I had been hypomanic on higher dose of Prednisone and titrating too fast. Saw rheumie Mon and thought she was going to d/c Prednisone. She increased it and I went into high anxiety, worry and a frenzy at work. The doc I work with (little Hitler) threatened my job on Tues and I "fell apart" crying (not around him). My coworkers got concerned and encouraged me to take time off. I couldn't see pts anyway my eyes were red and swollen. Mood stuff phenomenal with Prednisone. I went into work Wed am to finish my notes (2 delinquent from Mon) and made a "joke" to someone at work "I better feel better or I'll hang myself". Next thing I know the psychiatrist I work with and other NP were doing a mental status exam on me. I was so freaked out by the event. Went to my PCP appt and he gave me the results of my labs which weren't too bad. SED rate 95 Yikes. PCP told me to take a couple of weeks off to get better. I'm now worried that all the "talk" at work and don't trust management that my job may be at risk. Can't lose my insurance or my income. Opthamologist today told me I have retinal hemorraging again in right eye. Need to complete 2 more tests next week then probably surgery. 3 hours of testing today was unbearable. He still wants me to go back on Plaquenil. Also noted enlarged right optic nerve. Glad I'm out on medical leave and can take care of all this stuff. Anybody know about MFLA? Do you have to be out of sick time before filing? This is what my supervisor is telling me. She also told me I didn't need Dr.s note until I returned to work. Union rep told me WRONG. I can be considered AWOL if I don't turn Drs note in by 4th day absent with grounds to fire me. Talk about confusion.
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