Guest guest Posted August 29, 2000 Report Share Posted August 29, 2000 Well I saw the doctor from HELL today. (Sorry for the bad word, but I couldn't find any other way to say it.) I thought the visit was going well because he talked to me first and acted like he was really listening. He was writing everything down. Then he had me change for the exam. Next he had me dress and did a spirometry test (which I had to wait an hour for). Then he had me come back to the exam room. That is when the nightmare began. First he lectured me that I needed to be exercising every single day and that I needed to be on an anti-depressant for my fibro (I wasn't even there to discuss any of this) He also stated that I was on too many medications. Next he said that I had to come off the prednisone immediately. He did not give me a tapering schedule!!! But yet he wanted me off the prednisone in three to four weeks before I came back to see him. I asked him what other treatment options there were and he said there were none because I don't have dermatomyositis and I just have the sensation of not being able to breath because my breathing test was normal. Well a spirometry is measured in comparison to previous tests and he doesn't have copies of my baselines, so the test was based purely on my height and weight which is not accurate. Also it is the muscles of the chest and chest wall and possibly the diaphragm that are affected and he did nothing to check this out. He also " confirmed " that I have fibromyalgia, but yet he never did go over the diagnostic criteria or exam any tender spots. Then he comments about how dangerous the prednisone is and that gaining 15 pounds is just awful. Then I explained how sick I was in June and I was almost put in the hospital for the difficulty breathing and that if I come off the prednisone with no other treatment that I will be on the sofa and then in the hospital and he said, " Better to be on the sofa than looking like a chipmunk. " WELL EXCUSE ME!!! First of all he has never seen me and has no idea what I looked like before the prednisone so how can he say that the shape of my face is the prednisone. Of course some of the roundness and puffiness is the prednisone, but I have a very round face to begin with. I just came back from a two month vacation and only gained 15 pounds on 60mg of prednisone. I don't see where that is so bad. I can wear most of my size 8 clothes and have had to pull out a few of my 10's. I am 35 years old, I don't think that falls into the obese category. HE is the one with an obesity problem. His belly was so big he couldn't keep his pants up!!! Then he wanted to run the same tests that my primary ran in June or this morning with nothing additional such as antibody tests. Most of the tests he wanted would not be accurate after being on prednisone for three months as it is, so I didn't see the point. I didn't argue, I just acted like I was done with the visit and went out to the desk as he said, " There is nothing I can do for you. " Well if he cannot do anything for me, why did he want to order tests or to see me again? (oh let me tell you - MONEY) And if I have my way, he will not get a penny for my visit today. I have already reported him to my ins. co. I also plan to report him to anyone who will listen. He put my life in danger today be trying to scare me into stopping the prednisone and by not making it clear that it has to be tapered very slowly. Thank the stars above that I am a nurse and knew better than to come home and not take my prednisone. I could have ended up dead. (Sorry to sound so negative, but abrupt cessation of oral steroids can cause adrenal shock, coma, and death, especially if no one knows that you are sick because you didn't get enough prednisone. I was so upset. I had teared up as I left his office and just kept my back to him. As soon as he was gone, I burst into tears. The girl at the desk was very sweet. She gave me a box of tissues and got me a cup of water. Then she tried to get me to move into the back. I was shaking so bad I had barely made it to the chair I was in, so I told her I cannot walk right now. I sat there a few minutes and pulled myself somewhat together. Then I looked up at her and said, " If he wants any tests run he will have to notify my PCP and I will have them done only through his office and I will NOT be back. Thank you. " I walked to the nearest payphone and called my PCP. I told them it was not a life threatening emergency, but it was an emergency and I needed to talk to him today and 7 at night would be too late. She wanted to call me back, but I was on a pay phone. I told her I would hold for as long as it took. She had him on the phone in 2 minutes. I briefly told him that the doctor wanted to lecture me about my fibro treatment that is fine just as it is, lecture me about exercise, and I am to come off the prednisone immediately. He said that laying on the couch or being in the hospital would be better than looking like a chipmunk. Dr. Spiers was in shock. He said that we WILL figure this all out one way or another. He said if he has to do the research himself, and treat me, he will. He said NOT to make any changes in medications except he did add a diuretic once a day to help with the fluid retention. I will briefly see Dr. Spiers on Thurs. for results of labs drawn this morning before my specialist appointment. Then I see him for a full appointment on Sept.11 unless he can fit me in somewhere before then (I suspect he will and I pray he has space before the 11th.) I was putting all my faith in finding some treatment options and now I feel as if this doctor doesn't even agree with the diagnosis. I have seen four rheumotologists and I will NOT see another one. The ones I have seen have all been quacks. Thanks for letting me vent. I am so tired from this whole ordeal. Thank goodness, I do have a massage at 11am and my cleaning lady is coming, some my house will be beautiful. Those things should cheer me up. I have a request from you gals. I need articles and links that back up things such as dm can be mild in childhood and reoccur, that the muscle enzymes can be normal if the patient was not diagnosed early on, HOW TO FIND THE RIGHT DOCTOR, etc. If any of you have information about the different treatment options, that too would be most appreciated. I also plan to call the Muscular Dystrophy Association tomorrow to see what they will suggest. I understand all you need is a referral with a letter from the doctor stating why he thinks you have dm. Then they will see you insurance or not and even if you cannot pay they will evaluate you. I am still very concerned that they have not done a muscle biopsy or an EMG. They have not even considered MS, which lately seems to be a possibility. And ALS can cause the difficulties breathing that I have and that has not even been discussed much less tested for. Okay, enough of my long, said story. The good news is that my PCP was right there when I needed him, my husband was very supportive and said all doctors are jerks, but what do you do when you have to find a good one. My boys were very sweet. said I was pretty no matter what and gave me a kiss on the cheek. He was ready to run up to this doctor and hit him until a friend said we should call him the groundhog. Then cracked up laughing and said the chipmunk is chasing the groundhog. I am running out of steam very quickly for once and will take a bedtime break. I will be back on tomorrow to tell you anything I left out. Sorry for not reading all your posts tonight. I just couldn't do it. I feel like my body has been run over by a Mack truck and my brain is out in left field somewhere or is it on the shelf next to the corn? And I feel like my emotions are still on a roller-coaster. I will catch up tomorrow. Gentle hugs, Fern Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2000 Report Share Posted August 30, 2000 Fern, i am so very sorry that happened to you. Really mean it. I can truly empathize with how you feel, and i am so afraid of getting that treatment myself. I wish i could make it all better for you.Just my opinion, but your family and friends might expect you to just shrug that off in a few days. You might find it's not that easy. If you still feel traumatized about after a few weeks or months then don't hesitate to talk about it some more. That's what we're here for, and beleive me a lot of us can relate. --- Original Message ----- To: <OurMyositisegroups> Cc: <fibro-thriveegroups> Sent: Wednesday, August 30, 2000 1:26 AM Subject: Re: Doctor from H*** > > Well I saw the doctor from HELL today. (Sorry for the bad word, but I > couldn't find any other way to say it.) > > I thought the visit was going well because he talked to me first and acted > like he was really listening. He was writing everything down. Then he had > me change for the exam. Next he had me dress and did a spirometry test > (which I had to wait an hour for). Then he had me come back to the exam > room. > > That is when the nightmare began. First he lectured me that I needed to be > exercising every single day and that I needed to be on an anti-depressant > for my fibro (I wasn't even there to discuss any of this) He also stated > that I was on too many medications. Next he said that I had to come off the > prednisone immediately. He did not give me a tapering schedule!!! But yet > he wanted me off the prednisone in three to four weeks before I came back to > see him. I asked him what other treatment options there were and he said > there were none because I don't have dermatomyositis and I just have the > sensation of not being able to breath because my breathing test was normal. > Well a spirometry is measured in comparison to previous tests and he doesn't > have copies of my baselines, so the test was based purely on my height and > weight which is not accurate. Also it is the muscles of the chest and chest > wall and possibly the diaphragm that are affected and he did nothing to > check this out. He also " confirmed " that I have fibromyalgia, but yet he > never did go over the diagnostic criteria or exam any tender spots. > > Then he comments about how dangerous the prednisone is and that gaining 15 > pounds is just awful. Then I explained how sick I was in June and I was > almost put in the hospital for the difficulty breathing and that if I come > off the prednisone with no other treatment that I will be on the sofa and > then in the hospital and he said, " Better to be on the sofa than looking > like a chipmunk. " > > WELL EXCUSE ME!!! First of all he has never seen me and has no idea what I > looked like before the prednisone so how can he say that the shape of my > face is the prednisone. Of course some of the roundness and puffiness is > the prednisone, but I have a very round face to begin with. I just came > back from a two month vacation and only gained 15 pounds on 60mg of > prednisone. I don't see where that is so bad. I can wear most of my size 8 > clothes and have had to pull out a few of my 10's. I am 35 years old, I > don't think that falls into the obese category. HE is the one with an > obesity problem. His belly was so big he couldn't keep his pants up!!! > > Then he wanted to run the same tests that my primary ran in June or this > morning with nothing additional such as antibody tests. Most of the tests > he wanted would not be accurate after being on prednisone for three months > as it is, so I didn't see the point. I didn't argue, I just acted like I > was done with the visit and went out to the desk as he said, " There is > nothing I can do for you. " Well if he cannot do anything for me, why did he > want to order tests or to see me again? (oh let me tell you - MONEY) And > if I have my way, he will not get a penny for my visit today. I have > already reported him to my ins. co. I also plan to report him to anyone who > will listen. He put my life in danger today be trying to scare me into > stopping the prednisone and by not making it clear that it has to be tapered > very slowly. Thank the stars above that I am a nurse and knew better than > to come home and not take my prednisone. I could have ended up dead. (Sorry > to sound so negative, but abrupt cessation of oral steroids can cause > adrenal shock, coma, and death, especially if no one knows that you are sick > because you didn't get enough prednisone. > > I was so upset. I had teared up as I left his office and just kept my back > to him. As soon as he was gone, I burst into tears. The girl at the desk > was very sweet. She gave me a box of tissues and got me a cup of water. > Then she tried to get me to move into the back. I was shaking so bad I had > barely made it to the chair I was in, so I told her I cannot walk right now. > I sat there a few minutes and pulled myself somewhat together. Then I > looked up at her and said, " If he wants any tests run he will have to notify > my PCP and I will have them done only through his office and I will NOT be > back. Thank you. " > > I walked to the nearest payphone and called my PCP. I told them it was not > a life threatening emergency, but it was an emergency and I needed to talk > to him today and 7 at night would be too late. She wanted to call me back, > but I was on a pay phone. I told her I would hold for as long as it took. > She had him on the phone in 2 minutes. I briefly told him that the doctor > wanted to lecture me about my fibro treatment that is fine just as it is, > lecture me about exercise, and I am to come off the prednisone immediately. > He said that laying on the couch or being in the hospital would be better > than looking like a chipmunk. Dr. Spiers was in shock. He said that we > WILL figure this all out one way or another. He said if he has to do the > research himself, and treat me, he will. He said NOT to make any changes in > medications except he did add a diuretic once a day to help with the fluid > retention. > > I will briefly see Dr. Spiers on Thurs. for results of labs drawn this > morning before my specialist appointment. Then I see him for a full > appointment on Sept.11 unless he can fit me in somewhere before then (I > suspect he will and I pray he has space before the 11th.) > > I was putting all my faith in finding some treatment options and now I feel > as if this doctor doesn't even agree with the diagnosis. I have seen four > rheumotologists and I will NOT see another one. The ones I have seen have > all been quacks. > > Thanks for letting me vent. I am so tired from this whole ordeal. Thank > goodness, I do have a massage at 11am and my cleaning lady is coming, some > my house will be beautiful. Those things should cheer me up. > > I have a request from you gals. I need articles and links that back up > things such as dm can be mild in childhood and reoccur, that the muscle > enzymes can be normal if the patient was not diagnosed early on, HOW TO FIND > THE RIGHT DOCTOR, etc. > > If any of you have information about the different treatment options, that > too would be most appreciated. > > I also plan to call the Muscular Dystrophy Association tomorrow to see what > they will suggest. I understand all you need is a referral with a letter > from the doctor stating why he thinks you have dm. Then they will see you > insurance or not and even if you cannot pay they will evaluate you. > > I am still very concerned that they have not done a muscle biopsy or an EMG. > They have not even considered MS, which lately seems to be a possibility. > And ALS can cause the difficulties breathing that I have and that has not > even been discussed much less tested for. > > Okay, enough of my long, said story. The good news is that my PCP was right > there when I needed him, my husband was very supportive and said all doctors > are jerks, but what do you do when you have to find a good one. My boys > were very sweet. said I was pretty no matter what and gave me a kiss > on the cheek. He was ready to run up to this doctor and hit him until a > friend said we should call him the groundhog. Then cracked up > laughing and said the chipmunk is chasing the groundhog. > > I am running out of steam very quickly for once and will take a bedtime > break. I will be back on tomorrow to tell you anything I left out. > > Sorry for not reading all your posts tonight. I just couldn't do it. I > feel like my body has been run over by a Mack truck and my brain is out in > left field somewhere or is it on the shelf next to the corn? And I feel > like my emotions are still on a roller-coaster. I will catch up tomorrow. > > Gentle hugs, > Fern > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2000 Report Share Posted August 30, 2000 Holy cow! I'm sorry to hear about your experience with this doctor. It sounds like you did the right thing. - -- J. P. Burke .... drmomentum@... Epinions profile: <http://drmomentum.epinions.com/user-drmomentum> " Rest in reason. Move in passion. " - Kahlil Gibran Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2000 Report Share Posted August 30, 2000 Hi Fern.... First let me ask ..... what is the name of this doctor? I also had you confused with someone else on this list that was going to see two women doctors so I had hight hopes.... geeez, I hate when I do that. Does this doctor belong to the AMA? If so, you can file a complaint with them also. If you do have DM then you shouldn't exercise everyday but your not going to find that out if a doctor is not willing listen and perform the right tests. I would ask your PCP to call one of the large clinics (I think you said you live in Virginia, right?) and talk to one of the doctoros there for advise. Calling the MDA and seeing if you could get evaluated would be a good idea. The lung test you had only tests the volume of inhaled and exhaled air. Thats it... further tests should have been done and the records of your first test should have been ordered before he opened his mouth. Plus the Prednisone has made it easier to breath. When he mentioned you gaining weight and that 15lbs is awful and that prednisone is a bad drug.... but what about breathing? It is even worse to not be able to breath. This guys a nut !! Believe me, 15lbs for being on 60mg is nothing at all. This is the type of doctor that will end up killing someone with his stupidity. I am so darn thankful for your PCP to be as sweet as he is. If you tell me the part of Virginia your from I can start doing some searching. I truely feel for you. I've been in that position and I know how frustrating it can be. I'll start searching for info for your doctor. Don't loose hope Fern, this is not easy to find a doctor who knows about myositis but we'll keep checking for you. I hope your resting now and know that we all care about you. Gentle hugs Vicki-pm Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2000 Report Share Posted August 30, 2000 Fern, I was FURIOUS when I read your post!!!!! The NERVE!!!!!!!!!!!!!! He should lose his license for his arrogance and unkindness--talk about unprofessional! Ann-Marie _________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. Share information about yourself, create your own public profile at http://profiles.msn.com. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2000 Report Share Posted August 30, 2000 Hi Fern,......I am so sorry you had to go thru this. Like others here I can relate too. Have had my share of jerk doctors to last a life time. From all my years involved with FM groups, most of their Dr.'s used the standard treatments of exercizing and antidepressants. The exercizing is to help from getting "deconditioned" which alot of the Dr.'s think pw/fm are already deconditioned, and the anti-depressants are for the sleep abnormality, and pain. I don't know many people where this regimen works for them, and the ones it does work for have a mild case of FM. I say this because from the groups I've been connected to, most of the people say they don't feel better, and are still complaining of all the symptoms they had before they were treated with those 2 things. Telling you to cold turkey the pred. is just plain stupid and he needs to be reported to someone,....his superiors, AMA, your insurance, etc. Even lay people like me knows you can't stop the pred. that way. How could he even comfirm a dx of FM without doing the tenderpoint test? And,.....gaining 15 lbs would be devastating to me at 3x,....but if you are a size 8/10, I am sure you have some leeway,.....and I've heard once you go off the pred. you lose it anyhow. Or some do anyhow......What a LUDRICROUS comment to tell you about looking like a chipmunk,....I would have said "better to look like a chipmonk, then to have my adrenals crash......" Thank goodness your PCP was comforting. At least he believes you. Maybe he will write a letter to that Dr., and tell him a thing or two. My PCP [the one I had to give up] wrote a letter to OHSU, about how unprofessional the Neuro I saw was with me, and later I heard she quit [or probably got fired] and moved back to Minn. So maybe his letter would at least get that guy a reprimmand. Just recently I received a survey to fill out about a Dr. I was asking to be my new PCP, well he told me he didn't have time for all my problems, and I should find someone else. He was rude, arrogant, and just plain nasty, so when I got this questionaire to fill out about my experience with this Dr,. I was all too happy to tell how he treated me. I thought how ironic....ha, ha,...... Well, Fern know that I empathize so much with you, and if you need to vent some more I'll be glad to listen. I still don't know whats going on with me either, no one can make up their mind whether I have MS or TM [Transverse Myelitis] and anything else that might be progressing in me......?? I'm in the same predicament trying to find a specialist to help me. So far I haven't had any success, and I am getting real Dr. shy,..... Where abouts do you live, maybe I know someone that lives close who has recommended a good Doc. I know there is a good Doc list with the CFIDS/FM support group. and then I've got friends all over that have recommended their Dr.'s, so who knows maybe one is in your area? BIG HUGS,.......Jax Starflower wrote: Well I saw the doctor from HELL today. (Sorry for the bad word, but IThat is when the nightmare began. First he lectured me that I needed to be exercising every single day and that I needed to be on an anti-depressant for my fibro (I wasn't even there to discuss any of this) He also stated that I was on too many medications. Next he said that I had to come off the prednisone immediately. He did not give me a tapering schedule!!! But yet he wanted me off the prednisone in three to four weeks before I came back to see him. I asked him what other treatment options there were and he said there were none because I don't have dermatomyositis and I just have the sensation of not being able to breath because my breathing test was normal. Well a spirometry is measured in comparison to previous tests and he doesn't have copies of my baselines, so the test was based purely on my height and weight which is not accurate. Also it is the muscles of the chest and chest wall and possibly the diaphragm that are affected and he did nothing to check this out. He also "confirmed" that I have fibromyalgia, but yet he never did go over the diagnostic criteria or exam any tender spots. Then he comments about how dangerous the prednisone is and that gaining 15 pounds is just awful. Then I explained how sick I was in June and I was almost put in the hospital for the difficulty breathing and that if I come off the prednisone with no other treatment that I will be on the sofa and then in the hospital and he said, "Better to be on the sofa than looking like a chipmunk." WELL EXCUSE ME!!! First of all he has never seen me and has no idea what I looked like before the prednisone so how can he say that the shape of my face is the prednisone. Of course some of the roundness and puffiness is the prednisone, but I have a very round face to begin with. I just came back from a two month vacation and only gained 15 pounds on 60mg of prednisone. I don't see where that is so bad. I can wear most of my size 8 clothes and have had to pull out a few of my 10's. I am 35 years old, I don't think that falls into the obese category. HE is the one with an obesity problem. His belly was so big he couldn't keep his pants up!!! Then he wanted to run the same tests that my primary ran in June or this morning with nothing additional such as antibody tests. Most of the tests he wanted would not be accurate after being on prednisone for three months as it is, so I didn't see the point. I didn't argue, I just acted like I was done with the visit and went out to the desk as he said, "There is nothing I can do for you." Well if he cannot do anything for me, why did he want to order tests or to see me again? (oh let me tell you - MONEY) And if I have my way, he will not get a penny for my visit today. I have already reported him to my ins. co. I also plan to report him to anyone who will listen. He put my life in danger today be trying to scare me into stopping the prednisone and by not making it clear that it has to be tapered very slowly. Thank the stars above that I am a nurse and knew better than to come home and not take my prednisone. I could have ended up dead. (Sorry to sound so negative, but abrupt cessation of oral steroids can cause adrenal shock, coma, and death, especially if no one knows that you are sick because you didn't get enough prednisone. I was so upset. I had teared up as I left his office and just kept my back to him. As soon as he was gone, I burst into tears. The girl at the desk was very sweet. She gave me a box of tissues and got me a cup of water. Then she tried to get me to move into the back. I was shaking so bad I had barely made it to the chair I was in, so I told her I cannot walk right now. I sat there a few minutes and pulled myself somewhat together. Then I looked up at her and said, "If he wants any tests run he will have to notify my PCP and I will have them done only through his office and I will NOT be back. Thank you." I walked to the nearest payphone and called my PCP. I told them it was not a life threatening emergency, but it was an emergency and I needed to talk to him today and 7 at night would be too late. She wanted to call me back, but I was on a pay phone. I told her I would hold for as long as it took. She had him on the phone in 2 minutes. I briefly told him that the doctor wanted to lecture me about my fibro treatment that is fine just as it is, lecture me about exercise, and I am to come off the prednisone immediately. He said that laying on the couch or being in the hospital would be better than looking like a chipmunk. Dr. Spiers was in shock. He said that we WILL figure this all out one way or another. He said if he has to do the research himself, and treat me, he will. He said NOT to make any changes in medications except he did add a diuretic once a day to help with the fluid retention. I will briefly see Dr. Spiers on Thurs. for results of labs drawn this morning before my specialist appointment. Then I see him for a full appointment on Sept.11 unless he can fit me in somewhere before then (I suspect he will and I pray he has space before the 11th.) I was putting all my faith in finding some treatment options and now I feel as if this doctor doesn't even agree with the diagnosis. I have seen four rheumotologists and I will NOT see another one. The ones I have seen have all been quacks. Thanks for letting me vent. I am so tired from this whole ordeal. Thank goodness, I do have a massage at 11am and my cleaning lady is coming, some my house will be beautiful. Those things should cheer me up. I have a request from you gals. I need articles and links that back up things such as dm can be mild in childhood and reoccur, that the muscle enzymes can be normal if the patient was not diagnosed early on, HOW TO FIND THE RIGHT DOCTOR, etc. If any of you have information about the different treatment options, that too would be most appreciated. I also plan to call the Muscular Dystrophy Association tomorrow to see what they will suggest. I understand all you need is a referral with a letter from the doctor stating why he thinks you have dm. Then they will see you insurance or not and even if you cannot pay they will evaluate you. I am still very concerned that they have not done a muscle biopsy or an EMG. They have not even considered MS, which lately seems to be a possibility. And ALS can cause the difficulties breathing that I have and that has not even been discussed much less tested for. Okay, enough of my long, said story. The good news is that my PCP was right there when I needed him, my husband was very supportive and said all doctors are jerks, but what do you do when you have to find a good one. My boys were very sweet. said I was pretty no matter what and gave me a kiss on the cheek. He was ready to run up to this doctor and hit him until a friend said we should call him the groundhog. Then cracked up laughing and said the chipmunk is chasing the groundhog. I am running out of steam very quickly for once and will take a bedtime break. I will be back on tomorrow to tell you anything I left out. Sorry for not reading all your posts tonight. I just couldn't do it. I feel like my body has been run over by a Mack truck and my brain is out in left field somewhere or is it on the shelf next to the corn? And I feel like my emotions are still on a roller-coaster. I will catch up tomorrow. Gentle hugs, Fern Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2000 Report Share Posted September 1, 2000 Jackie, Sorry I disappeared guys, my phone line has been worse since I got home than it was before we left for vacation and they promised to have it fixed by the time we got back. That was a joke!!! We were able to make a few calls if we got lucky and got a good connection, but the computer would not connect at all. Well, I have not read all the messages, but wanted to give everyone an update on my doctor situation. I saw my PCP yesterday when I took my son for his asthma follow-up. He was very upset about what happened to me and said it would be written in my chart about the dangerous behavior of this doctor and that ANY correspondence from him is to be disregarded. He said legally he cannot remove it from the chart, but he can make sure that it will not be used. I also intend to send him a copy of my complaint letter that is going to everyone I can think of and it will be attached to anything he receives from this doctor. Oh, and he says he thinks it very odd that he has not heard one thing from this doctor. He said that if he was so concerned about my coming of the prednisone immediately and thought it important, then why didn't he pick up the phone and call him. He said the PCP is supposed to be informed of any changes, tests, etc. because he is the one in charge and the specialist really isn't supposed to do anything without discussing it with the PCP. This is where the HMO rules do come in handy sometimes. I WILL be staying on the prednisone until we find other options. My mother took my sister to a new doctor a couple of weeks ago. He is a pediatrician, pain management specialist, and neurologist. He wanted info about me and my mother to help diagnose my sister. My mother liked him so much, that she is going to start seeing him for her fibro and her epidural steroids. He also wanted to know how they were treating me and started spouting off things that they needed to be doing for me. She doesn't remember them all because she isn't a nurse. I didn't think he would be on my insurance since it is a two hour drive from here, but he IS!!! I called talked to his office at length and they were happy to answer all my questions. I made an appointment for Sept. 8 and then I see my PCP on the 11th. So it all fell into place. His practice is called " The Lighthouse " and his wife and children all work there. My mother said it is the most unique office she has ever been in. I feel very positive and I at least know that I will not be treated the way I was this week. Jackie, thank you so much for the sweet comments and the support that you gave me. I really appreciate it. I didn't stay hysterical very long. I got ANGRY! How dare a doctor treat a patient this way and he WILL be sorry, but in the very least he will not be paid for his time with me. I got so angry about what he said about the fibro because I didn't even go see him for that. I have a fibro specialist. Gentle hugs, Fern Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 2, 2000 Report Share Posted September 2, 2000 Vicki, Thank you so much for your offer of help. The doctor's name is Dr. Shaun Ruddy at MCV in Richmond, VA. I believe it was one of the names I was sent through this list when I first started searching for a diagnosis. I have called the MDA and they gave me two names. I plan to see the doctor that my mother saw because she had such a good experience. He wanted my records to help evaluate my mother and my sister. He offered to take over my mother's care for her fibro and to treat my little sister who is only 11. Most doctors will not even admit that a child could have a muscle disorder. He thinks that if I have DM, that she probably has it too. He also was making suggestions about how I should be treated and they suggestions were all things that I have learned on this list or from my own research, so I have confidence in him. If that doesn't work, then I will get my PCP to refer me to one of the MDA doctors. I won't give up until I get the answers I feel are appropriate. I am tenacious as Dr. Spiers says. Vicki, you would not believe the list of the places I plan to send my complaint letter. Every organization I can find that he is a member of will here about my experience. Yes, the spirometry only measures exhaled air which is to test for asthma and scar tissue caused by lung damage. It does not measure how the accessory muscles are working to help you breath and that is what I feel is my problem. The muscles of my chest are so weak that they are having trouble expanding my chest far enough for me to get a deep breath. As the day goes on, this gets worse, which tells me that the muscles are becoming fatigued. I also brought it to his attention that the prednisone had helped and that evaluating me now was not an accurate reading of the breathing or of the lab tests he suggested. He did NOT agree with me. He obviously is an idot! My PCP said the same thing you did about the weight gain. What is better, gaining a few pounds or breathing? I will pick breathing any day!!! Actually I am pretty proud of myself for being on vacation for two months on 60mg of prednisone and only gaining 15 pounds. I thought I was doing a good job because I knew when I started taking it that I would gain some weight. Gentle hugs, Fern Quote Link to comment Share on other sites More sharing options...
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