I will seriously worry about ANYTHING

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Routine Doctors Appointments

Why have my insurance plan and my annual schedule conspired to make January the month when I have All the Appointments? I was trying to make plans to write with a writing friend and I looked at the calendar and it is PACKED. I feel like January is nearly over and it has only just begun. 

One of my upcoming appointments is with my OB/GYN, and I have been steeling myself to insist a little more forcefully that I believe I am in perimenopause. You will likely not recall that last year, my tentative questions about it were dismissed due to my age. The array of symptoms that seem to be perimenopause-related continues to grow, so I just want to confirm that a) yes, this is happening and b) there is nothing I can really DO about any of it, beyond what I am already doing. (TMI note: I take oral contraceptives which both prevent a period, so I don’t have that to clue me in as to actual menopause, and, according to the OB/GYN, oral contraceptives are supposedly the first line of defense against perimenopause symptoms anyway.) I had also been steeling myself to ask for a physical exam this year, should it be bewilderingly optional as it was last year, but I am pleased I am relieved I see from last year’s post that I should expect a pap test this year so that shouldn’t be an issue.

The other upcoming appointment is with a new-to-me internist. I have been mildly fretting about the appointment for, oh, several months now. I am eager to have a primary care physician again; my last PCP, whom I adored, prescribed me a new medication two Decembers ago, then went on leave until March, then left her practice to become a concierge physician. I love her enough that I strongly considered following her to her new practice, but I did not. Anyway, I have ostensibly been without a PCP since December of 2023. The old practice has been kindly refilling my prescription all this time, but I will be relieved to have a regular doctor again. (Yes, it has taken me since approximately March of 2024 to get in to see a new physician. This is both because I wanted a doctor whose office is closer to where I live now and because I wanted the specific provider my husband recommended.)

The thing I am fretting about is that this appointment is about establishing me as a patient… but I also have A List of things to discuss with the doctor. So I am worrying both about coming across as someone the new doc wants to have as a patient… and about addressing my concerns. 

Is the first fret ridiculous? Yes, yes it is. I can acknowledge that without being able to eliminate it from my worry database. I am sure this doctor sees a thousand middle-aged women just like me; I am not going to be any more or less desirable as a patient. Plus, physician’s job is to deal with the patient in front of them, not reject them based on some sort of Simon Cowellian checklist. (Is Simon Cowell still a contemporary reference?) And in any case, physicians treat patients all the time that they might not otherwise hang out with or befriend; we do not need to be besties. 

STILL. I want to make a good first impression. That’s weird, right? And yet, there it is. 

Let’s move on to the less-ridiculous portion of my frets, which is how to address all the things I want to address without overwhelming the doctor or myself, and without doing that thing where I make a careful list and then get to item three and suddenly feel like I’m overstaying my welcome or talking too much or whatever. I cannot tell you how many times I have gone to see a doctor with Very Specific Things To Discuss, and have decided in the moment that they are silly and I won’t bother the doctor with them. Even when I bring a written list with me, I still do this. 

(You might think that having grown up with a physician for a parent, and then marrying a physician would negate some of the awkwardness I feel when at the doctor. But no.) 

Since three seems to be the magic number, I think I have narrowed my Must Discuss List to three topics: 

  1. Fatigue. I am tired all the time. Like, more tired than in years past. (I feel like I’ve been chronically tired since at least 2012.) So tired that I see the effects of the tiredness in other areas of my life. Is this… The result of a medication I’m taking? A symptom of perimenopause? A deficiency of iron or vitamin D or something else? Because I am terrible at sleeping? Subset of the previous: it is because of my horrifically restless legs? Is the terrible sleeping a result of poor sleep hygiene? Or perimenopause? Or some lifestyle choice I am making? Is the tiredness (and/or terrible sleeping and/or restless legs) fixable? Or is this just my current phase of life (The Tired Phase) and I need to accept and lean into it? 
  2. Medication. I started taking anxiety medication in December 2023 after a series of escalating panic attacks. The medication has been very helpful. I think I am in a less anxious state now than I was then; is it time to try to discontinue the medication? If so, how do I do that? And what happens if I decide it was a terrible plan to discontinue it? Yes, 2023 was a wildly exciting and action-packed year which ended spiking my anxiety to new heights, but it’s not like I was NOT anxious before that. I am not opposed to taking medication when it is helpful, but I also don’t really want to take medication if I don’t need to.
  3. Weight. Due to some fairly significant weight gain over the past year, I am heavier than I have ever been in my life. Aside from not being pleasant in a variety of ways for a variety of reasons, I am wondering if I need to Be Worried. Is my weight gain a side effect of the aforementioned anxiety medication? A symptom of perimenopause? The result of too many nachos? Something else? Is it causing any problems I should be aware of, aside from the expected and unwelcome not-fitting-into-my-clothing and poor-self-esteem issues? (Like perhaps my extreme tiredness?) Beyond trying to eat less and move my body more, is there anything I should be doing?

You may notice that this very tidy list of three contains many, many subtopics. That feels a little like cheating. (I imagine myself telling the new doctor, “I want to discuss three health concerns with you!” and then bombarding her with restless legs! and perimenopause symptoms! and anxiety! and insomnia! as she crumples to the floor under the weight of my hypochondria.) (Yes, I do realize this is not how doctors work.)

You may also notice that “weight” is at the bottom of the list, in case three topics ends up feeling like too many topics with which to burden the doctor. (I know; I cannot stop thinking this way.) I put it at the bottom because it is the topic that, to me, seems to have the most obvious solution (eat less and move your body more), and also because it is the topic that I feel least comfortable bringing up. It’s such an uncomfortable topic! And possibly the doctor will bring it up anyway, without me having to say anything. 

I have a new, third fret: that I will inadvertently turn my New Patient Appointment into a Sick Visit. Why yes, this fret IS brought to you by two weeks of my family being sick plus waking up at four o’clock this morning with a terrible headache and a sore throat that feels worse than yesterday’s mildly scratchy throat and ear pain and a low-grade fever. 

What happens if I AM sick for my appointment? Is that… allowed? I feel like the “rules,” insofar as I (don’t) understand them are that you can’t be treated by a new physician until you have established with them as a patient. This is why I have been scrupulously healthy this year, because I would much rather go see my PCP than visit urgent care. 

If I AM sick for my appointment, then identifying/treating that illness probably jumps to the top of my list of concerns… but can I also address the other less-urgent topics?

Should I perhaps be badgering my husband with these questions instead of fretting about them on the internet? I mean, yes, but what is the internet for if not for airing ridiculous worries.

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Twenty Ideas for Lists of Twenty in Honor of Engie’s Twentieth

It has been SO FUN to read the guest posts Engie has been sharing as part of her blog’s twentieth anniversary celebration. As you already know, Engie is a treasure. (And if you don’t already know, please go read her blog.) I have been reading her blog for nearly fifteen years. I was delighted when she asked me to write a post… and then I kind of psyched myself out about what to write. I had an initial thought, and then I wrote 1,290 words on that idea, and then… stopped because it was dumb. 

With the deadline bearing down on me (she only gave me five months to write a post) (Engie, I hope you know this is me poking extreme fun at myself), I came up with some potential post ideas:

  1. Twenty things I did twenty years ago that I don’t do any more
  2. Twenty things I’ve learned about myself and life in the past twenty years
  3. Twenty of the best foods I’ve ever eaten
  4. Twenty of my favorite books
  5. Twenty of my favorite book series
  6. Twenty books about which Engie and I disagree COMPLETELY (I am only assuming that we have this many books we disagree about)
  7. Twenty of my favorite Engie posts (how could I possibly choose only twenty????)
  8. Twenty favorite musical moments
  9. Twenty of my favorite gifts
  10. Twenty things I cannot live without (I mean, I probably could but I wouldn’t want to)
  11. Twenty words I wish I could work into conversation more regularly (“adumbration” is currently up there near the top)
  12. Twenty ideas for novels I haven’t yet written
  13. Twenty stories about pets I had in my childhood
  14. Twenty things to try when you can’t sleep
  15. Twenty of my favorite poems
  16. Twenty weird things that make me anxious (writing a guest post for a blogger I admire, apparently????)
  17. Twenty of the best rules for writing (and life???)
  18. Twenty things about my life today that would surprise twenty-years-ago me
  19. Twenty of my top pet peeves
  20. Twenty reasons blogging makes me a better person

(Why was I so completely fixated on a LISTICLE? Why couldn’t I come up with BETTER IDEAS? Doesn’t the word “twenty” look absolutely bonkers now? Twenty. Twenty.) 

I DID write a post, and I hope it’s not too dumb. If you haven’t already popped over to Engie’s blog to check it out, I’d be honored if you did so. 

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Three Things Thursday

I am wearing my hair curly today. I kind of hate it??? “Well, just don’t wear your hair curly, Suzanne,” you might be saying briskly, with a tiny bemused head tilt and mild furrow of your brow. And sure, that SOUNDS simple, but a) my hair is naturally wavy/curly, so it requires blowdrying to jar it out of its natural state, which is not ideal ever but especially awful during the sweatslick of summer, and b) my Instagram feed is full of people who look amazing with curly hair and one of my closest friends sometimes wears her hair curly and it is fabulous, so it should be possible for me to wear my hair curly without hating it. So far, it is not possible. I got a gift card from Ulta for some holiday or other and used it to buy a bunch of sample sizes of curl enhancing products. While they do seem to enhance the curl, they do not enhance my appearance. I don’t know what it is. Maybe I just don’t have the face for curly hair? I feel like the curls exacerbate the roundness of my face. And somehow my hair has less volume when curly? Also, it’s very unevenly curly, with tighter coils around the left side of my face and looser/more jagged waves around the back. I don’t know. Perhaps I should have spent the 2020 lockdown pursuing the Curly Girl Method or otherwise figuring out how to like my hair this way. But I did not and so I am going around hating it until it’s time to wash my hair and start fresh. 

Nutrition, always a tricky subject, feels like it’s at an all-time low in our house right now. Carla makes her own lunch for camp, and I have to say that I honestly have no idea what’s in it. She wasn’t eating the well-rounded and nutrient dense lunches I packed for her anyway, and at least now I don’t have the double whammy of packing a lunch (ugh) and then seeing it return home after being unrefrigerated all day and having to dump it in the disposal (double ugh). I think sometimes she packs pickles and pepperoni and I close my eyes and concentrate on the fact that one is a vegetable and the other contains some protein.

The way we live our lives is not conducive to a lot of methods that most people seem to use to enforce proper nutrition. (We don’t eat as a family regularly, so I end up making separate meals for Carla which makes life easier in a lot of ways but doesn’t leave a lot of room for modeling the type of eating I want to promote.) But between the possibly garbage lunches Carla is eating and the presence of way too many sweets in her life (she uses her allowance to buy candy and chips at camp and at the library after camp), I feel a little fretful about the future. She’s eleven now, which means that puberty is around the corner, and I think this is a time in her life when she really needs to focusing on eating nutrient dense foods, both for all the growing she is about to do and for establishing good habits as she gets older and takes on increasing responsibility for her own food choices. 

But I don’t know what to DO. Hire a nutritionist is a possibility, I suppose, and Stephany’s experience has been positive enough that this has potential. But I am wary of the expense and worried about how hard it will be to find a nutritionist whose philosophies about body size and food morality jive with my own. (Also – and this is silly but it IS coloring my thoughts about nutritionists – a friend of mine hired a family nutritionist and her main suggestion seemed to be about making all sorts of “balls” with protein powder and dates and stuff, and I just cannot get behind a ball-centric food solution. This may sound 100% bonkers, but it is nonetheless true: I do not like foods shaped into balls, and I am not going to eat them.) (Cake pops: no. Meatballs: hard pass. Falafel: no thanks. Protein balls: no way.) I have tried making and eating multiple ball-foods, and I can say with confidence they are a no from me dawg. Beyond hiring a nutritionist, what to do? Oh, and I guess I should say that my word alone holds no water with my child. (For proof: We talked to a health professional, who by the way was not being consulted about food/nutrition and who has no expertise in food/nutrition, who told Carla humans should not drink milk outside of infancy, and she instantly grabbed onto this statement as The One Irrefutable Truth despite all the dozens of very reasonable, science-backed arguments my husband and I made to the contrary.) (And listen: I can, in some ways, understand that argument! I can! People can and do live their whole lives without milk! And yet, “you shouldn’t drink milk” is not a good suggestion to make to A CHILD whose parents struggle to get her to take in enough protein or calcium when milk is a perfectly good, legitimate source of both of those things. Also! I do not force my child to drink milk! I simply put it in smoothies, on the rare occasions she allows me to coax her to drink one!)  

Most of that previous paragraph was a parenthetical, and honestly sounds a little crazycakes, so I am going to start fresh. So, options: 1. Nutritionist. 2. Books??? I listened to a pretty decent book called The XX Brain by Dr Lisa Mosconi recently. It’s about how the female brain ages and steps we can take to nourish and protect our brains against cognitive decline. A large portion of the book is devoted to the importance of nutrition, and I found it pretty persuasive. However, the book is not something that would resonate with Carla. Maybe I could try Mosconi’s previous book, Brain Food? Carla and I could possibly listen to it together in the car. It would be better, of course, if there were books about the importance of nutrition that were targeted to her age group. This book seems to have a lot of information, and might be easy to pick up and leaf through… but even in the online sample, it struck me as having an anti-fat bias. A book about intuitive eating but geared toward teens might have potential… This one sounds like it offers a good mix of practical tips and evidence based suggestions, although I would want to read the chapters about “healthy weight” before I shared it with Carla.

Option 3. Podcasts??? Are there nutrition podcasts that would be appropriate for tweens? I almost never listen to podcasts, so I have no idea where to even BEGIN, and when I google there are ten million options which is overwhelming. Ideally, I would want a podcast I could listen to WITH Carla. Like I said, she’s much more likely to take advice from someone who is not me. Plus, I would really love advice about nutrition for kids her age or older. My experience with a lot of “kid-based” nutrition resources (like Instagram) is that they are directed at parents of very young children. I love the Kids Eat in Color account and have gleaned some good ideas from it, but I feel like I should have started following it ten years ago. Not a whole lot of it is applicable to an eleven-year-old, you know? As long as I’m making a podcast wishlist, I also want one that isn’t focused on weight gain/loss or being fat. There are plenty of OTHER valid reasons to eat a well-balanced diet, and that’s the message I want to get across to Carla at this very vulnerable stage in her life.

I want someone to tell me what to DO. Someone who understands that it’s not as simple as “just don’t have those things in the house,” because I don’t want to make “those foods” more tantalizing by being forbidden, and because I do think eating is MORE than just nourishing our bodies. Someone who gets kids who are picky. Someone who knows what to do when a kid is fine just not eating if the food on offer is unpalatable to her. Someone who believes in health at every size and who isn’t going to suggest cutting out an entire macronutrient. Someone who has better arguments against candy and chips than “they will make you fat.” Someone who also believes that candy and chips do have a role – if a far, far less frequent one – in a well-rounded diet.

I want to be clear that things aren’t DIRE, or anything. I think Carla eats a decent mix of fruits and veggies and fats and proteins and carbs. Her doctor has never expressed concern with how she is growing. I just wish I could get her to eat a wider variety of things, and that she would be open to eating a wider variety more often, and that I could get her to be less reliant on/interested in snack/junk foods. I just feel like we’re at an inflection point and I want to help her figure out how to eat in a way that is both nourishing and satisfying. Probably I will just keep flailing along as best I can, punctuated by moments of throwing my hands in the air with the impossibility of it all.

Yesterday, I forgot my address. I am putting this in print both because it was hideously embarrassing to the point that I keep going over it and over it in my mind, and committing things to print often allows my brain to stop dwelling on them; and because I want to have a record of it just in case this is the beginning of a steep slide into dementia. This happened during my writing group session. One of the members asked for my address and I could not remember it. At all. I mean, I knew the street name, at least. But I could not think of the street number. Our other member had to look it up in her phone for me. It was so awful! How do you forget your own address?!?!?! Is this a perimenopause thing? Is this a side effect of my ongoing lack of solid sleep? Is there something else at play? Or is it just a memory blip on the wide spectrum of “normal”? I don’t know, but it was alarming. 

What are you thinking about today? Have you ever had such an upsetting memory lapse?