Odd package
Receiving an unsolicited jiffy bag in the post can be somewhat disconcerting. Especially when it rattles.
Fortunately, so far as I’m aware I’m not the target of some of the more extreme animal rights activists, I don’t think al-Quaeda has started indiscriminately sending dodgy packages to suburban houses and the Anycity trust postmark is a dead giveaway, so opening it I find a letter and a small bottle containing two pills. Deja vu, I’m being asked to have another Dexamethasone suppression test.
I’m not sure though if this is a consequence of the first set of tests I had at Anycity or if this should have been done around the same time, so a quick phone call to the endocrinology investigation unit sorts it out. The nurse in the Anytown opthalmology clinic had a point when she was asking about my testosterone results. According to the Anycity tests, most of the adrenal androgens were outside the upper end of the reference range, but androstenedione was highest, almost twice the upper end of the reference range for a woman! Hence the invitation for an overnight dexamethasone test (past experience tells me I should expect some changes to pain control and my menstrual cycle should snap back into a normal routine for a couple of months). The fact that the nurse was happy to give me the results (and the numbers!) over the phone rather than demand I discuss them with the consultant is a nice change from past experience at Anytown and suggests this lot treat patients more as individuals than as idiots incapable of understanding results without a consultant’s interpretation (if he is prepared to offer one). It gives me a little more confidence in the way that Anycity treats its patients compared to Anytown.

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