Day 178. Dr. Francomano, Wonder Geneticist

A visit with Dr. Francomano is like being loved very much by one of your most cherished relatives for an afternoon. Really.

I look forward to it fiercely, and while I’m there, I smile the whole time and pat her frequently, and always, always hug her.  She is just so good to me.  I realize why I am so needy:  I spent ten years being blown off as a malingerer. Finding someone who didn’t discount my claims felt so good, I couldn’t stop hugging her.  She must think I’m an affection-starved goof, when in fact I just can’t figure out how to appreciate her enough.

I ran right home and wrote myself a list of all the reasons why I love her. Dr. Francomano is a unique sort of doctor, meaning that not every general practitioner has the time or ability to stop and talk with patients the way she does. The kind of investigation and analysis she does (and the difficult cases she has) requires time we are no longer accustomed to in U.S. Medical care, meaning that she must do careful diagnosis and talk with the patient at length.  She:

  • Listens to my digressions.
  • Discourages invasive tests and surgeries that will just make me sicker.
  • Supports my trying alternative treatments like the 10 min daily tanning booth treatment (with 100 mg. Niacin, 1000 mg magnesium, and 1500 mg calcium supplements) and Medical Qigong weekly.  Also supports use of compounded supplement drinks like green smoothies.
  • Suggested that I take a class on Mindfulness Based Stress-Reduction (alá John Kabat-Zinn, Full Catastrophe Living a book I’ve been not reading since before my aneurysm!).  I think a class is what I need just this minute.  Turns out there’s an online one I can take in a few weeks by the miracle of microphones and computer movie cameras.  Sweet.
  • Agreed to have my testosterone tested.  My medical consultant wants me to have compounded testosterone cream made to rub on my wrists.  The result is increased energy.  Dr. Francomano says that as long as my testosterone level is low, she will agree, but if it is not low, too much can weaken blood vessels.  Yikes.
  • Makes sure I get a refill of the pain rub that comes from the compounding pharmacy.  I don’t think she invented it, but she introduced me to it.  It’s a mixture of a group of prescription and nonprescription medicines by a compounding pharmacy.  It requires a prescription by your doctor.  An outstanding pharmacy I recommend is Russellville Pharmacy in Russellville, AL (888-705-4990).  The contents of the pain rub are the following:  Diclofenac, baclofen, cyclobenzaprine, gabapentin, lidocaine, and magnesium.  These are a mixture of muscle relaxers, nerve-pain meds, and topical anesthetics.  Because you don’t take them by mouth, they don’t put you to sleep, and because you put them right where they are needed, they REALLY do the trick.  I am not kidding when I say that it is the very best thing ever for nerve, muscle, and joint pain.  What else is there?  The only thing I don’t like about Dr. F. Is that she won’t raise the dose and let me take a bath in it. 🙂

Dr. Francomano is genuinely interested in the cockamamie symptoms that can drive me bananas, ones that cause everyone else in the world (even one’s mother, some days) to roll eyes.  She has heard of everything, like the cracks in the skin of my fingertips, a phenomenon that sounds mild, but which becomes excruciating, because the abrasions are deep.  Even though they’re little cuts, they are forever exacerbated by salt, dirt, and stretched in various directions.  One of the cuts on my right index finger has been there for four months at least.  I know it, because it has been there since my last visit to Dr. Francomano.  I meant to ask her about it in January and forgot; there was so much to talk about, and it seemed so insignificant I left it out.  This time…there was time.  And, amazingly, she had some suggestions about what to do (she suggested that I work with my Medical Qigong practitioner, and take the supplements of my choice, with the goal of improving circulation to the extremities).  Fair enough.

Baoding Balls / Qi Gong-Kugeln

Baoding Balls / Qi Gong-Kugeln (Photo credit: Wikipedia)

I don’t do Dr. Francomano justice in this disjointed (no pun intended) entry.  I have had a migraine all day.  In fact, I had enrolled (already) in a Mindfulness meditation class tonight, but I canceled because of my Migraine.There was no way I could have participated in a class (as well as driven to and from)—I realized after I had enrolled.  What was I thinking, in fact?  I’m going to take an online one instead.  Gathering my thoughts is not an option.  I can’t even locate them in my scrambled brain, so I apologize if my writing is rambling, rather than something of a narrative.

I promise  I’ll make more sense this week.  I have lots to talk about….I may even post a picture of my progress on my suntan.  It’s looking mighty, mighty good.

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13 thoughts on “Day 178. Dr. Francomano, Wonder Geneticist

  1. hey, you love Francomano, then we love Francomano. Here’s a non-alcoholic toast in her direction (still morning in BA)

  2. It’s great you have found this amazing physician. You’ve made some incredible points that make her outstanding! We all wish there were more like her. I was checking out the Pain Rub and can see how that would be so helpful. The ingredients are perfect. How does that order need to be written? Does it get faxed into the pharmacy in AL? I’m certainly interested in checking this out. Pain relief is always welcome with the least amount of side effects.

    • I really am very lucky. Really, she is a testament to…great luck (are there any more like her? Gosh, who knows?). The best way to find a good doctor like Dr. F is to do your research. It took me lots of research to find her. Dr. F learned about the pain rub at a medical conference. She knows how to prescribe it, obviously. I saw that she had a special photocopied prescription form that is faxed to the pharmacy. If I had to guess, I would say that the pharmacy has drawn up the form, but I don’t know. To the patients who want to begin receiving the med, I would work with their docs on it. Explain the situation. The doc’s office just needs to call the pharmacy in Russellville and tell about the cream. They will know what you’re talking about–they are super nice. It’s a small business. They can explain what they need: I am sure of it. Nice to do business with folks like that, too!

  3. Heidi, if that’s you not being coherent, it HAS been a long time since you’ve graded papers. I’m in love with Dr. Francomano…all because of you. Whenever you need true incoherent writing, I’ll scan some papers from work.

    😉

    Mmmmwwwaaaahhh!

  4. Haha…I love picturing you patting your doctor. And what Steph said about coherence, as I studiously avoid grading 🙂

    onelove to you and the amazing dr. francomano!

  5. Ohhh fun reading. Just wanted to put in that if Dr. Francomano’s magic suddenly ceases someday that doesn’t mean it wasn’t real. (This is not a prediction of wonder-working cessation!)

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