Philadelphia

[Steve]

I was recently told that the answer was no, but I find it hard to believe that with so many patients who live in and around the city who have diabetic problems like autonomic neuropathy and gastroparesis, there isn't a single hospital in Philadelphia that deals with these kinds of problems. I understand that not many doctors are familiar with terms like POTS, dysautonomia, etc. But isn't gastroparesis a common condition among diabetes patients? Given it is believed to be caused by damage to autonomic nerves, why isn't it considered necessary or at least desirable for patients to have autonomic testing done?

[MightyMouse]

If I'm not mistaken, Hannehman offers autonomic test... or maybe it was Jefferson? Also, I see an ep cardio at U of P at their 8th and Spruce campus--he's *NOT* an autonomic specialist, but he's had me as a patient for more than 10 years, so he "gets it".

Nina

[MightyMouse]

I just did a quick google search and it looks like multiple hospitals have published research in either neuro or cardio journals... I see Pennsylvania Hospital is published, and Hahnemann offers it listed at the very bottom of the following page:

http://www.hahnemannhospital.com/en-US/ourServices/medicalServices/Pages/Neurology%20and%20Neurosurgery.aspx

[MightyMouse]

Just across the river, Cooper has TTT offered

http://www.cooperhealth.org/content/greystone_21953.htm

Basically, if you want to find a place to test you, you could probably call around, ask for either cardiology or neurology and then ask if they offer Tilt Table Testing, QSART, etc.

[kayjay]

I had my first Tilt table test at lankenau. I saw maribel hernandez. She does not treat me but she heleped me get to Mayo. I see a general internist there named David Cohen. He has been wonderful to me.

[pat57]

I don't know it TTT is evidence enough of autonomic testing facilities, but I have had 4 TTTs.

Frankfort, ST. Mary's, Einstein 2Xs.

[MightyMouse]

Thanks for chiming in folks--good to know that there are more resources than I knew about. So, Steve, it would clearly seem you were given erroneous information and there are a myriad of choices for you to access in your diagnostic journey.

Nina