board certified vs. not board certified

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dustspeck
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Date Joined Sep 2007
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   Posted 4/28/2008 12:08 PM (GMT -7)   
how comfortable would you be if your gi was not board certified in gastroenterolgy?  my current gi isn't but did have a fellowship in gastroenterology.  he is board certified for internal medicine.
 
would this make you second guess his knowledge about ibd?  i think his treatment has been fairly well but then again, i have no one to compare him to.  i think the 6mp has brought some relief but i still have to take percocet prn and still have urgent d up to 8-10 times a day.  he won't argue with me when i say i won't go back on the pred.  honestly, i don't know if there is more he could do or not.
 
i'd be real interested in your opinions.  i have had numerous people tell me i need to see a crohn's specialist.
.: stephanie :.
32 y/o female diagnosed 8/8/7 with crohn's of the terminal ileum w/ stricture/scarring
meddies: 6mp, percocet, trazodone, ativan, iron, calcium, folic acid & some other vits


Sharann
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   Posted 4/28/2008 12:18 PM (GMT -7)   
Well, boad certification indicates advanced knowledge and training.
That said, every idiotic GI I have been too are ALL board certified in GI and IM.
So, I don't know anymore. I think if you are having surgery your surg should be board certified.
I have yet to find a IBD specialist(though they all claim to know how to deal with it)
I am a Certified Doxie Lover(Weinerdogs)


dustspeck
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Date Joined Sep 2007
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   Posted 4/28/2008 12:32 PM (GMT -7)   
i am kinda waiting to see what happens with health insurance (i am just getting back to working again) and i might pack it up and go see a specialist i keep hearing about in worcester. he's even recommended on the ccfa. i just don't want to cut ties with the gi i have because he has been nice and i do feel better, just not good. decisions!
.: stephanie :.
32 y/o female diagnosed 8/8/7 with crohn's of the terminal ileum w/ stricture/scarring
meddies: 6mp, percocet, trazodone, ativan, iron, calcium, folic acid & some other vits


belleenstein
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Date Joined Feb 2007
Total Posts : 1010
   Posted 4/28/2008 12:48 PM (GMT -7)   
I think it is more important to develop a trust relationship with a care provider that builds over time than it is to find "the" best doctor. The best doctor is the one who is going to know you and be willing to work in collaboration with you. If you have that, then you should be working through him, not around him, to obtain an appropriate referral. If your case requires the services of a gastroenterologist who does nothing but treat crohn's/colitis your internist should have the contacts and be willing to refer you for a consult and then work with you to implement the care plan recommended by the specialist.

.
Belleenstein:

30+ years living with Crohn's.


chroniemomx2
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Date Joined Apr 2005
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   Posted 4/28/2008 1:11 PM (GMT -7)   
Did your dr just get done with his fellowship? Some states require that they are in practice for a couple of years before they can apply for their certification. This is the case with my surgeon. He came from the Cleveland Clinic, and he and I have a great relationship and I trust him actually more than my gi. He is not board certified yet, but that causes me no concern.

gumby44
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Date Joined Nov 2007
Total Posts : 4100
   Posted 4/28/2008 2:52 PM (GMT -7)   
It is perfectly ok to tell your doc that you want to continue to see him, but want a second opinion from a specialist, a long as your insurance covers it. I went to University of Michigan Hospital for a second opinion, and ended out like Dorothy in the Wizard of Oz (there's no place like home!) My local doc seemed to take me more seriously after that and our relationship greatly improved. He knows that I read and educate myself excessively, and we work together well. If you think your doc is staying in tune with the latest research it is probably ok. Did your doc take blood tests to determine the dosage you need for the 6MP and is he taking ongoing blood work? Hope this helps...
49 yr. old female, diagnosed with Crohn's in small intestine and terminal ileum Sept-Oct. 2007. Also have IBS, and had Salmonella Dec. '07
currently taking Pentasa- 8 250mg pills per day, Cipro 1 week/month, Metamucil, probiotics


dustspeck
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Date Joined Sep 2007
Total Posts : 565
   Posted 4/28/2008 5:41 PM (GMT -7)   
belleenstein - you are right, i need to take into consideration that my gi is willing to work -with- me. in the beginning when i was having a real tough time he would call just to check in with me, even on the weekends. i just worry i am not getting the best care by an experienced doctor per se. and this other specialist i heard about were from 2 of my friends with crohn's and they have nothing but wonderful things to say about him. so you kinda get to thinking. thanks for your sound advice.

chroniemom - i was just looking at his profile online and it gives credentials but not timelines. but that could very well be the case. thanks for your input!

gumby - before i started the 6mp he checked my tmpt levels. after i i was cleared for 6mp i was going for weekly bloodwork, then bi-weekly bloodwork. then he checked my tng levels to see if the 6mp was at a therapeutic level and it was on the low side so he increased my 6mp and back to weekly, then bi-weekly blood work and i actually just finished my last standing order this past weekend! YAY! i also had my tng level checked 3 weeks ago but haven't heard anything back from my gi. i am going to call him this week to discuss. thanks for the advice, i am feeling a bit better :)
.: stephanie :.
32 y/o female diagnosed 8/8/7 with crohn's of the terminal ileum w/ stricture/scarring
meddies: 6mp, percocet, trazodone, ativan, iron, calcium, folic acid & some other vits


Sarita
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Date Joined Mar 2005
Total Posts : 2486
   Posted 4/28/2008 6:01 PM (GMT -7)   
I would be most curious about WHY the GI isn't board-certified. Is it because he took the board exam and failed it? Or is it because he doesn't see a need to take the board exam for GI because he practices more general internal medicine?

The guy had to pass at least three other board exams: one after his first two years of med school, one after the fourth year, and one after his internship. So he's no moron. I'd flat-out ask him if you're curious. If he is giving you good care, though, and you trust him, that to me means more than the GI board certification exam. But that's just me!
Co-moderator - IBS Forum

Please always remember to consult your medical professional regarding your medical questions; this forum is intended to provide patient-to-patient support. Although some of us have healthcare backgrounds, we cannot diagnose or treat patients on the board.


dustspeck
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Date Joined Sep 2007
Total Posts : 565
   Posted 4/28/2008 6:20 PM (GMT -7)   
sarita - that seems to be the overall consensus. he really has been very attentive to my needs and overall, i do feel better than i did last year at this time. i just wish i was feeling GOOD rather than just okay. but i guess that is how this stupid disease goes :/
.: stephanie :.
32 y/o female diagnosed 8/8/7 with crohn's of the terminal ileum w/ stricture/scarring
meddies: 6mp, percocet, trazodone, ativan, iron, calcium, folic acid & some other vits


chroniemomx2
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Date Joined Apr 2005
Total Posts : 2346
   Posted 4/28/2008 6:27 PM (GMT -7)   
Well, go see your friend's dr. as a second opinion. If your dr. is as wonderufl as you say he is, then he won't feel threatened by that. Also, this other dr. may have some other ideas to get you feeling GREAT instead of just good....

gumby44
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Date Joined Nov 2007
Total Posts : 4100
   Posted 4/28/2008 6:32 PM (GMT -7)   
I agree with chroniemom...you don't have to leave your doc in order to get a second opinion
49 yr. old female, diagnosed with Crohn's in small intestine and terminal ileum Sept-Oct. 2007. Also have IBS, and had Salmonella Dec. '07
currently taking Pentasa- 8 250mg pills per day, Cipro 1 week/month, Metamucil, probiotics


CrohnieToo
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Date Joined May 2003
Total Posts : 9448
   Posted 4/28/2008 9:36 PM (GMT -7)   
And I'll concur. The best doctor is the one who CARES and will LISTEN and will work w/you - and IF he really does care he will understand if you discuss your desire for a second opinion from someone really experienced in treating Crohn's as long as you present it to him as a SECOND opinion. I really like my gastro and we generally work well together - but I have no qualms about heading for Mayo Clinic when I feel I need a second opinion on where I'm at w/my Crohn's or what better "we" could be doing to treat it. She's always appeared grateful for the extra input. Of course, its also quite obvious that I wouldn't be making a 12 hour drive one way for day to day treatment or monitoring ....
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.


brit tuck
Regular Member


Date Joined Jun 2007
Total Posts : 143
   Posted 4/28/2008 11:22 PM (GMT -7)   
I agree with everyone else's opinion. To me, it's all about the treatment I get from my doctor and I feel like he's very knowledgeable too. I've gone to get a second opinion at the Mayo Clinic here in Scottsdale, and it was actually at my GI doctor's suggestion. He just wanted me to feel comfortable with all the medical decisions I was making. Plus, if I ever need surgery I will have to go outside my GI doctor, because he's not a surgeon. But I definitely feel more comfortable with my GI doctor. To me, the most important thing is that they are focused on making you better, and my GI being willing to set up appointment for me at other doctors just demonstrates that even more.

ski bum
Regular Member


Date Joined Jan 2007
Total Posts : 451
   Posted 4/29/2008 5:27 AM (GMT -7)   
Dustspeck, after reading your question, I realized that I didn't even know if my doctor was board certified in GI. I just did a little research and found out that he is board certified in IM and GI. If I had discovered that he wasn't board certified, I wouldn't have made any changes based on that alone. I've been satisfied with his care and treatment for several years and an after the fact discovery that he wasn't board certified wouldn't have changed my opinion.
50 y/o F. CD dx'd Aug 05. Initially on Pentasa, then Imuran 125 mg. Started Humira (very reluctantly) on 10/24/07. Ileocolectomy 4/08.


dustspeck
Veteran Member


Date Joined Sep 2007
Total Posts : 565
   Posted 4/29/2008 8:46 AM (GMT -7)   
thanks so much everyone! i just felt asking for a second opinion meant i don't have faith in my gi's knowledge and ability to treat me and i certainly didn't want him to think that's how i felt about it. i felt i put him on the spot when i asked how long he had been practicing for and how many crohn's patients he has. but, it seems like common practice and typically they are no offended. i could request some more tests just to see where we stand on my strictured section of my intestine. it bothers me that there are a lot of foods i can't eat in fear i could end up with a blockage. and all in all, i just wish i felt GREAT. i would take GOOD though. GOOD would work :)
.: stephanie :.
32 y/o female diagnosed 8/8/7 with crohn's of the terminal ileum w/ stricture/scarring
meddies: 6mp, percocet, trazodone, ativan, iron, calcium, folic acid & some other vits

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