Assunta Follow Up...

28 Aug 2009

So fast 3 months d... have to go for my follow up with Dr. Thye again... went to work first... clock in... sit down on my desk... turn on com... check emails... then 10 min later left to go to the hosp... ( i know i know... why in the world did i bother to come into office right??? well... some company procedure la... i not manager like daddy... so just follow lo... )

The last time i visited Assunta (about 3 weeks before this appointment... cause grandpa got admitted in there...and also attended a peripheral vascular disease forum - tell you to take care of yourself and don't get your legs "chopped" off one...and got my legs checked too... all good!! senses all still there)... because of the H1N1... they block all the entrance and check your tempreture... then put a green sticker on your shirt... this time??? what check also no more... i think because the virus is so spread out now... the gov hospitals cannot take in more people... and the private hospitals will have to start treating them now...

Anyway... i arrived late... super hungry since i cannot eat anything cause gotta take fasting blood glucose... went to the lab to take my blood... walaueh... do one A1c and one FBG only also need two vials of blood... don't know why they cannot just use the same vial and do both test... but whatever la... probably more accurate cause less risk of contamination kua...

So gotta wait 1.5 hours for the results... put my folder at Dr. Thye's nurse counter... was actually no. 2!! very rare... went starbucks to eat breakfast and to read my Marley and Me (haven't finish reading...but very nice book)... halfway through... the seats became really uncomfortable to sit... so i left and decided to just wait in front of the nurse' counter...

Really eh... first time i see Dr. Thye's queue sooooo empty... to the point where the nurse ask whether i wanna see Dr. Thye first or wanna wait until my results come in ... i opted to wait... no point me seeing doc if she don't know the results for the labs she ordered...

After waiting for about 1 hour... finally... my results arrived... so about 11.15am... my turn to see Dr. Thye... but then gotta wait a bit more cause she wanna makan (eat) first... 5 min later... i went in... and she was in there busy on her phone... i think some patient's condition must be quite serious cause she was talking about gotta start dialysis la... (after all she's a nephrologist... kidney specialist)... close phone d gotta call another doc la... wah... like drama only... then it was my turn...

D: So Hannah... your A1c is 5.2% and fasting bg is 5.8

H: ooo... A1c remains the same... but the fbg so weird one?? tested myself this morning was 4.8... hmmm

D: Is it? That's weird.

H: As usual... my bg log *hands over a stack of paper... consists of my kiasu graphs and bg log*

D: Wah... so detailed... *looks at my bg log*... ok la your readings... hmmm... wah got 9.7... but overall quite good your readings

H: There's a period where my bgs were running a bit higher... for a few weeks i never saw anything below 5.5

D: Haiyo... don't have to be so perfect la... its ok to have a few rough moments *opps... me blushing... =P* ... you're doing really good =) ... and don't have to test so many times la... about 3x a week like that can d... cause your numbers quite stabilized... don't have to be so meticulous on your log... (oh well... lets see how goes... i do rather know my bg... but that log i was like testing 3-4x a day... maybe i'll cut to 2x... see how first la...)

D: come check your pressure... *pumps the manual bp meter...* how's work??? stressful or not??

H: Work ah?? ok la... sometimes can be a bit stressful... but overall ok la...

D: Good good not so stressful... 100/70

H: haha... finally my BP lower when i see you d...

D: why??

H: normally my BP range is like 90s/60s... come here sure shoot up to 130/70 or 110/70... so now its lower d ... means i'm not so "scared" of you d kua... hehehe

D: haha... come check your lungs... breathe in... breathe out... again... *while she checks my lungs*... all clear...

H: btw wanna ask ah... considering my dx time right... is it possible that i'm now still honeymooning and later on before T1 or T1.5 like LADA or MODY??

D: I don't think so... doesn't work like that...unless you get fever or an infection

H: but that time my bg and ketones were so high... ketones probably as high as a normal T1

D: That time you were dehydrated quite badly... that's why i started you straight on insulin to bring down your bg too... i also think you are insulin deficient

H: that one for sure... i think... eat a bit more only... shows straight on the bg...

D: What's your weight now???

H: er... 67. something la...

D: . something la *writes 67. on the medical file..then looks back at previous record*... wah you lost some more weight ah???

H: errr... is that good or bad???

D: good la!!! also feel better now right???

H: hehehe... got la... hehehe

D: So i see you again at the end of the year la... then we do all the blood test again la... liver, urine, hba1c, lipid, fasting bg

H: one year anniversary d... so fast... btw got C-peptide??

D: got... do that one also la...

H: GAD antibodies??

D: that one i don't think so la..

H: too canggih ah?? hehehe

D: We continue the metformin la since the last time we tried going off it didn't work...

H: Write me a prescription to get from here la... since company pay one... should have done this last time also...

D: No problem... how many you want??

H: 100??? one box lo...

D: 100 enough meh??? until december woh... 4.5 months... nevermind la... i just write 4.5 months here... the pharmacy will know what to do... so i see you next time!!

H: ya hoh... okok... thanks!!!

So i left the hospital... climbed 6 floors back to my carpark... best part was... i wasn't even panting much... although my heart was beating like crazy when i finally reached the 6th floor... you'll probably wonder why in the world did i just not use the lift??? cause wanna exercise lah!!! no time to exercise at home... so take whatever opportunity to do it lo... and i tell you... climbing stairs is not easy k... i had to wear my kneeguard to make sure at least my knees won't be painful after tht... cause it normally does... and it worked!!!

Neway... on the way back from hosp... i was on the phone with someone from US... sharing my good news... i was on loudspeaker with the phone stuck nicely in between my steering wheel... and my 2 hands holding the wheel firmly... and going slow on the left lane cause i'm on the phone... and also traffic was slow...

Suddenly... some policeman stop me... fine... guess what's the charge??? holding the handphone while driving... i was like... WHAT THE HELL!!!! i was on loudspeaker and the phone is stuck firmly on the wheel... policeman said he saw me holding the phone and i just put the phone on the wheel... wow... you can actually see someone holding the phone in a moving car when she was actually holding the wheel... *pure sarcarsm here* ...and not using hands free... i was like... hey... i was on loudspeaker... phone stuck on the wheel... totally hands free... which part of that is wrong and not handsfree??? ... he said i just put the phone on the wheel when i was stopped by him... ya... you know how hard it is to fix the phone on the wheel and that it doesn't drop??? then he tried to move the phone and it couldn't bugged... but he kept saying i held the phone... so i said... its my word against yours... i didn't say i wasn't on the phone... i was on loudspeaker and didn't hold my phone which you keep saying i did... you want to give me the summon go ahead... i will appeal... then he said only 3 officers in Bukit Aman (police hq) can sign... i said whatever... i'll go to court if i need... and he ask when you wanna go?? i said up to you... i keep telling you i wasn't holding the phone but you keep saying i did... you don't have any evidence... and its totally my word against yours... (during this time Elaine was calling me while my phone was still stuck on the wheel and i just promptly turned it off and the phone didn't even move!!!! should have answered and showed how i talk... )

In the end... he said he'll let me go with a warning and told me not to hold the phone again and to use a proper handsfree kit... i was like... how not handsfree is the loudspeaker????? anyway i said thank you like a good citizen... got my IC back... but i saw him looking at my car number plate... so i don't know whether he did saman me or not... if he did and i get the saman later... i sure appeal kao kao... wanna saman me saman me la... don't say let me go with warning and then send saman to my house... so till then... i'll just wait and see...

stupid policeman... spoil my mood only... oh well... he was rajin (hardworking) enough though...credit to him... but sorry la... i don't pay to get away one... especially when i'm totally not in the wrong...