My Medical Binder, My Rare Diagnosis — and Everything After

By 
Mackenzie Abramson
February 1, 2022
Blog post originally written by the AllStripes community team. AllStripes was acquired by PicnicHealth in 2023.


“You are too young for that kind of problem.” 

“Just trust me, you will feel better.” 

“It is nothing out of the ordinary.” 

I’d heard lines like this before. 

It was 2015, and I was leaving another doctor’s office feeling unseen and dismissed. But this time, I decided, would be different. This time, I decided to create a medical binder so that I could prove to the next doctor that something was not right. 

I had been doing research for years and had many hypotheses about what could be wrong with me, but was frequently told, “That is so rare for a 23-year-old — let’s not go there.” But after that doctor’s appointment in 2015, I kicked things into high gear in terms of advocating for myself. 

In the end, all it took was one doctor to truly listen and say, “You know your body best. If you think something is wrong, let’s explore that.” The relief that I felt in those words exploded as joy on my face. I was quickly referred to another doctor who specialized in these kinds of mysteries. 

The day of that appointment, I showed up with my not-so-handy medical binder that was hundreds of pages long. Within 15 minutes of flipping through my binder and hearing my history, I had a preliminary diagnosis of Ehlers-Danlos syndrome (EDS). Soon after, I saw a geneticist who confirmed this diagnosis, and everything health-related in my life to this point finally made sense. I now had an explanation for the daily pain, the repetitive unexplained surgery for a single broken bone, the frequent infections and illness. I could now confirm that this was not all in my head. 

I thought getting a diagnosis would be the be-all-end-all, and I could start to get back to feeling better and feeling “normal.” I assumed that with this diagnosis I would get some medicine and feel better, but like so many rare conditions, there is no treatment and no cure for EDS. 

So what now, I remember thinking, I just have to live feeling like this forever? After some time wallowing in that overwhelming feeling, I knew that I could not just sit back. I had no idea at the time that getting a diagnosis within the world of rare diseases really was the very beginning of my journey as a rare disease patient.

I began to seek out people like me, living with EDS. I went to conferences, I found doctors who specialized in EDS care across the United States and even globally, and I began to research. All of this information, the knowledge I was building, the medications I tried, the tests I had done, the doctors I visited, it all went into that medical binder. My binder, an inanimate object, validated what I had known to be true for the last few years, that something was wrong. However, there were times where it seemed like my paper medical binder wasn’t enough to convince some doctors that I might know something about what was going on with my health. 

I remember one time so vividly, where even after a confirmed diagnosis I was questioned about my knowledge of what was going on with my own body. I’d gone to the ER after a fall. I knew I had probably re-fractured my ankle, which I had previously had eight surgeries on and had broken twice before. The ER physician came in and — even knowing my medical history and diagnoses — just looked at me without even taking an X-ray and said, “There is no way that your ankle is broken and we don’t give out narcotics here.” I immediately felt as though I had taken 1,000 steps backward in my rare disease journey. Is that all that people thought of me, because I outwardly looked healthy, that I wanted pain medicine? 

It was another occurrence where I felt disbelieved and questioned, but while the doctor was not able to provide me any reassurance, having that visit in my medical binder does — because it validates all the feelings that I frequently have as a rare disease patient. It is not all in my head, and these feelings are real and valid.

Six years later, and I am now part of the AllStripes team. As an Operations Associate Manager, I work to help patients have access to their medical data — which can lead to research opportunities that can unlock new treatments — by taking the requesting and processing burden off of them. Because of what I’ve been through, I’m driven to advocate for others affected by rare diseases and ease the burden of navigating the health care systems. Every day, I strive to help others feel like they can be part of the big picture.

About 

Mackenzie Abramson

About PicnicHealth

Empower people to own their medical records. Advance medicine. We’re a passionate group of doctors, patients, data nerds, engineers, and builders, who believe in making something real that changes lives today and in the future.

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Create a List

List the names of all the doctors, hospitals, and other facilities your loved one visits regularly, along with those they have visited in the past. Try to go back as far as you can, striving for at least the last 5-10 years, but do your best. Even if you can’t remember them all, having a strong baseline can help you quickly identify gaps in records.

Ensure You Have the Appropriate Legal Status

It is important to make sure that you are fully empowered to make decisions on behalf of your loved one with Alzheimer’s. Your relationship status with the patient may not be enough to legally give you access to your loved one's medical information. It is a good idea to talk to an expert about securing special legal status, such as Power of Attorney (POA), a legal document that allows an individual to name someone as their decision maker should they no longer be able to make decisions on their own.

Gather and Organize the Medical Records in One Place

It’s important to have all of your loved one’s medical records together in one spot. This makes it much easier for you and your loved one’s physicians to accurately map the patient’s medical journey and more easily share information between doctors. Fortunately, tools exist to make record management and access simple. A free resource like PicnicHealth helps you collect and organize all of this information. PicnicHealth’s intuitive timeline allows you to pinpoint data across the medical history, eliminating your need for keeping heavy binders filled with paper records or keeping track of multiple software portal logins.

Review the Medical Records to be an Informed Advocate

The better you understand your loved one's medical history, the better you can advocate on their behalf. Access and understanding of this information will help you to ask informed questions with physicians. Through regular communication backed by the data in the medical records, you can help your loved one’s care team develop a more successful care plan.

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Together, we can make a difference.

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1

Build a support network.

When you’re juggling appointment times and insurance claims, putting a robust support system together might not strike you as the most urgent task. Investing the time to cultivate relationships with people can turn to in times of need will pay dividends. The next time you need a last-minute ride or just someone to listen, you won’t be on your own.

There are many condition-specific support groups and support groups for caregivers generally in person or online. In addition to the encouragement and empathy they provide, support groups can be a helpful source of tips, resources, and recommendations for navigating caregiving.

2

Stay organized.

The backbone of effective caregiving is organization. Keep medical information, appointment schedules, and medication lists in order. Use a planner or a digital service like PicnicHealth to stay on top of your responsibilities. This attention to detail can prevent future complications and reduce day-to-day stress.

3

Explore treatments and clinical trials.

We’ve seen incredible breakthroughs in treatment over the past couple of years, powered by patients and their caregivers participating in research. Stay in the loop about the latest in medical advancements and available resources that could benefit your loved one. Whether it’s a new therapy option or a community service that aids independence, being informed can make a world of difference in the quality of care you provide.

4

Make time for self-care.

It may seem self-centered to focus on self-care—but when you feel good, you can be a better caregiver. Whether it’s exercise, a mindfulness practice, a soak in the bath, or just time to rest when you need it, carve out those moments in the day when you can unwind, reset, and stay healthy mentally and physically. Think of it as building up your reserves of kindness, patience, and understanding—which can only benefit your loved one. No one can pour from an empty cup.

Having trouble managing your loved one's medical records?

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LC-FAOD Odyssey: A Preliminary Analysis, presented at INFORM 2021

Data from real-world medical records:

(from 13 patients with LC-FAOD)

16 yrs old

Median age at enrollment

38% Female

15 providers / patient

7.5 years of data / patient

Data from patient-reported outcome (PRO) survey

(from 13 patients with LC-FAOD)

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However, it's important to consult with a healthcare provider or registered dietitian to determine the appropriate amount of protein for your individual needs. In general, a diet with moderate protein intake (about 0.8 grams per kilogram of body weight per day) is recommended for people with kidney diseases.

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Keep an Eye on These Test Results

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Resource Flyer

Explore the essential takeaways from Victoria's Webinar, along with some resources that she shared.

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