Which Doctor?

[Guest guest]

Right now my daughter is just speech delayed. We have an appt with

her general pediatrician on Tuesday, and have already planned to go to

a private speech therapist for an evaluation (We already did get an

Evaluation through EI and they agreed she's speech delayed). It

sounds though like in addition to the speech therapist we should

really go to either a Pediatric Neurologist, or a Developmental

Pediatrician. Is this true, and if so which one would be better. At

this point I'm concerned about Apraxia, but also Mercury poisioning

(my mom found out she has high levels of mercury and several other

metals, so if I do too I could have passed it on to my daughter, but

neither of us have been tested yet). Thanks in advance for any advice!

Crystal

mom to Catey, 2 yrs

[Guest guest]

Since you are going to want to talk to your rheumy anyway about

stopping Humira while you have this infection, I think it is useful

to remember that your rheumy is also a fully trained and licensed

medical doctor who is perfectly capable of recognizing and treating

ordinary boils and infections, especially given how common these

things are among people with whacky immune systems. If it were me,

I'd see my rheumy first and IF and only IF he feels that I need a

different kind of doctor would I bother finding one. I have had

small infections in my armpit glands from time to time and my

rheumy's view is that it is probably better to let them run their

course than to start and stop Enbrel and MTX every time a minor

infection presents itself. He feels that the trauma to the immune

system from the start/stop/start of the medications if far worse than

having to put up with the annoyance of minor infections. I am

fastidious about keeping the infected area clean and I wipe the area

frequently with alcohol wipes, but I have not stopped the meds. It

sounds like your boil is much worse than the small boils I get

occasionally, so your rheumy may feel very differently than mine has

with my small stuff. Let us know what you decide to do and what your

doctor(s) has to say. Kathy F.]

>

> I am totally puzzled about which doctor I should see:

>

> I started taking Humira 11/7. It has been marvelous

> and I feel as if I have a life again.

>

> Now, three months later, I have what appears to be an

> abscess/cyst/boil type bump in my arm pit.

>

> I had a similar lump years ago, after I had surgery.

> Then it was basically an isolated pocket of infection

> that was cured by a short course of anitbiotics.

>

> I suspect that this is the same, and I need to do the

> antibiotic / suspend humira short term thing...

>

> My problem is: who do I see about this? I have no

> 'primary care' doctor (long story) I have rheumy,

> dermy, and a remarkably talented Nurse practioner that

> looks after my diabetes and sends me to other

> specialists as needed. Our local 'emergency' clinic

> is a total joke, and I won't waste time with them or

> expose myself to the flu in them.

>

> I expect that whoever I see will get in touch with the

> rheumy about how long to cease the humira, but I don't

> want to waste my time and co-pay with a string of 'see

> x' no, x can't do it, see y. wait, y needs to

> consult with N, G and H...

>

> any input folks?

>

>

>

> CMPete

> Quilts With Poodle

>

> '.....now times are rough and I've got too much STUFF!!'

> J.D. Buffett

>

> I have a blog now!! And there is ACTUALLY stuff on it!

> http://cmpetequiltspoodle.blogspot.com/

>

>

>

>

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