Who is on the team?

I’m going to be real and honest this week.  Well, I’m always real and honest, but I am going to talk about things that are a little uncomfortable to talk about because… well… sometimes we need to do the uncomfortable things.

Because they’re the right things to do, even if they’re uncomfortable.

Before we go too far today, I want to start with the end in mind:

• We need to de-mystify medical issues, wellness and prevention, and we need to talk about stuff.
• I’m fine. 
• I am very appreciative of my team, of knowing that I am not alone and that I have very smart people I can call.
• We need to pursue prevention and wellness in positive terms.
• I am encouraging all of us this week to map out our plan and make our appointments for 2024.

I am happy to say, I took care of all the recommended wellness screenings and vaccinations for my age group in 2023.  Before you think I’m bragging, trust me – I’m not.  In full transparency, I received my results from the test I took instead of having a colonoscopy on December 28.  So to say I took care of them in 2023… well, I just squeaked that last test into 2023.

The question I want to ask us today is “Who is On The Team?” And let’s think of them as a team, as people who are smarter than us in certain areas and who are here to help us.

This week, that is in health care terms. Here’s the story:

It’s Spring, 2020. I had created a great team, I thought, over the last 20 years with a gynecological practice and primary care practice in the same clinical building.  And then… just as I really needed them in 2020, my gynecologist who delivered all three children retired, the clinical building closed and all the doctors left with no follow up for over 3 months.

Because of that experience, I realize just how important it is to have A Team. And to think of wellness and prevention in positive terms.

I’m always on track with my annual gynecological exams and my mammogram. I struggled with medical issues starting in the summer of 2020 that culminated with a major gynecological surgery in February of 2021, so staying on top of those issues is more important to me than ever and I never miss a year.

However, because I had done so much medical stuff in the 6 months leading up to that surgery, I did not get an annual general physical exam or lab work, etc., in 2022. 

But, I understand the importance of regular screenings and preventive medicine.  I encourage all of us to understand that and to make time NOW to take care of ourselves to save time and heartache later.  So in 2023 I re-committed to prevention and re-examined my team.

I made the calls that needed to be made, I made the appointments, I did the work.  Did I like all of it?  No.  Did I do it anyway?  Yes.  Because, like in organizing, maintenance in wellness is where is the secret and foundation to success.

In 2023, I had not yet had a colonoscopy, even though recent changes to the recommendations tell us that we should start getting those at 45 years old, and let’s face it, I am more than 45 years old. And as my otherwise totally chill and relaxed gynecologist said very strongly at my appointment with her in July, there are worse things than getting a colonoscopy – Like GETTING COLON CANCER. 

In truth, I wasn’t actually worried about getting a colonoscopy.  My hurdles were navigating our insurance, setting aside 2 days to schedule the prep and exam, not wanting to bother anyone with needing to drive me, etc. So, at my annual physical in November, my primary care doctor mentioned Cologuard, a test I could do at home and then send in, and I thought that sounded like a great idea.  (And it still took me a few weeks to do it, after I got the kit!) The “everything looks good, you have 3 years until you have to do it again” were the results I received on December 28.

I am taking a while to get around to what I really want to talk about today.  I added another member to the team recently.  For much of 2023, I had a spot on the right side of my nose that just wouldn’t heal.  It would almost heal, and then I would wake up and it would be bleeding again. 

I am a fair-skinned Irish girl. I have worn SPF 35 or more every day for 23 years. I have two colors – white and red.  There is not much in-between for me.  I have family members who have had skin cancer.  I knew I needed to make the call.  I hesitated for a while because my son was getting married in late September, and I didn’t want to have surgery before that.  It isn’t reasonable, of course, to think this way, but it is what I thought.

So, right after the wedding, I made the appointment for a skin screening, and that screen occurred the first week of November.  They completed a thorough skin screening and took a biopsy of the spot on my nose.  This may sound strange, but even though the dermatologist was also concerned about the spot on my nose, I left the office that day feeling so relieved, knowing that except for that spot, the rest of my skin looked good and healthy. 

I received the results the week after Thanksgiving, that I have a basal cell carcinoma on my nose and it needs to be removed. Let me assure you, this is the blandest, least concerning type of skin cancer there is and I am perfectly fine.  You can google it, if you’d like, goodness knows I did.  And now, I have a Mohs procedure (you can google that, as well) scheduled in two weeks to remove the spot.

Did I want to have the dermatologist appointment?  No.  Did I want to have the screening? No, because I was worried about what they would find. Again, not logical thinking, I know, but that was my thinking nonetheless. And because I was worried, it was EVEN MORE IMPORTANT TO MAKE IT HAPPEN.

What’s really interesting is that now that I have to take a few weeks off around the procedure for recovery and have spoken to clients, friends and peers about scheduling, I have heard just how common this procedure is. Thirty percent of fair skinned people will have it in their life time. As soon as I mentioned that I have to do this, I learned that many people I know have already had this procedure. Which goes back to the the statement – we need to de-mystify medical conditions and talk about stuff more openly.

Which is what I am doing today.

So, back to the original question.

Who’s on the team?

• My chiropractor, my massage therapist and my nutrition response testing provider (all at the same office), and I probably see them the most often;
• dermatology practice;
• gynecologist practice;
• eye doctor (just had my 6 month check-up this past week);
• my primary care doctor; and
• my dentist.
• I’ve also worked with and can call on them again – a nutritionist, a healer, a physical therapist, an oriental medicine practitioner and acupuncturist, and a therapist.
• More importantly, who needs to be on your team? What are the recommended tests and screening for people your age? If you haven’t already scheduled those for 2024, may I gently suggest you give those some thought this week?

So, let’s review.

• We need to de-mystify medical and wellness and prevention, and we need to talk about stuff.
• We need to examine the excuses we tell ourselves, because sometimes those stories are wrong.
• I’m fine. 
• I am very appreciative of my team, of knowing that I am not alone, of knowing I have very smart people I can call, and of thinking about prevention and wellness in positive terms.
• And I am encouraging all of us this week to map out our plan and make our appointments for 2024.

What does that look like for you?

Using the terminology from last week’s podcast and article, start with the easy and the obvious.

Schedule your dentist appointments, your eye doctor appointment, your annual physical. You don’t have to complete them right now, but please, get them on the calendar for some time in 2024. And if doing that all at once feels overwhelming, place a reminder on the first day of each month to call one office and make one appointment. Or, make that note for your birthday of the month – meaning, for me, the 7th of every month could be wellness day. I always use my birthday in the Fall as a reminder to get my flu shot.

If you don’t know what the recommended screenings are for your age group, ask your primary care provider or google it. Have the uncomfortable conversations, make the tough phone calls. Be the leader of your wellness team and make your plan!

To paraphrase the words of my doctor last summer, what’s worse than the screenings and vaccines to prevent illness? Actually having the illness! Mobilize that team!