Jump to content
This site uses cookies. Continued use is acceptance of our Terms of Use and Privacy Policy. More Info... ×
  • 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

Help Picking A Pcp


Rowena

Recommended Posts

Rowena Rising Star

So I got new insurance, (HALLELUJAH! BETTER INSURANCE!) and now I get to pick who I want to be my doctor instead of going to the stupid student health center and then being refered to other doctors which means a pain in the butt because my insurance is way too picky. (More so than other insurances, darn student insurance)

Anyway, I was going to start with a Primary Care Provider. So I went to my insurance's website, picked my plan and did a search.

Then I narrowed down my options by proximity.

Then I narrowed it down by people in a certain Medical group. (The Intermountain Medical Group if you know what that is...)

Then of course I had to weed out all the pediatric PCPs since I am not a kid... obviously.

But then, I am down to eleven still... How do I pick the right one?

Also, I prefer women as my OB, but when it comes to the PCP, does it make a difference? And are Midwives/CRNs good choices for a PCP?


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



Celiac.com Sponsor (A8-M):



kareng Grand Master

So I got new insurance, (HALLELUJAH! BETTER INSURANCE!) and now I get to pick who I want to be my doctor instead of going to the stupid student health center and then being refered to other doctors which means a pain in the butt because my insurance is way too picky. (More so than other insurances, darn student insurance)

Anyway, I was going to start with a Primary Care Provider. So I went to my insurance's website, picked my plan and did a search.

Then I narrowed down my options by proximity.

Then I narrowed it down by people in a certain Medical group. (The Intermountain Medical Group if you know what that is...)

Then of course I had to weed out all the pediatric PCPs since I am not a kid... obviously.

But then, I am down to eleven still... How do I pick the right one?

Also, I prefer women as my OB, but when it comes to the PCP, does it make a difference? And are Midwives/CRNs good choices for a PCP?

The only medical people I have encountered are my optometrist and the GYN and her nurse practioner. The GYN said pick a younger doctor for my PCP because she might have heard of celiac disease.

Jestgar Rising Star

Not a midwife.

My personal opinion (and experience) is that if you have a man and a woman at the same level in their profession, the woman had to be a lot better to get there.

mushroom Proficient

Get one old enough to have had a little clinical experience, but not too old to be jaded and "there's nothing new under the sun" :P (because we all know there is, every day).

Emilushka Contributor

Midwives can't write prescriptions. CRNs can only write some prescriptions. The best choice for a PCP is an internist or family medicine doc, because they will be able to manage your overall care and write you prescriptions for any medications you might need at any point in the future, including controlled substances (like narcotic pain medications if you had a kidney stone, for example).

I recommend having a gynecologist for monitoring your lady bits and their health and a primary care doc for monitoring the rest of you. Gynecologists keep up on the literature and medical advances within the reproductive zone but they are only rarely up to date on the latest blood pressure medications or recommendations, for example. Internists and family med docs are better about that. Also the musculoskeletal stuff - if you need help with back pain, a gynecologist wouldn't be great at treating that.

You might prefer a DO to an MD, if you're into more alternative options. A DO is a doctor of osteopathic medicine, which is an alternative philosophy to teaching medicine invented within the USA about 150 years ago. They often think of the body more as a whole, focusing on systems and interactions rather than a single disease or symptom. They may be more your style, and they're equivalent to MDs within this country. Again, male or female is up to you. There are lots of DOs of both genders so you hopefully can have your pick.

My personal preference in health care providers is that they be willing to look things up for me. Not that they know everything right away - since they can't possibly know everything there is to know about medicine - but rather that they actively seek out new information to care for me better. If you can find a doc like that, you've found a real advocate for your health and you should stick to them through thick and thin. A good doc is worth his/her weight in gold.

Islander Newbie

I agree with Emilushka but would add that doctors who let you play a role in decision-making will probably be a better fit.

Archived

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


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      127,836
    • Most Online (within 30 mins)
      7,748

    RyanOB
    Newest Member
    RyanOB
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121k
    • Total Posts
      70.4k

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • knitty kitty
      @Manaan2,  I'm so happy to hear you're going to try thiamine and magnesium!  Do let us know the results!   You may want to add a B 50 Complex with two meals of the day to help boost absorption.  Thiamine interacts with each of the other B vitamins which are all water soluble.   When supplementing magnesium, make sure to get sufficient calcium.  Calcium and magnesium need to be kept in balance.  If you choose a calcium supplement, take two hours apart from magnesium as they compete for absorption.  Take Calcium with Vitamin D.  Vitamin D helps calm the immune system.   For pain, I use a combination of thiamine, B12 Cobalamine, and Pyridoxine B6.  These three vitamins together have analgesic effects.  My preferred brand is "GSG 12X Takeda ALINAMIN EX Plus Vitamin B1 B6 B12 Health Supplementary from Japan 120 Tablets".  Alinamin is another form of thiamine.  It really is excellent at relieving my back pain from crushed vertebrae without side effects and no grogginess.   Look into the low histamine version of the Autoimmune Protocol Duet (Dr. Sarah Ballentyne, a Celiac herself, developed it.)  It really helps heal the intestines, too.  It's like a vacation for the digestive system.  Add foods back gradually over several weeks after feeling better.   I'm so happy to have pointed the way on your journey!  Let us know how the journey progresses! P. S. Add a Potassium supplement, too.  Potassium is another electrolyte, like magnessium, that we need.
    • Manaan2
      @knitty kitty I can't thank you enough!  My husband and I already started looking into those supplements.  We definitely plan to give it a try.  We've been against the Miralax since it was originally advised by PCP, but because of the level of pain she experienced on a daily basis, we decided to try it.  We've made many attempts to gradually decrease but due to her pain and related symptoms, we've kept her on it while trying all sorts of other dietary adjustments pre and post diagnosis specific to food; so far none of those efforts have made a significant difference.  I will definitely share how she's doing along the way!
    • BIg Nodge
      Hi, I have recently embarked on the gluten-free journey. I have what to me seems like a somewhat confusing set of test results and symptoms. I have been impressed by the accumulated knowledge and thoughtfulness as I browse this forum, so I figured I'd make a post to see if anyone can offer any insight. I know there are many posts like this from new users, so I have tried to do my baseline research first and not ask super obvious questions.  I'm 43, overall very healthy. No history of gluten sensitivity or really any of the classic GI symptoms. About three years ago I started to experience intermittent bouts of fatigue, chills/cold intolerance, and shortness of breath/air hunger (sometimes feels like a hollowness in my chest, hard to describe). The symptoms over time have become fairly significant, though not debilitating, I am able to exercise regularly and am fairly physically active, continue to perform well at work. But for example I have gone from someone who consistently ran hot, was always cranking the a/c, to someone who wears a down vest inside at work in winter and get chills if the a/c even blows on me in summer. I get tired and lose energy even when getting decent amounts of sleep, and have to have my wife take over on long drives that I could previously handle with no problems. More generally when I am experiencing these symptoms they seem to crowd out space in my mind for focusing on my family, my hobbies/activities etc, I sort of withdraw into myself.   I happened to be experiencing these symptoms during an annual physical with my PCP a few years ago, he observed post nasal drip and suggested it was allergies and that I treat it with claritin. At first it seemed to respond to claritin (though not zyrtex), but over time I became unsatisfied with that answer. There didn't seem to be any seasonal rhyme or reason to my symptoms, and I felt like I was on an endless loop of taking claritin, then stopping, not being sure if it was even making a difference. I did eventually get allergy tests and found modest allergies to dust and pollen, which didn't feel like a smoking gun.  I then started seeing a natural medicine doctor who was much more willing to explore my symptoms via testing. The first thing that came back abnormal was elevated thyroid peroxidase antibodies/TPOs, 137 IU/mL vs a reference range of <9. At the same time my thyroid panel showed normal thyroid hormone levels. So it appears my immune system is attacking my thyroid even though it is working fine. I got a thyroid ultrasound at the time, it was clear, but with some abnormalities such that they suggested I get is scanned again in a year. These are certainly risk factors for a thyroid autoimmune disease, though my thyroid seems to be working fine for now.  From here my doctor considered celiac due to the murky thyroid/celiac links, so we did a panel. Results were as follows: TT IGA <1 U/ml, TT IGG <1 U/ml, deamidated gliadin IGA 24.6 U/ml, deamidated gliadin IGG <1 U/ml, IGAs 170 mg/dL. Readings greater than 15 considered high by my lab for the first four, my IGAs are within reference range. So basically just the deamidated IGA popped, but my IGAs are normal. I also notice on the tests that my thyroglobulin was high, 86.7 ng/ml vs a range of 2.8 - 40.9.  My doctor suggested that it certainly wasn't conclusive for celiac, but it was possible, and likely that I have some sort of gluten sensitivity. She suggested going gluten free and seeing how I felt as opposed to doing a biopsy. The best theory I can come up with is perhaps I am a silent celiac or just have a gluten sensitivity that doesn't produce immediate GI symptoms, but is still doing damage and over time has caused leaky gut. So now gluten is getting into my blood, and my immune system is attacking it but also mistakingly attacking my thyroid.  So that's what I did, went gluten free in October. It's been about four months, and I am really not feeling any difference. I still get the same symptoms that come and go. My bowel movements may be a bit more regular, but it was never a major issue before so I would consider that a minor improvement. I know that it can take a while to see improvements, and I am going to remain gluten-free and see how I feel. But I am definitely questioning whether I really understand what is going on, and am open to any thoughts or suggestions from the forum. Sometimes I wish I just went ahead with the biopsy before going gluten-free. While I would certainly be down to start drinking IPAs again ahead of a biopsy, you know, for science, I feel like at this point I would be throwing away four months of work and am better off staying the course and seeing what happens. But I'm really not sure.  I know there is a lot of thyroid knowledge on these boards, along with the celiac expertise, so I'm curious if this resonates with anyone's experience. And I'm interested in what sort of timelines people have experienced in terms of feeling improvements for some of these non-GI symptoms like chills, SOB, brain fog etc. Thanks in advance. 
    • cameo674
      Does it taste like black licorice?  It said it was chewable.  I do not like that flavor.     Since the burn at the back of my throat is there everyday, I usually only take something when it is unbearable and keeping me from ADL especially sleep.  
    • Scott Adams
      Your concerns about Nando's cross-contamination practices are valid and important for the celiac community. It's disappointing that Nando's does not have stricter protocols for children's portions, especially given the risk of cross-contact with gluten-containing items like garlic bread. Cooking gluten-free items on shared surfaces, even if cleaned, is not safe for individuals with celiac disease, as even trace amounts of gluten can cause harm. While the adult butterfly chicken may be a safer option, the inconsistency in practices for children's meals is concerning. It's frustrating that Nando's headquarters did not take responsibility, but sharing your experience raises awareness and may encourage them to improve their protocols. Consider reaching out to celiac advocacy organizations to amplify your concerns and push for better standards. Always double-check with staff and emphasize the importance of avoiding cross-contamination when dining out.
×
×
  • Create New...