GPs - one good, one a bit rubbish!

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GPs - one good, one a bit rubbish!

Postby Zia2014 » Wed Jul 09, 2014 2:33 pm

Sooo today I went back to see my GP and convinced her to sign me fit for work. I only have a week until the end of term so this is a very quiet time and a good chance for me to see what I can do. She signed a fitnote, all good.

HOWEVER, she still won't refer me to rheumatology until the endo has seen me, and she has asked me to book an appointment with the other GP then as she is on holiday :roll: She's already been off sick twice in the last 2 months!! (I know, I can't talk! :nono: :-D )

Anyway she is now saying I might have rheumatoid arthritis, or gout, and lined up another lot of blood tests to be done!!!! She seems to just focus on one thing at a time, and constantly interrupts when I'm explaining. She asked whether the endo had suggested fibro and I had to remind her the other GP had said it, and I spoke to her about it last time. Even though she had the notes in front of her!

Oh and she also attributed my mouth issues and foggyness in the mornings to the amitriptyline, even though I've had them both since before the pills. Basically she has told me to live with the mouth issue as she doesn't know what it wrong with me. Head and wall spring to mind... :roll:

Aaaargh!!!!!!!!!!!

Sorry, I just had to let that out :mrgreen: Anyway hopefully seeing the better GP next time will mean I get a rheumo referral, and I'll ask him about my mouth too. I just wish I could see him all the time, especially as she is in a surgery across town most of the time and driving there at 10am was ropey to say the least.

What are your tales of GPs, good and bad?
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Re: GPs - one good, one a bit rubbish!

Postby FluppyPuffy » Wed Jul 09, 2014 3:35 pm

Is this what you meant with head and wall springing to mind :banghead: :banghead: :banghead: :banghead: :banghead: :banghead: :banghead: :banghead: :banghead: :banghead:

I can understand why she is saying to wait until you've seen the Endo~bod {I'm working the basis that you mean an Endocrinologist here} as there are conditions, such a Lupus, which can present themselves with very similar symptoms to what FM has. And, as there is no test available currently to detect FM, getting to the root of things is basically a dx by exclusion, where all the other possibilities and investigated, and when all these other things are ruled out, FM tends to be the last thing left in the bag.

With how things can change in the body, it's not unusual to find that tests are rerun periodically, esp if new symptoms emerge. Focussing on one problem at a time means that it can be investigated fully and hopefully ruled out, so you can then go on to the next step.

She does sound like she's thinking/working in the general sort of direction/area where FM is, which is what you want.

Being interrupted when speaking/trying to speak is one of my big pet peeves, so I'm probably not the right person to be commentating as, to me, it is one of the ultimate signs of disrespect and poor manners. By doing that, important facts can be missed that could prove helpful in getting to the bottom of things, and it does nothing to help improve the doctor~patient relationship.

I know all this won't help speed up things for you, and from spending time in LimboLand myself, I'm aware of just how slowly time passes there. There are GPs who are completely dismissive of conditions like FM and CFS/ME, which your GP doesn't seem to be, thankfully. You do have things moving in the sort of general, right kind of direction, albeit very slowly at the moment. Things taking time is par for the course with FM :facepalm: :facepalm: :facepalm: :facepalm: :facepalm:
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Re: GPs - one good, one a bit rubbish!

Postby Zia2014 » Wed Jul 09, 2014 4:07 pm

Are you following my posts around Fluppy!! :lol:

Yes that was the smiley, thank you :-D

I do totally get that things have to be ruled out etc etc, I was more annoyed about how she suddenly brings new things into it and was asking where fibro had come from even though it was on the screen in front of her! And it's not like my memory is totally reliable either.

Err yes sorry endo - endocrinologist. He seems a right tit :roll: On the phone he basically told me there was nothing wrong hormonally, but I still have to have another appointment presumably so he can tell me the same thing... :shock:

How is Lupus diagnosed?

The interrupting thing is so frustrating, cos I lose me train of thought very easily (even before all this!) and then when she speaks over me I feel belittled and not taken seriously :( And it's when I'm saying something important too (like her looking for the fibro mention and not listening to me telling her who said it!)

LimboLand, good expression! Hopefully I will get further with the other GP, who is lovely, and maybe I should even mention this to him. Although, that would put him in a difficult position wouldn't it. Hmm.
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Re: GPs - one good, one a bit rubbish!

Postby FluppyPuffy » Wed Jul 09, 2014 4:32 pm

It is confuzzling when something new gets thrown into the mix of possibilities, it can set your mind off wondering and worrying even more :yikes: :yikes: :yikes:

I'm starting to flag a bit now, so I'll try and keep this one a bit shorter. This linky explains about how Lupus tends to be dx'd. It's another condition that shares very similar symptoms with FM, and is often investigated as part of the exclusion/dx~ing process.

If the Endo~bod has already said that things are OK hormonally, another appt does seem a bit daft, unless there are some things that need to be done formally with you being present before being discharged :dunno: :dunno: :dunno: If he does go into tit~mode, sit there and imagine that you're :girl_moon: :girl_moon: :girl_moon: :girl_moon: :girl_moon: at him. If it starts to tickle you and you're struggling to stifle it, watch his face as he'll be wondering what the heck you're doing :bear-dancing: :bear-dancing: :bear-dancing:

I have an 18 year old that interrupts me part way thru sentences. He thinks he knows what I'll be saying, when in reality he has absolutely no clue. In fact, I don't have a clue most of the time :lol: :lol: :lol: :lol: I also have a relative that, as well as interrupting, talks over people too, trying to belittle them all the time. They're the sort that think they are always right, even when everyone else is yelling at them that they are wrong. Sorry, digressing slightly there :oops: :oops: :oops: :oops: :oops:

You are on the road to getting the answers you're wanting, you just seem to be on the scenic tour rather than the one that would usually take the more direct way there. Things taking time seems to tag along with FM no matter how far along your FibroQuest may be :facepalm: :facepalm: :facepalm:
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Re: GPs - one good, one a bit rubbish!

Postby Zia2014 » Wed Jul 09, 2014 5:45 pm

Awww hope you're okay.

You're right, it has worried me. When they were looking into my knee problem I was incorrectly told by my physio that it was arthritis, and they couldn't do anything for me until I could barely walk :shock: I went through months of hell, only to be told it wasn't that after all :roll:

That link is interesting. Not sure I do have lupus but there are certainly some similarities. I haven't had any of those tests done.

My endocrin seems fixated on the idea it is sleep apnea (even though I don't have most of the main symptoms!) so I kind of feel he is palming me off as soon as he can. I suspect the follow up appointment is so he can tell me he is right about it being sleep apnea... :roll:

Your mooning smileys made me laugh, because the other day I was sat in my PJs and err they ripped across the bum area!!!! :oops: :oops: :oops: :oops: :oops: :oops: Luckily I was at home, although my OH did have a right laugh :mrgreen:

I also hate the interrupting thing, although I am occasionally guilty of it myself :oops: Mainly because I remembered to say something and will forget if I wait another minute. but I am aware and try not to :nono:

The scenic route sounds rather nice, I just wish it wasn't so long!
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Re: GPs - one good, one a bit rubbish!

Postby denys » Thu Jul 10, 2014 2:32 am

Lets hope the good GP sorts you out while she is away :shock: :shock: :shock: :shock:
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Re: GPs - one good, one a bit rubbish!

Postby Zia2014 » Thu Jul 10, 2014 5:32 pm

I hope so! ;-)
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Re: GPs - one good, one a bit rubbish!

Postby whoami » Thu Jul 10, 2014 5:42 pm

I have being reading the posts here and fluppy has got things right,in my mind.... as usual. It can be frustrating and actually a pain in the :girl_moon: at times. As they say though...good things come to those who wait. The good thing in this case a proper diagnosis, LOL

I agree that your Dr seems to be heading in the right direction and with this other GP's input you may get somewhere. I often feel for a DR. They are supposed to have all the answers and sadly we expect them immediately. My friend a DR has said on many occasions how she can get ill just trying to find out what is going on with a patient. With the symptoms presented it can at times make absolutely no sense scientifically. She says that even though she can't dismiss the scientific logic of things the symptoms the patient presents sometimes have to overrule science.

Easy for me to say but try to have a bit more patience and trust what the Dr is doing is right.
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Re: GPs - one good, one a bit rubbish!

Postby Zia2014 » Thu Jul 10, 2014 5:56 pm

No you're totally right! It's so frustrating and I try not to take that out on my GP. Although talking over me when I'm trying to get answers still winds me up! And specialists referring me for things without properly going through my symptoms...

I'm just panicking that without any diagnosis, work don't know what to do for the best - and neither do I!
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