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It is fair to say that the last time I spoke to a GP a couple of weeks ago was a relief. The pre appointment anxiety was dealt with swiftly by a doctor asking me to tell her what was going on, and listening as I spoke. Then encouraging me to share more information, before discussing with me what my options were. Well today was the follow up to that appointment, a checkpoint to see how things were going and what could and would happen next. Now feeling a little more confident about speaking to the GP about it again, I was ready with what I wanted to say. However, I was in for a rude awakening.

The call itself was a little later than planned, but that is fine, schedules slip and all that. Although I had not received the usual text reminder yesterday about this, so did at one point worry a little that I had got the date or time wrong, or something else of my own doing. None the less, the call came in.

After introducing herself, she told me that she was calling to follow up on her colleagues appointment with me a couple of weeks ago. All good so far.  I thanked her for calling, and we got into the consultation. It went a little like this.

GP: You were prescribed 25mg of meds, is that correct?
Me: Yes that's right
GP: How has that been?
Me: Errm OK really, no real difference.
GP: No 25mg is a very low dose, we use this to see how it sits with you. I will increase the dose to 50mg, is that OK?
Me: Yes, ok if that's whats needed
GP:OK I will send the prescription to the pharmacy now. In the meantime take 2 of the 25mg a day until you collect the new prescription.
Me: OK will do. 
GP: I also need your BP, so do you have a machine at home?
Me: Yes I do
GP: OK I will text you now, reply to that with the reading when you can.
Me: OK I will do that shortly
GP: OK if thats it, we will arrange an appointment in 4 weeks to follow up with you, reception will call you. 
Me: Oh, OK then, thanks.

By the end of the whistle-stop conversation it felt apparent that this was not a GP I was going to feel comfortable having dialogue with, so just kept it short and sweet to prevent myself getting frustrated or upset by it. Lower my expectations to match the perceived level of interest. Something I have learned to do over the years. There will be another appointment, so I will bide my time and save the more intimate stuff for someone I feel is interested and listening to me. I think this is one of the issues with phone consultations, not being able to see the person, so having to gauge their levels of interest and interaction by voice and tone alone. Not always easy, and definitely not always right either. 

So now there are 4 weeks until I speak to my GP again, and the decision on taking, upping or abstaining from meds sits heavy with me. In the meantime my general state of mind has improved somewhat since getting the ball rolling on speaking with HR at work, them arranging the OH appointment, and my other decision surrounding the idea of returning to an office. Having a back-up plan has really helped, and just knowing that I am OK with finding a different job if it comes to that has made me feel far better about myself. 

Right now I would say I am in a stable place. Although today's perceived lack of interest and engagement has wobbled me for a bit. Not feeling comfortable to ask the questions I had, and explore other avenues at this point is frustrating, but not life changing, so deep breath, and looking at things in perspective, and it will be OK. The time for that will come, and I am in control of the situation. Screening etc can be done without the GP involvement, but at a financial cost... But so be it. 

In the meantime, I have my other appointments coming up with others such as OH and IAPT, so still more to do before worrying about what comes next. The WFH decision is a slow one, but in the pipeline, so that also just needs a little time, to get the final outcome, from which I can then decide which direction next. Options are aplenty. 

In general, day to day well-being has taken a bit of a hit in the past week or so. Physically my back is still giving me a bit of grief, but a lot better this week thanks to Andrew Fung the Osteopath, who I am seeing again later this week. This has led to a drop off in cycling and a complete lack of returning to running for now. Frustrating to say the least, but also has a knock on effect to my mental health too. 
In that respect, my brain is telling me all sorts of weird and wonderful horror stories of what might happen if I go riding. I want to get out on the single speed, but brain says "what if, what if, what if".... So I don't!

Running wise, I have a half marathon at the end of the month, which is looking less and less likely to happen, or at least certainly won't all be running, as it has simply been so long since I ran any distance whatsoever. So trying to jump back in with a half marathon might be asking for trouble. Although... Maybe if I keep the pace down....  !! We shall see. I want to try and get a run in before the end of this week. 
So til then, here's to next week and my appointments with OH and IAPT. As for WFH, no news is good news, as it means the 30 day countdown to return to the office has not yet started. But watch me eat my words in the next day or so. That said, just because the notice is given, it doesn't actually set a date for me to return at that point. 

Here ends todays update.  Thanks as ever for reading. 

That paradoxical moment when you realise how anxious you are getting about seeing your GP about your anxiety! Seeking help about a debilitating condition, but feeling almost incapable of having that conversation with the person who can actually help you. In fear of the reaction and response you will get from that person.  You really couldn't make this up. But thankfully it is not the first time feeling this way.

I know good trumps bad here, and that ultimately the doctor is there to help and guide me through this time. They have done it before and can do it again. Having run through this exact scenario at the RCGP many times in aid of helping students learn, you would think I would be well practised. Well in that regard I am, but it doesn't make doing for real any easier. 

There have been a couple of times over the last decade where I have felt that the GP and I didn't connect in the way necessary to build trust. I didn't feel comfortable enough explaining to the GP what I was honestly feeling, started to feel stupid, so popped the cork back in the bottle of emotions. That can really set me back. But fingers crossed this wont be the case today. 

The second part is when the GP asks you what YOU want them to do and help with. When doing this in scenarios, it almost felt stupid to be asked what you wanted. Especially if this was your first time feeling this way, you would not have a clue what you were going through, and what was wrong, let alone what was available to help you. But I get it... Once you understand that they don't all want to force meds or treatments on you, and are asking how you would like to tackle the issue, it makes more sense. If only there were an easier way of going about it. Maybe running options by you, expressing their preference and then asking if you would rather go a different way?

But here I go, already 3 steps ahead of the whole process, and I am not going for another 2 hours! I just want to relax a bit, and stop running doom scenarios, and stressing myself out more. But, if it were that easy, I would not need to see the doctor in the first place eh. 

What I want from today is to create a safety net, if things slip further, to have options and a plan in place. For when my mind can't quite do these things as well anymore. If I really start to spiral, to have considered that meds are the right way to go. If I need to take a time out, and take time off, so be it, and whatever happens after that be prearranged by me in a state of sound mind, so none of the decisions are knee jerk or irrational.

In my head I have thought through and discussed with myself the worst case scenarios re work. I know if it all goes wrong and gets too much, leaving IS an option, and not an irrational one. There is a plan there of what I would do next, how I would get by etc. More importantly though, there is a bigger more hopeful plan in place to not reach that stage. To find a way to move forwards, and not have any dramatic changes. Compromise can be found if both parties are willing. And seeing the GP today is the beginning, and works fine in either scenario.

So I guess what I am saying is, this is a necessary evil that I have to go through, and a conversation I am dreading, but must happen. The only unknown now, for the next 2 hours at least, is which doctor I will see, and what their attitude to mental health is.

If you are reading this after 14.30 on 27/07/22 then I have seen the GP now.

I am sure there will be another entry a bit later on, maybe today, maybe in a few days, depending what state of mind I leave the doctors in. 

Thanks for reading.