Drz, I wasn't assuming that because of the size of the town, he received improper or not the best care.
Drz, I wasn't assuming that because of the size of the town, he received improper or not the best care.
Someone could be in Chicago and still receive improper care because they're not seeing a Wegs specialist. I was at Mayo Arizona and just because they didn't specialize in Wegs I was not getting the best advice.
Ditto to what Sangye stated, I was in one of the best Children's hospital in Chicago with a team of docs and they still couldn't figure out my diagnosis...which was Wegeners!
"I believe that I have seen a negative attitude kill people, but I don't think that a positive one will cure you. However, I know that it Helps". Jack
Diagnosis looks so easy in retrospect! I can tell you that it is extremely difficult because you have to merge a patient's signs and symptoms with hundreds of diseases and conditions.
That was a big reason why I didn't go to an MD for the year preceding my dx. I only had severe joint pain for months and my blood work looked great. No inflammation, etc.. I had done a basic AI panel which was (-). Even when I developed severe fatigue and anemia it wasn't at all clear that it was an AI disease. What else can cause those symptoms? Lyme's Disease, rickettsial diseases, parasites, toxins, to name a few. And each of those is very difficult to pin down.
I think the only people who have an easy diagnosis are the ones who present with overt sinus, lung and kidney symptoms or signs like a perforated septum, subglottal stenosis, or saddle nose.
I definitely agree that the rarer the WG symptom, the more likely you are to get a quick diagnosis, once you are seen by the right doctor. Once a rheumy saw my nose, he made a tentative diagnsosis, and I was seen by an ENT a day later. Blood work confirmed positive c-anca within a week and I started treatment. It still took a while before what led me to doctors in the first place (severe foot pain) was correctly attributed to the disease.
LOL And, few people go to a doctor and list every single symptom. So many of our members have said, "I didn't mention my sinus troubles to Dr Z because he was a kidney doctor."
Believe me, a couple of years ago I mentioned to the kidney doc about this and that ...including sinus issues, he just told me to take a Claritin!
My Wegs Specialist is Internal/Nephrology, so I tell him everything.
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