Changing drs. within clinics

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Traci's Tummy Hurts
Regular Member


Date Joined Jun 2007
Total Posts : 46
   Posted 10/8/2007 4:40 PM (GMT -7)   
When I very first went in for my colonoscopy, I just wanted to get in ASAP.  My rheumy wanted me to go to GI, Dr. S for my colonoscopy because he is better for long term care, but I couldn't get in for quite a while.  I could get in with his partner, Dr. C.  Dr. C. is okay and all, but not my favorite but I have been seeing him for like 6 months now.  Maybe it's me, but I just don't feel like he sees the big picture (UC, kidney infections/stones, cysts, arthritis, abnormal paps).  Both him and my rheumy told me I can stop seeing the rheumy, but I just don't feel comfortable with that because Dr. C. doesn't see the whole picture.  Plus, doing my research, Dr. S. is recommended by CCFA, my general, and my rheumy.  Dr. C. is not.  I just called the GI clinic and they wouldn't let me change providers.  I am irritated.  I called and made an appt. with my rheumy and am hoping he can get something done about it.  Maybe I'm crazy about the whole thing.  I have only talked to Dr. S. one time when he had to call in a rx for me, but I feel like it's my body and my care and if I think it's the best thing for me, I should be able to switch. 
 
On another note, I am tempted to switch ob/gyns too.  I have seen a CNM (certified nurse midwife) for the last 8 years and swore I would never switch, but I'm not sure that she knows enough about IBD to handle me when I am trying to get pregnant (in the next 2 to 3 years) and during pregancy and delivery.  Thoughts?
 
Traci, 26 yr. old female
 
*Symptoms started 6/06
*Diagnosed with "non specific" IBD after a colonoscopy 3/07
*4000 mg of Sulfaslazine/day
*Levsin as needed for cramping
*Constant bc (skipping the placebo and starting the next pack) for ovarian cysts
*Chewable calcium & vitamin D, prenatal vitamin, and melatonin for insomnia
 


tjf
Veteran Member


Date Joined Dec 2005
Total Posts : 3238
   Posted 10/8/2007 4:55 PM (GMT -7)   
Hmmm the office won't let you switch? I switched my son's pedatrician when he was first born...twice! I think the key is to find a good fit for you and what you need from a doctor. What was their reason for not letting you switch?

I do think it would be a good move to find a Ob/gyn that is familiar w/ UC and any risks/special needs/etc. I know that some UC patients are considered high risk and have to see a high risk ob.
Tabitha (Tab)

100mg Azathioprine, 2 Fibercon, Colazal-6 a day, Acidopholis Pearls, Prilosec OTC

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Sara14
Veteran Member


Date Joined Mar 2007
Total Posts : 4034
   Posted 10/8/2007 7:15 PM (GMT -7)   
Hi Traci,

That's odd they wouldn't let you switch. I was in a similar situation...At first I just went to the first GI I could get in to see, but I did not like him. They let me switch to another GI at the same clinic and I had no problems with it. I didn't even need a referral because I had already seen a GI at that clinic. I'm not sure why they won't let you switch...that doesn't make any sense to me. Did they give you a reason? Could it be that the GI you want to see just isn't taking any new patients at the moment? I would definitely call and try again. You're right -- it is your body and your care and if you want to switch you should be able to.

It sounds like a good idea to switch to an ob/gyn who knows more about UC, too. You have to do what you think is best for you given your current situation and feelings.
23 years old
Diagnosed with UC March 2007
Current inflamation in the rectum
Asacol 4 tablets 3x/day
Rowasa (generic) - nightly
Nature's Way Primadophilus Reuteri 1/day; Chewable multivitamin


hekela
Veteran Member


Date Joined Nov 2006
Total Posts : 731
   Posted 10/8/2007 10:25 PM (GMT -7)   
hi!
i also had to switch from one GI to another within the same office. they gave me grief about it at first but i insisted, telling them i wanted a second opinion.
at one point i needed to get in quickly (before my first scheduled appt with 2nd GI) and the 1st GI refused to see me! needless to say, i was so glad i switched.

anyway, just be persistent. you have to feel confident that your doctors are listening and can help your whole situation.

if you are more inclined to stick with a CNM, maybe you could get her to talk with your GI and they could sort of team up about it. but again... something you REALLY want to have confidence in is who will help you thru labor.

aloha
28, happily married, stay at home mom to 23 month old son
UC (probably pancolitis, but no c-scope yet), diagnosed June 2006, started having major symptoms sometime in January 2006, about 3 months after childbirth. 2nd flare (minor) may 2007 after taking caprylic acid for 2 weeks.
-tried SCD for 4 weeks with no improvement...
-Asacol since 7/26/06
-Prednisone 8/28/06-2/28/07. and again may '07, 8 week course.
-probiotics, ground psyllium husk, fish oil, CalMag, multivitamin

may you live all the days of your life.


MitzMN
Veteran Member


Date Joined Feb 2007
Total Posts : 622
   Posted 10/9/2007 6:46 AM (GMT -7)   
Gotta be an advocate for yourself, hon. Sorry to say, no one will care as much as you about your health. You have to take an assertiveness pill and swallow hard and INSIST on a change.

You might have to fulfill the role of educator sometimes to your docs. Unfortunately, that seems to be true these days. Stay on top of things, do your research, and if you feel you are not getting proper care, or even the best care possible for your geographic location, whatever, switch. I understand it's uncomfortable and people will put up road blocks, but do it anyway.

Next time you call for an appointment, tell them you want the other GI. If they give you grief, insist. Heck, you are the customer here -- right? If you want to change, I don't know how they can say no. If they persist, go to a different clinic altogether, if that's possible.

Good luck!

Mitz
Sporadic proctitis since about 1985. Mother had UC, then J-pouch surgery 1983.
DX'd with clostridium difficile in 2000. Prednisone, two courses of Flagyl, then Vancomycin finally got rid of it. Symptomatic with UC after that.
Colonoscopy in 2001 dx'd left-sided UC. Was pretty darn ill at that time. Treated with prednisone, Rowasa, Asacol. Asacol not working so switched to Imuran. Three small flares since in 2002, 2005, and 2007.
Gall bladder attack 6/13; ultrasound showed stones; surgery before end of 2007.
100 mg Azathioprine and 225 mg Effexor XR (for chronic, longstanding depression) daily.

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