Originally Posted by en bloc

I wasn't thinking Dr. Birnbaum would try to "persuade" her doctors to use IVIG...never crossed my mind. He likely knows the limitations of the NHS funds for treatments and that they don't allow it. They certainly may discuss the treatment in general, but Dr. Birnbaum has used many biologics (different types of immune suppression drugs) and may have something else to offer her doctor as an option. Dr. Birnbaum does mostly research (only sees patients ONE day a week)...and therefore has knowledge on anything new...and experience on older treatments that may not be used as often now (but might be good in her case with the AS).

It is quite common nowadays for doctors to phone consult with other physicians...even in other countries. Of course, they cannot talk to patients directly, but the consults are between the physicians...on a professional level.