My experience with the GI office NP has been positive overall, better than with the PA in the same office but I think this was as much a personality thing as it was a philosophical difference (as a general rule PA's are trained under the medical model (disease-centered), NP's are trained under the nursing model (patient-centered)).
I think mid-level practitioners (NP, PA) are great once you are in the maintenance stage or if you have an uncomplicated course, but it's also good idea to check in with the dr. from time to time to keep a good rapport with the person that does the invasive stuff (colonoscopy, etc...).
I was kind of disappointed on my last visit to the NP though because he said that I've taken longer than most of his patients to get the UC under control. He recommended a visit with the GI doc in a few months. At least he knew when to send me back to the dr. I do like him though. He's warm, caring, listens and teaches.
I've made an appointment with a different GI doc for a second opinion.
Distal UC (25cm), Nov 2008
Colonoscopy Nov. 2 08: Pathology showed inflammatory changes throughout colon, but ulcerations, friable tissue, etc. last 25cm of colon Lialda
3.6g (Nov 08); 4.8g/daily
Canasa supp. 1g (for 3 weeks, from Nov. 5),
Prednisone 40 mg/daily 4 week taper (Nov. 17 ‘08), Back up to 15mg Dec. 20, taper 2.5mg/wk. Off Pred Jan 27…knock on wood.
4g/bedtime Dec. 20 ‘08, 4g/bed time Jan 19 ‘09
Procotofoam: 1 application/bedtime, Jan 20 ‘09
Prednisone: 30mg taper, started Feb 10, 09.
Prilosec OTC generic: 1 pill every night (the pred upsets my stomach).
Other current meds/supplements: Sertraline, Yasmin, Vit E, Omega 3 FA, Krill Oil, Mupirocin (bacterial rhinitis), Maxalt MLT (migraine), phenergan (nausea).
My mother (UC for 20+ years) has been in remission for quite some time (at least a few years). :)
One of my cousins has Chron's dz. :(
I love Cottonelle moist flushable wipes!