Office yesterday. I did not visit with the great Dr. K. No, I was instead visiting this time with his assistant…I believe her to actually be a nurse practitioner but I could be waaaay off, so I’ll stick with assistant. A number two, if you will. I flip-flop between then, so next time it’ll be the great Dr. K.
It was the typical
Dx: Keeping up with the cycling?
Me: Not nearly as much as I’d like. Two year old at home.
Dx: Anything new with the MS come up?
Dx: Your JCV levels are….oh…right the 3.mid range. Let me check with the Dr. on this one.
<Ms. Jackson Leaves for a moment, then comes back>
Dx: A JCV test is not necessary.
Dx: You’ll need a MR prior to your upcoming appointment in Decemberish
Mj: Sounds good
Dx: You will not need gad.
Mj: Even Better
Dx: How are the medications?
Mj: Good, but I double up on the baclofen sometimes at night when my leg is really bothering me.
Dx: Do we need to increase the dosage?
Mj: Probably not, shortly after the infusion I’ll decrease to one baclofen a day. Then I’ll go a few weeks without one. Then I’ll start feeling the tightness again, so I’ll gradually increase to the three per day. Sometimes, especially around two weeks before infusion, I’ll double up at the end of the day which would make it four a day
Dx: Well, it seems like it’s working for ya. Anything else I should know?
Mj: Just that the tightness in my leg seems to have gotten worse. I feel tight all the way up to my back now.
Dx: Keep up the stretching. And Try to exercise.
Mj: Sounds good
Dx: Anything else?
Mj: I don’t believe so
Dx: Ok, good to see ya. If anything comes up, let us know.
Mj: Thank you
That is my recollection of the appointment anyway. Could’ve been completely different. MS brain and all. Next appointment is scheduled at 9am in December.