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Have I Been Diagnosed?


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#1 Spartan89

 
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Posted 29 April 2012 - 12:25 PM

I'm starting a very rigorous 12 month nursing program in a few weeks and I want to be able to register with my school's disability support center to make sure that I can bring my own food everywhere, have frequent bathroom breaks if I'm accidentally glutened, etc. To register, you need evidence of an official diagnosis.

When my doctor told me I have Celiac back in August, he was basing this off of a high level of anti-gliadin IgA antibodies. He is more of a holistic doctor, so he told me to begin the gluten-free diet without mentioning a biopsy. I was also uninsured at the time, so I likely would not have been able to afford one. So, my question is, can a doctor officially diagnose celiac based on one test? My school requires "a diagnostic statement written using the diagnostic taxonomies utilized in the International Statistical Classification of Diseases and Related Health Problems of the World Health Organization (ICD), the State Department of Rehabilitative Services or other State agencies, or the Department of Education". They also require "a description of the diagnostic tests, methods, and/or criteria used".

I hope that I qualify...I really want to do this nursing program, but without accommodations I am horribly nervous about getting glutened and being late for clinicals or something because I'm stuck in the bathroom throwing up (you are docked half a letter grade for being late even once!)
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#2 mamaw

 
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Posted 29 April 2012 - 01:02 PM

speak with the doctor (holistic) who had you start the gluten-free diet. Show him what is expected , a copy of all you posted here

& maybe he can fudge some of it or as a doctor write his own statement & you could see if the school is willing to accept his statement...
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#3 Skylark

 
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Posted 29 April 2012 - 01:45 PM

A board certified doctor can pretty much officially diagnose based on gut feeling. :lol: He will probably enter diagnostic code ICD-10-CM K90.0, mention the anti-gliadin IgA, which is a positive celiac test even if it's a bit out of date, and your extreme reactions to gluten.
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#4 Spartan89

 
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Posted 29 April 2012 - 01:54 PM

Ok great, I just wanted to make sure there is no universally required diagnostic criteria or something. I'm kind of regretting not having the biopsy now...there's no way I'd go back on gluten to have one, so it would have been nice to get a "for sure" diagnosis in the first place!
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