new doctor, numbers
So I meet with my new doctor last week. My favorite doctor, Dr. Kagan, finally and inevitably moved from clinician to researcher. I knew this would happen. I have a special affinity for science geeks, and given the changing face of HIV/AIDS, it is inevitable that the smartest, most curious, most invested in science doctors leave the field of practice.
Especially when they are dealing with low income people such as myself. I wish I had a nickel for every time I was in the waiting room when a person of severely compromised intellectual and emotional capacity was screaming for more Oxycontin in the next room. And given the abysmal nature of the US healthcare system, doctors who take Medicaire/Medicaid patients must double and triple book simply in order to financially survive.
So I meet my new doctor the other day. She’s fun. She is also my first ever female doctor. Which is disconcerting, because I will be discussing issues relating to sex, to pooping, to that thing on my public bone that comes and goes. Stuff like that. But I was relentless with her, though I feared, being Indian, she would be taken aback by my forthright attitude. Better now than later, right? I always ask to be treated like the nastiest skank ever to offer a blowjob for cash in the airport bathroom. I require RPR testing, a complete STD panel, liver tests, all that. She was fine with all that, though pop culture references sometimes escape her (try explaining what a “skank” is when you have used yourself as a reference).
Oddly, I have not been at all sexually active since I had PCP. These last months have been spent sleeping, taking pills (rarely), eating when I can, what I can, and trying to escape the clutches of boredom-based depression. But as soon as my body is in shape, and my energy level goes just a touch higher, I intend to re-enter the dating pool. Or, as I live in Atlanta, the dating Pond. Seriously. Not a pool.
She was good, she laughed several times. She agreed with me regarding my assessment of the state of scientific progress (lots of stuff, but still carrying the baggage of drugs past). We discussed my haphazard drug regimen (I’m just trying to outlive the Star Trek Franchise) and we talked about the future.
To that effect, I got my results from my August blood work.
With less than ten or so doses of antiviral drugs (each dose gave me at least two days worth of sickness) my CD$ count went from zero to 114. My viral load went from over a million to twenty thousand.
My virus is so stupid.
So I got a genotype test, and my doctor promised to take me off of AZT as soon as possible. Which is good news, since I have been on that rat poison, on and off, since 1994.
So the lesson here, I suppose is, even a little effort… even the tiniest amount of adherence… can make a profound difference. Sometimes it’s not about following all the rules. Sometimes it’s about staying alive, and being as happy as possible.
It’s a quality of life thing.
My quality is improving.
Next month? Who knows. I like this new doctor so far. Someday, I will be able to pronounce her name.


