Rheumy vs. General doc??

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misscali
Regular Member


Date Joined Feb 2007
Total Posts : 154
   Posted 6/9/2007 3:48 AM (GMT -7)   
as of right now i do not have a general doctor, i only have a rheumy. is it important that i have a "regular" doctor as well? or is it ok to just have a rheumatologist, seeing as i have appointments every month anyway...i appreciate any feedback!!

okie
Veteran Member


Date Joined Dec 2006
Total Posts : 2818
   Posted 6/9/2007 3:58 AM (GMT -7)   

Hi miscali, I am still working on getting a new rhummy and only ave a PCP. So mine is the other way around. My last rheumy told me that there were certain procedures he was going to leave up to my doctor to do. Plus I don't think my insurance would pay for me  to be seen by my rheumy for "normal" illness things. Since they charge more money. It's just my opinion but I beleive in my case my PCP is more accessible than most rheummies are.

 

hugs

carol


God Bless
Carol
 
 Newly DX's Lupus.Possible CREST,COPD, high PB xanax,triam , vicodin.5x3, Evista for osteo,. oxygen Plaquanil800mil, . effexor. spiriva, xopenex. pred.10.mil.
 
Come ye, all that are weary and heavy laden, and I will give you rest!
 
 


hippimom2
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Date Joined Jul 2005
Total Posts : 5403
   Posted 6/9/2007 6:45 AM (GMT -7)   
misscali, in my opinion, I do think it is really important to have a good pcp (primary care physician). I always picture the pcp as my main doctor who helps me decide if I need to see a specialist and also deals with the "normal" kinds of health problems that the rheumy doesn't want to be bothered with. Even for my headaches my rheumy referred me back to my pcp. I am in the process of trying to find a new pcp since my old one quit and is moving away.


Sometimes it can take a while to find a good pcp, but I do think it's really important.
Diagnosis:  UCTD (lupus) 2006; Raynauds 2006; Sjogren's 2006; lupus symptoms began 2003; CFS 1991; Mono 1985
Meds:  Plaquenil 400mg; Prednisone 5-10mg; Tramadol 100mg 3-4x daily; Amitriptyline 10mg; Neurontin 300mg; Prevacid; Steriod Cream and Mouth Rinse for tongue and mouth ulcers; Hydrocodone 5/500 prn for severe pain; Restasis eye drops

 

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dbab
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Date Joined Jan 2004
Total Posts : 4151
   Posted 6/9/2007 9:17 AM (GMT -7)   
Its the same for me as the others misscali. My rheumy is extremely busy and he usually has his nurse screen what the problems are before seeing you (unless its a regular appt) to determine if the problems are caused by Lupus or not. If not, he will refer me to my PCP. I like that better anyway because I know that I can see my PCP the same day if need be where as my rheumy takes weeks to get an appt. Make sure you always keep a log of doctor visits though and why you went in so when its time to see your rheumy, you can let him know. I think its good to inform them of what other problems you are having that you would not normally think are related.

Take Care
"Des"
Co-Moderator ~ IBS Forum
Co-Moderator ~ Lupus Forum 
Dx: IBS 1989, Diverticulosis 2004, Idiopathic Acute Colitis 2006, UCTD 2007
Meds: Plaquenil 400mg, Chlorzoxazone 500mg, Lyrica 50mg, Protonix 40mg, Naproxen 1000mg, Klonopin 2mg/day (tapering to PRN), Miralax 17g, Supplements


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mom46
Veteran Member


Date Joined Dec 2004
Total Posts : 8198
   Posted 6/9/2007 9:53 AM (GMT -7)   
Hi Misscali,
  I agree thats it good to have a good PCP and a Rheumy. My PCP is actually a Internal Medicine/GI doc. He covers alot of bases my Rheumy doesn't. I see the Rheumy about every 3 months and if I have other issues I see or call the Internal med doc. I'm very lucky to have found two great doctors taking care of me.... :-) . I also have a great cardiologist!
  I wish you the best. Good luck and keep us updated. You are in my thoughts and prayers.
                                                                    Babs
 
 Lupus,RLS,RA,Asthma,Fibro,Sjogren's,Raynaud's,Divertic, Stroke,Atherosclerosis,Seizures,Sensory Polyneuropathy
Meds:Arava,plavix,aspirin,protonix,gabitril,zanaflex,xanax,
mirapex,advair,foxamax,donnatal,folic acid.
 
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Bsime
Veteran Member


Date Joined Apr 2006
Total Posts : 1298
   Posted 6/9/2007 12:57 PM (GMT -7)   
You need a doctor to look after your overall health and a rheumy for lupus.  I have an internist, 2 rheumys, and several other specialists to treat various conditions that have resulted.
 
A rheumy will have the most experience and best chance to treat lupus successfully.
 
If your insurance prevents this then you have to make the best choice...decide if lupus is the overriding health concern and find the very best doctor to treat that.  That is usually a rheumy.
 
Bill
Mixed connective tissue disease (systemic lupus, scleroderma, polymyositis), Raynauds phenomena, Hypertension, Barrett's syndrome.
 
Meds: prednisone (7mg & tapering), 150mg imuran, lisinopril 40mg, maxide 37.5/25mg, norvasc 5 mg, folic acid, potassium, aciphex 20mg, multi vitamins.
 
Maintain your optimism and you can beat the odds.
 
"Although the world is full of suffering, it is also full of the overcoming of it."  Helen Keller
 
 

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