Finding a New Doctor with CMT

Jill Price avatar

by Jill Price |

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When you have a chronic illness, finding a doctor who is knowledgeable about your condition can be a long process. Depending on your disease it may be difficult to locate a medical expert close to where you live.

I have Charcot-Marie-Tooth (CMT) and following my diagnosis, I was surprised at how few doctors knew about the disease. Previously, when I’ve sought to change physicians, the CMTA website was the first place I looked. It contains a list of doctors who have experience with CMT. When I meet a new practitioner, one of the first questions I ask him or her is, “What do you know about CMT?” I’ve received answers ranging from “Not much,” to “I have heard of it,” and “You’re my first CMT patient.” When the doctor says the latter, I don’t usually return. This may sound harsh but I need to prioritize my healthcare, which means attending a doctor who understands my condition.

Once you find a doctor you feel you can trust it is important to talk to them about your disease. An article on the website U.S. News & World Report recommends ways to improve communication and make sure your doctor understands your condition:

  • Write down your symptoms and when they occur.
  • Describe how your symptoms impact your daily life.
  • List all of your medications.
  • Ask questions and for clarification of terms you do not understand.
  • Use the “teach back” strategy. This where the doctor explains a condition or treatment and asks the patient to repeat it back in their own words to make sure they fully understand.

While it may take time to find a new doctor, it is worth it. Be confident with your doctor. I have changed physicians when I did not feel that were doing what was best for my son or me. I’ve learned that it’s OK to leave one doctor for another who better meets my needs. If I am not comfortable with the person, I may not be willing to be open — and that’s not a good situation to be in when it comes to medical care.

When meeting a new doctor for myself or my son, I try to keep an open mind while asking questions. My son’s first pediatrician knew CMT and consulted with a neurologist when needed. Before meeting him, I gathered information and prepared questions. He was happy to answer them and he asked me about how CMT affects my son.

A few years later when we needed to find a new pediatrician, I repeated my strategy. I found a doctor who admitted he did not know a lot about CMT, but I was impressed when he told me he had researched it. I chose him, and that turned out to be the right decision — he went out of his way to learn how best to treat my son.

Finding a doctor who is willing to work with you around your medical needs is vital. I am grateful to doctors who admitted they did not know much about CMT but were willing to ask questions and find out more about the disease. Attitudes like theirs make management of my medical care easier and allow for a better doctor-patient relationship.

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Note: Charcot-Marie-Tooth News is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of Charcot-Marie-Tooth News or its parent company, Bionews Services, and are intended to spark discussion about issues pertaining to Charcot-Marie-Tooth.

Comments

Dorothy Cheatwood avatar

Dorothy Cheatwood

I have not yet been diagnosed with CMT, but several siblings have it. And, I am beginning to have symptoms like theirs. I didn’t know there are different types. My physician has referred me to a neurologist, but I’m not sure it’s the right decision for me.

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Ginger avatar

Ginger

You can start with a neurologist and suggest that a genetic test be run since you have several siblings with it. They usually don't find it otherwise.

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Jill Price avatar

Jill Price

Thanks for the advice.

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Peter avatar

Peter

My wife has been diagnosed by a neurologist from Wayne State University a few years back....but we now need a dr that we can trust that understands cmt and get treat symptoms such as horrible body cramps. We live in Michigan and have great medical insurance...any ideas?

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Jill Price avatar

Jill Price

I would suggest going to the Charcot Marie Tooth Association;s website. They have a list of providers.

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Susan Williams avatar

Susan Williams

Hello. I am at a complete loss. I was told today that I have a severe form of CMT, and although is is well respected, diagnosed me on a cursory history, numerous blood tests and nerve conduction studies. He was only forthcoming on treating with gabapentin and physical therapy. He is a man of few words. I called the CMTA, and Laurel said she was surprised I was diagnosed only using those tests, and asked me about my symptoms. I explained that my bones are literally disintegrating (my orthopedic surgeons words), I have problems swallowing, sweating, eyesight, hearing, incontinence, balance, gait, weakness, pain, pins and needles, etc. she said to get a second opinion, which includes genetic testing, especially since she has not heard of the bone problems, and that is my chief complaint. I am so disheartened. It has taken months to get this far, and she was saying “start over” basically. The closest CMT specialist on their list is over two hours away. I am crushed at this point. I have been dealing with this for more than 1/2 of my life, and it’s getting worse all of the time. I will welcome any wisdom you have!! Thank you!

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Kelly Stephens avatar

Kelly Stephens

I am desperately looking for a orthopedic surgeon that treats CMT. I am seeking a second opinion. The surgeon I have now knows how to amputate but that's it. I have a left syme amputation, would try and see other options for my right foot. I have reached out to my primary care and googled everything under the earth. I'm in a isolated area of WI. It's been put into my hands and would truly appreciate some guidance.

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Allison Justo avatar

Allison Justo

Kelly, please research Dr. Glenn Pfeffer. He has done more CMT foot surgeries than anyone… is considered the leading expert. His office is in California…

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