"Were to begin. I went to see this doctor because I was less than happy with my previous provider. He asked me why this was so and replied by telling me I wouldn't be happy with him either and he was right. I told him my previous doctor didn't listen to my concern about high doses of a medication which had my family and friends reeling and telling me to stop taking the medication and see a new doctor because it turned me into a bed ridden zombie. He then told me I was wasting his time and threatened to cut off my narco if I didn't listen to him. So I listened and he wanted to up my dose of the offending medication even more than my previous provider had. I asked him what about the side effects and he told me there was none, which was right after I tried to explain to him the problem it had caused me. The more I tried to state my case the more he tried to convince me I was wrong. Hello, I am the patient, I am inside my body, not him, and I know how the medication he tried to push on me affected me. I even tried to tell him why I believed this was so. Incredibly he continued to ignore my pleas leaving me to wonder, is he really that dense? Fortunately I had recently had an MRI done so I was able to receive a one month supply of my narco but not before I was coerced against my better judgement into signing a "pain management contract" which requires me to pass a drug test before I can receive my next month supply. I don't have a drug problem and I'm sure he only did this to protect his bottom line, not because he gave a rip about my well being. Dropping my pain medication would cause me undue physical pain and emotional suffering. He had no problem with that notion and had even stated he had no doubt I was in significant pain. It's obvious he only cares about his bottom line and is fearful of a lawsuit which he should be. He was rude, arrogant, and insulting the entire visit. I pity this doctor and anyone unfortunate enough to have to see him even more so. It's clear he is in the business to make money, not because he cares about the health and well being of his patients. I will be seeing a different doctor and I suggest you don't waste your time with a visit to his office."
"Been going here for about a year and every time I have to wait an hour to an hour and a half beyond my scheduled appointment. The doctor is good, but the staff can be rude and the wait makes the experience not so good and I think I may search for another provider. "
Endocrinology is a medical specialty that deals with glands and hormones. Hormones are substances that act like chemical messengers between parts of the body. They are produced by glands, and travel in the bloodstream throughout the body where they act on different organs and cells to affect many different functions of life. Hormones control our appetite, growth, reproduction, and energy. When there is too little or too much of a hormone, an endocrinologist can help restore the balance.
Endocrinology problems are sometimes difficult and complex because hormones travel throughout the body and can affect more than one system. A single, simple imbalance can produce multiple, very different symptoms. Just a few of the diverse diseases treated by an endocrinologist include:
Diabetes (where insulin is not produced in the body or is not working well, and blood sugar levels rise, which damages tissues)
Hypothyroidism (where thyroid hormones are not produced well, reducing cell metabolism and energy)
Precocious Puberty (where reproductive hormones are produced too early in a child's life)
Gigantism (where growth hormones are overproduced, leading to unusual size)
Endocrinology can contain subspecialties where physicians focus their care on specific groups of patients. For example, some endocrinologists are diabetic endocrinologists who know specifically how to care for diabetics' particular needs in eye care, circulation, and foot care. Pediatric endocrinologists treat children. Whatever their subspecialty, all endocrinologists have the same goal: restoring balance when the body's messaging system is not working correctly.
Hormones are chemicals that are produced by the body and flow through the bloodstream. They control a number of important functions, including growth, metabolism, and sexual development. Doctors that treat hormonal problems are called endocrinologists, and endocrinologists that work with children are pediatric endocrinologists.
Pediatric endocrinologists treat children of all ages, from newborn babies to young adults. Because hormones affect growth and sexual development, endocrine disorders affect children and teens very differently than they do adults. Some disorders, such as precocious (early) puberty, only affect children. Some endocrine disorders have different symptoms in childhood, adolescence, and adulthood. A pediatric endocrinologist must be aware of how hormonal problems specifically affect children's health and development.
Diabetes, a disease caused by problems with the hormone insulin, is the most common disorder treated by pediatric endocrinologists. Other issues include:
Growth disorders, which prevent children from growing or maturing as expected
Pituitary or adrenal disorders
Sex hormone disorders, where the body produces either too little or too much of the hormones that affect puberty and sexual development
Intersex, a group of conditions that make a person's sex unclear
Vitamin D deficiency
Problems with calcium metabolism
Treatment for transgender children, who feel they do not match the gender associated with their external genitalia (many, but not all, pediatric endocrinology offices provide this service)
For most endocrine disorders, treatment involves medication taken to either supplement or suppress certain hormone levels.
Since hormones control so many functions within the body and are so crucial during the early stages of life, an endocrine disorder can be devastating for a child. Pediatric endocrinologists help get your child's hormones back in balance.
Genetics is the branch of medicine dealing with the diagnosis, prevention, and treatment of genetically-linked or hereditary diseases. It includes both genetic counselors and medical geneticists, who may be involved in either patient care or research.
Medical geneticists are doctors who study genes and diseases that are caused by genes. There are many diseases linked to genetics, including:
Single gene disorders, the result of a single mutated gene. Examples include Huntington's disease, which causes jerky movements, and sickle-cell anemia, where red blood cells have an abnormal, rigid shape.
Inborn metabolic disorders, which are a specific type of single gene disorder that results in abnormalities in the way the body chemically processes proteins, carbohydrates or fats. Some examples are Urea Cycle Disorder (where ammonia builds up in the body) and Gaucher's Disease (where fatty substances build up in cells and organs).
Chromosomal disorders, where gene-carrying chromosomes do not pair up correctly or are missing. Some examples are Klinefelter Syndrome, a sex-chromosome disorder, and Down Syndrome.
Congenital abnormalities (commonly known as birth defects), which can be caused by genetic abnormalities. They also can happen because of illness or environmental exposure during pregnancy (such as with rubella), or for unknown reasons.
Other common diseases that have hereditary traits, such diabetes, autism, and some types of cancer.
Medical geneticists typically spend their career in research, although some treat or counsel patients. A patient may see a medical geneticist to obtain more information about their disorder or about how an inherited disorder might impact their family. The field of medical genetics includes the following four subspecialties:
Clinical Genetics: This overarching branch of medical genetics deals with the treatment and management of hereditary diseases.
Biomechanical Genetics: This branch deals with metabolic disorders, such as galactosemia and phenylketonuria.
Cytogenetics: This specialty deals with chromosomes and their associated diseases, as well as testing their structure and number.
Molecular Genetics: This specialty focuses on DNA, interpreting DNA sequencing and other tests, and relating DNA information to specific diseases.
Related to medical genetics is the field of genetic counseling. These healthcare professionals are not physicians, but they are educators who help patients interpret medical information about genetic risk, which can sometimes be difficult to understand or overwhelming. When families face the possibility of having a child with an inherited disease, genetic counselors educate them about their specific risks and options. They analyze patterns in family history and interpret the medical probability of a genetic disease occurring. They provide support and put families in contact with resources. Genetic counselors help families adapt to all of the implications that a hereditary disease can have in their life.