u/No-Chemical3765

Image 1 — Doctor refuses to believe my symptoms, blood work and disregard’s findings on imaging and labeled me as a hypochondriac.
Image 2 — Doctor refuses to believe my symptoms, blood work and disregard’s findings on imaging and labeled me as a hypochondriac.

Doctor refuses to believe my symptoms, blood work and disregard’s findings on imaging and labeled me as a hypochondriac.

Need advice because I’m honestly shocked by what happened with my new GP (only my 3rd visit with her). Only went because my regular gp is on maternity leave. I went in because my pelvic floor physical therapist found a knot/lump in my lower abdomen and suggested I may need an ultrasound to rule out a hernia. My doctor examined me, didn’t find one, which is fine, but then documented concerns about illness anxiety/somatic symptoms in my chart.

What upset me is that the note made it sound like all my testing has been normal except fibromyalgia, which isn’t true. I was actually diagnosed with Rheumatoid Arthritis by a doctor within the same hospital system in 2019, and I also have elevated CRP, lumbar spine curvature/LSTV findings, SI joint effusion on MRI, cervical straightening, and diagnosed hypertonic pelvic floor dysfunction by a urogynecologist. All of this is in my medical record which she knows.

She specifically mentioned me requesting imaging, but I requested X-rays before seeing rheumatology because I’ve had untreated RA symptoms for years and wanted to make sure there wasn’t already joint damage. She had no problem with this. Most imaging came back okay except lumbar spine findings, which I was honestly relieved about.

She also wrote that I have a “bladder-brain axis disorder,” which I never said. My urinary frequency has been explained by my hypertonic pelvic floor diagnosis, which is why I’m in pelvic floor PT now. My PT also recommended yoga and meditation classes to help relax my muscles/body and improve movement, which I’ve started doing.
The whole thing made me feel like she was framing me as a hypochondriac instead of someone genuinely trying to figure out chronic pain symptoms with documented findings. From the first visit she recommended me see a therapist because I’m so young and in so much pain so it’ll be good to have someone to talk to. I respectfully declined because I’m in a good mental state regardless of my pain & I also don’t have the money to pay for it. Now today she’s saying I need to see a psychiatrist. Have you ever experienced anything like this? 

UPDATE:
I called her out and rebutted everything calmly and respectfully.

My GP is officially standing by the F45.21 hypochondriasis diagnosis she added to my chart after only a few visits. She says it was based not just on symptoms/labs, but on “behavioral patterns,” medication concerns, healthcare interactions, and discussions about previous doctors. She even stated that even if I’m later diagnosed with an autoimmune/rheumatologic disease, it would not change the behavioral concerns that led to her assessment.

What upset me most was her mentioning impressions from previous doctors in a way that made me feel like I had already been labeled behind the scenes. The situations with those doctors had legitimate reasons, including one refusing an MRI until I pushed for it to be documented, which later showed cervical straightening explaining my neck pain.

Meanwhile, my current GP never actually had a negative interaction with me. I accepted every recommendation respectfully. She also acknowledged I do have documented findings and ongoing medical issues, but still believes the psychiatric diagnosis fits. I honestly feel defeated that this is now permanently attached to my chart while my workup is still ongoing and now she’s acting like it was mostly based in my behavior, observation, past records and less on significant findings like she stated.

u/No-Chemical3765 — 1 day ago

During the consultation, within the first 3 minutes, he says he thinks I have Ankylosing Spondylitis. When he examined my shoulder, he was actually appalled by the state it was in and said it was a “bad shoulder” & mentioned the swelling. I am currently tapering off 20mg Prednisone on and 15mg Meloxicam.
Here are my labs:
CRP: 1.0 mg/dL (Lab range is 0.05 - 0.5). It is flagged with an "H" for High, Anti-CCP, RF, and ESR were normal. He was going to start Methotrexate but took it back because I haven't had an ANA test yet. I showed him my Ana was elevated in 2019 but he forgot when prescribing it & thought it was a recent test. He told me I have "no signs of inflammation." That was his reason for taking the prescription back. And he said he doesn’t know what’s going on with me when he’s getting me tested for AS. When I asked me not being inflamed is possible since 1.0 is double the limit while I'm on steroids, he got extremely rude and basically saying he’s going by science."
I wasn't even arguing for those particular meds, I was asking for a clear understanding of his reasoning and how he would treat me if all my test negative seeing how that’s very possible. I was concerned because he kept acting like I dont have inflammation and pains which I clearly do. He treated me like a pill-popper just for wanting to understand my own results. He even told me I should find another doctor because I was asking follow-up questions. He ordered me to get a hla-b27 test, sacarum/coccyx mri & the Ana test done. The problem is where I’m from it takes 2 weeks to get the bloodwork results back.

Is this normal, to not give me anything in the meantime when I’m in a lot pain until the ana comes back? He told me to go to the er to get medication then they’ll send the results back to him.. like what?

Ps. He’s almost 80 if not 80 already

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u/No-Chemical3765 — 12 days ago

I’m 25 years old, I’ve been untreated for 8 years and I feel like I’m being gaslit by my Rheumatologist. It’s like he flipped a switch. During the consultation, within the first 3 minutes, he says he thinks I have Ankylosing Spondylitis instead of Rheumatoid Arthritis which a GP diagnosed me with. When he examined my shoulder, he was actually appalled by the state it was in and said it was a “bad shoulder”. He said I’d need a shot because it was so bad (though he weirdly didn't order any imaging for it & never gave the shot).

I am currently on 20mg Prednisone which he’s tapering he off of, and 15mg Meloxicam.
Here are my labs (ps. A previous Rheumatologist ran my labs but she thought I was too young for an autoimmune disease so I brought them to this current Rheumatologist):
CRP: 1.0 mg/dL (Lab range is 0.05 - 0.5). It is flagged with an "H" for High.
Other Labs: Anti-CCP, RF, and ESR were normal.

He was going to start Methotrexate but took it back because I haven't had an ANA test yet. I showed him my Ana was elevated in 2019 but he forgot when prescribing it & thought it was a recent test. Now that he’s tapering my Prednisone, I’m in more pain, and I’m starting Physical
Despite the "H" on my labs, my symptoms and the fact that he saw the swelling with his own eyes, he told me I have "no signs of inflammation." That was his reason for taking the prescription back. And he said he doesn’t know what’s going on with me like he has no clue when’s getting me tested for AS. When I asked me not being inflamed is possible since 1.0 is double the limit while I'm on steroids, he got extremely rude. He kept cutting me off, saying "Can I talk?" and "I'm not giving you the meds and basically saying he’s going by science."
I wasn't even arguing for those particular meds, I was asking for a clear understanding of his reasoning and how he would treat me if all my test negative seeing how that’s very possible. I was concerned because he kept acting like I dont have inflammation and pains which I clearly do. He treated me like a pill-popper just for wanting to understand my own results. He even told me I should find another doctor because I was asking follow-up questions.
Here’s some of the pain I deal with: I have systemic pain and inflammation almost everywhere, wrists, ankles, knees, back and shoulders. My neck and back are the worst tho. I have neck straightening and exaggerated lumbar curvature. I also have pelvic floor dysfunction, which makes moving even harder. He ordered me to get a hla-b27 test, sacarum/coccyx mri & the Ana test done. The problem is where I’m from it takes 2 weeks to get the bloodwork results back.

Is it common for doctors to ignore a "High" CRP just because it's not "high enough," even when the patient is on 20mg of Prednisone & 15mg meloxicam which can affect the results? And to withhold prescribing any meds when the patient is in a lot of pain because they don’t have an Ana test?

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u/No-Chemical3765 — 12 days ago