Wednesday, January 11, 2012

Doctors can be WRONG!

  Oh my sweet Ashley. She has unfortunately inherited a thyroid disorder from my side of the family that causes weight gain, lethargy, enlarged thyroid/goiter, dry skin, hair loss, problems concentrating and depression. This disorder is well-documented in my family. If left untreated, or poorly treated the end result is a life-threatening enlargement of the thyroid gland that restricts the airway and esophagus, and cancer of the thyroid.

  The normal blood tests that look at thyroid function look perfectly normal in those suffering this disorder, because the assays only look at the presence of the hormone. Unfortunately, in our family, the hormone is there but non-functional. Normal blood work, no active hormone equals bad news.

  Ashley was diagnosed at the age of 8 years old with this disorder and began treatment. The treatment helped immensely and her symptoms resolved. Unfortunately (I am using that word a lot!) her doctors after she moved to Dallas failed to increase the dose as she grew and had a very poor understanding of the disease.

  Fast forward to the present. Her general doctor has a vague understanding of the issues and agreed that continued medication was called for, but since this was not his area of expertise, he wanted her to see a pediatric endocrinologist. It took 9 months to get her into one, and then the fun began. (Heavy note of sarcasm)

  First of all, after the med student spent 20 minutes getting a detailed history, the doctor failed to look at any of it. She waltzed into the room, her lab coat flapping open to reveal very low hung tight jeans and a tight tee shirt that rode up revealing her abdomen and tattoos. (WTF?) She then proceeded to spend 4 minutes listening to the abbreviated history and reason Ash was there, then proclaimed that all the other doctors were wrong. Ashley did NOT have a thyroid problem, it was probably something else and she needed to get off meds right away. So Ashley weaned off of the support and began to feel like crap, gain weight, and struggle with overwhelming tiredness.

  I made many phone calls trying to explain our family history to the nurses or doctor. All I got was the run-around. So since i couldn't be at her next appointment, I wrote out a very detailed summary of the family history, what the genetic basis was for the disorder, how to test accurately for it, and how to treat it effectively. I was as detailed and informative as I could be.

  Yesterday, they had the follow-up appointment. The doctor argued with everything I had written and said it 'couldn't possibly' be the same thing her aunt and grandmother suffered from because that was just too rare. OMG WTF ^^&($*%*#$&&^^&)(&*^DFC!!!! I have no words for Doctor Hussy. if you have a strong family history of a condition, and the child exhibits every single symptom of the disorder and has previously been diagnosed with the disorder then treated for it and it improved, how in the heck can you even begin to think it is NOT that?

  I am preparing to write a letter of complaint to both her superiors and the AMA. This is criminal. If left untreated, Ashley will suffer her entire life and possibly face cancer, life threatening conditions and many surgeries. All because Doctor Hussy is stuck in  her own mind set.

I want to slap that woman silly. Or worse. Much worse. Needless to say, we are seeking out a new endocrinologist.

2 comments:

Mamita J said...

I'm sorry your Ashley is going through such tough stuff and the Dr. is a jerk - they can be so full of themselves.... But I'm glad to see the old mama-bear that I know and love come out in you. Ashley is blessed to have you as a mom. Hope you find a good dr. soon.

Angie said...

That kind of stuff gets under my skin too! Ridiculous when dr.'s don't take the time to properly evaluate and have the cocky attitude to go with it. I feel ya!