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its good to hear from steve and others that i am not alone in feeling

frustrated in dealing with specialists who know a lot but care a

little and negotiating with insurance folks (or having my pcp's office

folks do it for me). i am so new to this whole process. i don't even

have a diagnosis yet, but its sounds like i am not alone in that

taking a while. i am at the stage now of wondering how to be most

efficient with my resources. i am having to convince our HMO to

approve referrals. i don't want to waste my time and money or theirs.

it looks now like i could ask for a referral to a not too far away

MDA clinic and doctor, to Dr. Whiteman at Mayo and/or to Dr. Shields

at Cleveland. i am convinced that a fresh muscle biopsy is my best

option for a diagnosis at this point. on the other hand, i am not

sure that my symptoms are mito but could instead be inclusion body

myositis or some other disease that i am not aware of now just as i

wasn't aware of mito until only months ago. so what do you think, new

friends? should i go with the MDA doc and let hime help direct me

from there? should i go through the hard work of pressing the HMO for

a Mayo appointment (if i can even get in)? or should i go for the

even longer shot of getting the HMO to approve cleveland?

thanks for your suggestions.

kent

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