Like many patients with chronic and rare diseases, I am forced to do thorough research to find specialists capable of handling my complex medical case. I research, make some phone calls, research some more, and depending on how the search goes, I eventually make an appointment with the specialist. I’m often told “Oh yes, Dr. Smith knows about stiff person syndrome” (or any of my other conditions). That’s fantastic Dr. Smith is aware of the condition. It’s a huge actually, but has Dr. Smith ever treated a patient with that condition? If so, approximately how many? How successfully? In this scenario, Dr. Smith may have only seen or heard of one case, perhaps when they were in medical school years ago.
This a critical difference between a doctor being generally aware of a rare condition, but having a doctor that truly knows and understands what they are doing to able to treat the condition can make all the difference. They are dramatically different. For instance, a doctor might have heard of stiff person syndrome and know that it causes muscle spasms, but they may not know that such spasms can compromise my throat, vocal cords, and diaphragm. Muscles that are essential for sustain life and respiratory stability. As a result, they aren’t sure about how to treat it.
In the spoonie community, I’ve noticed that many patients get an appointment with a “specialist”. They have been searching desperately for answers and doctors that can help them; many after years of suffering. So they get their hopes up, only to have their time and money wasted. Because a doctor may not have extensive knowledge on the condition or the treatment options, it is important to distinguish between doctors that are aware of the condition and doctors that are not only aware and understanding, but have successfully treated people in the past.
It’s taken me a while, but I’m realizing that detailed inquiries about the sub-specialties of the doctors while making an appointment can save valuable time and money. So just remember, doctors seeing or hearing about isolated cases of rare diseases is different than a doctor who has treated several patients with the rare condition. Hopefully, this helps to explain doctors and how small questions or information can make or break the experience. Remember, there’s a difference between a doctor that is just aware and a doctor that has seen and treated several people with the rare condition. With that in mind, hopefully we can reduce the number of disappointing appointments and reduce the waste of time, financial, physical, and emotional resources.