I agree with you 100%.
Now why your GI thinks you're annoying and stupid:
You are making it difficult for him. You are telling him that what he learned in school is wrong and incomplete. He has spent many years getting his degree. He got his degree. He is now qualified to practice medicine, and you are questioning his qualifications.
He learned how to diagnose your symptoms, what medications to prescribe for those symptoms, and that doing so is the best way to keep your symptoms at bay. He learned that no one knows why his patients will get IBD; so there is no reason to try to treat the cause. And he's is right about
not being able to figure out the cause. There are simply too many reasons why someone gets IBD for him to be able to figure out why each of his patients has this disease.
His expectations are to meet you, hear your symptoms, prescribe medication, have you come back in better condition, and if you're not in better condition, to prescribe stronger medications. He feels you should be happy that he is treating your condition by prescribing those medications. Anything else he feels is annoying, crazy, and stupid. You did not receive the training he did. Besides, if your treatments have really worked for you, then why are you still seeing him?
Now for the reality. You have this disease. You know more about
how this disease affects you than he does. How could he know without asking you? He is not in your body experiencing what you are experiencing. You have spent much time researching this disease. In all probability, you have spent more time than he has researching this disease, because after all you have it. Plus, you continue to research it. You have also been experimenting with different treatments; so you know which treatments work for you and which ones don't.
Let your new GI know exactly why you are seeing him. If you aren't seeing him to get medication, then let him know this. I let my new GI know exactly why I'm still seeing him. My treatments are working now, but I don't know that they will keep working indefinitely; so I would like to have a backup supply of Canasa suppositories just in case. Plus, I would like to get periodic colonoscopies to test for colon cancer after I hit the 10-year mark.
My new GI, too, is irrational. I somehow went from having a severe case of UC to being a patient who has only a mild case of UC. In other words, he thinks that I must naturally have only a mild case of UC since I'm doing so well, not that I'm doing so well because of my choice of treatments.
Yes. I also feel frustrated with my GIs. I somehow thought that if I told them what worked for me, they would write it down, record it for future use, and use that information to help their other patients. I do think they make a mental note of it in their mind, but that's it. It doesn't go any further than that.
Post Edited (subdued) : 12/6/2010 1:50:56 PM (GMT-7)