I have a new appreciation for the fragility of the human condition, especially the fragility of my human condition.
Then came medical school rotations, and I got sick. Just with minor colds. Then, I started to develop a dry, hacking cough for a month after each illness. Then came residency, and I would without fail have a dry, hacking cough through most of winter each year. Of course, I was the brunt of many nerdy medical jokes from smoker's cough to tuberculosis to pertussis.
Doctors make the worst patients. I am the poster-child for delinquent, hypocritical doctor-patient. I haven't seen a doctor since coming to residency. Not for trying. Second year, I looked up healthcare providers and started the process. Then our health insurance policy changed, and I became busy (read: lazy), and then I decided to wait it out until I had a "real job."
Then, with only a few months left of residency, I got another cold. Damn kids. Again, dry hacking cough. At this point, i knew this cough is a variant of asthma. But I was working nights: 5 days of 14 hour shifts. No time to go to the doctor. I was self-treating with albuterol inhalers around the clock, which would stave off the symptoms for a while. After 1 week and at the insistence of my colleagues who watched me double over from cough and shortness of breath each night, I got a course of oral steroids--the definitive treatment for asthma. After starting the steroids, I thought I was somewhat better.
Then the weather changed freakishly and became a sweltering 90 degrees with pollen counts at all time highs. After a night shift on the last day of the oral steroids, I woke up out of my sleep in respiratory distress. I was coughing and breathing so quickly that I couldn't speak an entire sentence. It was the middle of the day. Everyone I knew was working. I took albuterol, got into my car, and drove to the ER.
I was legit scared. OMG asthma can really kill people scared. So scared, my blood pressure was astronomically high, 179/111. The silly triage dude was afraid I was in CHF, sent me directly to Xray, and they got me a room and an EKG. The nurses were afraid to give me albuterol since my BP was so high. So now, I can't breathe, I'm scared that I have asthma AND high BP.
At any rate, I ended up being treated in the ED, and admitted to the hospital for IV steroids. I was duly lectured by everyone I know for not taking care of myself. Not doing the things I should have been doing all along: going to see the doctor regularly, taking allergy medicine regularly.
Alright, God, I got it. I'll take care of myself.
Hi, my name is Clara. I am an asthmatic. I suck as a patient. I have a new jealous appreciation for the phrase "previously healthy."
Hi, my name is Clara. I am an asthmatic. I suck as a patient. I have a new jealous appreciation for the phrase "previously healthy."
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