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Re: Attention Weston and All Firing My New GI Doc (Recommended By Dr. Lehm

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Hi ,

Alot to digest in this post and I want to give it some thought

before giving you my opinion....

But from the top of my head, nothing that any of your doctors are

saying is surprising nor is it necessarily wrong or unexpected.

You are just seeing the difference of opinions that are out there

between those doctors that are more liberal with the diagnosis

of CP and those that aren't. You are aware that manometry and

SOD as well as dyskinesia are all very, very controversial

because there are no standards published and no overt,

unchallagened anatomical or physiological changes that can be

imaged or otherwise subjectively proven. Basically, these

diagnoses are as open to interpretation as those given for CFS,

fibromyalgia and IBS....that is, to some they are " real " diseases

with proven disability....to others, they are some new age, yuppie

life style disease that just doesn't deserve the term disease.

Don't mean to depress you further, but you need to realize that

you may have a very uphill battle here.......

Laurie

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I know Laurie...I really do and thanks for writing. But 's

post really helped to put my mind at ease at least as far as what I

can expect as a fed. gov't employee....I'm so grateful for her

explanations. But I absolutely do know what you're saying

here...open to MUCH interpretation and probably some luck but most

of all...the way the fed gov't looks at things like " benefit to the

fed gov't if I leave my slot (billet), how the " mission " is

affected, etc., etc. Hope to " talk " to you soon...how have you been

feeling lately?

Thanks as always

>

> Hi ,

>

> Alot to digest in this post and I want to give it some thought

> before giving you my opinion....

>

> But from the top of my head, nothing that any of your doctors are

> saying is surprising nor is it necessarily wrong or unexpected.

> You are just seeing the difference of opinions that are out there

> between those doctors that are more liberal with the diagnosis

> of CP and those that aren't. You are aware that manometry and

> SOD as well as dyskinesia are all very, very controversial

> because there are no standards published and no overt,

> unchallagened anatomical or physiological changes that can be

> imaged or otherwise subjectively proven. Basically, these

> diagnoses are as open to interpretation as those given for CFS,

> fibromyalgia and IBS....that is, to some they are " real " diseases

> with proven disability....to others, they are some new age, yuppie

> life style disease that just doesn't deserve the term disease.

>

> Don't mean to depress you further, but you need to realize that

> you may have a very uphill battle here.......

>

> Laurie

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