This visit to The Doc I remembered to bring the card. He roared with laughter. Always good to start with belly laughs, I feel.
On the whole, the visit was not the best. It is always lovely seeing The Doc but the news from my DEXA scan was not good. I had suspected it might not be but it exceeded my expectations. I have osteoporosis. Oh goody. I come from a long line of women with osteoporosis so it really should not have come as a surprise. Quite why it did I am unsure. Perhaps surprise is the wrong word. It is too gentle. Those of a delicate disposition may wish to close their eyes for a minute. Basically, this news fucking floored me. I fell apart. Not on The Doc, you understand. Oh no. I was absolutely the perfectly poised patient capable of competently coping with even the most devastating news. And let’s face it, in the grand scheme of things, lacy bones are not the end of the world. Driving home it was another matter. I had not had a particularly good day up to that point already. So driving home with tears coursing down my cheeks seemed like a good idea. Not sure the other drivers agreed but what care I for that?!
To look at this in a Pollyanna-ish way, without breast cancer I would not have discovered this for some years, possibly until I fractured my spine or something equally unpleasant. Also, it is treatable. It means the bone sucking Letrozole will be administered alongside vitamin D and calcium supplements and I will be started on bisphosphonates. This is good news in many ways. Bisphophonates were recently linked to preventing secondary breast cancer in oestrogen receptor positive post menopausal women so obviously being automatically prescribed them is excellent. They are the routine treatment for osteoporosis and both my mother and an aunt have been taking them for years. Of course there is a downside. They are notorious for causing gut irritation which should be interesting with my gastro-oesophageal reflux disorder but can be given IV if necessary. What larks!
All of this is going to be administered and overseen by my GP rather than The Doc and to that end he has given me a handwritten letter for her and I am dismissed until October 2017 when I will be re-scanned and reviewed by him afterwards. I shall miss our three weekly chats but it is progress. And to that I cling.