Followup to an earlier health-related question. Kind of long; more under the cut.
This is a follow-up to an earlier question
On the advice of family members and answers from the earlier question, I saw an endocrinologist. He seemed to think everything was normal, but ordered some blood work just to be sure. Those numbers came back within normal ranges. I lost my copy of the report, though I will have another copy by tomorrow, and missed the follow-up appointment (these have to be booked months in advance), but my psychiatrist seemed to think everything was OK when I handed him the report to go over as part of an evaluation before starting ADD meds.
In the meantime, I'm still feeling tired and run-down most of the time, and alternate between barely sleeping at all and sleeping for ten or more hours at a stretch. I'm on a 40mg dose of Vyvanse for ADD, and while it helps me focus and stay on task, I get tired and confused doing simple things, and my short-term memory is shot. Today alone I've forgotten a co-worker's name, locked my keys in my car (for the first time in my life), made a mistake taking a customer's order that cost $50 to fix, and all that before 2:00. I've also had trouble speaking clearly, which is a problem since my main duty at work is phone service- I find myself slurring a lot.
The depression is still present, and often alarmingly sudden in its onset. I'll be at work and suddenly be hit with a crushing feeling of hopelessness, and often won't be able to stop myself crying at my desk. This can last for hours, and has sometimes been so bad that I end up taking a high dose of Trazodone and some wine and going to sleep at seven or eight o'clock just to make it stop.
The skin problems have also gotten worse. I'm continuing to shed hair, but now it's more noticeable and there are frequently pieces of skin attached to the root or along the shaft of the shed hairs. On closer examination, they also look like they're splitting or "peeling"- not split ends as such, but very fine fibers splitting away from the hair about halfway down. And over the past couple of weeks, I've somehow gotten a red rash along my eyebrows, on either side of my nose and mouth, and most of my scalp. It flares up painfully, seemingly when I'm tired or stressed, and if I don't wash my face with dandruff shampoo it constantly flakes.
And last of all, I suspect this doesn't have much to do with anything, but on the off chance it makes someone go AHA!, I've been having a lot of stiff, popping joints- my neck, knees, shoulders, wrists, hip (when I cross and uncross my legs), everything. It's not painful, and probably not significant, but it's new, and so maybe worth mentioning...
I'm bringing up the depression with my psychiatrist, on the off chance it's a side effect of the Vyvanse, and I definitely need to at least see a dermatologist about the skin problems, but is it worth pursuing the endocrinology angle if my lab work came back OK?
And second, how exactly do I find a good dermatologist? The last one I saw definitely didn't inspire any confidence- examined my head for less than five minutes, didn't ask any questions, and very confidently and authoritatively wrote a prescription for medication that ended up doing nothing.