The phone rang,right on cue with my toddler's "waaaaaa"ing for some more juice.
Deep breath. Check number. Pick up.
"Hi Heidi this is Dr. Nephrologist. Your mag is still low at 1.1 and there's something not right going on..how much mag are you getting?"
"4 grams a week."
"I'm concerned you may have a malabsorption problem..you need to see your primary and a gastroenterologist,are you cramping?"
"All the time."
"And I think you will need a port,because your veins are probably giving up by now."
"Yes,"(fighting back the urge to bawl)..
"The pancreas is responsible for an endocrine function and an exocrine function and I think there may be something going on there..you need a full gastro work up. Are you having diarrhea?"
"Sporadically..once every few days."
"I think the malobsorption may be the cause of your electrolyte problems..also try soaking in Epsom salts,your kidneys can handle it. It will dry the skin out though."
"I know you don't want a port but I think you'll need one,this needs to be figured out. We will continue to check mag levels and talk again later."
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