It’s All Greek To Some
Recently, I needed some physical therapy. I had a torn core muscle, nothing too serious. The Physical Therapist asked me, “So, you’re young and healthy, right?” Um, NO. I handed him my large excel spreadsheet that I have with me at all times listing my medications, conditions, hospitalization history. You could tell as he looked at it, it was all Greek to him. He didn’t understand a word of it.
I went to the Dentist. He asked if I was on any medications? I gave him the same list and he just stared. But then he at least asked a question, “That IVIG thing, is that just a shot? An injection?” Nope, back in the day maybe, but it’s an all day infusion. “Oh.”
I contracted a bout of tonsillitis during a weekend. That’s normal, right? Don’t need my infectious disease doctor for that. I headed to Urgent Care. The doctor was great. He listened to everything I said and gave me the right antibiotic. He said he wanted to treat it aggressively due to my Primary Immune Deficiency Disease (PIDD). Excellent. But as I was leaving he said, “Boy, I’m going to look all of this stuff up right after you leave!”
A few months back I had cause to see a neurosurgeon. This doctor is brilliant. He saved my Dad’s life last year from a large and aggressive brain tumor. So when I needed a neurosurgeon, I knew exactly who to call. He sat with me for a long time. He listened to my entire history. Once I was finished, he said, “You know, you are talking about terms that I heard for about five minutes in medical school and haven’t heard since.” It was starting to sink in; even a brain surgeon barely knew what I was talking about.
I have a gastroenterologist who oversees issues with my colon. It took 18 months to get my diagnosis. The G.I. listed all of the conditions that we would NOT be looking for. Things like chron’s, ulcerative colitis? He said, “No way, not possible.” And yet, I attended an Immune Deficiency Foundation (IDF) Retreat last year and heard the G.I. expert speak there. Those were tops on the list of possible G.I. complications for patients with PIDD.
As my frustration level skyrocketed, I wrung my hands and asked, WHY? Why is it that all of these brilliant medical professionals had never heard of my conditions or my treatment? Why does it, at times, seem like I have more medical knowledge than they do?
I asked the G.I. specialist this very question at the IDF Retreat. How could my G.I. doctor not be looking for the very illnesses that go hand in hand with PIDD? And he explained it simply, in most cases I am probably the first patient with PIDD that these doctors have ever met. And the odds are that I will be the last.
It’s the same reason that to this day, I do not have a primary care physician. I know other PIDD patients that do have excellent ones, but I personally cannot stand being treated by a doctor who has no knowledge of what I have or what I’m going through. Until I find one that truly impresses me, I’m going without.
So I let my 3 key specialists guide my care. Sometimes they communicate, sometimes they don’t. But I do my best to make sure they are all educated on my body the best that I can.
I know many of the other patients out there with rare conditions share my frustration. For now, the best we can hope for are physicians who are willing to listen and willing to learn. We are their best resource. The last piece of advice I received from the expert at the retreat was, “If you have access to a teaching facility, then head there.” Sounds like good advice to me.
Article written by staff writer, Kelly Clardy
Kelly lives in Atlanta with her husband and kitty. She developed PIDD in 1995, went undiagnosed until 2007, and has been receiving IVIG ever since. She also has: capillary hemangioma of the colon, chronic anemia, Hashimotos, insulin resistance, palindromic arthritis, and a host of other dxs. By day, she’s a Senior Project Coordinator and a Zebra. She can be found lurking on twitter, @collie1013 and Facebook, Kelly Jaeckle Clardy.
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