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Rheumy appointment today
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<blockquote data-quote="flutterbee" data-source="post: 167609"><p>Well, I saw my GP and she is just so wonderful. She is really surprised that the rheumy was so dismissive yesterday. She said when she got his letter after my first appointment that she was really encouraged and even asked the receptionist if she had read it. She's going to give him a call because she's wondering if he had forgotten my case and just saw the lab reports yesterday and that was it. She has a hard time believing that I have all of this bursitis/tendonitis in so many different areas with nothing causing it.</p><p></p><p>She gave me a copy of the letter from the rheumy. It clearly showed I had tenderness and swelling. He said, "I told her that I needed to study the situation and probably see her at least once or twice." "Clinically, she does clearly have bursitis tendonitis. I do not think it is really very useful to classify her as fibormyalgia or chronic fatigue as these may obscure other diagnosis." "I think it would be good to try to clear up some of her severe musculoskeletal pain, see how her fatigue does and then see whether we could define any other problems or pathology that needs to be addressed."</p><p></p><p>So what happened between that letter dated May 29 and yesterday, I don't know.</p><p></p><p>My GP went ahead and started me on Plaquenil. It's an anti-malarial drug that is also used to treat lupus and sometimes RA. It's the only thing along those lines that she is comfortable prescribing and that the insurance will approve because the others need specific monitoring and as she isn't a specialist the insurance won't approve it for her. She did switch me from naproxen to mobic just to see, wrote me a script for pain medications, added back lisinopril for my blood pressure and there was something else I can't remember right now. I dropped off 5 prescriptions.</p><p></p><p>She's going to put a call into the rheumy and wait to hear from him before referring me to an endocrinologist. </p><p></p><p>She also wants me to see my cardiologist about something called pheochromocytoma. I'll have to look it up, but it has to do with the adrenals and will cause high blood pressure and the symptoms I have when my blood pressure goes up made her think of it. </p><p></p><p>So, that's that. I do like my GP, but as she is not a specialist there is only so much she can do. The rheumy said something about clearing up the severe pain, but he didn't say how. </p><p></p><p>As far as the ADL's...I do have my kids pick up things when I drop them. I don't have any steps in my house anymore since I moved - which is wonderful cause I really, really struggle with them. I'm going to have to get some kind of handrail for in the shower. I could really use a mobility stool, but I'm waiting on that for now. I need to get something to use to open jars. </p><p></p><p>I'm just tired and in pain and frustrated and discouraged and feeling pretty useless right now.</p><p></p><p>Thank you for the support and ideas. I do appreciate them. I'm just really not fit to be around right now.</p></blockquote><p></p>
[QUOTE="flutterbee, post: 167609"] Well, I saw my GP and she is just so wonderful. She is really surprised that the rheumy was so dismissive yesterday. She said when she got his letter after my first appointment that she was really encouraged and even asked the receptionist if she had read it. She's going to give him a call because she's wondering if he had forgotten my case and just saw the lab reports yesterday and that was it. She has a hard time believing that I have all of this bursitis/tendonitis in so many different areas with nothing causing it. She gave me a copy of the letter from the rheumy. It clearly showed I had tenderness and swelling. He said, "I told her that I needed to study the situation and probably see her at least once or twice." "Clinically, she does clearly have bursitis tendonitis. I do not think it is really very useful to classify her as fibormyalgia or chronic fatigue as these may obscure other diagnosis." "I think it would be good to try to clear up some of her severe musculoskeletal pain, see how her fatigue does and then see whether we could define any other problems or pathology that needs to be addressed." So what happened between that letter dated May 29 and yesterday, I don't know. My GP went ahead and started me on Plaquenil. It's an anti-malarial drug that is also used to treat lupus and sometimes RA. It's the only thing along those lines that she is comfortable prescribing and that the insurance will approve because the others need specific monitoring and as she isn't a specialist the insurance won't approve it for her. She did switch me from naproxen to mobic just to see, wrote me a script for pain medications, added back lisinopril for my blood pressure and there was something else I can't remember right now. I dropped off 5 prescriptions. She's going to put a call into the rheumy and wait to hear from him before referring me to an endocrinologist. She also wants me to see my cardiologist about something called pheochromocytoma. I'll have to look it up, but it has to do with the adrenals and will cause high blood pressure and the symptoms I have when my blood pressure goes up made her think of it. So, that's that. I do like my GP, but as she is not a specialist there is only so much she can do. The rheumy said something about clearing up the severe pain, but he didn't say how. As far as the ADL's...I do have my kids pick up things when I drop them. I don't have any steps in my house anymore since I moved - which is wonderful cause I really, really struggle with them. I'm going to have to get some kind of handrail for in the shower. I could really use a mobility stool, but I'm waiting on that for now. I need to get something to use to open jars. I'm just tired and in pain and frustrated and discouraged and feeling pretty useless right now. Thank you for the support and ideas. I do appreciate them. I'm just really not fit to be around right now. [/QUOTE]
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