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Q: Tumid Lupus
asked by: momshel on December 4th, 2008
New User
I am confused about my diagnosis of timid lupus. In April I starting with a neck which was contained primarily to my breasts. After 3 rounds of steroids I was referred to a dermatolgist. He immediately took a biopsy and blood work. The doctor called me and told me I had a form of lupus which affects the sick. He made me an appointment with a rheum. doctor at cleveland Clinic. (Before I went to that appointment more blood work was completed and he felt I had timid lupus.) My first appiontment went fine at the clinic they did more blood work and found the same results. I was up on Plaq. 200 mg and asked to return in 3 months. When returning I saw the same doctor (I believe she is a Junior doctor) but she was paired with a different "senior" doctor. After her exam she went and got the other doctor. He basically came in an verbally attacked me for wasting his time. He stated that the only true lupus is systemic and I just have a rash. I think he was upset because when the other doctor asked her many questions I had mentioned a change in my feet. Primarily, my small toes being, on both feet, being painful and swollen at times. What was fun was after the senior doctor insisted I did not have any form of Lupus he wrote out a order for a dermatology appointment with the associated diagnosis of systemic lupus erythematosus and ordering comments of tumid lupus. He also stated that plaquenil does not help my condition and I should stop taking it and I did not need another appointment with rheu. when he left the room the other doctor stated that they have seen alot of succeed with the usage of plaquenil for my condition. She also insisted that I make a return visit and call immediately about any changes. I am very confused about my last visit. (The senior doctor also stated that my other symptoms are coming from my hypothyroidism but the endrocrinologists says it is the lupus.) I now have appointments for both endcrinology and dermatology all in cleveland so that can all battle who should treat me!! Does anyone know why this has become so difficult??
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zigemyster
replied on December 4th, 2008
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It seems that each doctor has their own opinion of what is going on. It could be that it is more than one thing is going on and each physician is seeing the one thing in which they are familiar with.

I'm not saying this is an absolute but it does happen.

This is what I would do: Make sure that all these doctors are working TOGETHER to treat you and not have one treat you for one thing and have another doctor tell you that is not what is wrong, etc. However if you do have more than one thing going on then you should be treated as such and as long as they all know what is being done, you should be good.

Think of it this way...instead of being the patient....you are the customer and you expect customer satisfaction or you will take your money elsewhere. There is no need for the other depts to knock down each other when they work for the same company. Make sense?

~Zig
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momshel
replied on December 5th, 2008
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True that is why I decided to stay at Cleveland clinic and try to force them to work together. I am just tired of each doctor blaming my symptoms on the disease they do not specialize in. Thanks for the response! I am just answer so I can start feeling well. Deb.
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