fandomsecrets | [ SECRET POST #2363 ]

⌈ Secret Post #2363 ⌋

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The other week I found a hard, painful lump just below my breast. It's not technically in my breast; it's in the lump of fat just below my breast, and it's only really easily felt when I'm lying on my back, so it feels like it's attached to my rib and "surfaces" when the flesh between it and the surface expands sideways when I lie down.

I haven't talked to my doctor about it and I'm scared to because I'm fat, because I've been having trouble with my hba1c and can't get in to see my endocrinologist for another two weeks when I urgently need to talk about my meds with her, because two of them are interacting to kill off my liver function and I can't go off the blood thinners, but if I go off the metformin my insulin resistance will get worse and my blood sugars will be harder to control and it will be even harder to lose weight.

And I can't get confirmation that there is something there from any of the people who'd be comfortable checking because my dysphoria is flaring up and the idea of someone touching my breasts is enough to spark my anxiety.

And I'm half afraid the answers here are going to be "lol, you're obviously lying, nobody has all those health problems" because God knows I feel like a frailty Sue sometimes.

Why would people assume you're lying? It's not far-fetched that a person with insulin resistance and taking metformin could also be at risk for clots and be on blood thinners. (My mom takes both.) I'm actually horrified that your endocrinologist wouldn't insist on seeing you on an emergency basis if you are developing liver failure.

I've had people tell me it's "unrealistic" for a 28-year-old to have all the health problems I do. Like I'm a badly-written roleplaying character. Everyone in my family has health conditions that are pretty heavily tied to Agent Orange exposure, and my father was in Vietnam when Agent Orange was being used, but apparently I sound like I'm trying to win the disability Olympics or something. Plus I've got a pretty nasty case of Borderline Personality Disorder that comes with intense paranoia, so I always suspect people think the worst of me. I'm getting better at taking myself out of it, but that plus experience of "you're lying, nobody your age is that sick" kind of leave a mark :-/

My endo's at some sort of endocrinology convention, and my liver function is decreasing but I'm not in liver failure yet; I don't honestly understand that much about the problem except that my GP wants me to talk to my endocrinologist and get my meds changed. The trouble is the metformin is for my PCOS and the Warfarin is something I have to take pretty much forever; I've already thrown one clot in my lung and my father had eleven before he died, so the risks are way too big for me not to be on preventative medication.

"you're lying, nobody your age is that sick

Wow, I wonder what planet the person who could say this is from.

The people who told you it's "unrealistic" suck. Seriously, how much empathy must one lack to say something like that? :(

Isn't there some way to contact your endocrinologist through e-mail, cellphone number, or something?

No 28-year-old in the world is on eight different types of medication, obviously. Never mind that a lot of my conditions are interlinked.

I'm going to call the clinic's emergency number on Monday. My endocrinologist is the one I see at the local hospital's diabetes clinic, which combines endocrinologists, nutritionists, and a bunch of other specialists that you need to see for complications panels (eye function, kidney function, that sort of thing) so worst case scenario, I'll be able to see someone. It's just taken me years to find doctors who'll treat my conditions instead of just my weight, so I'm really leery of using unfamiliar ones.

Honey, go to your doctor. You need to get that checked. It's a separate issue from the other stuff, and while you have every right in the world to be anxious about the thing with your meds and the blood thinners, it's not something you need to think about in the context of the lump.

If you're uncomfortable with going to your regular doctor with it, can you go to another one at the practice, or to a surgery nurse? I know it's hard when you're so anxious, and the dysphoria makes it all the more difficult. But maybe try breaking it down into small steps. Call for an appointment. Get to the surgery. Explain you need a medical opinion on a lump beneath your breast. Get it checked. Peace of mind.

Worrying over it will make you anxious and miserable. Get it checked, and deal with the other stuff after that.

Go see someone. Whoever you can. Even if it's just a free clinic or something, but - yeah. It could be nothing. It could be just a fluid-filled cyst that will do nothing at all. But it could be a symptom of something else, so....yeah.

Nah dude, people do have all those health problems (many times in conjunction with one another), and it's okay to bring them all up, because getting them explored/treated is the best way to getting you towards being healthier. I have PCOS, PMDD, and chronic back pain myself, so I'm constantly on the watch for drug interactions and the like within the host if medications I take. And with something like liver problems, that's nothing to joke about. Metformin and blood thinners are a common combination to be prescribed (especially metformin & spironolactone, metformin & hydrochlorothiazide, and metformin & furosemide. I'm on the first combo) so if you're having problems with the current combo you're taking, there should be other insulin/bp combinations you and your doctor can try without you having such serious side effects from them. So please, have a serious conversation with your doctor about alternate medications you can try, rather than trying to just go without taking one or the other.

As far as the lump goes, please don't hesitate to take that to your doctor as well. Assuming your GP is someone you trust in regards to your dysphoria, I would certainly try to call to have them check it out and talk to you about it. Cysts form all the time for various reasons, and hopefully it's nothing and will recede on it's own given time, but since it's painful for you I would get it checked out, just in case.

I know you're scared about everything right now, but talking to your doctor will make everything move towards the better, since you won't have as many unknowns and will come out the healthier for it.

ah shit I mistook bloodthinner for diuretic, I'm sorry. Please disregard the meds i listed off. Your endo might still be able to suggest an alternative (maybe changing the metformin to another insulin medication), but I apologize for getting the drug classes wrong.

It's okay; god knows I still mix up this stuff sometimes. (I always get my antidepressant wrong. Lexapro, not lepraxo, self.) I'm hoping we'll be able to find something to swap the metformin out for, and at this stage I'm even willing to consider an insulin pump if it'll help even my sugars out - I've always been uneasy about them because I have a slight phobia of things in my body that don't belong there, which makes tests with injected radiation dye really fun, but right now I'd stick in an entirely mechanical pancreas if it would make things even a tiny bit easier.

Oh man. I've only ever taken metformin so I don't know what would be adequate to suggest as an alternative, but if the insulin pump is a thing that might work out for you, then it's def an option.

Good luck to you either way with that, and I'll keep my fingers crossed for you being able to get into see someone in the clinic on Monday or so to discuss this and get this worked out.

If you're comfortable with doing so, let us know how things work out for you, okay?

I understand, as I have multiple chronic illnesses myself and also run into that "Well this is wrong but I can't do this because that'll affect this". I don't have any real advice—just sympathy.

[ SECRET POST #2363 ]

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