Its not easy.  Actually it never is. Keep in mind that its a 50/50 or  
Win/Win situation.  They need you to provide information and you need them  to 
further your lifestyle. Most of the time, you have to present yourself before 
 they open their mouths.  Most of the time their society habits require  
major updating with each patient or .... very real human person.  If you  
can't do something, let them know ahead of time... so they don't have to ask  
you.  As medicine is action and reaction.
We don't know you or your personal lifestyle and maybe some form of  
physical resistance is better then airobic exercise. Consumption of food for  
energy is another debatable issue worth discussion.
Obviously your doctor wants to you to be healthy as possible and they don't 
 not want to be seen as drug pushers.
I truly wished that I had a better answer....
Best Wishes
 
 
 
In a message dated 1/5/2012 5:21:16 P.M. Central Standard Time,  
[email protected] writes:

 
I hate having to meet new doctors. They make suggestions that I  cannot do 
and then act like I am being a bad patient because I am not  following their 
ideas where as they are the ones that don't understand  SCI.
 
I had an appointment with an endocrinologist because of what  appears to be 
hormonal changes. He was worried about my lack of exercise and  suggested 
that I do aerobics. Because I can walk, people assume that my SCI  doesn't 
affect me or they don't know I have SCI. I explained that I have a  spinal 
cord injury and can't do aerobics. Then he suggested water aerobics. He  didn't 
understand that extra movement during the day causes a lot of pain at  
night or sets off muscle spasms. Sometimes, if I am up too long just sitting  
at 
the computer desk, the nights are bad because the spine stretches pulling  
at my nerves which cause the pain to set in.
I didn't feel like explaining everything to him and  just shut up. I felt 
it was pointless. He had no experience with SCI and I did  not have the 
patience to teach him.
 
The worst doctor was one of physical medicine who tried to tell me  that I 
did not have neuropathy because it was a diabetic problem. He referred  to 
it as "sock and mitten" type of problem. (He might have said sock and  glove, 
can't remember.) I tried to tell him what another doctor of physical  
medicine (the best doctor that I had ever had) had said about neuropathy and  
that there were different types, the diabetic thing, but also one that  
affected organs (from disease or injury to the nerves), and the one that I had  
that affected muscles and sensation caused by the SCI. He was adamant that I  
was wrong. I left thinking he was a major idiot and I didn't go  back.
 
Now, I am trying to figure out if I want to go through all the test this  
last doctor wants me to do or if there is any way to see a new doctor. He is 
a  specialist, so I don't know how difficult it will because my primary 
doctor  cleared it with insurance and got the referral. I don't want to seem  
difficult, but I don't want to waste my time. *sigh* 
 
Sorry about spelling errors. I'm a horrible speller. 
 
Candle 
"Scars remind of us  where we’ve been, they don’t have to dictate where we 
are going."  
~David Rossi  of Criminal Minds
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