It all comes down to this...you have to be happy and comfortable with your doc and all the decisions. And he/she has to listen to you. My first real GI was really good, and he did listen..but he still went his own way. Luckly I moved and it was hard to see him so I changed docs. And then I changed them again and again. It took awhile until I found another good GI. When I did, his specialty was more about the liver than Crohns. We he knew he couldn't help me anymore, he suggested seeing someone else. That is what I liked about him. He knew his limitations and didn't have an ego trip.
Now I am with a doc that is good, listens to me, and actually LISTENS. I suggested Remicade to him and he said ok. He wasn't sure if I was truly flaring so he possibly wanted to do a scope on me. I told him about all my current symptoms and told him it definetly feels like a flare. He did do bloodwork to confirm I had inflammation but he also said that I know my body best and if I say I am flaring..than I am.
Don't worry...good docs are out there. Do some research. Check out www.ratemds.com Good luck and feel better.
36 yr old Male with Crohn's Disease since '88 - No Surgery yet
Been on almost every type of drug with bad results
Remicade since Nov 2009
Prilosec 20.6mg - 2x a day