The waiting game

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David, you wrote...

"Not sure where I in go from here."

Fortunately, anywhere your family doctor may refer you to... but here. No need to reply

Edit: BINGO! Five pages!
 
I know many have asked me to not post here any longer, i just thought i would give a quick update. It has been about 5 months now since i have been sick. I decide to call my neurologist and let him know that i have been getting worse. I am losing my voice my legs are weak the left leg is much weaker, i can stand or walk for short periods of time. My arms are both weak but I still use my hands. The fatigue is like nothing I have ever experienced

He firmly believes it is not neurological base on his assessment and emg results. He has agreed to see me again in 3 or 4 months . I asked him if to refer me to another neurologist for a second opinion but he would not. My family doctor is not sure what to do.

Are there neuro clinics where you can just go and get assessed? I am in Canada but will travel if I have too.
 
Your family doctor is the one to direct you. If they think a second opinion is needed can they not request it? I have heard though in Canada as in the UK you have an option of “ going private”. Is this not possible if you choose? Yes it costs money but seeking another opinion in the US for example would be much more expensive.

I am not sure more neuro visits will give you a different answer. If you are this ill though your gp should have some idea? Surely they are not just standing there wringing their hands?
 
David,

You don't have ALS, simple as that. Why you choose to come to forum of terminally ill people to constantly inquire about what it is you have, is simply out of my realm of comprehension. It lacks compassion and respect for the dying individuals and their caregivers as you've been asked not to post further.

You are using this forum, again a forum of terminally ill people, as a chat room or general health forum. If that is what you are seeking, there are those forums that do exist. This one is not one, though.

You obsessing about a disease you do not have is getting you nowhere. Perhaps a general health forum will yield you a more broad range of ideas as to what it is you have. My opinion, you don't have ALS so getting yet another EMG is fruitless. However, if it would put your mind at ease, paying for one is around $1000.

Best of luck to you in the future.
 
Nikki, my family doctor has not been very helpful, I find I have to push him for help. I know i have upset others on this forum and for that I feel ashamed. I am sick, i have been tested for everything from blood, urine, mri, clinical exams and there is not much left but neurological. I appreciate your kindness. I'm not crazy I'm just desperate for answers and help.
I will continue to work with my gp i have another appointment today.

Thanks again, David
 
I do understand you are desperate. The thing is the neuro ruled out neurologic disease in his opinion. Obviously there is something wrong but if tests are negative and the specialist says look elsewhere it really is the pcp’s job to direct further explorations whether by following you, ordering more tests or making referrals. If your pcp isn’t doing the job then maybe you need another one but sometimes the answer is waiting to see what happens.

Good luck
 
I met with my gp today and he agreed that a second opinion from a neurologist would be best. He asked me to do some research myself and see who I thought would be a good doctor or clinic in ontario canada to go too?
Any suggestions would be appreciated.

David
 
David, this really is your doctor's job- to find a suitable neuro to refer you to. If they are abdicating that duty, there is an issue. There is no agreement you even have a neuro issue (per your last neuro saying you don't) so it would be hard to recommend a particular neurologist- how can the people here determine what subspecialty is appropriate, given the last neuro you saw says no neurological issue? In addition, the Provincial medical system limits your options with regards to how far afield you go unless there is a particular subspecialty or centre where a diagnosed condition is treated and that specialty clinic is out of area. I don't know how Ontario health billing goes, but a referring doctor needs to justify such an out of area referral here in BC.

I guess you need to find another general neuro in your area and get your gp to refer you to the closest one if you can't accept the last neuro's experienced and professional assessment. I am sure there are a few. A note, the usual rate md sites online do not always provide an accurate picture of the doctor. Many people provide negative reviews because they did not get the answer they wanted from the doctor. One of my specialists has several terrible reviews from people expecting to get a particular diagnosis (they diagnosed themselves via dr google) and they were mad she cleared them. She is, however, an excellent and informative doctor if you have the disease she happens to specialize in.

If this is not acceptable to you, you have the option of going across the border to a neurologist and paying out of pocket. Not sure the closest American city to you, but an online search will help you here. If you are utterly convinced it's ALS, you could try for an ALS centre I guess?

Because you do not seem to fit the pattern of symptoms ALS is known for, this forum should no longer be used as a medical resource. We do have a deep understanding and empathy when answers are hard to come by, but this really is an ALS specific forum and it is here to support those with ALS and their caregivers. After 32 posts from you, it should be clear you have really made the people here work hard and expend a whole lot of energy to help you despite there being very early agreement your symptoms didn't fit the known pattern. We do not have the answers you continue to seek here, no matter how many times you return. Not because members here don't care, but because it's not the appropriate place for you. It's like going to a shoe store and insisting they sell you a shirt and getting upset when they don't have them. And then continuing to return to ask for shirts, no matter how many times they tell you "Sorry, we don't have any shirts. We just sell shoes." I guess you could demand they find you a place that sells shirts and make them do the work to hunt a place down for you- despite their having no idea what kind of shirt best suits you. But is that fair?
 
Shall we go for six pages? It will be a discredit to this Forum if it does.

Your Neuro ruled out neurologic disease in his opinion. He did another clinical assessment and said he did not find anything of concern in either the EMG or clinical test.

Key words... "anything of concern." I think that was also a clinical determination four pages back.

As Fiona wrote...

"Because you do not seem to fit the pattern of symptoms ALS is known for, this forum should no longer be used as a medical resource. We do have a deep understanding and empathy when answers are hard to come by, but this really is an ALS specific forum and it is here to support those with ALS and their caregivers. After 32 posts from you..."

David, in your own words, first post - first paragraph you wrote...

"....after many neurologists nothing concrete so I have learned to live with it."

Many Neurologists...

It's up to the Mods... it could be for your own good if they did.
 
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