Natalie,

My Nero also doesn't keep up on the latest on TM.  He did know enough after 
ruling everything else out, that it was TM. However, he did not know about the 
Plasma Exchanges.  It was only after my sister gave him the John Hopkins 
website and info. that he called and investigated the PLEX treatments. He's 
told me that he has tried it on several other patients - some helped some 
didn't.
What I do now, is take in the TM digest when I get it and point out certain 
items to him.  Sometimes he takes it and makes copies of an articles or other 
articles that he has found when he has flipped thru it.  
I have also printed out info from here and what I have found out on the web and 
take these in also.  He'll flip thru them, stop and look at different items 
that he finds interesting.  Hopefully, he will read and get curious and then 
from there do more investigation.
If you ever watch the Discovery Health channel, many patients or relatives of 
patients, have to do all kinds of investigating not only of symptoms but also 
on specialists in the field of problems.  
My GP is better at looking things up than my Neuro BUT both are males and you 
know males are least likely to "ask for directions".
Well this is my novel - Sorry.

Candy K.
  
 

-----Original Message-----
>From: natalie mizenko <[EMAIL PROTECTED]>
>Sent: Aug 3, 2007 7:29 PM
>To: Transverse Myellitis <[email protected]>
>Subject: Re: [TMIC] Neurologist, Rheumatologists
>
>        Regina,
>  You have every right to vent.  We all have to vent every now and then.  I 
> went to my back surgeon who had done 3 surgeries on L5-Sl the last 2 years, 
> finally the last surgery he fused it.  I had Cauda Equina Syndrome.  I had 
> heard that it could paralyze you, very rare tho.  Well, he said it was not 
> related to Cauda Equina & was not anything from L5-Sl.  He didn't know for 
> sure cuz I couldn't  have an MRI.  I had a dorsal  column stimulator in for 
> pain (14 years it was still in & didn't work) but I cud not have MRI's due to 
> the magnetic leads attached.  So he left went on vacation for 2 wks. & he 
> sent me to a Rehab.  I think he should have sent me to one of his co-doctors, 
> but he did not.  By the time he was back both legs were paralyzed and it was 
> too late for any treatment to work.  And my internist to this date says "I 
> don't know hardly anything about TM".  Why doesn't he eduate himself on it?  
> P.O.'s me, ya know?  An a internist of all things.  It was very ironic, but
> another person in my internist's office got TM within a couple mths. of me 
> getting it.  I went in for pain control (hospital).  Another dr. was on call 
> & he said it is ironic as rare as TM is; I have a patient upstairs I'm doing 
> steriod treatment on to try and reverse it.  He said "I didn't know anything 
> about it, til I looked up the symptons on the internet".  I felt like saying 
> "will  you eduate you partner on it, my dr.?  But, I did not.  I think one 
> day I'll print out literature and give it to him the next visit.  Geez, I 
> ended up venting.  I guess it's the day.  Natalie M.
>      
>  
>
>Regina Rummel <[EMAIL PROTECTED]> wrote:     I was diagnosed with Sjogrens in 
>the mid-80s and that's when I started seeing a rheumatologist regularly.  
>After that, I understood why I had dry eyes and have been using eye drops ever 
>since.  I subsribed to the Sjogren's newsletter and joined a group.  Many in 
>the group were in bad shape, complications like Lupus, etc.  I had no problem 
>beside the dry eye and some fatigue.  I learned about autoimmune diseases, 
>possible complications, central nervous system attacks unlikely (so they said 
>at the time),  and I profusely thanked my lucky star that all I had to 
>complain about was dry eyes.
>   
>  Then, sometimes in 2004, I woke up with strange sensations in my left leg 
> and sensed my balance a bit off.  Checked on line, and found something that 
> described what I felt (peripheral neuropathy), made an appointment with a 
> neurologist that I also began seeing regularly.  
>   
>  I didn't see the need to see a GP.  Rheum. and Neuro. were taking care of me 
> consulting with one another.  That was maybe a mistake, but why also see a 
> third doctor, I thought.
>   
>  Shortly after,  when I told the rheumatologist that I didn't feel my bowel 
> movements, she immediately sent me for Cytoxin treatments, an MRI, and put me 
> on high doses of prednisone.  I looked at the prescription and read 
> "Transverse Myelitis".  I had no idea what she was talking about.  And of 
> course, I saw the neuro regularly.
>   
>  I progressively got worse in spite of the above treatments, plus IVIG 
> treatment.  Nothing helped. 
>   
>  The last time I saw my rheumatologist was in February of this year.  (I'll 
> be venting now.)  I had been seeing this woman for 10 years, ever since I 
> moved from L.A.  I walked in for the first time with a walker.  I was so weak 
> and tired, I could hardly walk.  Even though she knows me well, she never 
> asked "what's with the walker, what's going on?".  Oblivious, she checked me 
> out, filled out all the paperwork, and sent me on my way with a cheerful 
> "You're doing great!".  I can't even begin to tell you how angry I was.  How 
> can a doctor who knows you so well be completely oblivious when she/he sees 
> you walk in with a walker for the first time in 10 years?  
>   
>  I called her back the next day and insisted that I get an MRI because I was 
> on the verge of getting a wheelchair and I knew something was very wrong.  I 
> got it, and promptly got a call from her telling me that my "cord is at risk, 
> make an appointment immediately with the radiologist, he'll take care of it". 
>  Again, I didn't understand what an AVM was.  The radiologist sent me to a 
> neurosurgeon in San Francisco who apparently was familiar with this AVM thing.
>   
>  I was soooooooooooo happy!
>  I thought he was going to take care of that pesky problem in my spinal cord 
> that had been fermenting for as long as possibly six years he said.  My Gosh! 
> I thought, if I had caught it six years ago, maybe I wouldn't have TM now.  
> But who knew?
>   
>  Well, I had the surgery, I went through acute rehab, blah, blah, blah.....
>  And I'm back to where I was.  No difference.
>  Same struggle, blah, blah, blah....
>   
>  Now, I know you're wondering why I'm telling you all this. You've probably 
> heard it from me before.  Well, I'll tell you.  It's that piece I read last 
> night in the new TMA newsletter on page 20 and I quote Julius Birnbaum, MD:
>  "In my experience, patients with neurological rheumatic disease are fatigued 
> by the process of being separately evaluated by individual Neurologists and 
> Rheumatologists, etc."
>   
>  In my case, "fatigued" is an understatement.  If you've read that piece, I 
> would really like to hear your comments.  Are these doctors really helping 
> us?  If there is no cure, outside of needing meds, what's the use?  "Que 
> sera, sera" is on my mind.
>   
>  Incidentally, I hope you're not "fatigued" yourselves after reading this 
> blah, blah, blah... message.  Please forgive me if you are.  You've been so 
> kind in the past in allowing me to vent freely.
>  R
>   
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>
>       
>---------------------------------
>Be a better Globetrotter. Get better travel answers from someone who knows.
>Yahoo! Answers - Check it out.


Candy K.

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