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November 21st, 2009
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We found 10 result(s) that match your search "endocrinologist":

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Last October, I totally ditched an appointment with my endo.


Why? I didn’t want to face the music. I didn’t want to hear about what I have not done right and I just did not want to see my A1C.


My last A1C was from last July and it was an 8.9%. Not good at all. I was upset about it but in the end I knew it made sense. I was not on top of things.


And this year was no different. I just kept gaining weight, snacking, and my BG was high a lot of the time. So when the time for the appointment came I wrote a post here about wanting to ditch and how I needed to face the music.


I still ditched it.

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I've been feeling overwhelmed by life lately, not just on the diabetes front, but on all of them.  My toddlers are making me nutty, my 20 year old son is making decisions that I think are really unwise and my job bores me to tears most of the time. The only thing not driving me nuts is Olivia. Considering she's a 14 year old girl who's just been dumped by her boyfriend of six months, she's been pleasant to be around most of the time.

 

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I don't think I'd want to be an endocrinologist or a diabetes educator treating type 1 diabetics.

 

I'd want to be a doctor with answers.

 

I imagine the job has moments of satisfaction. Guiding those newly diagnosed through those very difficult first years must be rewarding. But eventually the insight the endo provides plateaus. What can you possibly suggest to the diabetic who's been in the game for 5, 10, 20 years? What can you tell them to do that they haven't already tried on their own a million times?

 

How many times must I say, "yes, we bolus prior to the meal" and "yes, we rotate the infusion sites every third day."

 

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Friday's endo appointment was a solo affair. Susanne stayed home with my little one who had suddenly come down with a fever. I don't like going solo. I like having Susanne there with me for these visits. We're a good team. We help finish each other's sentences. Also, you never know if an endo or a CDE is going to get a little nutty with the accusatory tones, etc. so, it's nice to know someone's got your back.

 

And if a knife fight broke out, I'd want Susanne there so that I could hide behind her.

 

The ride into Philadelphia went as usual. I got really lost, got stuck in awful traffic and made it to our appointment about an hour late. It doesn't take much for me to get lost in Philadelphia. I still don't know the city very well. This time, a detour did me in. I gave Charlie my camera and he documented the car ride.

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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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As a reporter I've interviewed a lot of people in a variety of situations. Part of that job is not being intimidated. You have to go into an interview knowing how to control the situation.

 

But calling the offices of potential endocrinologists and asking for an interview appointment was a completely different scenario. Especially since most places I called said "Oh, the doctor doesn't do that." So half of my questions went out the window because I wound up talking to a medical assistant.

 

Some example answers I got:

 

*If I call with a question, who will get back to me and when? Most likely a medical assistant usually within 48 hours, but sometimes up to 72 hours.

 

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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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I visited my endocrinologist recently.  Actually, I visited one of his Nurse Practioners.  I was more than a little nervous, because my weight was up a tad, after promising to lower it again, and my exercise had been non-existant. (also again).

 

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A friend of mine has just found a new endo and is loving it. I'm very excited for her because I know how much trouble she went through with her last endo. I remember telling her the difference between her reluctant-to-listen-to-the-patient doctor and Dr. C: "After having never spoken to Dr. C about Symlin before, I came into his office for a regular check up, said I wanted to try Symlin and 15 minutes later the nurse was hooking me up with a sample pen."

While I had a lot of freedom when I spoke with Dr. C, I have often wondered how much latitude he gave me because he knew how involved I am in the diabetes community, knew that I was up on the latest information and technology, and was proactive. I was sad to leave him behind. (Maybe there's a little too much ego there, but I really got very little resistance from Dr. C about anything.)

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I know several people who participate in fantasy football leagues. I just never got into that sort of thing. I really have no interest investing so much time and energy into football. For those of you not familiar with fantasy football, points are earned based on how well one's fantasy team players perform each week. It's a pretty big deal for some. Participants draft players, trade players, decide which players to start and which to bench and they even act as legal representation when their players get in trouble for injecting illegal substances, abusing their wives and/or organizing dog fighting rings.
But I really do like a little competition. I certainly invest plenty of time and energy into diabetes and my knowledge of the disease is fairly good. What if we had our very own fantasy league? A fantasy league for diabetes. Well, look no further. (READ MORE)


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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)
Michelle Kowalski
Michelle KowalskiMichelle Kowalski, a writer, editor and photography hobbiest living in Phoenix, was diagnosed with Type 2 diabetes in February 2005. In January 2008, as part of her quest to start on an insulin pump, Michelle learned that she actually has type 1 diabetes. (Read More)
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