Vitamins (4 posts)

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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Bone density scan

I had an appointment with my gastroenterologist in January. I’ve been taking Imuran since June 2012 and Entocort since September 2012. At my last appointment in September, my doctor told me I would only take the Entocort for a few months and then taper off, which I have been doing since then.

Using steroids (like Entocort) that areoften prescribed for Crohn’s disease can lead to osteoporosis if they are used for a long time. I had previously also taken the steroid Prednisone for a few months, so my doctor booked me for a bone density scan. I had the test back in January, and I would get the results in April, the next time I saw my gastroenterologist.

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I’m on drugs!: A new gastroenterologist and Prednisone

Last week, I had an appointment with a new gastroenterologist. The reason I have a new gastro doc is because back in January/February, I was doing pretty bad. I wasn’t sure if I was having a flare-up, because I also had the flu around the same time. I don’t know if I’ve ever had the actual flu before this, because this time was really bad. And frustrating, because I was missing classes, which makes me stress out, which makes me even sicker. I tried going to my linguistics class, but I had to sit down in the hallway halfway there, and then I just ended up going back home. My parents came to see me in residence just to make me scrambled eggs so I would eat something. It really, really sucked.

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