Had a very strange doctor's visit yesterday. Since my last visit I'd lost 7 pounds, putting my current BMI at 21.8. After greeting me, my somewhat chubby doctor looked at my chart and said, "Wow. Your weight is amazing. How do you do that?" So I'm thinking this visit is off to a pretty start. Not so.
When I get home, I read that part of the after visit summary where the computer automatically comments on vital statistics - this genius computer says my ideal body weight is a BMI of 20.0, seven pound lower still. 20.0??? Where do they get these numbers? I'd look like a skinny, wrinkled old apple.
OK, not a big deal, just weird. Here's the weirder, much bigger deal.
Over the holidays I caught Covid and had a persistent deep cough and some shortness of breath for a few months (resolved now). Mid February I had a chest X-ray to rule out any permanent damage, specifically "Covid lung." The email results he sent me a couple of days later was as follows:
"I am pleased to inform you that your recent chest x-ray showed no significant findings in the lungs that would cause your cough. The only finding was some degenerative disk disease in your spine."
Good news, right?
Yesterday this same doctor says that the X-ray picked up atherosclerosis of the aorta with calcifications present. (WHAT?) He tells me that little can be done, just watch my cholesterol intake (umm... I'm already a vegan, as we discussed five minutes ago when you complimented my weight.) and take my meds (which I do, religiously).
As you can imagine, this was very distressing news. However, I remained calm and figured I'd pick the brain of my younger sister and her cardiology buddies (she works at a cardiac hospital).
When I got home I went through my medical records, including the radiologist report from that X-ray, and am beating myself up for not noticing this diagnosis back in Feb. Thank heavens I'd requested a copy of the report.
I recheck the radiology report, which says nothing about my heart or aorta. The findings state:
PA and lateral views of the chest were obtained. The soft tissues, diaphragm and cardiomediastinal silhouette are normal. The lungs and
pleural spaces are clear. There is mild disk space narrowing with small osteophytes in the lower thoracic spine.
Nothing about my heart other than that its silhouette is normal.
My guess is that the doctor misread this report yesterday, seeing "aortic" instead of "thoracic" and interpreting "osteophytes" as calcification. I sent him an email gently asking, WHAT THE HELL? Am waiting for a reply. While I'm not 100% sure that he misinterpreted the findings yesterday, I can find no smoking gun that would lead to a diagnosis of aortic atherosclerosis.
Sheesh! We all have to be our own doctors, don't we?