The Migraineur

July 16, 2007

Endocrinology and Doctor Shortages

Last Friday I finally called the reproductive endocrinologist’s office - let’s call her Dr. Ovary - and got the receptionist’s voice mail.  (This is odd, isn’t it?  It was, after all, before 5:00.)

Today the receptionist called back and said, “Dr. Ovary isn’t seeing any new patients until next year.”  I felt a lump rise in my throat - I really really want to get an answer on the early perimenopause question, if only for peace of mind.

But after I’d described the problem, in far more detail than I want to describe it here, to the receptionist, she said, “Well, you can see her fellow, who is supervised by Dr. Ovary.”  If I did that, I could get in on 8/16.  In, you know, 2007.  So I took the appointment.  I’m 38, people.  If this is perimenopause, by next year, it could be all over.  Besides, Dr. Ovary, who is something of a hot shot in the field, will be present at the initial evaluation, too, though I assume the fellow will be running the show.

Note to self:  be extremely well-prepared and ready to share anything that seems important, regardless of whether Dr. Fellow asks, just in case it seems important to Dr. Ovary.

This reminds me, when I initially tried to set up an appointment with a neurologist that specializes in headache back in June, they told me they were not making appointments until October.  My GP told me that a bunch of folks in the neurology department had retired lately, so they are a little overextended, and agreed to continue to do my migraine followup until I could see Dr. Migraine on Halloween.  Does anyone else find it amusing that I’m going to a migraine specialist for the first time on Halloween?

I wonder if something similar is happening in Endo - the first of the baby boomer doctors, who are 61 this year, taking early retirement.  We hear a lot of predictions about the upcoming crisis in health care as more and more aging baby boomers need more and more care, with only tiny little Generations X (my generation) and Y left to provide it, but I have never heard anyone mention the compounding phenomenon - a shitload of doctors and nurses are ready to retire in the next five years, too, further worsening the shortage.  This is going to be a problem for everyone, young, old and middle aged alike.

So I have mixed feelings about this Endo appointment.  I wanted to see Dr. Ovary, because she’s apparently the best in her field.  On the other hand, it’s important that young doctors get experience, so seeing Dr. Fellow is a win-win situation - I get an appointment before the ovaries completely wither away (and presumably stop complaining), Dr. Fellow gets some experience, and hopefully I will get at least some benefit from Dr. Ovary’s experience.  Heck, maybe my case will turn about to be some completely routine thing they can solve with a shot of progesterone.

I still haven’t made the ophthalmology appointment.  Maybe I should try that now, in case they can’t get me in until 2021.

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