am so sorry you had to deal with that. AMA, are you getting enough salt? When my blood pressure was too low 10 years ago after I got out of the hospital my internist at the time was very concerned and told me to add salt to my diet. Another thing to look into with someone who knows because I’m not sure about it, but it sounds like you may be getting a lot of potassium and I think but am not sure that there is a connection between too much potassium and either low blood pressure or fatigue. Hmm, wish I knew for sure, I can ask my nephrologist when I see him in November if you remind me.
Low blood pressure leaves anyone exhausted. What is wrong with this guy?
October 15, 2007 at 9:14 pm
ama,
I’m so sorry. I have had repeated experiences of this nature.
I’m seeing yet another new doctor soon who I interviewed on the phone first—just like when I was looking for a therapist. And I layed it on her. I told her what I was looking for, how I’d been screwed, what I expected of her and if she couldn’t be my partner and acknowledge that I might actually know more than she does about a thing or two I didn’t want to work with her!! I then assured her I was not difficult—I just knew what I wanted.
She actually was extremely kind and said everything I wanted to hear and I’m seeing her on Nov. 8th. For chronic fatigue and PMS. I got her name at a natural pharmacy—so I knew she was probably open minded to some extent. So I dared ask for everything I wanted. I don’t want to waste any more money or get pissed off again! She is not a conventional doctor, but she does have an MD. I’m hoping for the best, because I know stories like yours only too well. It’s happened to me a number of times.
I’m becoming a big believer in the phone interview before meeting anyone! But I have yet to meet this woman so we’ll see.
And yes, I feel worse when I exercise. I try to just move for about 10 - 20 minutes a day. And when I say move I mean slowly!!
October 15, 2007 at 9:47 pm
“A few walnuts” for me is exactly six halves, because I *detest* walnuts. She says any fewer than that is pointless. I’ve never asked about the upper limit for daily walnut consumption, but she really digs on the walnuts, so GO NUTS and have as many as you want!
~ Rosemarie
October 15, 2007 at 9:57 pm
cate, i, too, am sorry for your terrible experience. it seems unconscionable to me. it makes me angry. it makes me grieve for you. not even glorious canada is perfect, heh?
there was no issue of mental health in my case. everyone i know takes antidepressants and sedatives and i don’t disclose any of my history to doctors, as a practice. sometimes i don’t even tell them what meds i take, but this guys seemed nice so i decided not to lie too much.
my patient forms are masterpieces of omission.
i wasn’t traumatized at all by this guy. he was very friendly. all his problems are regular American Doktor problems. we know them. we expect them. when i told him i wanted to wait to take cholesterol meds he wasn’t pushy in the least. when i mentioned my klonopin tapering he told me he’d help me with the paxil if i wanted to do that too. i was very impressed by that. Doktors put you on this stuff, they don’t get you off it! and this after he had suggested a different antidepressant which, he claims, works with cfs people (i politely declined).
so no, he was nice. the way i see it, the problem is with the health industry culture, not with this specific guy.
and, hymes, i do use more salt than most people. i think that my potassium is fine. it was a bit off some time ago but he didn’t tell me anything this time. do they check it routinely? but, hey, thanks for offering to ask your nephrologist! so, so kind. if i remember i will remind you, if not, no worries!
finally, gianna: GOOD FOR YOU, GIRL! patient power!!!!
October 15, 2007 at 10:06 pm
rose, we cross posted. i thought everyone liked walnuts! show of hands?
also, seriously, does anyone find exercise not helpful when they are depressed (but physically healthy)? i have never found exercise helpful with depression. it depresses me even more. i remember miserable afternoons trying to bike or run the depression off, getting home tired and desperate and as lonely as a wet dog on a grey winter day.
October 15, 2007 at 10:58 pm
Oh…I’ve got really low blood pressure too! And I practically pass out some of the time and no one gives a shit. You’re absolutely right about that. Low is good in their mind. Licorice is supposed to raise blood pressure too. So it might help two things for you. You can get pure unsweetened licorice in health food stores. I haven’t tried it recently—I should again because I suspect it could help my adrenals too.
And I second the walnuts and oatmeal. I eat raw oatmeat mixed with walnuts and other nuts and raisins with plain yogurt in the morning. Very healthy. I go heavy on the yogurt and light on the rest because I find I do better with not too many carbs and more protein to keep my blood sugar stable.
(have you considered blood sugar issues too? they can effect energy too—I know I feel worse if I don’t keep my blood sugar steady)
October 15, 2007 at 11:05 pm
gianna, i’m not surprised to hear that your blood pressure is low and that you tend to have low blood sugar levels. it all fits with the cfs profile. yeah, i take care of those things as much as i can, try not to eat too much unrefined sugar, have to give in sometimes, etc. etc. i had a large steak for dinner (rare occasion, but we needed to celebrate a good thing, so i broke my avoid-meat-as-much-as-possible routine and indulged myself — i love that stuff) and, two hours later, i had had had to have some sugar, but didn’t want to give in, so i ate an energy bar and now feel on top of the world. sugar picks me up instantaneously. and i love sucking on licorice!
October 15, 2007 at 11:16 pm
“also, seriously, does anyone find exercise not helpful when they are depressed (but physically healthy)?”
Exercise makes me damn near manic (which I have never enjoyed) unless I’m on psych meds, but then I can’t move at all. I want the docs who prescribe neuroleptics and tranquilizers along with exercise to try out their own recommendations. Really.
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