At a loss, multiple consultations still no answer...any idea?

Posted by change25 @change25, Apr 24, 2021

In the last year my health has rapidly declined, I've recently had a blood test which was normal except for my folate which was low. My Dr conducted an examination, but was unable to properly diagnose me.

Any idea what it may be from these symptoms:
*Pulsating headache, difficulty focusing.
*Weak eyes where they feel droopy along with being dry and painful.
*Dry and sore mouth.
*cheek and jaw pain.
*Changes in pigmentation, face appears gaunt.
*Back pain.
*Odd tingling sensation present in hands and feet.
*cold hands along with an odd rash present on hands and knuckles, which is a deep purple.

I know something isn't right, yet I'm unable to obtain the answers I need. I've added some images before the changes occurred to now so that you can get a context into what's occurred. Any insight will be greatly appreciated, many thanks.

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Profile picture for Ingegerd Enscoe, Alumni Mentor @astaingegerdm

Waiting is not something I’m good at either! When you talk to your GP ask if the report shows something that needs urgent action- or there may be some abnormality that just happens to be found but may not affect your life now.
In that case it’s best to wait to see the neurologist to get a proper explanation.

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That's a good point, thank you. In all fairness my GP has been pretty good so I'm sure he'll advise me on what I should do next. Normally there's a 1-2 week turnaround if something serious is detected. Therefore, whatever has been shown poses no immediate threat.

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Profile picture for change25 @change25

Unfortunately not, it just has the name of the neurologist that requested the test. The number that was given is just a generic hospital number that deals with cancellations. My GP is calling me next week so I'll discuss my concerns with him to see what he suggests.

I'm not happy with how things are progressing. I'm tempted to see if I can get my MRI released and head down to Mayo earlier instead.

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@change25 When you see your GP, ask if he can get the MRI released and sent to Mayo. Keep up the good work!

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Profile picture for change25 @change25

It turns out I was wrong. I contacted the hospital that conducted the test, they have the report but can't release the information as it has to be done by the neurologist that requested the test.

The reason for the delay is that an abnormality was found but the neurologist who requested the test doesn't deal with that issue so I've been refferd to someone else.

Sometimes GP's are sent a copy with a brief summary so hopefully that's the case as I really don't think I can endure waiting 7 weeks.

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I get test results via a "portal". Does your Dr. have this? If so, test results may be there. If not, I'd go to the Dr's. office and ask for the results.

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Spouse diagnosed with small fiber Neuropathy. Is there a more appropriate site here?

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Profile picture for one00100 @one00100

Spouse diagnosed with small fiber Neuropathy. Is there a more appropriate site here?

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Hello @one00100, You should receive another email notification where I welcomed you to a small fiber neuropathy discussion. Here's the discussion if you want to jump to it now - https://connect.mayoclinic.org/comment/636941/

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Profile picture for Dave Hayward @davehayward1

I get test results via a "portal". Does your Dr. have this? If so, test results may be there. If not, I'd go to the Dr's. office and ask for the results.

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I've not heard of that before, I'm not sure if it's standard practice in the UK. They do have access to some results but when you're referred to a specialist it's is normally separate until they release you back to your GP.

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Profile picture for change25 @change25

I've not heard of that before, I'm not sure if it's standard practice in the UK. They do have access to some results but when you're referred to a specialist it's is normally separate until they release you back to your GP.

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@change25, @becsbuddy and all....
Glad you got through the MRI ok. Fun, eh? A very valuable tool for the medical community. I've learned after testing, a phone call from one of the medical staff or physicians comes soon after the results are known and something unexpected or unusual is found. If the results are normal, I've always gotten a letter within a couple of days and /or nofication via portal. No one does a portal like Mayo, but if an issue is found, you are notified in person. Also, the staff may call to schedule an on-site appt.

I am very persistent now. I believe the pictures, etc from MRI and other tests, are my body and therefore the reports belong to me. I'm a bit pushy now, and live in Florida, The UK has quite different procedures and laws, but I do think it is important for you to follow-up.

You said the hospital said they will send the reports to you GP, right? Suggestion: go to the hospital, to the records department, maybe call first and request copies of your hospital records. You pick them up when ready, in person. I do this every time I'm hospitalized....prior to Mayo Hospital as I only go to Mayo, so they have all my records and only see Mayo docs. But, it is important for you to keep a cc of your medical records at home for when you need them. It's also a good thing for you to read them and understand what's happening in your body.

You are in control of your body and your care! So, take cc of records to your GP or have them delivered to him from hospital....be sure they tell you when the records will be sent. Let them know it's important to get them out asap. Then, contact the GP and see what he can tell you. He may be able to let you at least generalities and then you get the nittty-gritty from the specialist. Also, the GP may be able to get you in to speak with the neurologist sooner if he thinks it will help.

I just know you can do things to get answers. Getting the records is important. Go from there and see what you can find out, but 7 weeks is ridiculous in my opinion. And, that's one reason I no longer see any doctors in town other than Mayo docs. Mayo incudes the patient in the care. No secrets, at least I haven't had that issue yet. And, discussions are up front and honest. I ask 'to the point' questions so the docs can't avoid telling me the facts. I also use the internet carefully, but often to learn as much as possible about the tests, results and such. Fewer questions in this head of mine and that's helpful.

Blessings my UK friend. Do your work, be diligent and determined. You have done such a wonderful job taking control of your situation. AND, be sure to do something important for yourself today and every day. I mean, get some ice cream, or stop at the coffee house for a latte, or get a new shirt or whatever will make you happy. You're special. Be special to yourself. elizabeth

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Profile picture for ess77 - Elizabeth @ess77

@change25, @becsbuddy and all....
Glad you got through the MRI ok. Fun, eh? A very valuable tool for the medical community. I've learned after testing, a phone call from one of the medical staff or physicians comes soon after the results are known and something unexpected or unusual is found. If the results are normal, I've always gotten a letter within a couple of days and /or nofication via portal. No one does a portal like Mayo, but if an issue is found, you are notified in person. Also, the staff may call to schedule an on-site appt.

I am very persistent now. I believe the pictures, etc from MRI and other tests, are my body and therefore the reports belong to me. I'm a bit pushy now, and live in Florida, The UK has quite different procedures and laws, but I do think it is important for you to follow-up.

You said the hospital said they will send the reports to you GP, right? Suggestion: go to the hospital, to the records department, maybe call first and request copies of your hospital records. You pick them up when ready, in person. I do this every time I'm hospitalized....prior to Mayo Hospital as I only go to Mayo, so they have all my records and only see Mayo docs. But, it is important for you to keep a cc of your medical records at home for when you need them. It's also a good thing for you to read them and understand what's happening in your body.

You are in control of your body and your care! So, take cc of records to your GP or have them delivered to him from hospital....be sure they tell you when the records will be sent. Let them know it's important to get them out asap. Then, contact the GP and see what he can tell you. He may be able to let you at least generalities and then you get the nittty-gritty from the specialist. Also, the GP may be able to get you in to speak with the neurologist sooner if he thinks it will help.

I just know you can do things to get answers. Getting the records is important. Go from there and see what you can find out, but 7 weeks is ridiculous in my opinion. And, that's one reason I no longer see any doctors in town other than Mayo docs. Mayo incudes the patient in the care. No secrets, at least I haven't had that issue yet. And, discussions are up front and honest. I ask 'to the point' questions so the docs can't avoid telling me the facts. I also use the internet carefully, but often to learn as much as possible about the tests, results and such. Fewer questions in this head of mine and that's helpful.

Blessings my UK friend. Do your work, be diligent and determined. You have done such a wonderful job taking control of your situation. AND, be sure to do something important for yourself today and every day. I mean, get some ice cream, or stop at the coffee house for a latte, or get a new shirt or whatever will make you happy. You're special. Be special to yourself. elizabeth

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Fantastic advice as always, thank you Elizabeth. I hope you and your son are well.

That's the thing, I did receive a letter shortly after my MRI. However, with the neurology department being so small I thought it was odd that they'd schedule an appointment as when nothing is found they'll release you back to your GP. So I called the hospital and discovered what I did.

It's not unusual to wait such lengthy periods, my friend was recently diagnosed with MS and he waited 8 weeks for his first follow up and another 34 months after his initial MRI until he was officially diagnosed. Unless it is life threatening they aren't quick to act and unfortunately the current situation has only worsened this.

I think it's time to head down to mayo, I'll get the results from the hospital this week and schedule and initial consultation to get the wheels in motion, all the best.

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Profile picture for helennicola @helennicola

I’m so sorry to hear that most of your symptoms have worsened but glad your pain is less. I can only add, for what it’s worth, that I drink a smoothie each morning containing whey, creatine, 2-3 fruits, peanut butter, cocoa, protein drink, ground flaxseed and almond milk. I also take Vit. C, D, magnesium glycinate every day and B complex 1-2 x month. I walk plus use exercise equipment plus some lite yoga/stretching at home. I’d been seeing a P/T for my neck which has been bad lately and will probably see a chiropractor, also my ears/jaw have been sore/tight lately. I think it’s SS. also mindfulness, and prayer help me. I don’t see my rheumatologist again until Dec. but I’m going to look for another one beforehand. I do hope you get some answers and feel better soon.

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Funny, i get up, do stretches, some qigong, and walk 2 miles, come back and make a protein drink, with cocoa nibs and non dairy milk. I have fruit with nuts, chia and ground flax seeds, and a little muesli for breakfast. Hadn’t heard of taking creatine before, so thanks, I’ll check it out.

SS has the oddest symptoms, I’ve had a sore throat and in the back of my mouth and jaw since May. It’s impossible to get to see an ear, nose, throat specialist. So, my primary has put me on antibiotics, nystatin, and Pantoprazole, but nothing has helped. I’ve had oral thrush, so I’m thinking it’s that.

I’m going to ask the neuromuscular doctor about PT for my sore back muscles. I hope you find a chiropractor helps your neck, jaw, and ears…do you think it’s muscular or a nerve issues? Have you had your parotid glands checked?

Stay positive!

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Yes, SS symptoms can be all over the place. I’ve had hypersalivation at times along with dry mouth! Lately I’ve had a crazy super sweating problem with the heat but not always and I used to never hardly perspire but now take electrolytes when outdoors or I become exhausted from dehydration. I had my parotid glands checked about 20 yrs. ago because they would become swollen but that stopped after about a year and I haven’t had them checked since. I have TMJ which I’m not sure if it’s effecting my ears, so many dumb things but I do stay positive because things can always be worse. The creatine I started taking to try and gain back muscle mass and weight which I lost in the past 2 yrs., it is supposedly helpful when combined with exercise.

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