Posted by Honore on March 11, 2007, at 11:46:59
In reply to Re: 10 months on EMSAM!!- Update » exquilter, posted by RN320 on March 11, 2007, at 9:20:16
PS, RN320, I just read your second, more detailed post.
I would definitely tell the neurologist. But I would try to have it all written down in a clear, coherent form, and try to simplify to the most relevant details, because he'll have trouble taking in much of the complexity of your case.
I find that doctors do have trouble with complex cases with overlapping problems, so you have to help them absorb it all, by trying to tell them in very short, concrete doses, and trying to lay it out for them in the best, most comprehensible way. (I'm sure you know that, but sometimes it's hard to do it for oneself.)
Maybe your internist could help you to clarify which are the most important issues for him to know about, and which are side issues, which would only confuse him. It is important for him to see the whole picture, because it could affect his treatment plans.
Also, if you present it in the most unemotional way you can (I know that's very hard given all you've and are going through), he won't take you as crazy. I'm sure he wouldn't anyway, but he can make more sense of it, if you are less emotional. Not that he wouldn't expect you to be, underthe circumstances-- but the facts really do need a careful going-over, to figure out what might be contributing, and what might not..
Maybe he can consult with your internist, who can confirm and help him assess some of what she's more familiar with. You do sound as if you need one case manager, so maybe she could act somewhat in that capacity for you
Honore
poster:Honore
thread:739754
URL: http://www.dr-bob.org/babble/20070308/msgs/740124.html