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May 25th, 2012
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I went to my 3-month endo appointment today. (My dad also went for his check up.) Usually, I do fine with my endo, although I've never been thrilled with him. He's mainly there to tell me the blood results and fill prescriptions. Usually, I'm okay with that.

 

But today was a completely different story.

 

First, they didn't call me into the office until AFTER my dad was already done with his appointment (apparently, I was forgotten). Then they gave me hassle about doing the A1c. When it was finally done, they informed me that the machine broke in the middle of the test (now I have to wait 3 weeks to get the results from a blood draw.)

 

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I’m mad.

 

It’s not even lunch time on the day of my appointment and already I’m looking for a new endo.

 

I’m mad. But mostly I think I’m homesick for Dr. C and his practice. I’m not sure I can put my thoughts together coherently, so you’re being subjected to my morning in bullet points.

 

• I don’t remember how I settled on this doctor, but it seems to me that his office was the closest one for a doctor whose credentials didn’t come from the University of Guatemala or University of the Phillipines.

 

• In the waiting room I sat. And sat. I sat too long considering my appointment was at 8 a.m. Once I got in a room I sat. And sat. I sat too long considering I barely had time to think about picking up a magazine at Dr. C’s office much less actually read several articles.

 

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When I filled out the "get-to-know-you" paperwork for the next new doctor's office I was going to try, I was a little skeptical. Among the questions were things like: "Do you strive for optimal health on a daily basis?" That's kind of a loaded question becuase, really, who doesn't want to be healthy? But we all have *those* days.

 

Anyway. I looked passed it. I was still a little skeptical, though. Especially when I walked into the office. Granted, I was in one of the swankier parts of town, but there was a waterfall in the waiting room. And the girls at the front desk all had nails as long as their fingers and shirts that said: Got Hormones? or something like that.

 

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Around 2am, I woke up with the same pain I had two weeks ago. All the normal symptoms of the urinary tract infection were there. A few hours later, the same thing happened. By 9am, I wasn't feeling any better.

 

I started to drink as much water as I could tolerate and took my usual round of vitamins. Since it's been a mere two weeks since I was at the doctor for the same symptoms, I'm 100% certain that it's another UTI (despite my blood sugars being in near perfect range recently).

 

I called the doctor to leave a message. All I wanted was a prescription. I was willing to give a urine specimen, but didn't want to wait for his next available appointment. I'm supposed to be heading out of town today, so waiting for his appointment would set me back almost 2 hours on my mini-vacation (mini because it's actually for a job interview).

 

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After a month of contemplation, phone calls, and hassle, I've finally made an appointment with a new doctor. If you haven't followed along, my old endo wasn't being as cooperative or helpful as I wanted him to be. So I decided to pursue a new endo that might walk me through the next few years of my life as I prepare for the "real world," babies, and possibly even marriage. I called several doctors recommended by my pediatric endo, only to find out that my insurance either will not let me see them or I'd have to go about a massive ordeal just to get an appointment.

 

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When you go to the doctor, do you go prepared with a list of questions for the doctor?  That was one of the questions during last weeks DSMA session on Twitter. 

 

I would say that about 95% of the time, I do go prepared with both a list of questions and a list of the medications that I'm currently taking.  And I do so because I have way too many medications to remember them all, and usually have a number of questions that either April or I want answered.

 

I've been asked a few times, "Why do you take a list of medications? Doesn't your doctor already know which you're taking?"

 

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The last time I saw Dr. R (my new endo's office), the lady who checked me in noticed that I had just been in the week before. She joked, "Has anything changed since the last time you were here?"

 

We said something about how often I'm at the office and she said (strangely since it is an endo's office), "Well hopefully you'll get the issue figured out."

 

"Nope," I said. "I'm a lifer."

 

They always ask if I have a primary care doctor. I had thought about asking Dr. R if she could be my PCP, but even without asking it seems clear that my internal medicine issues would be better served with an internist.

 

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The theme for this week is "Manage Your Healthcare Team".American Diabetes Month  For me, and for many others with Type 2 diabetes, this is a laugh. Team? What team? I have a primary care physician who handles everything from soup to nuts, including my diabetes care. She'll refer me to specialists and labs as needed, but she doesn't have any direct correspondence with my ophthalmologist (for whose checkup I am long overdue), and I've never had a CDE or an endo.

 

 

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When I look back at the first pediatrician we had for No. 1 there's really one thing that stands out: Had she been a parent when she was treating us I think the care would have been different. Not better, mind you, just different.

 

Of course, I didn't realize this until after we had more kids and moved and had to find another pediatrician. Someone who had her own kids. The connection between me and her was different, as was the one between the kids and her. Yes, in a way, that connection was better, not just different.

 

Now, don't get your panties in a bunch because I'm not saying being a parent is a prerequisite for being a good pediatrician. What I'm saying is that I'm wondering if having an endo who has diabetes -- particularly type 1 -- will make a difference for me or not. See where I went with that?

 

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It's my time...to manage myself.

 

I've blogged about my pediatric endo a couple of times on dLife. A Dr. H. who was a total God-send to my health and my family during those rough pediatric years. He was the kind of doctor that reminded you of your dad or grandpa, a fun-loving man who loved his job, his patients, and his life. Everything about him screamed "I want to help YOU!"

 

At 13, 14, 15...well all through my teenage years, I didn't see that though. I saw him as the annoying doctor who kept insisting that I could do this and I just knew that I couldn't and wouldn't. He wasn't walking this disease with me everyday, how could he know??? I'd leave appointments annoyed, tired, and often crying (although the crying lessened with Dr. H. than with any other doctor). He called me the most stubborn patient that he ever had (I believe a previous endo had recorded that in my chart).

 

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Lindsey Guerin
Lindsey GuerinLindsey is a typical, yet unique, Texas girl who loves shopping, movies and reading. She loves to travel and take risks. She dreams of diabetes cures, never-ending cheesecake and her own airplane. The rest you can discover in her blog! (Read More)
Kim Doty
Kim DotyKim is a computer systems administrator for a major food manufacturer and lives in Colorado with her husband, Steve, and their children. She currently battles the bulge and tries to develop an exercise habit to better manage her blood sugars. (Read More)
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