About a week ago I sent an e-consultation to the surgery to ask whether the timings of some of my heart medications could be changed and if I might start reducing my antidepressants because I am finding it very difficult to get going in the mornings! I am only making the gym for a couple of days every other week – and I’m getting a little more flabby and out of shape – which does make me feel less comfortable in my own body – and this whole ting about becoming a eunuch was down to feeling uncomfortable in my own body.

The surgery phoned me to arrange a face to face consultation with the doctor. E-consultations seem to be a good way to start a discussion with the doctor for non-urgent issues.

At this surgery, all the doctors are women. This time I saw one that I’d seen before, who seems to be rather a sweet doctor with a lovely way about her.

She checked out my mental health first – since my husband moved out I’ve had no migraines, and whilst there was only three weeks between him leaving and my heart attack, I feel pretty safe saying that the stress of being together was the cause.

She did agree that moving my candesartan to evening would be ok.

However, she wants to leave the vortioxitine antidepressant alone for the moment – one change at a time, otherwise you don’t know what did what. The first rule of debugging code and humans!

I asked her about my erectile dysfunction. It doesn’t bother me really – I’m a total bottom and I quite like the idea of becoming nullo, but it can be nice for the top to have something to play with. She thought that it was most likely the Bisoprolol causing ED.

Even though we had a ready-made reason for low energy, she’s booked me in for a thyroid blood test. Depending on what that returns will shape what might happen next. Again I find that I am curious rather than worried about it.

During the meeting, I made sure that she was aware of my taking PrEP. I commented that it would be nice if there was an opt in to share data between the sexual health clinic and the GP. She thought there might be, so I’ll ask about that next time I’m there. I completely understand why the separation between the sexual health service and the rest of the NHS exists – STIGMA! It might have improved, but it’s not gone.

Mentioning PrEP is important because that also strains the kidneys and I feel that anything that affects my health is helpful for the medical professionals to be aware of.