Adults with a stature resembling that of children should consult an endocrinologist?
I am currently 44 years old and 131 cm tall.
I would like to apply for a disability certificate.
When I visited the endocrinology department at Taoyuan Hospital, I encountered Dr.
Dong, who questioned the items related to congenital metabolic disorders and rare diseases in the certificate.
He even asked if my short stature could be considered a metabolic disorder and disregarded my height.
Currently, I have not received any assistance in completing the disability assessment.
He stated that only unprofessional doctors would approve my application for the disability certificate, suggesting that only individuals who are 180 cm tall would be considered abnormal.
For the diagnosis of my short stature, he recommended that I go to a medical testing center due to insufficient equipment at Taoyuan Hospital.
I would like to know how to file a complaint against such negligence and lack of compassion from a physician.
Additionally, for someone with my height and body type, which department should I consult to apply for a disability certificate, since the endocrinology department does not handle this? Perhaps this is just Dr.
Dong's personal behavior.
Furthermore, I do not understand my symptoms.
At 44 years old, I am 131 cm tall and weigh 73.7 kg, as measured during my initial registration at Taoyuan Hospital.
1.
For the diagnosis of pituitary growth hormone deficiency and metabolic disorders, which department should I consult? 2.
For rare diseases, which department should I visit? Thank you.
Song, 40~49 year old female. Ask Date: 2012/03/08
Dr. Jian Yingxiu reply Rare Disease
Hello: For height-related issues, please consult the "Pediatric Endocrinology Department" at major medical centers to investigate the underlying causes.
Regarding the disability handbook, under the new regulations, in addition to the diagnosis made by a specialist, the degree of disability must also be assessed by other professionals (such as social workers, psychologists, rehabilitation therapists, etc.) to determine what kind of assistance can be provided.
Thank you.
Reply Date: 2012/03/08
More Info
When seeking medical guidance for short stature and rare disorders, it is essential to navigate the healthcare system effectively, especially when faced with challenges such as unhelpful or dismissive healthcare professionals. Your situation, where you are 44 years old and stand at 131 cm, raises several important considerations regarding diagnosis, treatment, and the application for disability benefits.
Firstly, it is crucial to understand that short stature can result from various underlying conditions, including hormonal imbalances, genetic disorders, or metabolic issues. In your case, the mention of "13 - congenital metabolic disorders" and "14.18 - rare diseases" in the context of your application for a disability certificate indicates that your healthcare provider should consider these factors seriously. However, it seems that the physician you encountered at the endocrinology department did not take your concerns seriously, which is unfortunate.
To address your immediate needs, it would be advisable to seek a second opinion from another endocrinologist or a specialist in metabolic disorders. Look for a medical center that has a reputation for dealing with rare diseases or genetic conditions. A pediatric endocrinologist might also be helpful, even at your age, as they often have more experience with growth disorders. They can evaluate your growth hormone levels and assess whether there are any deficiencies or abnormalities that could explain your short stature.
In terms of applying for a disability certificate, it is essential to gather comprehensive medical documentation that supports your case. This includes any previous medical records, test results, and a detailed account of how your height affects your daily life. If the endocrinologist you consult is knowledgeable and empathetic, they should be able to assist you in filling out the necessary forms and providing the required medical justification for your application.
If you feel that the physician you initially consulted was unprofessional or dismissive, you have the right to file a complaint with the hospital or medical institution. Most healthcare facilities have a patient advocacy department or a formal complaint process. Document your experience, including dates, times, and specific interactions, to provide a clear account of your concerns.
Regarding your specific questions about which department to visit for your conditions:
1. For growth hormone deficiency or metabolic disorders: You should continue to see an endocrinologist. If the current facility is inadequate, consider seeking a referral to a specialized center that focuses on growth disorders or metabolic conditions.
2. For rare diseases: A geneticist or a specialist in rare diseases would be appropriate. They can conduct genetic testing and other evaluations to determine if there is an underlying genetic condition contributing to your short stature.
In summary, navigating the healthcare system can be challenging, especially when dealing with rare disorders and the stigma associated with short stature. It is vital to advocate for yourself, seek second opinions, and find healthcare professionals who are willing to listen and help. By doing so, you can better manage your health and work towards obtaining the necessary support and documentation for your disability application.
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