Nate,
Sorry to hear of these health challenges. You are way ahead of the curve by being an advocate for yourself and making sure that you are seeing the right doctors. Of course I would expect nothing less!
I’m still very much considering a third opinion at the Mayo, but it would require some insurance juggling and me making it back to working full time, and then of course waiting on a patient ID number there or playing games to get in their system.
Right now I got a bit lucky — neurologists are damn hard to schedule in Denver right now for whatever reason. When it was just a simple set of tests to make sure it wasn’t peripheral neuropathy, I was trying to get into a massive group clinic called Blue Sky here in town that my insurance likes. They were booked over a month out on new patients so I just started calling around.
Dumb luck I ended up at a small six doc clinic who started their own practice because they’re all mainly diagnostic investigators. They treat patients after they’ve figured it out, but they all have impressive backgrounds and their neuromuscular specialist happened to have an opening in two weeks at that time.
Then when the nasty MRI came back, he did the initial “this isn’t neuromuscular” visit and referred me straight across to the other spinal and autoimmune doc in the same practice who started one of the suburban MS clinics at a local hospital before joining this smaller practice.
So, somewhat of a completely dumb luck story to have her as my primary neurologist, but I’ll take lucky over good when everyone in town is booked more than a month out. All I was trying to do was get that darn EMT/NCS done! Ha.
As Doc Bruce joked with me when I voiced some frustration at scheduling specialists, “some things are just broken” right now in medicine.
Anyway, got lucky but also have two solid neurologists who agree so I don’t feel like I need the third opinion from a mega-place like Mayo, yet. But they created one of the blood tests I had. Says a lot about them and Cleveland.
Apparently John’s Hopkins has a research group for transverse myelitis that’s Sierra Hotel also, taking to some folks in support groups, but that one is an “apply and wait and see if they contact you” type of thing. They’re looking for specific patients and conditions.
There’s also supposedly a local doc at University of Colorado who’s known for his work on this. CU is a hot spot for MS specialists, considering our weird higher rates of it here in CO than the rest of the country. So there’s some brilliant folks at University Hospital or attached to it, also.
So yeah, always watching for the “best” out there but also understanding I kinda hit the jackpot by accident in getting the diagnosticians I got. Super nice people too, but man they’re all busy. Their assistants really hold down the fort for all of them. I learned the hard way talking to the assistants (during the panic about the steroid side effects) directly instead of saying you want to talk to the doc, works MUCH better.
Their assistants have Been There, Done That and seen it all, and dh just walk down the hall and in two words between other patients, have an approval for a prescription or the doc will say “get him in here.” Smart smart folks.
I also had a bit of an epiphany on a later visit. I realized the majority of people in the waiting room were on canes, walkers, or in wheelchairs and it dawned on me — I’m ambulatory. I’m truly at the bottom of the priority list in a neuro office. It’s like waking into an ER with sniffles. Ha. But it also means that their assistants who are nurses or PAs, can truly handle my “boring” problems. And do.
They’re the ones who spend hours on the phone fighting with insurance companies for folks with rare diseases and disorders. Truly saints dealing with that crap. The docs are busy being docs and they’ll grab one to tell off the occasional idiot at an insurance company after sitting on hold for an hour.
I could tell there was a fight coming on the infusions when the doc handed me a form and said “Sign this, it allows us to start arguing with your insurance company. And no, it’s not just your insurance company, we just have everyone sign it.” .Wow.
I, of course, joked as I signed it that my right hand is so bad it doesn’t look like my signature anyway, so I’ll just deny it if they just had me sign over my dogs or the airplane or something. Hahahaha.
Also reading the support groups has given me a new sense of how lucky I’ve been so far. So many are paralyzed by this stuff. I did laugh that one group has a tradition of celebrating people’s diagnosis dates. They’ll say that they were diagnosed five years ago today, and everyone in the comments will yell, “Happy crapiversary!” Hahahaha.
Awesome people fighting worse symptoms than I am, so far. Fighters. Not very many complainers. The group also likes the “just keep swimming” theme from the Disney movie about the fish. Folks post when they’re having a bad day and the group responds quite often with that one.
Best so far though was the dude who welcomed me with a Dr. Evil GIF. Haha. I already like that guy.
Or folks who say stuff like, “Sorry this is the way we meet, but welcome!” Ha.
The Internet has apparently really changed how folks with diseases and disorders communicate and how support groups are created and maintained. ALMOST made me feel better about where the Internet has gone since the early days before mass commercialization.