dr benjamin natelson

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I looked at the treatment roadmap and at the list of suggested drs, and I don't see Dr Natelson listed on either.
Is there a reason for that? Has anyone seen him, or know of his protocol?
He is very expensive, but he is not that far so I wonder if he's worthwhile to see.
His website doesn't have much information, other than a video that i cannot open.
 

MEPatient345

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I have seen him. He’s fine in that he understands the disease and will try a bunch of drugs for you if that’s what you want to do, or the point that you are at. He’s also a good doctor to have on your side for disability claims or SSDI applications. He’ll write good letters.

But, I found his manner to be a bit paternalistic, and I basically disagreed with his approach.. the stimulants he wanted to try (why would anyone think stimulants help our incredibly sensitive to stimulation nervous systems?).

He’s a proponent of exercise, but in a very safe way. Ie. Walking the minimum you can (a minute or whatever it might be) and increase by 15 seconds a week. He fully believes this works to expand the energy envelope. Having tried it multiple times, it didn’t work for me, although I think it is worth trying.

He’s very anti antivirals, so if you want to try those, go to Levine instead.

Something that grated on me.. I was taking part in an MRI study he was running, and he tried to persuade me to do a spinal tap. He was very forceful in trying to persuade me, saying all patients should do whatever they can to contribute to science. I told him I was living alone in a walk up apartment and couldn’t risk getting worse — that made no difference. (This is what I find w doctors who are also researchers — they sometimes put their research before their patients). The technician who ran the study at the hospital said absolutely do not do the spinal tap, when I told her my circumstances, and she was shocked that he had pushed for it. (Spinal taps are mostly safe, but there is risk of a spinal leak which is very disabling in itself)

So, I guess my advice would be to see him if you need a doc on your side, but be skeptical and make your own choices about what is right for you.

Oh, one last note — his office is quite a walk down corridors to get to, if you have a low step per day limit.
 

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Senior Member
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574
Location
Tri state area
Thank you , @Silencio For your reply.
Ugh I hate condescending Drs! (I was looking at old medical records & I remembered when a neurologist at nyu told me years ago that they only understand 10% of the brain's functioning, but he will attribute my fainting spells to anxiety)
So other than stimulants, which I have no interest in, what type of medications does he try?
I already had an mri, and I don't see the value in a spinal tap.
What does he think will help cfs/me? Just stimulants & excercise?

I cannot do any excercise some days I can't even walk from bed to the bathroom.
 

MEPatient345

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He has a book that outlines his approach called “Your symptoms are real: what to do when your doctor says nothing is wrong”

He mostly tries to address pain, sleep and depression issues with the current drugs available, none of which I was willing to try (lexapro, gabapentin) or had already tried (amitriptaline, trazodone) and had terrible side effects from.

I think he tries his best with a limited arsenal of tools.. He might be good to have a history with if NIH ever does clinical trials bc he feeds patients to them and CDC.
 
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