Well, my visit went OK! She's a little kooky to be honest, but I liked her. She was kind, and didn't make me feel stupid for trying to establish a primary care provider but a bit pushy about some things. I don't guess she didn't pick up on the fact I didn't want to talk about why I am unemployed. She really pushed the issue and asked questions about living situation and my willingness to relocate etc. I didn't care for that, but it was OK. She apparently worked in addiction medicine for a few years and before that had a stint in psychiatric nursing. She saw my meds list and told me about her experiences with my particular meds. I asked her in general what are her thoughts on decreasing anxiety and she gave me some people to look into, and told me the best thing I can do is decrease stress in my life. Meds only do so much, but we gotta find ways to help ourselves. Overall, it was a nice visit.

1) She formally "diagnosed" me with migraines (which I find hilarious, I know only a doctor can diagnose-- but other than ruling out it being a secondary headache (which are rare) it's literally asking me about symptoms. I don't think i need a doctor to help me do that, but I get it..) and since the urgent care did give me meds, we will stick with that for now. If they get any worse or more frequent, she wants to try topamax. She also seemed rather concerned and unhappy with the fact I was given a nasal spray. I'm not sure why.

2) She did give me a prescription for gastric reflux so that really will be a money saver since my insurance will pay for it. Omeprazole isn't cheap! I'm glad she did that for me

3) She ordered some blood work. I got the labs online so I could look at them. She did a bunch of stuff -- CBC, TSH (thyroid hormone), CMP (metabolic panel -- looking at 14 different measurements to look at liver, kidney functions and nutrients) , Vitamin D, and Coronary Risk assessment (lipids/cholesterol). Nothing really surprising there. CBC shows I have anemia, and very low vitamin D (but we talked about this before the test -- most people are low on it as it is, the range for therapeutic levels is lowballing it, and people really do need more of the higher range but mine is well below the range so it's probably important I look at that), and my cholesterol isn't good -- but it's not alarming I don't think. The way I eat makes sense for those levels to be what they were. Technically I'm "borderline high" on cholesterol.


We will see how she interprets the results in a month. I am glad to have it over with though and the labs showing I´m generally OK. I feel better about the whole thing. She seems at least very personable and wanting to help me where she can.