Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

"how Doctors Think"


chick2ba

Recommended Posts

chick2ba Apprentice

I found this interesting and relevant to our cause. It took me two paragraphs to 'diagnose' Anne.

Read for yourself:

Open Original Shared Link


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



Guhlia Rising Star

Interesting article... Thanks for sharing!

babygirl1234 Rookie

some doctors dont even know about celiac disease and when you tell them about it they look at you like you wired or something lol

ArtGirl Enthusiast
It took me two paragraphs to 'diagnose' Anne.

Yeah, me too.

Diagnosing Celiac and gluten intolerance is still a pioneer field.

Ursa Major Collaborator

Anne Dodge's name could be changed into many names here, her story is so similar to what has happened to lots of people here. It doesn't seem to take much these days for a doctor to claim you have a mental problem, just because they can't figure out what is wrong with you.

Phyllis28 Apprentice

I think the saying is "If not for the grace of God, there go I". I was very lucky that I was diagnosed within 9 months of the onset of my symptoms.

This was a fasinating article. No one should have to suffer like Anne Dodge did. She had the classic textbook symptoms of celiac. I knew after the first two paragraghs that Celiac was a strong contender and should have been tested for.

2kids4me Contributor

intertesting read - I too had her pegged for celiac in the first 2 paragraphs!

I think human doctors should spend time in a vet clinic. We have to rely totally on body language, symptoms and history. So far I havent heard any of the vets I work with tell an owner - it was all in the pet's head and that it was mental issue :huh: and if they come in for a second opinion, we start fresh - listen to the history once again, ask then if things have changed one way or the other since they saw the first vet... and ASK the owner what concerns they have, that havent been addressed.

If physicians were more like vets, they would find the underlying disorder more quickly. In animals we send off a "panel" for bloodwork, covers blood counts and values that tell us how all the organs are functioning,... and we get results next day. My experience is that physicians ...first they do a CBC..that comes back normal...then if pressured, they look at liver enzymes...or kidney function...or maybe a thyroid screen... and if they dont find an answer with the first few tests - then by golly, it must be psychiatric in nature....not question what they may be missing.

It just seems like they break the bloodwork up into tiny bits instead of a "total body panel". They need to say: I dont know yet, but I am willing to get to the bottom of this....

Just my rambling thoughts

Sandy


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



UNCHeel Rookie

Can i throw another curve ball out there? When you find a good doctor who diagnoses you how do you convince family members to get tested. Mine are not willing to put it mildly.

Ursa Major Collaborator

It's almost worse when you do have siblings who get tested at your suggestion, and their blood work comes back negative. And then, even though they are obviously gluten intolerant, the doctor tells them they have NO problem with gluten, and to keep eating it, it's just IBS, and they believe the doctor, and you are dismissed as this crackpot who is 'obsessed' with wanting to diagnose everybody in the world with gluten intolerance.

My sister who has every one of the symptoms I used to have (until I figured out my intolerances, which includes gluten), but tells me that the doctor knows more than me (because he is a doctor, and I am not), and she doesn't have to listen to me.

And one brother, who has obvious intolerances (and has eliminated some foods), doesn't believe me that there is gluten intolerance which shows up negative blood work, and therefore also won't give the gluten-free diet a try. It is frustrating.

Then today I talked to my oldest brother (they are all in Germany), and he was diagnosed last week with type II diabetes, and got mad at me for suggesting it may be connected to his obvious gluten intolerance. He will take the pills the doctor prescribes and get worse and worse, but he will not drastically change his diet (sigh).

Okay, I am done venting today's frustrations (it isn't helpful that I also have bronchitis and I am miserable).

2kids4me Contributor
how do you convince family members to get tested.

You can't...you can only give them the information and it is up to them if they decide to do it. I learned a while ago - you can't be more "invested" in someone than they are in themselves. None of my relatives will get tested because they see it as an inconvenient diet....they don't see any reason to... (even though my nephew lives off pepto bismol and heads to the bathroom after meals)..they see me as focused on the disease simply because I have 2 kids with it...

The more you mention it, the more some people resist considering they might have celiac or an intolerance

Hope you feel better soon Ursula :( sorry to hear you're sick..

sandy

I had somebody ask me yesterday (in the grocery store/small town).... : "So, do you still have that celiac problem with your kids or has that resolved?" :blink::blink:

NoGluGirl Contributor

Dear chick2ba,

I was so glad to see this! I actually started to cry some when I read this. It sounded exactly like the misery I went through. Like you guys, it only took me a couple of paragraphs to diagnose this woman. If only more doctors had brains like the one writing this book. However, from my experience, the answer to how doctors think is "DDDUUUUUHHHH." :huh:

Dear UNCHeel,

I am in the same situation. It is so annoying! People would rather die a slow and painful death. You cannot save people from themselves, unfortunately. My problem is, I keep getting glutened because of my parents not being careful. I am stuck here, and they have little if any respect for my illness and its seriousness. It is fine if they want to poison their bodies, but not mine!

Dear Ursa,

I am sorry to hear you have broncchitis and a stubborn family like mine. The broncchitis is bad enough by itself! I used to get it twice a year from the time I was born until I turned 17. Hopefully, you will feel better soon!

Sincerely,

NoGluGirl

Archived

This topic is now archived and is closed to further replies.

  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - knitty kitty replied to pothosqueen's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      16

      Positive biopsy

    2. - knitty kitty replied to Jordan Carlson's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      1

      Fruits & Veggies

    3. - knitty kitty replied to pothosqueen's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      16

      Positive biopsy

    4. - trents replied to pothosqueen's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      16

      Positive biopsy

  • Celiac.com Sponsor (A19):
  • Member Statistics

    • Total Members
      133,019
    • Most Online (within 30 mins)
      7,748

    Nancy Adams
    Newest Member
    Nancy Adams
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):
  • Forum Statistics

    • Total Topics
      121.5k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Who's Online (See full list)

  • Upcoming Events

  • Posts

    • knitty kitty
      In the study linked above, the little girl switched to a gluten free diet and gained enough weight that that fat pad was replenished and surgery was not needed.   Here's the full article link... Superior Mesenteric Artery Syndrome in a 6-Year-Old Girl with Final Diagnosis of Celiac Disease https://pmc.ncbi.nlm.nih.gov/articles/PMC6476019/
    • knitty kitty
      Hello, @Jordan Carlson, So glad you're feeling better.   Tecta is a proton pump inhibitor.  PPI's also interfere with the production of the intrinsic factor needed to absorb Vitamin B12.  Increasing the amount of B12 you supplement has helped overcome the lack of intrinsic factor needed to absorb B12. Proton pump inhibitors also reduce the production of digestive juices (stomach acids).  This results in foods not being digested thoroughly.  If foods are not digested sufficiently, the vitamins and other nutrients aren't released from the food, and the body cannot absorb them.  This sets up a vicious cycle. Acid reflux and Gerd are actually symptoms of producing too little stomach acid.  Insufficient stomach acid production is seen with Thiamine and Niacin deficiencies.  PPI's like Tecta also block the transporters that pull Thiamine into cells, preventing absorption of thiamine.  Other symptoms of Thiamine deficiency are difficulty swallowing, gagging, problems with food texture, dysphagia. Other symptoms of Thiamine deficiency are symptoms of ADHD and anxiety.  Vyvanse also blocks thiamine transporters contributing further to Thiamine deficiency.  Pristiq has been shown to work better if thiamine is supplemented at the same time because thiamine is needed to make serotonin.  Doctors don't recognize anxiety and depression and adult onset ADHD as early symptoms of Thiamine deficiency. Stomach acid is needed to digest Vitamin C (ascorbic acid) in fruits and vegetables.  Ascorbic acid left undigested can cause intestinal upsets, anxiety, and heart palpitations.   Yes, a child can be born with nutritional deficiencies if the parents were deficient.  Parents who are thiamine deficient have offspring with fewer thiamine transporters on cell surfaces, making thiamine deficiency easier to develop in the children.  A person can struggle along for years with subclinical vitamin deficiencies.  Been here, done this.  Please consider supplementing with Thiamine in the form TTFD (tetrahydrofurfuryl disulfide) which helps immensely with dysphagia and neurological symptoms like anxiety, depression, and ADHD symptoms.  Benfotiamine helps with improving intestinal health.  A B Complex and NeuroMag (a magnesium supplement), and Vitamin D are needed also.
    • knitty kitty
      @pothosqueen, Welcome to the tribe! You'll want to get checked for nutritional deficiencies and start on supplementation of B vitamins, especially Thiamine Vitamin B 1.   There's some scientific evidence that the fat pad that buffers the aorta which disappears in SMA is caused by deficiency in Thiamine.   In Thiamine deficiency, the body burns its stored fat as a source of fuel.  That fat pad between the aorta and digestive system gets used as fuel, too. Ask for an Erythrocyte Transketolace Activity test to look for thiamine deficiency.  Correction of thiamine deficiency can help restore that fat pad.   Best wishes for your recovery!   Interesting Reading: Superior Mesenteric Artery Syndrome in a 6-Year-Old Girl with Final Diagnosis of Celiac Disease https://pubmed.ncbi.nlm.nih.gov/31089433/#:~:text=Affiliations,tissue and results in SMAS.  
    • trents
      Wow! You're pretty young to have a diagnosis of SMA syndrome. But youth also has its advantages when it comes to healing, without a doubt. You might be surprised to find out how your health improves and how much better you feel once you eliminate gluten from your diet. Celiac disease is an autoimmune disorder that, when gluten is consumed, triggers an attack on the villous lining of the small bowel. This is the section of the intestines where all our nutrition is absorbed. It is made up of billions of tiny finger-like projections that create a tremendous surface area for absorbing nutrients. For the person with celiac disease, unchecked gluten consumption generates inflammation that wears down these fingers and, over time, greatly reduces the nutrient absorbing efficiency of the small bowel lining. This can generate a whole host of other nutrient deficiency related medical problems. We also now know that the autoimmune reaction to gluten is not necessarily limited to the lining of the small bowel such that celiac disease can damage other body systems and organs such as the liver and the joints and cause neurological problems.  It can take around two years for the villous lining to completely heal but most people start feeling better well before then. It's also important to realize that celiac disease can cause intolerance to some other foods whose protein structures are similar to gluten. Chief among them are dairy and oats but also eggs, corn and soy. Just keep that in mind.
    • pothosqueen
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.