Never have I ever been so excited for a pelvic exam
Finally, my appointment with Dr. Grady Bruce of Urology Austin (Round Rock location) has arrived! He has such an excellent bedside manner that I’m naming him. He is an expert in Interstitial Cystitis and my most-dreaded disease has become my official suspected dx.
I was the youngest person in the waiting room, maybe the only person without gray hair. That’s cool; I’ve accepted my life as an elderly person. I waited a half hour past my appointment time but once I was in the exam room, Dr. Bruce came in immediately and spent an hour going through my history and sx.
He said he was sorry when he heard about my ER visits for pain and I was like, oh. Thank you! I am not accustomed to this. He spoke highly of my treatment team.
We talked about how pregnancy can alleviate IC sx and I explained about our plans for IVF and the failed IUI, which he expressed sympathy for again. Amazing! My low expectations for healthcare are showing, but soon thereafter I was tearing up as he was validating how difficult it must be to endure chronic pain, endometriosis, dyspareunia, infertility, all of which was not my fault. Those were his words. Waaaaahhhh THANK YOU. He asked if I were under stress with a young marriage and I was like, yes, we’re in couples counseling. Dr. Bruce does the tissue handing move. Actually rummaging through cabinets and opening a package. I try to keep tissue within hand’s reach in all counseling sessions.
Dr. Bruce states nothing in my history would prevent a “complete remission” as my diseases are incurable. He said he didn’t want to throw medication at the issue but I’ve already tried the first steps of IC treatment.
Throw all the drugs at me! I’m desperate.
TX plan: continue pelvic floor PT, pain management through Dr. Garza, Prelief, avoiding trigger foods, add the dreaded Elmiron, sample Myrbetriq for 4 weeks then return to meet with nurse practitioner
Ready for nausea! Nausea is my least favorite feeling.
He explained scientifically how Elmiron (opposite of heparin) builds up slowly in your system (like a year) to rebuild the porous bladder wall to prevent acidic, painful urine from coming through. Myrbetriq will relax a bladder muscle, allowing for a greater capacity for urine. This could work within a few days. I know I’ll need to adjust meds for IVF but I want to get to a stable place and, as always, feel slightly more sane through sleep. In summary, go to Dr. Bruce if you’re in the area and suspect IC.