August 31, 2004
Goodbye Mirapex... Hello Sinemet... Oh, And Lexapro
My appointment with my neurologist was yesterday. He runs his office in an interesting way. He was once Head Resident of Neurology at Emory University Hospital and I believe he still has rather close ties with them. The people I saw at Emory back in June all spoke very, very highly of this doctor and assured me I am in very capable hands with him. I think that a recommendation from a nationally recognized recognized hospital like Emory says a great deal.
I said earlier that he has an interesting way of running his office in that there are interns working with him, you go in and two or three students come in after you and do your initial information taking and recent history. They do the physical checking also. Then they go and consult with the neurologist and he comes back in with them and they observe him in action.
It can be a little overwhelming to have 5 people (including my wife) in the examination room with you... especially talking about things that it's sort of embarrassing to discuss like depression, my arms shaking and my toes forming cracks and calluses (sp?) from curling in as I walk.
But I guess you have to get beyond that and figure that this is part of their education and this might in some ways help future patients of theirs. And it doesn't help me to hold back because I am being shy, right? Right.
What it boils down to in a nutshell is that the Mirapex wasn't helping as much as it was hindering so he is prescribing me Sinemet for the Parkinson's symptoms and also Lexapro as an antidepressant. I literally just took the first dose just before I began writing this entry so I can't report yet on anything except slight anxiety over what effects these medications may have on me.
I have never taken an anti-depressant before so I have no idea what to expect to feel or anything. I'm not wild about the idea and have resisted the idea for years. But even the casual reader of this diary can see something is up in that department that needs dealing with.
I'll try to keep things updated here so that perhaps patterns can be seen.
Forgive me in advance if this diary just seems very self-indulgent for the next little bit here. But gee, aren't diaries by their very nature self-indulgent?
Thanks for being there.
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