Convincing doctors to take your ATTR-CM symptoms seriously

This is part of an advocacy series that honors Amyloidosis Awareness Month. To read more in this series, published throughout the month of March, click here.

As a person living with transthyretin amyloid cardiomyopathy (ATTR-CM), you deserve a doctor who takes every symptom seriously.

While your doctor may focus first on your heart, other health issues, such as nerve pain, fatigue, or brain fog, may go unnoticed.

Good communication can change that. Talking openly about all your symptoms can help your doctor treat ATTR-CM as a whole-body condition.

Symptoms doctors may miss

ATTR-CM symptoms can look like other health issues, especially for doctors less familiar with the disease. This can lead to delays in receiving the proper treatment for managing your ATTR-CM symptoms.

For instance, providers may assume your difficulty thinking is simply a part of aging, or they may blame your carpal tunnel syndrome on wrist overuse from computer work.

They may assume your dizziness when standing is related to dehydration or more common blood pressure changes, or that pain or tingling in your hands and feet is a sign of a pinched nerve in the spine or a minor vitamin deficiency.

By attributing each symptom to a separate, common cause, doctors may fail to see the bigger picture and connect the dots toward ATTR-CM.

Track your symptoms and bring backup

Set yourself up for success before your next doctor’s appointment so your ATTR-CM symptoms can be taken seriously. Some things you can do include:

  • Keep a daily symptom log: Note the times a symptom appears, how it feels, and any steps you took to ease it. Weeks of these notes can help spot patterns your doctor might miss.
  • Pull together your health records: Add results from recent tests, such as bloodwork, echocardiograms, or ECGs, and list your medications, including doses and how long you’ve been taking each.
  • Use your support system: Bring a family member or friend to appointments to take notes, ask questions, and help you stay on track. You can also ask your doctor if you can record the conversation.

Guiding the discussion

Sharing your symptoms helps your doctors understand how ATTR-CM affects you, so they can shape a treatment plan that fits your needs as they change.

Before each appointment, think about your health goals. Write a list of questions or concerns so nothing slips your mind during the appointment.

Questions to ask can include:

  • Brain fog makes daily chores difficult. Could this connect to my ATTR-CM?
  • I have a lot of lower back pain. Could spinal stenosis, or a narrowing of the spinal canal, due to ATTR-CM be the cause?
  • Diuretics do not relieve the swelling in my feet and ankles. What other options work better for ATTR-CM?
  • I deal with diarrhea, vomiting, and nausea often. Could ATTR-CM be causing these gut problems?

Doctors may use medical terms that can be confusing. Ask them to explain in plain words, so you understand.

If questions still linger at the end of the appointment, book a follow-up appointment. Having that extra time can help clear things up and confirm that your treatment plan feels right.

Seek further support

There may be times when you want a second opinion on your symptoms or to learn from others living with ATTR-CM.

Amyloidosis treatment centers bring together specialists who know ATTR-CM inside and out. They can review your symptoms and potentially spot what others miss.

In-person and online amyloidosis support groups can also share real stories. Members might recount symptom dismissals they faced, and then offer ways to shift your doctor’s focus so that you are heard.

Clear communication, solid preparation, symptom logs, and second opinions can help your doctor truly listen and take your ATTR-CM symptoms seriously.


Amyloidosis News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.