Subtract One, Add One

My primary care doctor has taken me off Amlodipine to reduce its impact on my kidneys, which aren’t healthy and getting worse. I’ve had a long relationship with Amlodipine. I was taking it back during the time I was being seen by a primary care at the North Seattle VA CBOC. Other than my kidneys everything was running rather steady.

Then I moved to Plano, Texas, and was assigned to a new primary care. I’ve never in my life had a worse doctor of any specialty. The only positive thing he did for me was to take me off Gemfibrozil and put me on fish oil tablets, which control my triglyceride far better. Like I said, that was the only positive thing. He took me off of Amlodipine for no other reason than he didn’t like the medication. He never explained why, and who was I to complain. Luckily, when I went to my new primary care, he put me back on it. Then he sent me on the wild goose chase 53 miles up the road to the VA medical center in Bonham, Texas, for cortisone injections in my knees. The doctor there told me I could’ve gone to the medical center in Dallas, only 27 miles from my apartment.

There were other screwy things that he did that only increased my aggravation with him. He had a total fear of the pharmacy staff. Someone once, told him that all prescriptions in tablet form had to be cut in half. That required him to order a large medication, which would be cut in half by the patient. I had prescriptions when I moved to Texas that didn’t have to be cut in half, so I questioned him when he wouldn’t order the smaller size. He said the pharmacy told him that prescriptions had to be cut in half. Then there was the blood thinner I’m supposed to take because I’m prone to get blood clots. He would not prescribe that, period.

I think it had a lot to do with where he got his university and medical school education. It was in a foreign country that has a very militaristic society. Questioning higher authority was something that just wasn’t done. Instructions were instructions, never to be doubted.

Now, that I’ve moved back to Gold Bar, Washington, my primary care is at the Everett VA clinic. She’s a nice doctor who seems to have her act together. She contacted the Coumadin Clinic at the Seattle VA medical center to get me back on either Xarelto, Warfarin, or whatever they want. She’s also taken me off Amlodipine in an attempt to control my deteriorating kidneys. Little does she know that doing so will raise my blood pressure.

All I can say is that I hope my scheduled left knee replacement surgery doesn’t get cancelled.

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