Rheumatologist (3 posts)

Rheumatologist appointment

I went to see my rheumatologist today. I filled out a form about my medical history, and soon after, the doctor came to see me. He asked how I was doing, and I said good. I’d written on the form that I’d stopped taking imuran, so I guess he noticed that and said my Crohn’s must be under control, which I confirmed. I don’t remember exactly what he said, but I guess he said my bones had improved. What I do remember him saying was “you don’t have osteoporosis any more”. I think I knew he had told me I had osteoporosis previously, but I’m not sure it ever really registered with me. So that’s good to hear I guess, not that I ever really noticed I had osteoporosis in the first place.

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Follow-up with rheumatologist

Every couple of years, I go to see a rheumatologist, which is a doctor who basically specializes in bones. I don’t recall the exact circumstances about why I first went to see him, but I believe my family doctor referred me to him because the steroids I was taking to deal with my Crohn’s when I was first diagnosed have negative effects on your bones.

On my appointment card, it reminds me to book a bone density test two months prior to my appointment. My family doctor had already phoned me earlier this year and asked me to do a bone density test since I hadn’t had one in a while, so I had already done a test back in April. At the time, I knew I had an appointment coming up in September, so I asked the woman who administered the test if I needed to get another one before my appointment. She said OHIP (Ontario Health Insurance Plan) only covers bone density tests once a year, so I couldn’t have another test. I phoned the rheumatologist’s office to confirm that they received the results of the bone density test, and they said it wasn’t a problem I had done the test earlier than they had requested.

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An appointment with a rheumatologist

Bone density scan results and recommendations from my doctors

I previously wrote about getting a bone density scan and receiving the results from my gastroenterologist and family doctor. My bone density is low (due to taking steroids like Prednisone and Entocort, and also just as a side effect from inflammation from Crohn’s disease), so my doctors recommended I start taking calcium and vitamin D and some tablets called Alendronate. I started taking the vitamins, but not the tablets (because I can’t swallow pills). My family doctor got me an appointment with a doctor (a rheumatologist) who specializes in osteoporosis and other conditions like that. My family doctor thought I should see a specialist before taking the Alendronate tablets.

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