The Usual Adventure

 As I've mentioned previously, the last time I got my usual prescription from the neurologist I was told that next time around I would need to make an appointment with him since it had been quite some time since we'd last met. Well, that time came around, the day before yesterday.

My visit with the doctor was interesting, although a bit disheartening. As the reader may recall, I have often complained about the daily pain I have in my neck and shoulder, sometimes extending to the midback. I've never been quite sure what this pain is, but I have noticed that it has gotten generally worse over the last six years (to the best of my recollection, I experienced the onset of these symptoms some six years ago). 

Finding out what has caused this pain is one of those things that are at once a relief and a new stressor. The doctor told me with no hesitation whatsoever, after of course hearing my story and conducting an examination, that this is muscle atrophy from nerve pathways that have been damaged or destroyed in the neck and shoulder--otherwise known as muscle wasting. 

"You may have noticed that your right arm is thinner than your left arm," he said, "particularly the upper arm and shoulder, and that your right hand doesn't function well."

Well yeah, as a matter of fact I had, but I didn't want to think about it. 

"Okay, now I know what it is. What do I do about it?"

I am told that there is nothing that can be done. The muscles are no longer receiving effective messages from the brain, or rather the messages sent from the brain are falling off a cliff midway to the arm.

It's short and sweet. There remains only the matter of paying the bill. 

As I wait in a chair near the cashier's desk, I notice that this is all taking a long time. Then I realize that I've forgotten to tell the doctor that I want the written prescription so that I can take it somewhere, anywhere, other than the hospital, for I had been warned in the past that their prices are far more expensive than those in a little pharmacy. 

Before I can think of how I might remedy this situation, the cashier calls me to her desk. Thoughtfully, as it turns out, they want to inform me of the price before filling the prescription (thoughtful in the self-interested sense that they want to make sure they will receive payment before the med is actually prepared).

Whew. 

The nurse shows me a figure of just over 3 million rupiah. My usual price in the alternative pharmacy is 1.3 million. 

But I am aware that the doctor has written for two medications--the usual med and an added pain med. 

From here some confusion ensues. 

"Three million, you say? How much is each medication?"

"Three million." 

"No, there are two, right? What is the price of the one and of the other?" 

"Three million." 

Good grief. 

"No, no, no. Look, for just the first one, how much?"

"I will have to check." 

"Check what?"

"How much for one month." (The doctor kindly gives me three months at a time, you see). 

Well, this is going nowhere, so I give up. I tell the woman that her price, or rather the hospital's price, is nearly twice that at the nearby pharmacy.

She doesn't seem to understand this either. Not that she cares. Why would she? 

The next, I am off to the blood testing center. The doctor appears to have marked every possible box on the lab request sheet, and to have this done at the hospital would cost--you guessed it--3 million. (They seem to be quite fond of that number). I'm banking on that amount being less at the independent testing center, and indeed it proves to be less, 500.000 less. 

This was to be a fasting blood test, so I had last eaten at 8 o'clock the night before. I got up early, straightaway showered, had a smoke, got dressed, and was on my way to the testing center. Surprisingly, the whole thing went quite smoothly. Didn't have to wait. Just in and out (after about a half dozen tubes of blood were taken, that is) and on my way home, although it would be necessary for me to eat and then return a couple hours after eating for another blood glucose draw.

But for some reason, when I got back home from the first trip, I experienced a sudden pain in my lower back--the sort of pain that keeps you from standing up straight, you know. What in the world had I done? I could think of nothing. God forbid that this is muscle atrophy in the lower back as well! 

Nah, it can't be. That sort of this takes a while to develop, right? 

In any event, whatever it is, it is still present this night as I write this down here. Hopefully a good night's sleep will have a curative effect.