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November 21st, 2009
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Well, as you may have read in one of my earlier posts, I had my appointment yesterday with my endocronologist. I had also told you I was hoping for a good A1c and I knew if my test wasn't good, I could expect to have the "you're a great candidate for the pump" talk. Well, I got my test results back and I can honestly say that I had one of the highest A1c's that I have had in years. I was very dissapointed. I am actually so ashamed, embarrassed, and frustrated that I don't even want to share my number with you. Maybe, if you're reading this and you are diabetic like me, then you can relate to this feeling of not wanting anyone else to see your score. I even go out of my way to hide my blood glucose reading every time I test. I'll be the first one to admit that this fear comes from being insecure about what other people might think of me. Or fear that someone might make a judgement of either my health or my diabetes management based on the number. (READ MORE)


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We all know that diabetics have an increased risk of everything from heart disease to kidney disease to glaucoma. Because of this increased risk, it is very important for diabetics to have regular checkups in many fields. Personally, I am always scheduling appointments for one thing or another. My main appointments include the following: (READ MORE)


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I'm really frustrated today. Not because of blood sugars (which have stayed between 110 and 140 all day) or insulin or any of those other details of this disease. I'm frustrated because I can't change doctors without completely stressing out my life.

 

I received a suggestion from my old pediatric endo about a doctor in town, so I checked the insurance to make sure I'd be covered. And sure enough...he's not on my acceptable provider list. Even if I wanted to pay out of network, I can't. Some rule about providers being within 75 miles of my home and I'm not on a PPO.

 

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When my dLife mail showed up in my inbox with Melissa's Diabetes Viewpoint column When It's Time to Change Doctors, it really clicked with me.
Lately, I've been having problems with my endo. Granted, I'm pregnant and extra needy these days, but I just feel that I'm not getting the personalized attention that I deserve and need.
Truth be told, I never see him any more. Once I month, I come in to his office, wait for what is often an eternity (despite intentionally scheduling for "slow times") and when my name is finally called, I get to see a nurse instead of the doctor.
Every other week, I e-mail my blood sugar logs to the doctor, along with any questions or concerns I have and a brief update. For a while, it was mostly, "Things are going good. I hit a little bump, but I upped my insulin and it smoothed out." (READ MORE)


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Not to be a weenie or anything, but my arm still hurts from getting my blood work done yesterday for my bi-annual appointment with my endocronoligist. Let's be honest, DO THEY REALLY HAVE TO USE A SYRINGE THAT BIG?! That thing is like a one of those straws that you get with your tropical-punch-flavored Capri Sun. You know, the one where you have to pierce through the surface, like your driving a stake through a vampire's heart, just so you can get to the juice! I was thinking maybe they could use one of my little 3/10 cc "short needles". I have PLENTY to spare and I can hardly feel those, except when I hit too much muscle or even better, a nerve :).
I guess maybe I am just a little bitter about the whole visit to the hospital yesterday. (READ MORE)


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I've got that nervy, kinda sick feeling.  A type of cold feet, but all in my mind.  Maybe it's butterflies I feel, but it's not really in my tummy.  I'm dreading the stop on the scale on the way back to the tiny little interview (maybe I should call it interrogation, that seems more accurate) room.

 

It's Endo-Nerves.  Tomorrow is my endocrinologist visit.  It's only been a couple months, but with my impending insurance (maybe I should call it un-surance) upheaval, I'm going in a few weeks early.  

 

This may be the last time I go to this particular doctor (maybe I should call her Physcian's Assistant, that seems much more accurate).  Since I won't be commuting up to work following my lay-off, it's really silly to consider driving over an hour each way to see this highly rated and very popular specialist (and his minions, AKA PAs).  

 

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As if it weren't bad enough that I'm in a group OB practice and see a different doctor just about every visit, they've added a new doctor to the mix. So today's visit was with yet another doctor, who doesn't know me, and doesn't bother to read the chart...
For eight months now, another doctor, in another office, with another specialty (ie endocrinology), has followed my diabetes. Last OB visit was the first time they wanted to actually see my logs. So this visit I bring them, one chart for pre and post meal numbers, which don't tell the whole story, and another one that shows everything. You know, those lows between meals and the random highs that come out of nowhere.
Doctors who are not specifically trained in diabetes management have no business at all whatsoever looking at my blood sugar charts. (READ MORE)


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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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I called my endocrinologist today for my lab results. One of his nurses got on the phone to tell me that my lab results were "stable" and "a letter had been mailed on the 2nd." She also went on to say that the doctor wanted me to see the diabetes nurse educator. The moment she uttered those words, I could tell that she was done and wanted to hang up the phone. But I wasn't.

 

I asked what my A1c was, not caring about the potassium and other kidney function tests. I didn't want to wait another week to receive the envelope in the mail. She hesitantly replied that it was 7.4%. As if teaching a child, she responded that it was okay although we should be aiming for under 7%. I didn't want to say that last week, the very MD had told me that a 7.2/7.3 is FINE! Okay, I did want to say it. But I didn't.

 

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I am overdue on blood work. There is lab paperwork that I have been carrying around for months in my bag. It was given to me by my endo back in September so I could get blood drawn in December and make an appointment to see him. Yeah, that has not happened.
December is a busy time for everyone and frankly I just did not make the time to do it. So I figured I would call, make an appointment, and then hit the lab to give them my blood. It usually takes a week to get lab results so I make sure I have my dates set when I make the appointment. It sucks to go to the doctors and have nothing to really talk about. (READ MORE)


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Julia
JuliaJulia lives behind the Tofu Curtain, in the Pioneer Valley, in Western Massachusetts. It's a nice place. She likes it there. Her eldest daughter, Olivia, has type 1 diabetes. She's also 13. It's a real toss-up as to which is more difficult -- the diabetes or the teen-age drama. (Read More)
George Simmons
George SimmonsGeorge Simmons is a father and husband living with type 1 diabetes. A self proclaimed "born again diabetic," George began blogging as a way to meet other people living with diabetes and learn more about managing his disease. (Read More)
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