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Idiopathic Small Fiber Neuropathy Research

Neuropathy | Last Active: Jun 19 12:24pm | Replies (135)

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@dbeshears1

I’m going to look at the site @runnergirl. I too think we must speak up. I am less frustrated though about this whole thing since I’ve joined this Mayo forum. I no longer blame my personal neurologist for the diagnostic, research, and cure-finding that the whole discipline of Neurology has chosen not to further. I do, however, find him not capable of communicating, not helping to understand the situation, not making non-drug related suggestions to help sustain or improve quality of life as bad as it’s become, and just not showing compassion at least for what we’re going through and how we’re trying to stay positive and want guidance on how to make the best of it (not depression pills). For that, I have asked my PCP for a new neurologist referral. She previously kept talking me out of it because she’s not sure the grass will be greener, but I need my medical team to make me feel positive.
Last week I asked my Neuro for a Podiatrist referral to help fit me with orthotics or shoes to help me walk better and more properly, as to help reduce the leg, back, and hip pain I get from not doing so. In the exam, with a trainee in the room, he pointed to HER and told her to look at how I’m developing hammer toes. Would you believe I left my 6 month visit with him without a Podiatrist referral?? My PCP made the referral for me when I saw her for my physical yesterday, and I already have a Podiatrist appointment for next week!! I so want to get my gait improved and am rejoicing at this opportunity!
Now the sad part. My PCP and I agreed it would be ideal to keep a Neurologist in our same medical system, as I have about 7 other doctors and lab centers in the system and it would be convenient to have all records in the same system to share. Apparently it takes a Supreme Court trial and a lot of paperwork to justify why I want to change to a different Neurologist in the same system, especially one 15 miles further away from me….. So, if my reasons for needing better teamwork, not feeling we understand each other, and feeling I need better organizational and communication from my Neurologist aren’t good enough, I may not be granted a new Neurologist. I would then have to transfer my Neurological care to a different healthcare system, which would certainly be ok, but I would be terribly disappointed with this major major healthcare system I use. It’s not like I’m leaving my hairdresser for the one who has the chair directly beside him/her - we did pick one in a different office. But, oh well…

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Replies to "I’m going to look at the site @runnergirl. I too think we must speak up. I..."

@dbeshears1 I'm sorry to hear you're not getting the help or compassion you deserve. If you want to switch neurologists, go with what you want to do. It's your body, your condition, and you have to be your own advocate. I've seen at least somewhere between 10 and 13 neurologists over the past 15 years of dealing with my condition. I wasn't going to stop until I found someone who not only knew what he (or she) was doing, but was also a decent communicator and also compassionate. It took me 13 years to find this person. He is not in my hometown, so I need to either meet via video conferencing or traveling to his office, but it's been worth it.

I did find that all of the others just didn't have the experience with this condition, or, as we all know, there's just not enough research. Here's a link to the Stuff That Works site: https://www.stuffthatworks.health/ We all need to speak up about what we need to help make our lives better.

Hi Debbie, can you research fully the other neurologist and, if you strongly believe s/he is better, just force the change? You are the consumer in this transaction after all.

Most of my doctors are with Cleveland Clinic but I retained an excellent cardiologist from outside the CC system. She and my PCP share any relevant test without any difficulty. I've also switched specialists within CC one time because the first one was too dogmatic and authoritarian for me to want to deal with. Not a team player, in a sense, and I'm not a good candidate for that approach to medicine.