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The psych PA appointment went really well. I do think some part of the med adjustment is helping. I am still not sleeping more than about 2 hours at a time though so I will mention that to him when I see him next.
The doctor's appointment I posted about was a much more ... mixed bag. He scolded me for coming in before the 29th when my appointment was originally scheduled even though my knee was getting worse. He scolded me for still being on crutches. He did, however, in the end give me a cortisone shot which has helped a lot.