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May 24th, 2012
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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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Admittedly, one of the reasons I chose my (old) primary care doctor is because she was just blocks away from my house. Also, she was so new to town that it was pretty easy to get a same-day appointment.

 

Her office is in a building with other doctor-types: a veterinarian, my dentist, etc. Since she was new to town, I basically looked the other way when it came to things like office decor. There were very basic chairs in the waiting room, very white walls, a piece of "art" that was too small for the wall. 

 

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Despite the fact that temperatures here in the Valley of the Sun (or as my brother likes to call it The Actual Sun) continue to hover around 100 degrees, it's technically fall, which means that flu season is upon us.

 

I don't think I ever got a flu shot prior to getting diabetes. I was healthy for the most part and likely didn't understand what the flu really is. And even four years into the disease, last fall was the first time I got the shot since being diagnosed.

 

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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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One of the issues that crops up with the Mulligan's Stew of insurance benefits that come courtesy of our employers and the States in which we live is the order and manner in which those benefits are applied to the charges incurred by our use of the services covered in those plans. In insurance-company parlance, this is called "Coordination of Care". Back in the days of traditional indemnity plans, medical insurance didn't kick in until after one met an annual deductible, and even then, it was split into two separate policies: normal medical (aka "Blue Cross/Blue Shield") and "Major Medical" (single-incident costs of, in today's money, probably $4000 or more). (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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Caller ID said "Chandler Primar" and in that moment "Primar" equalled "primary" which equalled "kids school" which equalled "oh crap what's wrong with the kids?" Didn't matter that the school's actual caller ID says the school's name.

 

"Hello?" I said.

 

"Hi this is garblegarblegarble from Dr. D's office," she said.

 

Dr. D? Is this one of the kids' doctors? No, that's Dr. N. Oh, wait, I'm coming to my senses now: Dr. D is my new primary care physician. OK, I got it.

 

"Oh, hi," I said.

 

She stumbled on her words as she began: "Dr. D got your recent bloodwork back and everything looks fine. Your clotting numbers all look good."

 

"OK good," I said, relieved.

 

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I don't do well with change sometimes. Ok, most of the time. Well... honestly, almost all of the time change throws me for a bit of a loop.

 

I am moving my healthcare from 4 doctors 50 miles away to 1 doc who is 15 minutes away. I was going to get an endo here, but I don't really need a specialist endo, at least not at this stage. I can't afford the fancy MD/PhD nutritionist who was fabulous. I'm not having any more babies, so I don't really need an ob/gyn (debatable). My former primary care doc just left her practice and opened a retainer-based center (much too pricey even with my old paycheck and insurance). It was the "perfect storm" for a big healthcare change.

 

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This morning I set about getting Lantus and figuring out the doctor situation from yesterday. So I followed my plan to call the new doctor's nurse first then the CDE I know at the clinic if that didn't work. I was prepared to raise a little "cane" if need be, but desperately hoped they would make it easy.

 

I called the new doctor's nurse wanting to speak to the nice one that I spoke to yesterday. Unfortunately, she wasn't in. So I ended up speaking to another nurse, who was quite rude. When she first began the phone call, she wouldn't let me speak to tell her about the issue which got the whole thing off to a rocky start.

 

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Since I've made the leap to find a new doctor, I figured it's about time that I make a list of what I need/want in my new doctor. I've never seriously thought about it, even though I've been through many doctors. But since I'm a thinking adult, I might as well figure it out.

 

When I was diagnosed, I don't think I got a choice on who I saw for my diabetes care. I'm pretty sure I wouldn't have liked anyone, even if I did get to choose. I was a pretty ticked off little 4 year old. I saw that first doctor, Dr. Sherman (who was amazing, despite my dislike of doctors), up until I was about 10. When she moved away, I stayed within the same system that I was in (it was the best pediatric diabetes care in the state). I had a choice of about five doctors.

 

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Carey Potash
Carey PotashCarey is a full-time hater of diabetes. The benefits stink. His 7-year-old son, Charlie, has been giving he and his wife the finger since November of 2003. Carey's parenting humor has appeared in various websites and print magazines. He resides in the suburbs of Philadelphia with his wife and three children. (Read More)
Brenda Bell
Brenda BellBrenda was diagnosed with high blood pressure, high cholesterol, and Type 2 diabetes in July 2002. After a rocky start, her diabetes has been diet-controlled since January 2004 and she hopes to keep it that way for as long as possible. (Read More)
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