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Started by kaysixteen, May 14, 2023, 05:58:41 PM
Quote from: kaysixteen on May 14, 2023, 05:58:41 PMI have an ongoing skin condition on my legs, an annoyance and unsightly but not dangerous, but I think it may be evolving. I have not seen my dermatologist since late '21, largely because the disease had been stable for many years and she really did (and needed to do) essentially nothing other than refill the meds (cremes), which are used as needed, but since she would only give a pair of refills per visit, she was more or less dragging me back regularly to get the refills. Then I asked my PCP to add these meds to my regular meds he has prescribed, and this obviated the need to see dermo if only regular refills were needed. But as I said, disease is clearly evolving, and there may be signs of the same sort of skin infection that I had that originally necessitated dermatological intervention in 2014. (the disease I have is separate, but does make me susceptible to potential infections). This doc is older (probably about 63-5), and while adequate, did greatly misdiagnose an internal cellulitis bout I had in 2018, requiring a week of hospitalization (she did not biopsy the infection and guessed wrong-- my PCP correctly diagnosed the issue over the phone when talking with her a week later and ordered my immediate hospitalization). Derma practice is also 45 minutes away, and, quite frankly, it is the haughtiest, snobbiest, and most irritating med practice I have ever encountered, for a variety of reasons. So since my legs do now seem to be in need of additional dermatological attention, and there are numerous dermas practicing in my own city, I have decided to get a second opinion here, rather than returning to my current one. My question is thus, what to tell the doctor when I see hu for first time-- I do not want to prejudice the doc, and want hus honest opinion? I have never sought a second med opinion of any kind, from a different practice, before.
Quote from: kaysixteen on May 15, 2023, 09:30:57 AMOk, that was my thinking too, but when/if New Doc says this is 'disease a', when Old Doc has long said it was 'disease b', should I not then tell New Doc what Old Doc thinks?
Quote from: Hegemony on May 15, 2023, 04:48:43 PMI would want to know why Dr. A says one thing and Dr. B says another thing. If Dr. A says it's gobular dermanoma (I am making that up, obviously), and Dr. B says it's particulitis, at the least I'd ask Dr. B something like, "I was wondering/Some people have suggested that it's gobular dermanoma. What would you say rules that out in favor of particulitis?" It would be useful to know if Dr. A says, "Hmm, gobular dermanoma would be my second guess, but I'd say the bumps weigh in favor of particulitis," vs. "Particulitis! Never! That always produces big purple spots, which you clearly don't have."
Quote from: kaysixteen on May 16, 2023, 09:45:38 AMI did make an appt yesterday with a local practice here, the derma practice being just one of various subspecialties this large outfit has in this area, where it appears to be the gold standard. Indeed, my urologist is also part of it. It will be in three weeks, but I am looking forward to it. This leg condition is something that does need to be addressed.