Dr. Niemczyk

STOPPED March 2019, replaced by 75 mcg. Dr. Niemczyk started it in 2009.

…50 mcg. Total cholesterol 221, LDL 138; he says diet first. Mammogram ordered for fall.

…he called borderline. Told to lose fifteen pounds and walk. PSA 1.8.

…mczyk saw it on the second day and started valacyclovir for seven days. The pain lasted about five weeks. He says to have the vaccine once a year has gone by.

…, as if I had been branded. Dr. Niemczyk saw it Tuesday, on the second day, and says the pills will shorten it. They have not shortened it yet. I went to school Wednesday anyway and came home at noon. Nothing may touch it. I am wearing R.'s largest flannel shirt, unbuttoned, and reading standing up.

…no longer borderline. Metformin 500 mg twice a day, a meter and strips, and the diabetes class at Arbor Bluff on April 8 and 15. Weight 226.

…" were his words. A pill twice a day, a meter, a box of strips, and two classes at Arbor Bluff in April, which I am going to as well. He asked for the numbers, asked what the numbers ought to be, and wrote both down. In the car he said, "So it's a maintenance problem." I said yes. He said, "I can do maintenance." T…

STOPPED January 2019, replaced by 1000 mg twice a day. Dr. Niemczyk started it in March 2015 when the diabetes was diagnosed.

…iemczyk shook his hand.

…. Dr. Niemczyk has put me on a statin, one at bedtime. R. moved his own bottles along the shelf to make room and said, "Welcome." I read "My Name Is Lucy Barton" at one sitting: a woman in a hospital bed whose mother comes and sits at the foot of it for five days.

…I have started atorvastatin 20 mg. BP 130/82. Weight 150.

…noon by telephone: osteoporosis, in the spine. The hip is merely thin. I asked what it means in plain terms. It means that if I fall I am more likely to break. Mom lost four inches by the end and never broke a thing. R. went round the house this evening looking at the rugs. Dr. Niemczyk says a pill once a week from…

…is at the spine. Dr. Niemczyk started alendronate 70 mg once a week from May, with calcium 1,200 mg and vitamin D 2,000 IU daily.

Take: the list of medicines with doses; the dates (shingles 2013, biopsy 2016, bone scan April 2018); the bottle of calcium. Ask: 1. Did the whole chart come over from Dr. Niemczyk's office, or only a summary? 2. The alendronate: who orders the next bone scan, and when? 3. Thyroid: when was it last checked? 4. Shingl…

…s perhaps forty-five, small and quick, and she looks at you while you talk rather than at the screen. She had read the whole chart, thirty years of it, including Dr. Niemczyk's handwriting. She asked about the shingles. She asked about Mom. She changed nothing. I like her.

…iemczyk has retired. She had read the whole chart. BP 126/78, weight 148. No changes to anything. I like her.