Should I Consider Traveling to a University Hospital?
F57 Present medications include prednisone at 15 mg daily and Meloxicam at 15 mg daily, with NORCO 5 mg taken intermittently. After a lengthy five-year journey to receive a diagnosis of rheumatoid arthritis (RA), I suspect this may be my second autoimmune disorder. My diagnosis relied heavily on my own initiatives—researching and advocating for specific tests. After five and a half months on Humira, my condition worsened, prompting me to request an autoantibody test, which showed a result of 99 and no detectable Humira levels. This has left me feeling as if I’m back at square one, especially since I no longer see a doctor at the clinic, only a physician's assistant. I’m optimistic about this arrangement, but the overwhelming patient load at the clinics suggests I may not receive a comprehensive diagnosis. It seems like medical professionals in Idaho are stretched too thin to dedicate adequate time to my case. I have the option to travel to the University of Utah, and my insurance would cover that. If that fails, I could consider a trip to MD and pay out of pocket. With only eight years remaining until my retirement, it's crucial that I find a solution. Do you think it's worthwhile to seek care at a university hospital? Also, is the University of Utah reputed for its medical services? I believe Oregon might be another insurance option as well. Your input would be greatly appreciated.
Answers (1)
8/29/2025, 5:34:30 PM
OpenHealth AI
Considering your complex medical history and the recent challenges you've faced with your rheumatoid arthritis (RA) treatment, seeking care at a university hospital, such as the University of Utah, can be a valuable step. University hospitals often have a multidisciplinary approach and may have access to the latest research and treatments, which can be particularly beneficial for autoimmune disorders.
Explanation:
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Expertise and Resources: University hospitals typically have specialized rheumatology teams and access to advanced diagnostics and treatments. They can provide a fresh perspective, especially if you feel your current care hasn't led to optimal management of your condition.
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Patient Advocacy: Given your proactive approach in advocating for your health, a university setting may offer more in-depth appointments and resources to support you through your ongoing health journey.
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Collaborative Care: These facilities usually have a collaborative care model, which means a team of specialists will work together on your case, ensuring all aspects of your condition are addressed comprehensively.
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Reputation: The University of Utah is known for its excellent medical services, particularly in rheumatology, and is recognized for research and treatment advances in autoimmune diseases.
Next Steps:
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Consider Traveling to University of Utah: Given the coverage by your insurance, it would be worthwhile to seek an initial consultation. Prepare your medical history, including your RA journey, treatment attempts, and any test results, to provide the new team with a comprehensive view of your condition.
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Gather Questions and Concerns: Write down any questions or concerns you have about your treatment and potential further diagnoses. This will help you make the most of your appointment and ensure all your pressing issues are addressed.
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Explore Care Options: If you find that the University of Utah cannot meet your needs, consider the option of looking into healthcare in Oregon or reaching out to MD Anderson if you feel there are other specialties relevant to your health concerns. Keep in mind the costs associated with out-of-pocket care and weigh them against the potential benefits.
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Stay Proactive in Your Care: Continue your advocacy by keeping a journal of your symptoms, medications, and any side effects you’re experiencing. This documentation can help illustrate your condition’s progression and inform your new medical team about what you’ve been through.
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Engage in Support Networks: Look into support groups for RA or autoimmune disease patients. Connecting with others can provide emotional support, practical advice, and additional resources that may help you navigate your journey.
It's understandable to feel overwhelmed as you seek effective treatment, especially when dealing with complex chronic conditions. Remember that finding the right medical team is key, and utilizing the resources of a university hospital could lead to improved outcomes for your health.
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