You know the old saying don’t judge a book by its cover? A version of that has come to mind for me recently of- don’t judge a person by their title.
Four years ago I told my GP that I thought I had psoriatic arthritis because it runs in my family and I had a large red patch on my elbow. My GP said it wasn’t psoriasis. However, he referred me to an orthopedic specialist, who in turn, referred me to a rheumatologist. The rheumatologist diagnosed me with Celiacs but said I did not have psoriasis or psoriatic arthritis. A dermatologist said the same.

Two years ago I was referred to a different rheumatologist who diagnosed me with Fibromyalgia and who also said I did not have psoriatic arthritis.
What did all of them have in common? None of them looked at my scalp.
In March this year I went to a different dermatology clinic because that red patch was back again on my elbow. It had been coming and going. But this time it was accompanied by pain in my elbow. I did not see the doctor. I saw the physicians assistant. At first when the appointment was made, I was concerned I could not see the doctor first. I was WRONG.
The physician’s assistant was the first medical provider who looked at my scalp. He was very thorough. When he looked at my scalp, he said, that’s psoriasis. The person with the lesser title was the person who was the most thorough.
Don’t judge a person by their title.
Thank you for reading. God Bless.


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