Rheumy Visit Question...

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broomhilda
Veteran Member


Date Joined May 2007
Total Posts : 1488
   Posted 5/15/2008 9:17 PM (GMT -7)   
How long can I expect my initial visit to be.  He already has a full blood panel with ANA,RF, AS and hand xrays. I don't know the results myself yet. Also, he is my GI's husband and works for the same group as my GP as well.  I know he may want to do additional xrays and he'll pretty much have my history at his fingertips...my file is about 4 inches thick!  I just want to know how much "talk & discussion" time to plan for.  Is this going to be the typical 10-15 minute insurance visit or will he take more time with me?  Please share your experiences so I know how to streamline this to my benefit.  Thanks to all....you sure are a great bunch in a pinch!

yogaprof
Veteran Member


Date Joined Apr 2006
Total Posts : 1665
   Posted 5/15/2008 9:42 PM (GMT -7)   
I took my daughter to a rhuemy a few weeks ago and she spent about 45 minutes with her.
48 y/o woman.  Diagnosed 4/06 after colonscopy, SBFT, CT-scan all showed crohns. 3 months later, after pred and remicade, all tests showed no crohns. December '06 had adhesions cut through a laparoscopy. Now taking Glycolax, Ultra Fiber Plus, Florastor, and DHEA. Have become gluten-free diet per naturopath's tests.


broomhilda
Veteran Member


Date Joined May 2007
Total Posts : 1488
   Posted 5/16/2008 7:28 AM (GMT -7)   
Cool! I can cram alot of information in 45 minutes! Anyone else?
Dx'd Jan'06, 1st Resection 7/06, Predinsone, Humira, Imuran, B12 injections, Nexium. Secondary conditions: Psorasis, Acne, Fatigue, Joint Pain, Lactose Intolerant, gallstones, fibroid cysts, peri-menopausal.


ZenaWP
Veteran Member


Date Joined Aug 2007
Total Posts : 884
   Posted 5/16/2008 8:26 AM (GMT -7)   
I think my first visit with my rheumy was probably also around 45 minutes...they get a lot of medical history at that visit.  Although my rheumy is my favorite of all my many doctors, so I don't know if she is the norm for a rheumy or an exception...she was voted one of the top rheumy's in my city. 

...rejoice in our sufferings, because we know that suffering produces perseverence; perseverence, character; and character, hope.   Romans 5:3-4


ERANJO
Regular Member


Date Joined Apr 2008
Total Posts : 60
   Posted 5/16/2008 8:50 AM (GMT -7)   
I have my first appt scheduled for next week, and his secretary told me to plan to be there for at least 1 hour. She said new patient appt's last 1 hour.

bektold
Regular Member


Date Joined Jul 2007
Total Posts : 456
   Posted 5/16/2008 9:12 AM (GMT -7)   
My Rheumy visits run at least 30 min, not including tests.  She's very thorough.  He will probably palpate your joints and check range of motion in addition to discussing history and symptoms.

teddybearweiser
Veteran Member


Date Joined Oct 2004
Total Posts : 3042
   Posted 5/16/2008 9:14 AM (GMT -7)   
My first Rheumy visit was 30 mins and they did blood work.
Hi, I am teddybearweiser, I am a male.
I was diagnosed with crohns disease when i was admitted to the hospital

in 1992, in Jan of 1993 I was back in the hospital for surgery for my crohns. I had part of my right colon resectioned with ilecolonstomy.

My GI doctor has me on Asacol, Dicyclomine,Imuran,Celebrex and Remicade. B-12 injection once a month.
Also diagnosed with Osteoarthritis and Rheumatoid Arthritis


sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 5/16/2008 10:10 AM (GMT -7)   
My first visit to my current rhuemy was one hour. My first ever visit to a rhuemy was six hours.
Sj

ivy6
Elite Member


Date Joined Sep 2005
Total Posts : 10404
   Posted 5/16/2008 5:32 PM (GMT -7)   
*six hours*???!!! Wow. Why?
Co-Moderator Crohn's Forum.


sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 5/16/2008 5:41 PM (GMT -7)   
My first visit to a rhuemy was after 9 months of being very ill with no one having a clue as to why. Finally I woke up with my knee the sixe of a softball and had tests that day that finally came back positive (now my doc had been positive for the whole time I had an autoimmune disease but the tests had disagreed) so I was sent to upstate medical center which is New York's teaching hospital.
They did EVERYTHING. I had to have a diagnostic joint tap, X-rays, blood work, the medical history was taken by a first year med student thn reviewed and confirmed by a resident. Then my attending did not even read it before coming in to say "So, You have Gout" I kicked him out.
The head of Rhuematology and the head of Internal Medicine then held a confrence with me med students and residents and another rhuemy all standing around doing a differential.
They could not decided if I had RA or Stills disease (basically the same thing). Anyway I must of been an interesting case because the head of rhuematology who almost never took patients personally appointed himself my attending for the rest of the time I was in New York.
I think the joint tap is what made the appointment last six hours-my knee stayed frozen for much longer than it was supposed to.
Sj

AlwaysRosie
Veteran Member


Date Joined Jan 2005
Total Posts : 8616
   Posted 5/16/2008 6:55 PM (GMT -7)   
Hi Broomhilda,

My first rheumy appointment was one hour with first rheumy and then one hour when I had my first appointment with current rheumy.

It takes a long time to do a proper medical history.

Make sure you don't use any moisturizer or product in your hair. No make up either. I take a show and make myself neat . . . but no make up. There are clues about your health to be seen by the condition of your skin and hair. Just a thought.

If you have any mouth sores or rashes between now and then . . .take a picture and bring them with you.

Document your symptoms and bring a typed medical history too. Use an outline form so its easy to read.Include a list of your current meds including dosing info . . . spell correctly, from the bottles. Include your OTC meds and Vitamins. Have an extra copy so you can give one to the doc. Include your questions on that sheet.

I would spend a great deal of time preparing the information so you get a chance to vocalize all your symptoms. Some things sound unimportant, but all the little bits help the rheumy to piece things together.

When is your appointment?

Blessings!

Some docs are much better at reading than listening. If he's a listener, then you can still vocalize your info . . .but if he's not a good listener, he'll have the sheet for his file

In His Grip

AlwaysRosie           "We can't control the waves, but we can learn how to surf!!"

Psalms 139

Co-Moderator - Lupus Forum

UCTD, Inflammatory Arthritis, Diverticulosis, (recent dx - Sjogrens, Crohn’s 4/08)

Clickable Links:  Lupus Resources    Lupous.Org   Lupus Criteria (4 of 11)   Lupus Chapter Locator


broomhilda
Veteran Member


Date Joined May 2007
Total Posts : 1488
   Posted 5/18/2008 7:44 PM (GMT -7)   
Thanks to everyone again!

Rosie- I like your suggestions and do plan to prepare a comprehensive history for him. The appointment is the 21st of May.
Dx'd Jan'06, 1st Resection 7/06, Predinsone, Humira, Imuran, B12 injections, Nexium. Secondary conditions: Psorasis, Acne, Fatigue, Joint Pain, Lactose Intolerant, gallstones, fibroid cysts, peri-menopausal.


Matthew
Veteran Member


Date Joined Oct 2004
Total Posts : 3932
   Posted 5/19/2008 12:00 PM (GMT -7)   
30-60 minutes should be a minum for first appointments. Good Rheumies tend to be THOUROUGH.

Matthew

Irish_Mom
Regular Member


Date Joined Apr 2007
Total Posts : 385
   Posted 5/19/2008 12:28 PM (GMT -7)   
My son just had his first one and it was 90 minutes.

Terri
 
_________________________________________________________________________________
Breast Cancer at 37; bilateral mastectomy with reconstruction.
Colon resection 2004; Sub-Total colectomy September 2007 for colonic inertia - didn't work.
Son (HLA B27 positive) diagnosed with Crohn's at 17 (now 21). Taking Asacol and 6MP with Prednisone and Rowasa added during flareups. Recently diagnosed with ankylosing spondylitis - now on Humira.
Husband HLA B27 postive with ankylosing spondylitis and psoriatic arthritis.


broomhilda
Veteran Member


Date Joined May 2007
Total Posts : 1488
   Posted 5/19/2008 7:43 PM (GMT -7)   
Well my appointment is at 8:45am and I'll have a half hour drive to get there....he's definitely gonna get to see me at my best....mornings are the worse for me.
Dx'd Jan'06, 1st Resection 7/06, Predinsone, Humira, Imuran, B12 injections, Nexium. Secondary conditions: Psorasis, Acne, Fatigue, Joint Pain, Lactose Intolerant, gallstones, fibroid cysts, peri-menopausal.


AlwaysRosie
Veteran Member


Date Joined Jan 2005
Total Posts : 8616
   Posted 5/19/2008 7:51 PM (GMT -7)   
Great Broomhilda!! I hope the notes will help you and the doc. OH your appointment is coming up soon!! I'll look for an update after your appointment. Let us know how it goes.

Blessings!

In His Grip

AlwaysRosie           "We can't control the waves, but we can learn how to surf!!"

Psalms 139

Co-Moderator - Lupus Forum

UCTD, Inflammatory Arthritis, Diverticulosis, (recent dx - Sjogrens, Crohn’s 4/08)

Clickable Links:  Lupus Resources    Lupous.Org   Lupus Criteria (4 of 11)   Lupus Chapter Locator


curley
Veteran Member


Date Joined Mar 2005
Total Posts : 4305
   Posted 5/19/2008 9:12 PM (GMT -7)   
The very first visit I had with my Rheumy lasted for about an hourand she did a lot of talking and a lot of time trying to bend me like a pretzle.I was then set up to have a lot of test done and I had a lot of blood work as well.So I think it just depends on the doctor.The Rheumy that I have now is wounderfulshe listen to me and if I have a question on something that I am not sure about she will take her time and explain it untill I do understnd it.Please let us know how it goes,
Curley
.........
 

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