Not in the american health care system. Doctors do not like to tread on each other territory. The GP position is, the doctor who ordered the test should monitor the results, informed the patient and treat or refer the patient.

The attending of the substitute neuro ordered the tests. All the tests came back abnormal. I can not get an answer from the substitute attending, the substitute neuro or the neuro who is now back from vacation. The GP said he is unqualified to deal with the complicated case and does not know how to treat reactions to IVIG. So when I wrangled an appointment with the GP and cried that all my tests are abnormal, I am so weak I fell down the stairs, they finally looked at the blood work and issued referrals to specialist - Physical therapy evaluation for in home safety, gastroenterologist for the chronic diarrhea and another endocrinologist and local neurologist to be the go-between. Of course I am on the waiting list for 1-2 month for some of these specialist, even with MG, abnormal blood results and nodules on my thyroid.

I know the GP is thinking GI bleed, but I am almost certain it is an auto-immune hemolytic anemia. My only concern is, it is more than a week since the last blood test and how much farther has my hemoglobin dropped.

kathie