I had my bi-yearly appointment with my HIV doctor yesterday. My appointment was in person, not a telephone appointment. At first I was annoyed by this, I didn't want to drive all the way downtown. However, getting to see my doctor and nurse was great. They are both so kind, friendly and energetic. It was also good to get out and have a regular appointment which provided some normalcy during these uncertain times.
My viral load is still undetectable woot woot! We are going to switch my medication from Triumeq to Dovato. Apparently,studies show that three medications in one aren't needed for people who's HIV has been stable. I'm down for that! It's still only one pill but the less medication I need to take feels like a good thing since, I take quite a few for different issues.
Unfortunately my liver enzymes are still high. Three years ago my family doctor sent me for an ultrasound, I was told I have the beginnings of non-alcoholic fatty liver disease. Well, three years later my enzymes are still high so I have to go for another ultrasound. Thankfully I don't have to wait too long, my appointment is on August 24th. I've been trying to eat healthy, the struggle is real.
I LOVE fast food. My Mom barely cooked when I was a kid, so we ordered out a lot. Our fridge and pantry were always full, my Mom bought healthy things but when we had pizza pops and wagon wheels in full stock all the time and she was at work all the time, choosing healthy was rarely a thing. My poor brain has been loving fast food since I was a kid. When I'm happy I want fast food. When I'm sad, I want fast food. When I'm angry, I want fast food.
I've tried over the years, many, many, many times to stop eating fast food. My doctor was like you need to eat healthy, exercise and lose weight. I said "I'm trying." I've been going for long walks. I've been increasing my fruits and veggies but sometimes the cravings for fast food are so intense. Lately I've been working on self-compassion and working on my anxiety. I keep reminding myself every time I try to quit fast food cold turkey, I always crash. So I am trying to make small changes and increase them over time. I rarely drink alcohol anymore. Last year I decided to limit drinking alcohol to help my physical and mental health. I realized even if I just have a couple of drinks, my mental health would be impacted negatively because of it.
I also have to go see a gastroenterologist because my anal pap smears keep showing abnormal cells (atypical squamous cells of undetermined significance - ascus). A few years ago I had to have some of the cells removed for a biopsy (side note: the doctor accidentally shocked my asshole and then I awkwardly had to figure out how to put a maxi pad on - (I'm a guy) - with no help from the medical staff, I realized it attached to the underwear haha). Thankfully the biopsy didn't come back as cancerous. Fingers crossed that will be the result again.
I also have to go for tests for blood sugar and cholesterol because I haven't had those done in quite awhile.
It was quite a jam packed appointment, usually I go in and it's:
💊 Any issues taking your medications? / How many doses have you missed?
💊 Your viral load is undetectable
💊 Your shots are all up to date
💊 Here is your prescription, see you in 6 months
I am thankful that I have an awesome doctor and an awesome nurse. I am thankful that anytime I've needed a shot, the cost is covered by our healthcare. I am thankful when I've needed a procedure, I didn't have to worry about going into health care debt, that our taxes go to our healthcare. I am thankful that I can discuss my HIV and my other health issues and needs with my family and friends.
