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Doctors, I need some advice. I've found a Lancet article that could diagnose me, how do I bring it up?From: Anna (anonymous@obgyn.net)Wed, 4 Jul 2001 22:27:49 -0500 (CDT)
I'm seeing a great endocrinologist. Initially, I was diagnosed with PCOS. I spent 3-4 months on 2000 mg Glucophage. I've lost weight, but the stretch marks keep growing. I have classic textbook Cushings symptoms. My doctor doesn't believe I have PCOS, but she's admitted she's at a loss. All the Cushing's tests that she's done have come back negative. She is assuming I have some variant of Cushing and is looking for a tumor. I'm scheduled for a pelvic ultasound and a CT of my adrenals. This article, in the March 2001 Lancet, describes mild Cushings and how it won't show up on the traditional tests. It describes, in detail, the tests that need to be done to conclusively rule out Cushings. I would recommend it to any doctor that deals with Cushing-like symptoms. I want to do the blood test mentioned in the article to rule out Cushings. How do I bring this up with her without questioning her capabilities? She's been very receptive to things thus far, admitted that her PCOS diagnosis was wrong and saying that she has never seen a patient with my type of endocrine disorder. She is referring me to an expert at the University of Colorado hospital, pending test results, but I can't get in until 9/25/01. I have an appt for Monday afternoon to talk. I don't want to lose her as my doctor, but I want these tests run. I have written a database for a pediatric cardiologist and I'm taking pre-med classes. I don't think this is an uneducated grasp at some quack theory. Docs, what would you do if a patient came to you with this info? What is the best way for me to discuss this with her?
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