When to see primary care doctor

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Regular Member

Date Joined Jan 2011
Total Posts : 82
   Posted 2/23/2011 6:17 PM (GMT -6)   
I'm having a dilemma about whether or not to see my primary care doctor. I'm experiencing symptoms that make me think I'm either having another flare or an infection. I don't have an obvious source of infection (no sore throat, UTI, etc.). Either way I'm miserable (feverish, pain, fatigue), and either way I have to work tomorrow (I'm a nursing student and can't miss clinical hours). I feel like I go running to my doctor all the time, and I don't like to go unless I have to.

What are your personal guidelines for when to see your doctor? Most likely I would be prescribed prednisone or antibiotics, neither of which I'm super excited about getting :/


Forum Moderator

Date Joined May 2005
Total Posts : 7669
   Posted 2/23/2011 8:08 PM (GMT -6)   
If it's not lupus related, I use the "3-day rule" -- if it's not getting better with my OTC treatments by 3 or 4 days, then I see the PC (GP).

If it's lupus-related, I treat with whatever med variations the Dr has pre-approved. If it's something new and bothersome, I might try to move up my regular (normally every 3 months) rheumy appointment. If it's a recurrence of something that's happened before, I might call to get a med that's been used successfully before if it's not something I already have on hand.

Infections can get worse quickly with lupus, since our regular meds tend to hide them until they are worse than for the average person...thus my 3-day rule (pre-lupus it was more like a 7-day rule! lol)

Hope that helps!
Lynnwood, Lupus & Sjogren's Moderator
"Life is far too important to be taken seriously" - Oscar Wilde

Regular Member

Date Joined Jan 2011
Total Posts : 82
   Posted 2/24/2011 3:02 PM (GMT -6)   
Thank you, yes it does help. I like the three-day rule. However with some infections, even three days is too long - last November I had a tonsil infection and at the first signs of infection (swollen gland and fever) I went to urgent care and got antibiotics. Even with that I was septic within 24 hours! The antibiotics hadn't started to work yet.

Pain kept me up most of the night last night, definitely a flare. Called in sick, went to doctor, got prednisone (a month-long taper).

I am having such an issue with flares lately - I just go from sick, to sicker, back to sick, then sicker again - I never really get better. My rheumatologist is frustrated that my treatments aren't working and has referred me to another specialist in another state who I can't see until May. It's very discouraging.

New Topic Post Reply Printable Version
Forum Information
Currently it is Monday, March 19, 2018 8:59 AM (GMT -6)
There are a total of 2,941,316 posts in 322,738 threads.
View Active Threads

Who's Online
This forum has 161146 registered members. Please welcome our newest member, coondog1432.
357 Guest(s), 14 Registered Member(s) are currently online.  Details
notsosicklygirl, Kent M., sirenshooter, Hoagie, C_G_K, Girlie, searchinginla, WalkingbyFaith, davemike, SharonZ, andwes, Supportive Daughter, Memmem, Sober1