It should be easier than this
Jan. 4th, 2009 08:17 pmI suppose as we all get older, medications become a more important part of life. I really take very few - thyroid and celebrex for arthritis. This is good because I am super not good at taking pills and swallowing those morning tablets and capsules is a task that sends me gagging to the bathroom a couple times a month.
This issue with swallowing pills is probably the core reason behind my battle with thyroid medication over the last year. I have a doctor who is both good and cautious. She has been slowly and carefully increasing my dosage and waiting two months to again test my blood and monitor my symptoms (mostly aphasia). The thyroid I take comes in a variety of sizes. I spent a good amount of time moving the dosage up by swallowing a combination of 1 grain to 1/4 tablets. Then last summer we seem to have finally hit on the right dosage at two grains of thyroid (real, made-from-animals thyroid, not a synthetic).
Then began the battle to get that two grains in one, just one, pill so I could take it more easily. Although officially the pharmaceutical company does make a 2 grain pill, my pharmacy did not have it. They didn't have one grain either, but could supply me with half grain (four pills!) but would need a new prescription for it since they could not substitute dosage. Thus - just as Denvention was beginning at the start of August - I began a search through local pharmacies to find 2 grain tablets. No one had many, and I ended up getting 17 here and 11 there - all with separate prescriptions. Finally back to my regular pharmacy where they gave me a bottle which said take four tabs a day.
So I took 4 tabs a day (each one separtately, a few minutes a part, trying not to throw up) and when the pills ran out called for a refill. But now there were larger pills available (1 grain) but by this time everything was so confused with the prescriptions that I ended up with a bottle of pills saying "take one a day". Figuring they finally got things right, I did. But it wasn't right. And it was the middle of December before my doctor and I sat down and reviewed ALL the subscriptions from various pharmacies (luckily I keep the records for insurance refunds) and figured out that the dose she actually wanted me taking was really the two grains I was taking before Worldcon in August and that the reason my last bloodtest was low and she had "upped" my dosage ( more tiny 1/4 grain pills!) was because I was really taking 1 grain pills for three months when she thought I was taking 2 grains. And I knew something was wrong because the aphasia returned in force.
Back on the "right" dosage now and waiting to do blood tests again at the end of the month. But still taking two pills rather than one. At least my doctor doesn't more than hint that I ought to be able to swallow those little tablets easily if I would just do it right. Many people come out and tell me, often loudly and (for some reason) angrily, that THEY could easily teach me to take pills and I shouldn't make such a fuss about it. Usually they stop looking smug when I start vomiting. We all have our little quirks. I've been trying to take pills for 50 years. I have a method. Mostly it works. You don't want to watch. No, really. You don't.
This issue with swallowing pills is probably the core reason behind my battle with thyroid medication over the last year. I have a doctor who is both good and cautious. She has been slowly and carefully increasing my dosage and waiting two months to again test my blood and monitor my symptoms (mostly aphasia). The thyroid I take comes in a variety of sizes. I spent a good amount of time moving the dosage up by swallowing a combination of 1 grain to 1/4 tablets. Then last summer we seem to have finally hit on the right dosage at two grains of thyroid (real, made-from-animals thyroid, not a synthetic).
Then began the battle to get that two grains in one, just one, pill so I could take it more easily. Although officially the pharmaceutical company does make a 2 grain pill, my pharmacy did not have it. They didn't have one grain either, but could supply me with half grain (four pills!) but would need a new prescription for it since they could not substitute dosage. Thus - just as Denvention was beginning at the start of August - I began a search through local pharmacies to find 2 grain tablets. No one had many, and I ended up getting 17 here and 11 there - all with separate prescriptions. Finally back to my regular pharmacy where they gave me a bottle which said take four tabs a day.
So I took 4 tabs a day (each one separtately, a few minutes a part, trying not to throw up) and when the pills ran out called for a refill. But now there were larger pills available (1 grain) but by this time everything was so confused with the prescriptions that I ended up with a bottle of pills saying "take one a day". Figuring they finally got things right, I did. But it wasn't right. And it was the middle of December before my doctor and I sat down and reviewed ALL the subscriptions from various pharmacies (luckily I keep the records for insurance refunds) and figured out that the dose she actually wanted me taking was really the two grains I was taking before Worldcon in August and that the reason my last bloodtest was low and she had "upped" my dosage ( more tiny 1/4 grain pills!) was because I was really taking 1 grain pills for three months when she thought I was taking 2 grains. And I knew something was wrong because the aphasia returned in force.
Back on the "right" dosage now and waiting to do blood tests again at the end of the month. But still taking two pills rather than one. At least my doctor doesn't more than hint that I ought to be able to swallow those little tablets easily if I would just do it right. Many people come out and tell me, often loudly and (for some reason) angrily, that THEY could easily teach me to take pills and I shouldn't make such a fuss about it. Usually they stop looking smug when I start vomiting. We all have our little quirks. I've been trying to take pills for 50 years. I have a method. Mostly it works. You don't want to watch. No, really. You don't.