Guest guest Posted November 17, 2010 Report Share Posted November 17, 2010 Hi Matt, I know the " wait " makes people nuts. Since you're in Canada, your health system is different than here (U.S.) but perhaps if you write a letter to the doctor and ask for ALL of your son's records, you will be verifying who you are (the father). Doctors here don't give results over the phone, I had to write letters to my docs just to get copies of all tests and reports - for my personal files. These docs were in private practice, however, and not connected to a University/teaching center. But it's worth a shot in writing, because you may need to help your son with some adaptive aids, etc. Gretchen > > Hi all, how is everyone? Just have to get this off my chest and I will be OK again. So here's the story. > > Every Jan/Feb I see my neurologist. In Jan 2009 I asked about getting the kids tested. I was told to have my family Dr. make a referral to the specialist. That took a few months and then got the appointment in Jul. He looked at them and ran the usual touch tests, and ran strengh test. I was not letting them do an EMG on them. I asked for the just the DNA test if he thought they had it. After seeing them both he figured that they had is and ordered the blood tests. We went and got the done same day. > > Now, they go the results a couple of months back, end of Aug beginning of Sep. They called to make an appointment in Dec. I asked for the results then and told that they do not do that over the phone, bla bla bla. I said ok we hung and then today I get a letter stating the appointment has been pushed for Jan. I called right away, as I ticked off. I want the results, still got the same answer from the admin. I let lose then, telling them they have no idea what it is like waiting. I just want to talk to the Dr, why is that so hard sometimes. They almost make it impossible sometimes hoping you will go away. I need to talk to the school, as my boy is starting to have issues on the playground, kids teasing etc.... His writing is horible and they just stated on his report card (we got today of course) that he needs to improve writing etc.... > > > Anyways, I am beside myself at the moment. I know it will all work out, but this is just crazy. They know the result, and I have a right to knpw. Thanks for listening. > > I fell better, :-) > > > > Matt > > Canada > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2010 Report Share Posted November 17, 2010 Thanks Gretchen, you are absolutely right. Its funny I was talking to my wife afterwards and I thought the same thing. I have a right to know what's in the file since its about me, or my kids. I think I will take you up on the idea and write a letter. I know when I had my DNA test I got a letter from what was then a different specialist. It was nice and simple and since it went to my home, no privacy issues. Its just so frustrating, I am finally doing what is right for the kids and run into road blocks. (Canada) Re: DNA Test results for the Kids Hi Matt, I know the " wait " makes people nuts. Since you're in Canada, your health system is different than here (U.S.) but perhaps if you write a letter to the doctor and ask for ALL of your son's records, you will be verifying who you are (the father). Doctors here don't give results over the phone, I had to write letters to my docs just to get copies of all tests and reports - for my personal files. These docs were in private practice, however, and not connected to a University/teaching center. But it's worth a shot in writing, because you may need to help your son with some adaptive aids, etc. Gretchen > > Hi all, how is everyone? Just have to get this off my chest and I will be OK again. So here's the story. > > Every Jan/Feb I see my neurologist. In Jan 2009 I asked about getting the kids tested. I was told to have my family Dr. make a referral to the specialist. That took a few months and then got the appointment in Jul. He looked at them and ran the usual touch tests, and ran strengh test. I was not letting them do an EMG on them. I asked for the just the DNA test if he thought they had it. After seeing them both he figured that they had is and ordered the blood tests. We went and got the done same day. > > Now, they go the results a couple of months back, end of Aug beginning of Sep. They called to make an appointment in Dec. I asked for the results then and told that they do not do that over the phone, bla bla bla. I said ok we hung and then today I get a letter stating the appointment has been pushed for Jan. I called right away, as I ticked off. I want the results, still got the same answer from the admin. I let lose then, telling them they have no idea what it is like waiting. I just want to talk to the Dr, why is that so hard sometimes. They almost make it impossible sometimes hoping you will go away. I need to talk to the school, as my boy is starting to have issues on the playground, kids teasing etc.... His writing is horible and they just stated on his report card (we got today of course) that he needs to improve writing etc.... > > > Anyways, I am beside myself at the moment. I know it will all work out, but this is just crazy. They know the result, and I have a right to knpw. Thanks for listening. > > I fell better, :-) > > > > Matt > > Canada > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2010 Report Share Posted November 17, 2010 Hi Matt - Wow - I am so sorry you are having to go through this. My sons neurologist personally called me with the DNA results the afternoon he got them. It seems ridiculous to make you wait so long. Maybe you can go directly to the office and get the report # and call Athena directly. I've done that several times since our report just to ask questions and they've been most helpful. So - if the tests were run by Athena it might be worth a try. As far as school goes...can your pediatrician write a letter to cover your son from excessive physical activity, or at least have it worded so that if your son asks to rest he is allowed to? My sons handwriting is atrocious too...ask permission for an alpha smart/Neo to use...that should solve that issue. The doc should be willing to provide documentation that this is all being done proactively pending test results with a suspected diagnosis of CMT. Just trying to think outside the box....good luck! > > Hi all, how is everyone? Just have to get this off my chest and I will be OK again. So here's the story. > > Every Jan/Feb I see my neurologist. In Jan 2009 I asked about getting the kids tested. I was told to have my family Dr. make a referral to the specialist. That took a few months and then got the appointment in Jul. He looked at them and ran the usual touch tests, and ran strengh test. I was not letting them do an EMG on them. I asked for the just the DNA test if he thought they had it. After seeing them both he figured that they had is and ordered the blood tests. We went and got the done same day. > > Now, they go the results a couple of months back, end of Aug beginning of Sep. They called to make an appointment in Dec. I asked for the results then and told that they do not do that over the phone, bla bla bla. I said ok we hung and then today I get a letter stating the appointment has been pushed for Jan. I called right away, as I ticked off. I want the results, still got the same answer from the admin. I let lose then, telling them they have no idea what it is like waiting. I just want to talk to the Dr, why is that so hard sometimes. They almost make it impossible sometimes hoping you will go away. I need to talk to the school, as my boy is starting to have issues on the playground, kids teasing etc.... His writing is horible and they just stated on his report card (we got today of course) that he needs to improve writing etc.... > > > Anyways, I am beside myself at the moment. I know it will all work out, but this is just crazy. They know the result, and I have a right to knpw. Thanks for listening. > > I fell better, :-) > > > > Matt > > Canada > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2010 Report Share Posted November 17, 2010 Thanks for the suggestion. Athena we don't have though. Our DNA lab in Canada is in Ottawa. We use to have to send it to the States but now it local, well Canada local. :-) I will have to do some research to see what an alpha smart/neo is. Thanks again for the ideas. I will research them. Matt Re: DNA Test results for the Kids Hi Matt - Wow - I am so sorry you are having to go through this. My sons neurologist personally called me with the DNA results the afternoon he got them. It seems ridiculous to make you wait so long. Maybe you can go directly to the office and get the report # and call Athena directly. I've done that several times since our report just to ask questions and they've been most helpful. So - if the tests were run by Athena it might be worth a try. As far as school goes...can your pediatrician write a letter to cover your son from excessive physical activity, or at least have it worded so that if your son asks to rest he is allowed to? My sons handwriting is atrocious too...ask permission for an alpha smart/Neo to use...that should solve that issue. The doc should be willing to provide documentation that this is all being done proactively pending test results with a suspected diagnosis of CMT. Just trying to think outside the box....good luck! > > Hi all, how is everyone? Just have to get this off my chest and I will be OK again. So here's the story. > > Every Jan/Feb I see my neurologist. In Jan 2009 I asked about getting the kids tested. I was told to have my family Dr. make a referral to the specialist. That took a few months and then got the appointment in Jul. He looked at them and ran the usual touch tests, and ran strengh test. I was not letting them do an EMG on them. I asked for the just the DNA test if he thought they had it. After seeing them both he figured that they had is and ordered the blood tests. We went and got the done same day. > > Now, they go the results a couple of months back, end of Aug beginning of Sep. They called to make an appointment in Dec. I asked for the results then and told that they do not do that over the phone, bla bla bla. I said ok we hung and then today I get a letter stating the appointment has been pushed for Jan. I called right away, as I ticked off. I want the results, still got the same answer from the admin. I let lose then, telling them they have no idea what it is like waiting. I just want to talk to the Dr, why is that so hard sometimes. They almost make it impossible sometimes hoping you will go away. I need to talk to the school, as my boy is starting to have issues on the playground, kids teasing etc.... His writing is horible and they just stated on his report card (we got today of course) that he needs to improve writing etc.... > > > Anyways, I am beside myself at the moment. I know it will all work out, but this is just crazy. They know the result, and I have a right to knpw. Thanks for listening. > > I fell better, :-) > > > > Matt > > Canada > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 4, 2011 Report Share Posted January 4, 2011 Hi all, here is the final chapter. I am sadden and excited to say they both have it. We did not chose to test my youngest boy, he does not show any signs of the disease so far. I am excited for them as I think it will help explain a lot for my 8 year old. He does not understand why he cannot control his body sometimes. He just says " It just happens Daddy, I don't know why " . Usually of course he is lying on the ground at that point. They are both taking it very well so far and I am also excited to say that I think it has motivated them to watch themselves a bit more. My 11 year daughter has always had pain in her feet and legs since she was much younger so I know the orthotics will help. I think I will be ok now that I know we are doing the right things for them. I think I will anyways, I guess the really sad days will always be there but many more of them are positive so its all good. Now for the saddened part was the Dr. visit. He announced in his style they were positive of Type 1A. He went through the usual stuff with stretches and to exercise. I asked about extra school programs or any PT available for them at school I just got a blank stare. When I asked about a letter confirming they were positive I got asked why, he said yes once I finished. Once I challenged him on why it took so long and the delay, I got the usual I am busy and he actually got up and walked out on me and my whole family. My wife was in tears, I was ready to scream it was crazy. We had our orthotics appointment already and that Dr was wonderful with the kids. Thanks god she came through for us the kids really fed off our the last appointment and were scared, but they left happy. So all and all it ended up on a positive note, but now I am unsure what to do about my neurologist. My appointment with him is in Feb and I am not looking forward to it, that's for sure. Guess I still have a bit of time to think about it. Take care all, Matt Canada Re: DNA Test results for the Kids Hi Matt, I know the " wait " makes people nuts. Since you're in Canada, your health system is different than here (U.S.) but perhaps if you write a letter to the doctor and ask for ALL of your son's records, you will be verifying who you are (the father). Doctors here don't give results over the phone, I had to write letters to my docs just to get copies of all tests and reports - for my personal files. These docs were in private practice, however, and not connected to a University/teaching center. But it's worth a shot in writing, because you may need to help your son with some adaptive aids, etc. Gretchen > > Hi all, how is everyone? Just have to get this off my chest and I will be OK again. So here's the story. > > Every Jan/Feb I see my neurologist. In Jan 2009 I asked about getting the kids tested. I was told to have my family Dr. make a referral to the specialist. That took a few months and then got the appointment in Jul. He looked at them and ran the usual touch tests, and ran strengh test. I was not letting them do an EMG on them. I asked for the just the DNA test if he thought they had it. After seeing them both he figured that they had is and ordered the blood tests. We went and got the done same day. > > Now, they go the results a couple of months back, end of Aug beginning of Sep. They called to make an appointment in Dec. I asked for the results then and told that they do not do that over the phone, bla bla bla. I said ok we hung and then today I get a letter stating the appointment has been pushed for Jan. I called right away, as I ticked off. I want the results, still got the same answer from the admin. I let lose then, telling them they have no idea what it is like waiting. I just want to talk to the Dr, why is that so hard sometimes. They almost make it impossible sometimes hoping you will go away. I need to talk to the school, as my boy is starting to have issues on the playground, kids teasing etc.... His writing is horible and they just stated on his report card (we got today of course) that he needs to improve writing etc.... > > > Anyways, I am beside myself at the moment. I know it will all work out, but this is just crazy. They know the result, and I have a right to knpw. Thanks for listening. > > I fell better, :-) > > > > Matt > > Canada > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2011 Report Share Posted January 5, 2011 Hi Matt, You have a great out look and staying positive is the way to go. With all of the research going on CMT is the disorder to have right now. I am excited that I will live to see a treatment for my kids. I bet you are too. > > [Non-text portions of this message have been removed] > [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2011 Report Share Posted January 5, 2011 Hi Matt, Well now you know. And remember, knowledge is power! And you have all of us and thousands of posts and files and other info at your fingertips. As for the Dr. wow, he sure was an " asslekof " as we say in Art History (in German it means 'Ass Head'). (Picture half man/half donkey) Keep pressing him for the letter you need. If you have to write him a letter and ask for it. Leave messages on his voice mail. If you haven't got it by your apt. in Feb. make that #1 on your list for the agenda, and #2 his bedside manner and attitude. Be polite, but be firm, do not back down and get what you want. Yes, docs have papers and reports and letters to write - whine whine whine...they get it done. Maybe you could write a draft of what you want him to put in the letter and bring it with you, then give it to him. I did this about 5 years ago, the doc used the exact same wording I had written in my draft, he just had to change the date and sign his name (docs have staff that write most letters, now here, PA's are writing letters too) Gretchen > > I fell better, :-) > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2011 Report Share Posted January 5, 2011 Hi Matt.....Some days I do not understand why some doctors are so arrogant and act like God. This is your life and diagnoses. The test results are indeed yours no matter what the doctor may think. You should have access to your medical files anytime. I had DNA testing done in 2000 which confirmed I had CMT1A. I chose not to have my 11 year old son diagnosed. The term pre-existing condition could/would be used against him down the road with insurance companies. I was actually sent a letter from the doctor who headed up the DNA lab at Credit Valley Hospital in Mississauga, ON., confirming I had CMT1A. This letter allowed my younger brother and sister have DNA testing done for them. At least this is how it worked in Canada. I live in Port Elgin, Ontario and my younger brother lives in Halifax, Nova Scotia, while my sister lives in Saint , New Brunswick. They both tested positive for CMT1A also. I could use this same letter to have DNA testing done on my son some day down the road. A letter from your dr. is important!! Regards........ > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 One of my twin daughters had the blood test and has been confirmed for CMT2d w/SMAv. The Athena Diagnostic lab and the doctor has approached us for all of our family to be tested. Her twin sister, myself, and my husband. They are not charging us for the test ($15,000 is what my daughters test cost our insurance). I'm pretty sure part of the reason they asked us was because of the fact that my daughters are the youngest to ever be diagnosed with CMT2d (or so the doctor said). I'm taking full advantage of this testing now so that the girls can have the help they need in the future. In the US, with the healthcare reform bill, they can no longer deny children for pre-existing conditions, which is nice. Mother to Ashlee Rayne & Aimee Renae _ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 7, 2011 Report Share Posted January 7, 2011 Hi Dave and thanks for the comments. I don't know why some times they act like that. He even called it the " nuisance disease " . That one is going to sit negatively with my wife and I for a long time, long time. I have never seen a Dr. act this way at all. I had a feeling he might too, so I even approached it all with " kid gloves " as to not try and upset him. I might just ask for a copy of the kids files and try and find another Dr. Its been tough around here lately but the light is getting bigger. I am meeting with the school on Monday next week to go over an information session and my daughter is very active in trying to help out so I am pleased about that. We did the insurance flip flop as well and finally decided to get them tested. The last insurance I applied for I was accepted and I had CMT down. I also got declined for Insurance at the same time from another company so I lucked out that time. I live in Hamilton, Port Elgin is a beautiful spot. My wife is from Owen Sound. We vacation on Lake Huron most summer's, usually more south though except for the year we went camping at Macgregor Point. Thanks Matt > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 7, 2011 Report Share Posted January 7, 2011 Hi Matt: I 'm followed by Steve Baker at the CMT Clinic at McMaster and I think they could help with testing if needed. It costs the patient nothing in Canada. Baker seems to be interested in children with CMT. During my years of working with people who have CMT and reading research, I've heard CMT called just a nuisance several times. If your doctor only read one or two paper on it a long time ago, he still thinks that's the way it is described and he believes it because it was in the journals...maybe in 1968. He needs to update his reading and understanding of CMT big time. You might send him some titles he can read at his leisure. Dr. Baker listens but he only wants to see me every two years and that's because it's his call and he's following me not because he is my CMT specialist. I always have the feeling that once you're diagnosed with CMT, you're of no interest to neurologists. A physiatrist might be more interested in what's going on with us although I did find one who wasn't really interested either. I've had doctors like that who blew off CMT. I didn't stay with them long. It's a long and winding road. Hang in there. Celebrate the triumphs and move on from the disappointments. Cheers! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 7, 2011 Report Share Posted January 7, 2011 Hi Matt......prior to moving to Port Elgin in 2000 I lived in town, ON. My family doctor at the time worked closely with me and sent me to see a neurologist in the Credit Valley Medical Centre. The neurologist's name is Dr. Isralian. He had arranged to have EMG/NCV tests done. He popped in to see how the tests were going and took over from the nurses. He seemed excited, he grabbed my foot to look at my high arches and said I know what you have. He arranged to have DNA testing done which proved positive for CMT1A. I was saddened to find out my GP at the time in town now has ALS. Dr. Jean Charcot was also responsible for discovering ALS. I now have a great GP in Port Elgin, who actually did a study on the effectiveness of Gabapentin vs. Tylenol 3. I now have a super specialist (pethorist) in Owen Sound who sees me every 6 months. He has shown an interest in me which could be good or bad? He is the focal point for all the various medical disciplines. He and his colleague did NCV on my phrenic nerve which is involved with my diaphragm. My point WRT insurance is not what you may be thinking. Let's say you are working for a company who provides you with a long-term disability benefit. These long-term disability insurance carriers just love to use the pre-existing condition to get out of approving your claim. If this is is your medical file then you may be in for a fight some day. Therefore I did not have my son diagnosed. Sorry for the diatribe............ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 10, 2011 Report Share Posted January 10, 2011 Hi , my wife's best friend from Owen Sound lives in town. We go down for the fall fair every year. Sorry to hear about your GP. Your story fits about how you found out is about the same as mine. My Dr. then Mark Tarnapolsky diagoised that I had CMT. Same thing he took one look at my foot and then sat down and talked to me for 45 minutes. He ordered DNA same day, the crazy part was 5 year prior to this I was seen by another Neurologist who knew nothing of CMT. He said I had mild nerve degeneration but did not diagnose me, he was the one that did my EMG. Mark mentioned EMG and I told him the results from 5 years prior confirmed it even more for him. Sure was nice back then to know why I was different then everyone else. Thanks for the bit on the Insurance, did not look at it from that point of view. Always seem to find ways to make it work out for everyone but the customer :-). Thanks Re: DNA Test results for the Kids Hi Matt......prior to moving to Port Elgin in 2000 I lived in town, ON. My family doctor at the time worked closely with me and sent me to see a neurologist in the Credit Valley Medical Centre. The neurologist's name is Dr. Isralian. He had arranged to have EMG/NCV tests done. He popped� in to see how the tests were going and took over from the nurses. He seemed excited, he grabbed my foot to look at my high arches and said I know what you have. He arranged to have DNA testing done which proved positive for CMT1A. I was saddened to find out my GP at the time in town now has ALS. Dr. Jean Charcot was also responsible for discovering ALS. I now have a great GP in Port Elgin, who actually did a study on the effectiveness of Gabapentin vs. Tylenol 3. I now have a super specialist (pethorist) in Owen Sound who sees me every 6 months. He has shown an interest� in me which could be good or bad? He is the focal point for all the various medical disciplines. He and his colleague did NCV on my phrenic nerve which is involved with my diaphragm. My point WRT insurance is not what you may be thinking. Let's say you are working for a company who provides you with a long-term disability benefit. These long-term disability insurance carriers just love to use the pre-existing condition to get out of approving your claim. If this is is your medical file then you may be in for a fight some day. Therefore I did not have my son diagnosed. Sorry for the diatribe............ > > Quote Link to comment Share on other sites More sharing options...
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