Earlier this week, I had my scheduled neurology appointment. This appointment was a follow-up to the one I had months ago for my memory issues. The only difference this time is that I had to utilize a tele-med meeting over the internet. In this brief post, I will share my tele-med experience. Additionally, I will briefly talk about what the neurologist said about my memory issues.
Tele-med is the way to do these appointments.
As I mentioned last week, the neurologist nurse called to ask if I would be OK with participating in a tele-med appointment over the internet. I thought it was a great idea. Not only would it save me the three-hour drive to Sioux Falls, but it would keep me away from a COVID-19 hotspot. And being someone who is used to working from home, it only makes sense I would do doctors appointments this way as well.
The actual appointment went very quickly. Well, it went quickly after the doctor got on the video feed. Just like at the clinic, I had to be in a “waiting room.” Even sitting in the comfort of my own home that seemed to take forever. But it was still better than waiting at the clinic!
I was able to hear the doctor clearly throughout the meeting. He did have problems hearing me at times. Next time I do this, I might tell my kids to get off the internet for the duration of the appointment. Something they were doing may have caused bandwidth issues going upstream. But overall I was pretty pleased with the quality of the tele-med meeting.
The neurologist recommended I change maintenance drugs.
The actual appointment went very quickly. I would say it lasted no longer than ten minutes. This appointment was a follow-up to my memory issues. I explained to the neurologist how the last few rounds of rituximab maintenance went. I told him that my memory problems seem to get really bad about five days after my injection. They stay bad for a few weeks and then slowly get better. Then, just as I feel somewhat normal, I get another round of maintenance.
Memory issues are not a listed side-effect for rituximab. Due to that, I actually wondered if this whole memory issue hasn’t been in my head (well, obviously it’s in my head, you know what I mean). The neurologist said there are times where certain medicines can cause unique side-effects for individual patients. He believes that is happening with me and seems quite concerned about it. I have to admit to feeling relief that he believes me. Before being diagnosed with cancer, I went through a few doctors that wouldn’t believe anything was really wrong with me. That left me with a bad impression of doctors.
His more significant concern was any long-term damage that could come from the continued use of rituximab. I hadn’t even considered that. The neurologist planned to recommend my oncologist switch to an alternative maintenance drug. Part of me is nervous about trying another medication. But a more significant part of me now fears any continued use of rituximab will permanently damage my brain.
Maintenance is coming up.
My next round of maintenance is coming up in about a week and a half. At that time, I’ll speak with my oncologist and see what she recommends I do. Maybe before then, she will call me and discuss my options. Or perhaps even utilize a tele-med appointment. That seemed to work well with the neurologist. No matter what, though, I have to admit I don’t think I want to retake rituximab unless it is necessary. Losing my mind is one of my biggest fears.
Song of the day: Sirius/Eye in the Sky
Talking about neurology and video conference with a doctor brought this classic Alan Parson Project song (well songs) to mind.
Bonus Song: Amnesia
Some years ago, the group Chumbawamba had their one-hit-wonder with Tubthumping. The band actually has music that I think is much better than that song. This song from Chumbawamba comes to mind when I think of memory loss.