Quote:
Originally Posted by StephC
I am curious what is so different about lisainvegas's situation that her first appointment with neuro she is admitted for ivig and seems most of us, myself included, have been to multiple visits to multiple neuro(s) over several months and only relief offered has been starting mestinon and prednisone (not that i begrudge her or am not appreciative for the rx.
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There is no "standard of care" in MG.
Therefore each neurologist can do as he/she pleases.
Ideally this should also take into account the life style and preferences of the patient and not be significantly influenced by other reasons.
But, I agree with you that many times management decisions seem to be completely arbitrary.
As opposed to my field of practice in which a newly diagnosed patient would pretty much get the same work-up and treatment anywhere in the world (unless there are very compelling reasons not to do so), this is not so for MG.