Training & Nutrition - blood glucose monitors

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OmahaRider
05-14-02, 02:31 PM
I'm a diabetic (type II)---just found out last January. So far I've tried 4 different drugs(3 from the same class of drugs)-----and have been allergic to all of them. I have a list of 25 different meds left to try and the DR. refuses to prescribe any of them and is talking needles---Sorry, but NO F-----G WAY!!!!

Hey-I'm the one paying the bills here and WILL find someone to work with me---I'm also the one who has to live with all this crap too---so it has to work for me and not the DR.

Anyway-----Do I just not show up anymore? Or do I tell them they are fired and just exactly why they suck?

I have an appt. with them next Tues---this will probably be the last visit---unless they change their attitude in a big way.


John E
05-14-02, 04:29 PM
Originally posted by OmahaRider
I'm a diabetic (type II)---.... I have a list of 25 different meds left to try and the DR. refuses to prescribe any of them

Hey-I'm the one paying the bills here and WILL find someone to work with me---so it has to work for me and not the DR.

Anyway-----Do I just not show up anymore? Or do I tell them they are fired and just exactly why they suck?


1) You may be able to control your adult-onset Type II diabetes through lifestyle modifications. It is certainly worth a try. (My father is Type II whenever his weight rises. He generally goes into remission when he loses weight.)

2) Your doctor is your employee. He is not God. He is not your guardian. Ever since losing her thyroid gland to cancer 9 years ago, my wife has been 100% Synthroid-dependent. When her doctor insisted on reducing her dosage significantly because her serum TSH level was low, she responded by changing doctors. Both of us have read extensively about the management of thyroid cancer, including deliberate suppression of TSH to prevent recurrence. We also know the symptoms of hypo- and hyper-thyroidism. She was definitely not taking too much Synthroid, but this doctor would not listen to her at all. The new doctor not only renewed her prescription at the higher level, but also took a few minutes to discuss long-term side effects, etc. with her.





A new arrival in Heaven asks St. Peter, "I thought there was no sickness up here. What's that guy with the white coat and stethoscope doing?" St. Peter responds, "Oh, don't worry about Him. That's God. He likes to play Doctor sometimes."

Rich Clark
05-14-02, 04:33 PM
If you're a member of a health plan, you should probably take it up with them. You'll need to anyway in order to change your primary care physician. At that time you can ask them to help you find a new primary who focuses on diabetes.

If you're self-insured, you're a free agent. Unless you have your own copies of your records and test results, you'll need to tell the current office to release them to the new one, but there's nothing to stop you from finding a new primary who has a better handle on your specific health issues.

I fired my cardiologist once and moved to a new one, but since that was a specialist I was able to work through my primary to find someone new. What's interesting is that then my primary doctor quit medicine... and my new cardiologist recommended a new primary (who happened to be his own personal physician) who turned out to be the best doc I've ever had.

Good luck with your diabetes. Keep riding and working on your diet, and who knows what can happen? I was diagnosed with Type II in 1993, and went through several years of deterioration before I got my act together, but today my blood glucose is under complete control through diet and exercise, and I need no medications for it at all.

RichC


velocipedio
05-14-02, 07:04 PM
I may be mistaken, but my understanding was that physicians prescribed insulin for Type 2 [non-insulin dependent] diabetes only in these two cases: 1. Oral medications are no longer effective due to the degenerative course of the disease, 2. The patient's blood glucose level is so badly out of control that oral medications do not work right away, and insulin is needed to get things in control until other therapies can be used.

It is always preferable to use oral medications -- even sulfonylureas -- rather than insulin in cases of Type 2.

You should certainly see another doctor. You will find a medication that works. Control by diet and exercise is most desirable, but it takes a lot of time and discipline and not all diabetics are actually biochemically capable of it. However, the key thing is getting your blood glucose level under control. Get a blood glucose meter and lean how to use it.

And see another doctor.

DnvrFox
05-14-02, 07:43 PM
Please do not tell your doctor what you think of him or why you are firing him. It will haunt you in the future, and strange things such as "un-cooperative" may appear in your medical records. MD's talk to one another. You have nothing to gain and everything to lose. My wife reviews medical files for attorneys, and it is sort of scary what you find in medical records!! Years ago when getting your own records was less common, we did obtain them for a move, and found a statement that we were nice people, but were slow in paying our bills (not true)!! Now what in the world does that have to do with medical treatment??

My wife recently fired a doc, and we wrote him a nice letter stating how wonderful he had been and the great treatment that he had provided - which was partially true in this case. She then went on to state that 1. She had moved (true); and 2. He had provided such good treatment that she was now able to be treated by the PCP in our new area (also partially true).

Don't burn any bridges, and don't create any ill feelings. But do see another doc.

John E
05-15-02, 10:15 AM
Originally posted by DnvrFox
Please do not tell your doctor what you think of him or why you are firing him. It will haunt you in the future, and strange things such as "un-cooperative" may appear in your medical records. MD's talk to one another. You have nothing to gain and everything to lose.

Don't burn any bridges, and don't create any ill feelings. But do see another doc.

Very good advice, DF, but too late for us. My wife did end up getting "un-cooperative" written on her chart because the doctor simply would not listen to her or treat her as the highly intelligent, college-educated, well-read person she is. Her new doctor treats her with respect and listens when she recounts her past experience with various dosages. [Forget any stereotypes -- the "good" doctor is a gentleman nearing retirement, whereas the one stuck in the old-school patient-as-child paradigm is a 30-something female. Go figure ...]

Because patient-practitioner personal chemistry is so crucial to outcome, I am thankful to have a PPO instead of an HMO!





I once sat next to an M.D. on an airplane. When I told him I was presenting a paper derived from my Ph.D. thesis, he said, "Oh -- so you're a REAL doctor." I responded, "That's what I should say to YOU."

orguasch
05-16-02, 07:00 PM
Firing my doctor, not only that I want to wrap my doctor with Dynamite and blow him to kingdom com:D :crash: :D :crash: I have a very sad expirience with my doctors, and I don't want to even think about it.....

LittleBigMan
05-16-02, 07:58 PM
My wife had an arthritis specialist who was supposed to be, "the best." She was at his brutal mercy for many months with no improvement at all. He had no bedside manner and was a smart-ass. But she stayed because he was, "the best."

My old insurance was dropped by my employer and I had to enroll in another plan, so my wife had to change doc's.

The new doc listened compassionately and was so gentle she was amazed. Not only that, the "bursitis" in her hip turned out to be a case of NO CARTILAGE AT ALL. She got a hip replacement and her hip is totally pain-free! Plus, the medicines for the rest of her arthritis have given her a new life.

She told the new doc about the old doc being, "the best." He simply responded, "Yes, he is the best, or at least, he thinks so."

roadbuzz
05-16-02, 08:01 PM
This is a lot more important to you than it is to your doctor. Getting another opinion is a good idea. It really seems unlikely that there's no room for compromise or alternatives in the treatment... that's what makes the guy you're seeing now sound suspicious. Personally, I'd go through the evaluation, etc., with the second guy and hear what he had to say before telling him anything about your previous experience or predilections.

I agree with the advice about not burning bridges.

OmahaRider
05-31-02, 09:16 PM
Well---I went and saw my new doctor yesterday.

Its like night and day--this one actually listened to what I had to say and is willing to work with me to try different meds to stay off the needle---he also set me up with 2 months worth of free sample meds---I paid for everything at the old doctor(except for a glucose monitor) and have a cabinet full of worthless meds that I paid for.

I called my old doctor today and cancelled my next appointment with them---the Arrogant Worthless Bastard.

This is one of the best moves I've ever made!

orguasch
06-01-02, 04:14 AM
can i just figuratively fire or physically fire at Him like really fire at my doctor, everytime I hear anything about my doctor, I came back at this post because the latest post has been sent to my email address, and I can't stop in reacting violently, I really really hate my doctor, (actually its not my doctor but my son Miguel's Doctor):crash: ::crash: :crash: :crash: :fight:

OmahaRider
06-01-02, 06:27 AM
orguasch----

The more things that are working out with the new doctor----the MADDER(sp?) I get at the old doctor----let's just say he's lucky I'm not a violent person anymore. So far--I'm tolerating every new drug givin to me[fingers crossed].

I'm seriously considering some sort of an action short of a lawsuit. My old doctor is the head of the dept. at a teaching hospital---his arrogance and wrong thinking is being taught to new student doctors---and that's just plain wrong. The way he runs things will eventually harm someone or needlessly make someone's life miserable----heck, he already did that to me--miserable that is---I've also had a general itchyness for the last 4 months---that I've been complaining about the whole time---I finally got to see a dermatologist last wednesday---although I'm still itchy so far.

On my LAST visit last week---the only reason I went is so that I could see a dermatologist sooner( 1 week vs 2 months)----Anyway-while I'm sitting in the room--I could hear what was going on in the next room---they were starting a gal on the needle and he was telling her the same BS as he was telling me---my only thought was "you MF"----while I don't know the details of her situation---I can't help thinking she was being put on the needle needlessly by a bad doctor.

I'm just glad I'm one stubborn SOB---and not easily accepting one bad doctor's opinion----of course I did A LOT of reading and was pretty much up to speed when he started spewing his garbage.

Just wondering how to go about contacting those in power at that university---and filing a complaint.

Did I mention that I'm pissed???----lol