Welcome, Guest. Please Login
MCD - Mast Cell Disorders
  Latest info can be found on the YaBB Chat and Support Community.
  HomeHelpSearchLogin  
 
Page Index Toggle Pages: 1
Send Topic Print
Dr. Nicholas Soter - NYU Langone Medical Center (Read 10119 times)
TinCanOnAString
Tutor
**
Offline


I Love YaBB 2!
Posts: 22

Dr. Nicholas Soter - NYU Langone Medical Center
07/10/11 at 16:05:25
 
Does anyone else have any knowledge of or experience with Dr. Nicholas Soter at NYU Langone Medical Center? I put a link at the bottom to his page at med.nyu, but here's some info:

Research Interests
Mast cell biology, Inflammatory mediators in dermatologic diseases, Pathophysiology of urticaria and angioedema, cutaneous necrotizing vasculitides, mastocytosis, and photosensitivity.

Medical Expertise
General Dermatology, Urticaria, Phototherapy, Vasculitis, Immunological Dermatology, Cutaneous T-Cell Lymphoma, Psoriasis, Vitiligo

A relative of mine who is an immunology researcher gave me his name when I was initially diagnosed. I made an appointment and hopped the train to New York. I didn't find the appointment all that informative, but I think it had more to do with my lack of preparation than anything on Dr. Soter's side.

I didn't know what questions to ask, I had done little to no research on my side at that point, and none of my other doctors had told me what kind of affect this could have on my life. I'm planning on making another trip after my next hematology appointment. Armed with my latest blood work results and a full set of questions, I'm hoping to have a better experience.

If anyone has any info, I'd greatly appreciate it. Thanks.
Zac

http://www.med.nyu.edu/biosketch/sotern01
Back to top
 
 
IP Logged
 
Joan
FORUM ADVISOR
*****
Offline



Posts: 1502
Colorado
Re: Dr. Nicholas Soter - NYU Langone Medical Center
Reply #1 - 07/10/11 at 18:29:24
 
I haven't heard anything about him, but do post what you find out.  It could be very helpful to others to know of another good option, if it turns out well.
Back to top
 


Joan
 
IP Logged
 
TinCanOnAString
Tutor
**
Offline


I Love YaBB 2!
Posts: 22

Re: Dr. Nicholas Soter - NYU Langone Medical Center
Reply #2 - 07/10/11 at 23:20:37
 
Will do, Joan. I probably won't get up to see him until the end of August or so, but I'll make sure to give an update once I do.
Back to top
 
 
IP Logged
 
DeborahW, Founder
FOUNDER/ADMIN
********
Offline



Posts: 1224
USA
Re: Dr. Nicholas Soter - NYU Langone Medical Center
Reply #3 - 07/11/11 at 05:08:35
 
Here is a repost of my post in the "Tips" section of the forum:

Make sure that someone goes into that exam room with you so that you can remember and absorb all of the tons of info that the doctor will share with you. It is easy to miss something because you are so wrapped up in the actual appointment! Here are questions to ask:

1. After hearing my story, does this appear to be masto or mast cell related? If masto, which one (indolent systemic, aggressive systemic, UP, etc) Or do I sound as if I have Idiopathic Anaphylaxis?
2. What makes you think this?
3. What are my treatment options, specifically meds?
4. What meds can I take? Should I take daily meds as preventative in order to keep my condition stable and calm?
5. What if I am on those daily meds, and I start to have a rush of worse symptoms (like the beginning of an attack). Can I take an additional med, such a zyrtec if that is what I take daily? If that additional med doesn't slow down my symptoms, should I take a more fast acting med such as hydroxyzine to stop a potential attack?
6. How would I know at what point to take an additional med or a hydroxyzine? In other words, what symptoms are severe enough for me to take
action?
7. How do I know when to use an epi pen? Should I use it only if I get to the point of feeling lightheaded?
8. What types of triggers that are common to most masto people should I avoid?
9. If I know I am going into a stressful situation, and I generally react to stress, then can I take an extra H1 such as zyrtec as preventative?
10. Should I keep a food and medical diary to help determine what my triggers are?
11. Can we feel comfortable enough assuming this is what I have based on my symptoms and my good response to meds and carry on under that assumption...or do I need a bone marrow biopsy?
12. If I need a bone marrow biopsy, can you and your hematologist do it or do I have it done elsewhere? I hear that only a few places in the country
can correctly analyze the biopsy, so is your facility one of them?
13. What is the long term prognosis of what you think I have? Can I expect a normal lifespan?
14. What can I do besides taking meds to help my condition/symptoms not progress? Such, as avoidance of triggers like certain foods, heat, stress, fatigue, etc.
15. Should I always carry a couple epi pens with me? I have heard that sometime people actually need more than one at a time. How in the world would they know to use a second one?!
16. In the event that I would get really ill and need to go to an ER,. can you write a suggestion protocol note for me on your letterhead describing that I might have this condition and what treatment they should consider using if it appears that I am having a masto attack? Sometimes ER docs or paramedics don't believe mast people and don't take us seriously otherwise.
17. If I don't appear to have masto or any mast cell disease, what could I have and are there other types of specialists that I should see?
18. What type of disease is masto? Is it a genetic mutation as I have heard and can it be inherited by my children?
19. In the event that I have a problem, can I contact you? If so, do I do this by email, telephone, etc? I am thinking in the event that my local doctor cannot handle my immediate problem...let's say I get sick and am put on antibiotic that triggers my masto. My doctor may have no idea what antibiotic to substitute. Or maybe my symptoms get worse and I feel that I need a medicine adjustment.

Back to top
 

Feel well!
DeborahW, founder
WWW  
IP Logged
 
cheryl
Rookie
*
Offline


I Love YaBB 2!
Posts: 4

Re: Dr. Nicholas Soter - NYU Langone Medical Center
Reply #4 - 09/12/11 at 02:35:30
 
I saw Dr Soter 25 years ago. I was newly diagnosed by a dermatologist from a biopsy of one of my spots. There wasn't much information out there. Even the internet wasn't what it is today. Being much younger and vain, I was more concerned about all the spots showing up on my body. All Dr Soter did was tell me there were a lot worse cases that mine. Then he showed me pictures of people with huge spots merging together.
That was that and I never saw Dr Soter again.

Back to top
 
 
IP Logged
 
DeborahW, Founder
FOUNDER/ADMIN
********
Offline



Posts: 1224
USA
Re: Dr. Nicholas Soter - NYU Langone Medical Center
Reply #5 - 09/12/11 at 02:50:10
 
It seems to me that if someone can get to NYU to go see him, then they might as well travel to Boston instead to see the specialists who actually have started a mast cell disorder center.
Back to top
 

Feel well!
DeborahW, founder
WWW  
IP Logged
 
TinCanOnAString
Tutor
**
Offline


I Love YaBB 2!
Posts: 22

Re: Dr. Nicholas Soter - NYU Langone Medical Center
Reply #6 - 10/17/11 at 11:10:51
 
cheryl wrote on 09/12/11 at 02:35:30:
I saw Dr Soter 25 years ago. I was newly diagnosed by a dermatologist from a biopsy of one of my spots. There wasn't much information out there. Even the internet wasn't what it is today. Being much younger and vain, I was more concerned about all the spots showing up on my body. All Dr Soter did was tell me there were a lot worse cases that mine. Then he showed me pictures of people with huge spots merging together.
That was that and I never saw Dr Soter again.



Cheryl - That was basically my experience with Dr. Soter as well. It was kind of a letdown.

Deborah - I live in South Jersey, so NYU is only about an hour and a half train ride for me. I can get up there for an appointment and back in less time than a normal workday. Going to Boston requires a whole day's travel each way and a hotel stay. It's just a bit tough to work out right now. Still trying to figure out a way to get up there, though. It's just going to take some time. Sad
Back to top
 
 
IP Logged
 
kimtg68
Guru
*****
Offline



Posts: 545
Alabama
Re: Dr. Nicholas Soter - NYU Langone Medical Center
Reply #7 - 10/18/11 at 01:32:47
 
Hey Zac, I can't recall how long ago you mentioned it was since you saw this guy once before but based one Cheryl's experience with him and your acknowlgement that your visit was very similar, I'm not getting a warm fuzzy about this idea. Going to see a doctor who doesn't have that baseline "I want to HELP my patients figure things out" but instead belittle's what you are going through in comparrision to someone else who may have it worse, well it just doesn't sit well. I'm afriad you will go to see him and naturally you will hold out for some help but that you will walk away with nothing AGAIN. I understand it's not always the easiest thing to work out going to see someone farther away, but when you look at the big picture and the fact that you are the one suffering, wouldn't it be better to hold out and start planning for a trip that, yes, may take you a bit further from home but one that you will be able to walk away with the comfort of knowing you are in the hands of someone who not only is experienced, well educated on the topic but WANTS to help you figure things out? MANY of us on this forum have gone through years of going from doctor to doctor with NO HELP! It really takes a toll emotionally not to mention the wasted time and during that time the usually symptoms worsen or increase.
I'm not trying to get in your business, I just hate to see you waste your time and come away dissappointed. What ever you decide to do, 1 - I hope it works in your favor and 2 - please keep us posted as to how you are doing and how your appointment goes. I wish you luck Smiley
Kim
Back to top
 
 
IP Logged
 
TinCanOnAString
Tutor
**
Offline


I Love YaBB 2!
Posts: 22

Re: Dr. Nicholas Soter - NYU Langone Medical Center
Reply #8 - 10/18/11 at 09:10:43
 
Thanks, Kim. It's been a few years since I saw Dr. Soter. I've been managing everything through coordination with my GP, my dermatologist, and my hematologist (who is really taking the lead). I wasn't sure about going back to Soter (wasn't able to get up there in August like I wanted), but after reading about Cheryl's experience, I don't think I'm going to bother making an appt. with him. Once I get the bmb my hemat. has ordered, I'll be starting plans to get up to Boston. Might be a while until I can get there, but at least the experience will be worth it, right?
Back to top
 
 
IP Logged
 
Gloria
Rookie
*
Offline


I Love YaBB 2!
Posts: 2

Re: Dr. Nicholas Soter - NYU Langone Medical Center
Reply #9 - 04/03/12 at 00:49:21
 
I just saw Dr Soter last week at the NYU clinic.   I was attempting to find a doctor closer to home that has had at least some experience with Mast Cell Disease.   He was nice enough but dismissed me and suggested I follow an allergist instead?  I was so disappointed.  As you all know from experience that by the time you get diagnosed there are 100 doctor visits behind you and a medical history that is daunting to even the best of the best.  To be dismissed like this is certainly not what I expected.  I wouldn't waste my time again.
Back to top
 
 
IP Logged
 
Julie M.
Guiding Light
***
Offline


I Love YaBB 2!
Posts: 104
DC Metro area
Re: Dr. Nicholas Soter - NYU Langone Medical Center
Reply #10 - 04/03/12 at 03:20:01
 
Gloria,

So sorry you had that experience...what a let down and disappointment!  When you finally get to a physician that has some experience with MC disorders, you have so much hope.  Then to be let down...FRUSTRATING!

 Glad you gave the update, however.  Based on all the other posts sounds like everyone has had a similar experience and nothing has changed at this point.  Too bad.

Hope you can find someone else that will be helpful and close to home!

Julie
Back to top
 
 
IP Logged
 
Page Index Toggle Pages: 1
Send Topic Print