Cannot catch a break!

I am having the worst time getting answers! I've wrote before about two neurologists seeing me and saying Chiari I doesn't cause symptoms and dismissing me as having CFS. One neurologist absolutely refused to let me see a NS. The other consented to send a referal after I literally cried...now I've been waiting over 2 months to see if UVA will see me and so far it is looking like no.

In desperation I decided to send my MRIs to the Mayfield Chiari Center in Ohio even though they do not take my insurance. I just really want some straight answers from someone who is familar with Chiari. Mayfield has been super helpful and a doctor there has agreed to see me but he wants a CINE MRI first. They faxed a letter to my doctor to have her order it because she is in network and the insurance will pay if she orders. Well she refused. She says it's outside her field of expertise, she's never heard of this test, and she just doesn't feel comfortable ordering it. Says if they want it done they need to order it. So I guess now I'm looking at paying out of pocket or just giving up. :(

I'm just beyond frustrated. Dealing with constant pain and fatigue. Having to work overtime daily because my boss is on maternity leave for a full 12 weeks. Still being way behind on my workload. I'm just sick of it. :(

Sorry for the huge rant!

Take your letter requesting the MRI to your pcp, see if you can get them to order that!

I would take it to your PCP. Or go over your NL's head

Keep working on it! Keep asking your doctor. There is no reason that you shouldn't have the test. It is diagnostic. if she cant figure out what's wrong, she should help others figure it out. Tell the doctor to call the Mayfield clinic and learn about the test. It is not your fault that she doesnt know about the test. It is her job to take care of you, not to stand in your way!

The problem is that my PCP refuses to order the test because it's outside her field. I don't have a neurologist who could help. Both of the ones I've seen have said Chiari 1 doesn't cause symptoms and that I have chronic fatigue syndrome. One even said that any NS who would operate on a Chiari 1 patient should lose their license...I left both of those appointments in tears and honestly would rather go in debt to pay out of pocket than speak to either of them again. I guess I'm just ranting and frustrated because it looks like I will have to pay out of pocket. :(

Also irritated because I feel like no one takes me seriously. Today even my husband said something sarcastic about me laying around all the time at home. :(

Let me get some coffee in me and try to get this mirgraine under control and brainstorm for you. I bet if we put all of our heads together we can come up with ideas here

I so understand where you're coming from. My own family doctor and my ENT told me Chiari/Syringomyelia doesn't cause any problems. But I felt like I was dying, vertigo, dizziness, numbness etc etc. It took me crying my eyes out at doctors surgery pretty much begging for a referral to a neurologist. As soon as that happened everything changed for me, saw the neurologist, 1 week later saw the neurosurgeon and 2 weeks later decompression surgery. THE BEST THING ever! I am continuing to improve every day. My advice to you is keep trying to see a Neurosurgeon. Good luck

Angie

Update: The people at the Mayfield Chiari Center are beyond wonderful. They called and spoke to the nurse at my doctor's office, faxed her a bunch of literature on chiari and CINE MRIs, they even faxed her a sample order so she could feel confident ordering it. I have an appointment next Thursday for the MRI and I will be seen at Mayfield on July 5th.

I also called UVA to see what happened to my referal there (I've been waiting for an appt. since March) and it turns out there was a snafu with the insurance company the referal never got sent. I got that all cleared up and am scheduled for a consult there on June 20th.

Wow Anglyn, that is wonderful news!!! I am so glad that you are getting somewhere. It is all very frustrating and overwhelming, but now there is a light at the end of the tunnel. Please let us all know how your appt on the 20th goes and you MRI. Good Luck!!!

Anglyn said:

Update: The people at the Mayfield Chiari Center are beyond wonderful. They called and spoke to the nurse at my doctor's office, faxed her a bunch of literature on chiari and CINE MRIs, they even faxed her a sample order so she could feel confident ordering it. I have an appointment next Thursday for the MRI and I will be seen at Mayfield on July 5th.

I also called UVA to see what happened to my referal there (I've been waiting for an appt. since March) and it turns out there was a snafu with the insurance company the referal never got sent. I got that all cleared up and am scheduled for a consult there on June 20th.

I know this is long, but please read through it. I gave/sent this to a lot of my family/friends. It seemed to help them understand a bit more. No one understands Chiari unless they've lived with it! Hope this helps!

Chiari Support: How to help me, help myself and so on.

Having been diagnosed for some while now and trying to get my life back to normal (whatever normal may be), I know friends and family have a tough time knowing what to do and what to say sometimes. They do get it wrong at times, they do judge and they do make silly comments, but in general they do not understand. I don't really expect them to fully understand - but do appreciate very much the fact that they are trying.

This post isn't me being self indulgent; although I am going through a difficult patch right now......... perhaps doing this will help me to understand it more too.

It is a little lengthy, but I PROMISE you that this post has a purpose.

I don't look ill...... although I might have a pained expression in my face which may appear to be outwardly grumpy. Take it that I am in pain and I am trying to hide it from you the best I can.

If I am quiet or in a non-talkative mood, don't assume that I am in a bad mood, I am merely trying to come to terms with what I can no longer achieve, or can no longer do all that I want to do, and that it is very frustrating.

On the other hand, I might be exhausted from dealing with the pain and discomfort, or trying my hardest not to just lay down.

Do try not to pity me, I can do that very well for myself at times and I do try my hardest not to sink deeper in to it.

Don't compare me to other people with "similar" pain issues, everyone has their own problems, some worse than mine, some not so. Some people have managed to come to terms with it, I might not have yet. Pain is different in all people. Not even two Chiarians have the same symptoms, although we do share a common bond.

I know it could be a lot worse, and I am grateful that it isn't, I really am, but it doesn't make me feel less pain or feel better. In fact sometimes it makes me feel down that there are people that are worse off than me.

Just because I am in pain, doesn't mean that I can do much about it. Some medications don't work; some have horrible side effects and give me other problems that add to the stress and feeling of unwell.

Don't tell me what I can and cannot do, don't label me as disabled. I want to try and do the things that I used to so, if I can't, then at least I have tried and have checked off another box. Don't blame me for trying again and again........ I will get the message eventually.

Don't assume that I am angry or upset with you......sometimes we make mistakes and lash out at others. It is merely frustration with myself. I don't mean it, I might have missed the fact that I have upset you. Don't ignore it, tell me so.....but do it nicely please, let’s not start an argument.

Don't think that just because I can do something today, that I can do it again, or can do it tomorrow or the day after. My symptoms can change daily, my energy levels and patience can be drained by the simplest of tasks one day, and appear easy to do the next.

Try to treat me as a "normal" human being, I will respect that and will be very grateful. Try to encourage me to do "normal" as much as possible.

Don't make exceptions for me; I can do that for myself.

Don't be upset if I cancel long standing plans at the last minute - I want to be there, and I am trying to be there but sometimes I can't and don't have the energy or capability on the day. I cannot plan ahead with certainty but I will plan.

If I chose to be alone and spend time in my room, it is not because I don’t want to be around others. It is just easier sometimes to deal with the pain when in a quiet environment.

Learn about my condition and you will be better armed to either help me when you can, or be aware that sometimes I do need help and haven't asked for it, or that I really don't mean to be rude or ungrateful. I am very grateful; I need friends now more than ever. You will know why I react in the seemingly wrong way sometimes........it will help you stop feeling like you have upset me - You haven't.

Don't be afraid to ask me how I am......I won't always give you bad news, so don't ask expecting it. Sometimes I might - so don't ask if you don't want to listen.

Help me to see my behavior through your own eyes - but take a step back first and try and see it through my own.

Don't think that I am just in pain and that's the end of it - there's a reason that the pain is there - it's my bodies way of telling me there's an issue somewhere. That pain leads to other symptoms, and there are many other affects caused by this condition. Most of which I have no control over.

Don't be afraid of offering me a hug or giving me a little encouragement - we all need that sometimes. If I reciprocate or give you a smile back it means that I appreciate it, if I reply with a grumpy face - I still do appreciate it - very much, there's just something else going on inside my head.

Don't be sad that you cannot take my pain away, don't feel helpless because you cannot help me, what's the point in us both feeling frustrated and useless? Most of the time, I can't do anything about the pain myself.

If I tell you that I cannot do something - I really mean it. If I tell you that I am in pain - don't ask me to complete a task and then get upset if I can't. I will always try my best.

If you ask me to do something - and it's not done by the time you think it should be - it isn't because I forgot (well not always) nor is it because I am lazy (although I still can be) it is because I used up all of my energy doing other things. Sometimes all I can manage to do is to sit down and sleep - it doesn't mean that I expect you to do everything for me - it just means that I cannot do as much as you sometimes expect me to and as much as I used to do. I will get around to it - tomorrow I might feel able.

My time table will not always match yours - I can't help it. That's just the way it is.

My life has changed drastically - and not for the better. Please don't expect yours not to change if you are involved in mine.

Know that I still love you, I might shout, I might grumble, I might complain, I might get easily frustrated. I am very grateful of the help and support - just don't make me beg for it.

I have a lot to come to terms with, I have a lot to face up to, and it takes time to do so and even longer to accept.

Frustration can bring out the worst in us all - there are two sides to every coin.

I am not always miserable - but by giving me something else to worry about isn't necessarily a good thing - there's enough going on right now.

Although I may seem to take all your help and support for granted sometimes, always know that I appreciate all that you do.

Sometimes I get angry because I want you to understand what I am going through, even though I would never wish this on anyone.

Be patient with me, I am doing my best!

Don't be sorry for expressing your feelings!! thats why we are all here. I think that your doctor is being cracker jacks ( I gave up swearing for the new year) all she is being asked to do is write an order for a test she doesn't have read it she doesn't have to do anything else with it - just order it. I am so sorry you are going through this.I would take that letter to any of the doctors that you have seen beg plead what ever till you can get one of them to order it. Just don't give up!! we are all rooting for you

Hey Anglyn, one thing I haven’t seen mentioned is that if those Drs are telling you that, I would not go back to them! There has to be a dr in your area that treats Chiari pts even if you have to travel a little ways. Any NS that knows Chiari knows what a CINE flow MRI is. Ask how many decompression surgeries for Chiari they have done. If not many then go somewhere else! It sounds like you’re on the right tract. You have to be an advocat for yourself cause no one cares as much about your brain & symptoms as you do just my 2 cents. Good luck.

Anglyn said:

The problem is that my PCP refuses to order the test because it’s outside her field. I don’t have a neurologist who could help. Both of the ones I’ve seen have said Chiari 1 doesn’t cause symptoms and that I have chronic fatigue syndrome. One even said that any NS who would operate on a Chiari 1 patient should lose their license…I left both of those appointments in tears and honestly would rather go in debt to pay out of pocket than speak to either of them again. I guess I’m just ranting and frustrated because it looks like I will have to pay out of pocket. :frowning:

Also irritated because I feel like no one takes me seriously. Today even my husband said something sarcastic about me laying around all the time at home. :frowning:

Hey Anglyn, one thing I haven’t seen mentioned is that if those Drs are telling you that, I would not go back to them! There has to be a dr in your area that treats Chiari pts even if you have to travel a little ways. Any NS that knows Chiari knows what a CINE flow MRI is. Ask how many decompression surgeries for Chiari they have done. If not many then go somewhere else! It sounds like you’re on the right tract. You have to be an advocat for yourself cause no one cares as much about your brain & symptoms as you do just my 2 cents. Good luck.

Anglyn said:

The problem is that my PCP refuses to order the test because it’s outside her field. I don’t have a neurologist who could help. Both of the ones I’ve seen have said Chiari 1 doesn’t cause symptoms and that I have chronic fatigue syndrome. One even said that any NS who would operate on a Chiari 1 patient should lose their license…I left both of those appointments in tears and honestly would rather go in debt to pay out of pocket than speak to either of them again. I guess I’m just ranting and frustrated because it looks like I will have to pay out of pocket. :frowning:

Also irritated because I feel like no one takes me seriously. Today even my husband said something sarcastic about me laying around all the time at home. :frowning:

Thanks for all the advice! :) I will update as to how the appt on the 20th goes and also my appt on the 5th @ Mayfield!

Nicolee, that was a wonderful post! I will remember these points when people are getting frustrated with me! There is no way they could be more frustrated that I am about this condition and my limitations!