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Hello lyn,

Heidi has given you such a lot of excellent information that I'm

sure you feel in a much better situation to speak to your docs now.

I just wanted to add a couple of things from my own experience.

It really is difficult sometimes to diagnose chronic pancreatitis in

its early stages. (I'm not sure why, given your history, you doc

thinks your pain might not be pancreas-related. I presume there must

be reasons.) I have had CP all

my life but only received my diagnosis last May. In 1988 my then

gastroenterologist was unable to diagnose the disease

despite an ERCP and CT scan. The tests were inconclusive. Damage

does not always show up although

I expect diagnostic testing may well be better to-day. Pancreatitis

is rare and even gastroenterologists don't see cases on a daily

basis. Research does indicate that pancreatitis patients, especially

when any kind of surgical intervention is required, do best at

specialist pancreatic centres. Now, I'm sure your specialists are

good. There will be facts about your condition that we cannot

possibly know and only the docs treating you can properly understand

your case. EVERY CASE IS DIFFERENT. The gastroenterologist

(physician)I see to-day is superb, not only supportive but also

experienced in carrying out all the diagnostic tests Heidi refers

to. I have great faith in him and would be very happy if he were the

only specialist I had seen so far. However, he also referred me to a

pancreatologist (surgeon) to have his opinion as well. A

pancreatologist obviously deals only with pancreatic disease, all

the time. I am fortunate in that my hospital, which is a large

teaching university hospital, has a very experienced pancreatic team

(both practising and researching) so it was easy for me to be

referred. In the end, they both broadly agreed on my treatment

although there are one or two significant differences. I do think it

might be worthwhile for you to ask about a referral to a specialist

pancreatic unit if that hasn't already happened. I know distance may

be difficult (my specialist sees many patients from out of area) but

it's just something you might want to think about.

Good luck with your condition,

Best wishes,

Fliss

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