To me, it sounds like this neurologist does not have much respect for what pulmonologists do. A neurologist is not a pulmonologist. Yes, at UNC a neuro can order pulmonary function tests but they are not the ones who analyze the results - a pulmonologist does that. Been there (actually there at UNC), done that. Nor should a pulmonologist act completely alone in the treatment of MG. They need to work TOGETHER, like they do in a hospital when an MG patient has a crisis.

Yeah, you could argue that MG is primarily a neuromuscular disease and, therefore, up to neuros to deal with. If only life, or diseases, were that simple. And what if you do get a script for oxygen? Who is going to show you how to use it, how much, etc.? What problems to look for? Your neurologist?

It's completely up to you what you want to do, Tyson. Sometimes doctors do not like working together but what should concern them is not their personal preference but YOUR health. I have never gone to a neurologist for the pulmonary portion of my MG nor would I. It's not logical and can be dangerous. I do, however, bring any pulmonary concern directly to my neurologist and have them be the one who "treats" my MG. My pulmonologist is fully capable of ordering more treatments but I leave that portion of my MG up to my neuro. However, if they wanted me to have oxygen on a plane, that's when I trust my pulmy.

Again, specialists are specialists for a reason - they know more than other internists who have different specialities do. Would a football player go to an ankle specialist for a blown out knee? Would anyone rely on an internist to handle cancer for them instead of a hematologist? This topic kind of gets me angry, if you can't tell. Mainly because doctors need to start working TOGETHER to help patients and leave their egos at home.

That's just my opinion.

Annie