Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
please enter chat
Hi I'm Dr. Phil
Can I ask your first name?
I'm sorry you are feeling so bad :(
Good news is I think I have your answer
Was your thyroid checked lately?
Proberbly 6mths ago ,my doctor said it was in the normal range
okay, was adrenal gland function tested too?
any evaluation for autoimmune disease like lupus and rheumatoid arthritis
Not as i know about .i recently took a water sample as i go frequently & drink lots of water but my urine was very smelly ....but nothing came back bad
you need a thorough evaluation for autoimmune diseases.
This includes lupus, rheumatoid arthritis and adrenal gland disease
I recommend the following tests
Sed rate, CRP, ANA, rheumatoid factor, CCP, 8 am cortisol and ACTH level, 24 hour urine cortisol
mmmm how do approach my doctors about this ? i have an appointment tomorrow,because its making me feel so low
I would just tell them the history and ask about autoimmune disease
many doctors simply don't think of it
can i just ask is this an american site ,as i am english .
It is both
We have US and UK docs on here
The US docs sometimes help English and vice versa
my doctors never seem very thorough & think a 30 min brisk walk solves all ailments
So I have heard
Maybe you could write down or print out my recommendations and take them in
I would just ask. You will never know unless you ask
ok i thank you ,i will try this many thanks
you're welcome :)
Did I do excellent work for you today?
please don't forget to click the positive face before exiting
will do good nite:)