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Jennifer and Kathrynne,

I fall somewhere in between  on this one.  There certainly are  MD's who
prejudge people who have a psychiatric history. Some  will also assume a
patient who they can't diagnose automatically warrants a psychiatric
diagnosis  which actually happened to me in the process of being
diagnosed with PD.

Jennifer,  I would suggest not hiding the psych hospitalization but not
emphasizing it either.  We had corresponded off list and I know you were
under unbelievable stress at the time of the hospitalization.  I would
emphasize that in the discussion of your psychiatric history with the
neurologist.  Usually if there is a bias most  MDs even those who have
difficulty in dealing with people who have history of psychiatric
illness tend to accept the patient better if the problem is clearly
related to stress.  Also the bias that I am talking about tends to be
much less  prevalent than years ago- especially with younger physicians.


So I would not hold anything back but don't emphasize it or get
defensive about it either.  Any experienced movement disorder specialist
has seen a lot of patients who have been misdiagnosed with psychiatric
problems and will likely not make the assumption without a good reason-
especially at a quality place like Emery.

Good luck and keep us informed of what happens.  (Also-  did you find
out whether they want you off medications prior to the visit?  I presume
that they would.)

Charlie

"Kathrynne Holden, MS,RD" wrote:
>
> Dear Jennifer,
> You've been through a horrendous experience, and I can understand your
> pain and confusion, with such conflicting experiences from your
> physicians. Although it might be necessary to try some different
> treatments and medications in order to arrive at a diagnosis, I am very
> surprised that a movement disorders specialist, knowing that Sinemet
> improved your symptoms, would conclude it was "all in your head."
>
> > Anyway,  my question is this.  I
> > am seeing a parkinson's specialist at Emory Univ. in about a week.
>
> Although I've not been to Emory, I have heard two PD specialists,
> associated with Emory, speak at PD symposium, and both were very
> knowledgeable. I hope you'll get the proper treatment there. Is there
> any chance that a relative, friend, or significant other could come with
> you and back you up in your assertions of past experiences? Sometimes
> having reinforcements can help a lot.
>
> I do feel, in general, that it's best for physicians to have complete
> information, in order to give the best possible diagnosis/treatment.
> Charlie? Bob Fink? Any thoughts here?
>
> Best regards,
> Kathrynne
>
> --
> Kathrynne Holden, MS, RD
> "Nutrition you can live with!"
> Medical nutrition therapy
> http://www.nutritionucanlivewith.com/
> Tel: 970-493-6532 // Fax: 970-493-6538
> "If we knew what it was we were doing,
> it would not be called research,
> would it?" -Albert Einstein

--
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Charles T. Meyer,  M.D.
Middleton (Madison), Wisconsin
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