I’m a woman in my twenties. I’ve been having recurring joint pain and severe fatigue for quite a while. I brush it off for several months until I literally fall asleep at my desk at work.
Around this time, I have my yearly labs drawn for my primary care provider (PCP), and several numbers come back elevated. I Google what this means, and it says that those numbers mean inflammation somewhere in the body. I ask my PCP, a man in his fifties, about this at my yearly appointment a couple of weeks later.
PCP #1: “How did you know that those numbers mean inflammation?”
Me: “Google.”
PCP #1: “Why are you Googling things?”
Me: “I had to wait two weeks for this appointment, and I was curious. So, why are those labs so high?”
PCP #1: “You’re on birth control. That causes inflammation.”
Me: “I’ve been on birth control for years with no issues. Why would it be doing that now?”
PCP #1: “Your numbers aren’t that far out of range. Any other questions?”
Me: “Actually, yes. I’ve been having a lot of joint pain, and I’m tired all the time. I’m wondering if that’s related to my labs.”
PCP #1: “If you lost weight, you wouldn’t be in pain. Work out more.”
Me: “…excuse me? I walk on the treadmill almost every day for thirty minutes. I do yoga, too. It hurts too much to do anything else.”
I’m average weight for my height.
PCP #1: “Go outside and run. You’ll have more energy. If that doesn’t work, you probably have chronic fatigue syndrome.”
I walk out of that office wondering if I am imagining everything. I eventually move out of the area and get a new PCP, also a man in his fifties. It takes over a year for me to bring up my symptoms, as I am afraid of being blown off again. At this point, my labs and symptoms are significantly worse.
PCP #2: “So, your inflammatory labs are really out of range. Are you having any odd symptoms?”
Me: “I have a lot of joint pain, and I’m tired all the time.”
PCP #2: “Did you fall recently? Pull a muscle?”
Me: “No, and no.”
PCP #2: “Hmm. When did this start?”
Me: “Um… last year, maybe two years ago. It’s been a while.”
He drops his notepad and stares at me.
PCP #2: “YEARS?!”
Me: “My previous doctor didn’t think it was serious.”
He shook his head and started asking about the joint pain’s location and severity. He referred me to a rheumatologist, who ordered a ton of labs and imaging. I was diagnosed with psoriatic arthritis and started on medication immediately.
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A Very Patient Patient