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Old 04-20-2015, 01:44 PM #11
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Originally Posted by Billylyne5 View Post
Thank you for your understanding

I need to go back to my GP now and plan what next as I am getting no meds for my joint pain at all and it's really debilitating second opinion from a Rheumy next step I think.
Life shouldn't be this difficult should it ?

I have have tried other meds but they effected my liver so fingers crossed the pregabalin works ok
theres nothing they can do, because there hasnt been enough research on sfn, treatment wise, sfn associated with other conditions like autoimmune.have you been checked for other autoimmune, and diabetes.
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Old 04-20-2015, 02:10 PM #12
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I am so sorry to hear this. If it helps at all this has happened to a lot of us. Mine sent me to Johns Hopkins to make sure there was nothing she could do and when the doctor there confirmed her findings, severe small and large fiber neuropathy, hereditary axonal, and progressive, they both discharged me. The doctor at Hopkins offered further tests but said they would be of no real use since there is no treatment except pain management. "Good-bye and good luck" was the last thing he said.

I loved my local neurologist, she is a neuromuscular specialist, and I figured I would just go on seeing her once a year or so forever. Nope. "There is no treatment and I don't do pain management." Okay, so I asked about testing every few years to see how it is progressing. "That would be a waste of time and money because we know it it going to progress." I begged her to at least let me come in once in a while and she said it would be taking money under false pretenses. Oh, and I should be glad it isn't ALS.

I was so upset I cried all the way home. My youngest sons, then 11 and 15, were with me thankfully or I might have driven into a tree. I cried for days afterwards and I never, ever cry. I felt so alone. I am still upset about it, five years later. Thank God my PCP agreed to handle pain management, and he has done a great job, but I still feel abandoned. I would like to discuss this with someone who knows more about it than what he looked up on the Internet.

Since then other doctors have told me that she was right and I should be glad that she was honest with me. Also once you have a diagnosis for insurance purposes they really limit additional testing. I would love to know how the arthritis in my spine has progressed but I may never qualify for another MRI.

I have a podiatrist and an physical therapist who are at least familiar with CMT, so tht helps. I can really empathize with what you are going through, but doctors want to "do" something and we make them uncomfortable. They can't cure us and they know we are suffering, but it reminds them that they aren't infallible.

http://more-distractible.org/musings...20to%20chronic

This gives a little perspective on the other side of this painful issue.

Great article thank you for posting


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Old 04-20-2015, 03:34 PM #13
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Hi there,

I am surprised they are discharging you. I am still under investigations but my neuro told me they don't discharge you. They have to see you on a regular basis for follow up to check if things are getting worse i.e. looking for large fiber involvement. They also need to keep running the same blood tests ie.ANA, HBA1C to make sure that things haven't changed or you haven't developed anything that could make the neuropathy worse.

I am in Uk not sure where you are?

Loulou
I am in Lincolnshire, he said he has done all the tests and is satisfied I have SFN
The rheumatologist is convinced I don't have any condition as her one set of bloods were negative. Both have discharged me with no plan to repeat any bloods at all. I even said what about blood tests changing in the future and the Rheumy agreed they could but still no plan to re test.
I am back to my GP to just try and manage symptoms, I also see a pain consultant who just books me in for a lignocaine infusion every three months.
It's really crap care 😏
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Old 04-20-2015, 03:36 PM #14
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Originally Posted by Susanne C. View Post
I am so sorry to hear this. If it helps at all this has happened to a lot of us. Mine sent me to Johns Hopkins to make sure there was nothing she could do and when the doctor there confirmed her findings, severe small and large fiber neuropathy, hereditary axonal, and progressive, they both discharged me. The doctor at Hopkins offered further tests but said they would be of no real use since there is no treatment except pain management. "Good-bye and good luck" was the last thing he said.

I loved my local neurologist, she is a neuromuscular specialist, and I figured I would just go on seeing her once a year or so forever. Nope. "There is no treatment and I don't do pain management." Okay, so I asked about testing every few years to see how it is progressing. "That would be a waste of time and money because we know it it going to progress." I begged her to at least let me come in once in a while and she said it would be taking money under false pretenses. Oh, and I should be glad it isn't ALS.

I was so upset I cried all the way home. My youngest sons, then 11 and 15, were with me thankfully or I might have driven into a tree. I cried for days afterwards and I never, ever cry. I felt so alone. I am still upset about it, five years later. Thank God my PCP agreed to handle pain management, and he has done a great job, but I still feel abandoned. I would like to discuss this with someone who knows more about it than what he looked up on the Internet.

Since then other doctors have told me that she was right and I should be glad that she was honest with me. Also once you have a diagnosis for insurance purposes they really limit additional testing. I would love to know how the arthritis in my spine has progressed but I may never qualify for another MRI.

I have a podiatrist and an physical therapist who are at least familiar with CMT, so tht helps. I can really empathize with what you are going through, but doctors want to "do" something and we make them uncomfortable. They can't cure us and they know we are suffering, but it reminds them that they aren't infallible.

http://more-distractible.org/musings...20to%20chronic

This gives a little perspective on the other side of this painful issue.
It's too bad that you could not go on seeing that neurologist. However, as far as EMG/NCV testing for a person with CMT there is no reason for it after once being diagnosed. My support group was told this by an expert neurologist who knows CMT. You know, at least us CMTers know, that we are progressing. The test would only confirm that with the neurologist. So in that respect there was no need to keep on with the testing.

However, as I said, it is too bad that you could not still be seeing her. At least you have a podiatrist and a physical therapist who are at least familiar with CMT.
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Old 04-20-2015, 03:37 PM #15
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I have had blood tests for pretty much anything they can think of all negative except

Low white count all the time

Equivocal DSDNA but no plan to repeat this.

Neg ANA
Neg CRP
Neg ESR
Neg RA
Neg anti RO and LA
Plus lots of others
No diabetes and low risk of it too
I do have textbook sjogrens symptoms 😑
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Old 04-20-2015, 03:53 PM #16
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Originally Posted by Billylyne5 View Post
I have had blood tests for pretty much anything they can think of all negative except

Low white count all the time


I do have textbook sjogrens symptoms ��
I have low white count all the time and low platelets. This started about the time of my symptoms. I thought it was the surgery, but has consistently been this. Blood counts were excellent prior.
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Old 04-20-2015, 05:27 PM #17
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Originally Posted by Billylyne5 View Post
I have had blood tests for pretty much anything they can think of all negative except

Low white count all the time

Equivocal DSDNA but no plan to repeat this.

Neg ANA
Neg CRP
Neg ESR
Neg RA
Neg anti RO and LA
Plus lots of others
No diabetes and low risk of it too
I do have textbook sjogrens symptoms 😑
Hi Billylyne, sorry you are dealing with the *** healthcare system. I have confirmed Ankylosing Spondylitis (AS) which is autoimmune and SFN confirmed. My bloods just came back clear clear clear yet I am in the worst AS pain at the moment. It just doesn't tell the whole story. I am only diagnosed with AS due to specific MRI tests of certain areas implicated in AS and the fact I have a particular HLA gene and sometimes get eye problems linked to AS. My bloods therefore tell nothing at all of my current autoimmune status. We are still so behind on understanding and measuring autoimmunity. My neurologist is also trying to wash his hands it seems and defer to the rheumatologist. The rheumatologist is trying to offer something by way of treatment for AS and some hope it may help SFN. But the treatment he offers can itself cause neuropathy. Argh. At least he is trying though. Did anyone you have seen suggest trialling Plaquenil for Sjorgens? Or did they want more definitive evidence? I don't know if Plaquenil can help with SFN from Sjorgens or stop the attack and therefore progression. Others may chime in with better knowledge of Plaquenil than I.
Ref the shoes, I understand that. All I ever wear, ever, are one pair of trainers and a selection of 2 pairs of tracksuit bottoms. I am 35 and don't see that ever changing until the day there is a neuropathy cure. I'm off sick and have been for two months so have same worries ref work and the future.
I don't know if you could try get second opinion? I'm hopeful its our right to at least access that on NHS??
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Old 04-20-2015, 05:43 PM #18
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Billylyne,
Just thought of a great way to save the NHS millions - get rid of all the arrogant, uncaring or downright bad Neuros.

I feel for you.

Dave.
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Old 04-20-2015, 06:49 PM #19
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Billylyne,

Just thought of a great way to save the NHS millions - get rid of all the arrogant, uncaring or downright bad Neuros.



I feel for you.



Dave.

Just a FYI English Dave there are many in the U.S. that point to the NHS as an exemplary health care system vs the largely private system here. I guess both have their benefits.
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Old 04-21-2015, 07:42 AM #20
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Just a FYI English Dave there are many in the U.S. that point to the NHS as an exemplary health care system vs the largely private system here. I guess both have their benefits.
UTGrad,

I wholeheartedly agree with them. The NHS is one of the best things about our Country. Unfortunately, like all large Institutions, there is bad management, waste and Govt interference.

I will usually hear nothing against the NHS in principle, and the staff as a whole from Nurses through GPs and Doctors in the various Clinics to the Surgeons and Consultants. However, from years of personal experience and hearing from others first hand and here, there seems to be an inbuilt problem with Neuros in the NHS. Perhaps it is due, in part, to their never staying in a Post long enough to build up a rapport with their patients.

Dave.
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