4/16/25 in 2020s

Had better energy yesterday, but today I’m exhausted because my sleep got broken up again. In less than four hours, I’ll have my virtual appointment with one of Circle Medical’s primary care docs, which will be the first of five steps to hopefully resolving my fatigue (they’re a lot like Galileo). Step two will be doing the test, step three will be a second virtual appointment to discuss the results, step four will be getting the CPAP, and step five will be adjusting to it—and hoping to hell that that really has been the main culprit.

I skipped my levo yesterday because I started showing signs of being overmedicated. I’ve been consistent for six weeks, and with all the extra vitamin D I’ve been having, it makes sense that I might start having palpitations and feel warm and wound up at that point. Estrogen cream can also cause that, but I’d like to think I don’t use enough of it—or often enough—for that to be the case. Time will tell.

Because HMO insurance plans are so much cheaper than PPOs, I doubt I’ll ever be able to have Galileo or Circle Medical as primary care doctors. Galileo doesn’t accept any HMOs, and Circle Medical has very limited options for that. That’s okay. Other than getting a much quicker response to questions, I still have to see a lot of doctors in person anyway.

Tom did a great job of clearing the sunken sidewalk in back. It looks so much better.

I got sick of Turkish and decided I just want to have fun reviewing some of the languages I’ve already studied, so I’m going to go through Spanish, then Italian, and then German.