Dr. Appointment (Endro) My Rant and Rave

I had my endro appointment the other day with a doctor that I have seen on occasions when I wasn't able to see my endro. Now that my endro and my diabetic educator have left the hospital I'm having to see a different doctor and needing to find a different diabetic educator.

My appointment was a disaster that had left me frusterated and discusted with self and the provider.

My visit with the doc was short and fast and just felt totally rushed through my appointment and unable to get the info I needed out to her.

I got yelled at for not having a lot of blood tests on my pump. Tried to explain that due to my insurance and lack of funds, along with surgary this year in being off work 3 weeks, along with days off due to not feeling well, has left me behind on bills.

This year my insulin cost $168 a month, but Lilly (Humalog) has gone up in price every month after June. Went to the pharmacy the next month it went up by $10, so it was about $180, next month after that it went up again. Last month, I forked out $221 dallors for 6 vials of insulin. My total bill last month at the pharmacy $387.37 with my other meds and test strips. Test strips are running me close to $45 a month, since I reached my deducable.

When we started the appointment - I had given my insulin pump to the endro told her there will be barely any testing done due lack of funds. She called the nurse in and she took the pump to get readings.

When my paper work came back, she said your not testing and why. I told her, I already told you the reason why.

I had told my endro that due to there is barely any testing is cause I can't afford the test strips after buying insulin.

I got the rant of I'm about to take you off your pump and put you back on shots. Said having the pump is worthless if your not going to test your blood levels.

Chewed me out about my A1C being at 10. I felt worthless even before she said this. I just wanted to get up and walk out and tell her, you just don't get it.

I came back in saying what part of lack of funds and can't afford test strips after buying insulin at the cost I'm been getting them, don't you get.

Pulled her out the slips of what it has been costing me through the year. Told her how can I afford test strips. Told her I'm swipping the bottom of the bucket with bleeding finger tips. Told her I feel worthless cause I have to go to the food pantry to get food about every two weeks. Told her I feel like I'm an awful person in having to go there. Walk out of the pantry almost crying, cause they give you food that is high in carbs and sugar. Even after telling them I'm a type 1 diabetic.

Told her you can put me back on shots, but I'm still NOT going to be able to afford the insulin and test strips.

Told her my electrical has been turned off and my sister has bailed me out in paying for a $500 electrical bill, which pissed her off. I had to have a friend pay my house taxes of $700 that I couldn't afford this year, and another friend to help me with various bills to get me by till next pay period.

I went begging to my sister after trying to get payday loans, trying to sell my stuff to pay bills. I hurt me a lot in having to ask for help. I got the third degree from the ones I borrowed money from and got, "You need to manage your money better. Was told you need to see a financial councilor and stop buying extra stuff. Was till then I thrown down my bills and medical bills, told them, you figure it out for me than and see where can create more money...

She had said there is a program for Novolog where the insulin will only cost me $25 dollars - copay even though I have insurance. She submitted it to the pharmacy.

She didn't change my test strips and still on OneTouch. She said that OneTouch is more accurate than the generic brands and with me being sensitive need accuracy.

She called the Hospital Social Worker to work on a few things on getting assistance, and help with my hospital bills. Applying for a program something called Community Share. To where they either setup a payment arrangements, reduce your bill or cancels your bill.

She orders an ultra sound on my thyroid, which will be another bill (lab to be paid)

In this whole appointment, it lasted about 15 min. From chewing me out about the insulin pump, checking tyroid, doing a physical, checking sites where I do the infusion set. I felt rushed and unable to talk about what I needed to talk about.

The endro I had, had time for you, was never on the run, never rushed you. Sat and answered your questions and concerns.

Since we have MyChart at the hospital, I just wrote her a letter that would have gone into my chart. Telling her due to our last visit and I didn't have enough time to talk I need to present a few more concerns.

Told her I have paper work that needs to be filled out for work, in fact 3 papers that need to be filled and signed and faxed.

When I spoke to the social worker, I told her, I'm not really happy with my appointment. Told her I felt rushed and wasn't even heard like I usually am. Told her my endro left and later my diabetic educator left also leaving me in the dark.

Told her I get charged for my visits and they only last what 15 minutes. I spent more time with the social worker than I did with the doctor.

When I made my appointment again, I told the receptionist, I want an appointment that will be 45min appointment due to my concerns were not addressed.

Sorry for my rant, just really frustrated and irritated with the health care system.

I had broke down and applied for assistance for food stamps. I doubt I will get it. I feel such a worthless person at this point of time that I'm having to lean toward assistance. My diabetic care along with heart meds are killing me.

Sad part, where does ObamaCare suppose to help me in this? Along with others who are stuck in the position I am? All I see is a black tunnel with no light at the end.

I understand there are people who are far worse than I am in having to make hard decisions on what to pay and not to pay. It really shouldn't have to be like this.. Even with OmamaCare, it's not going to make it simple.

I'm hearing cause of ObamaCare doctors are leaving.

I just want to scream but really don't think that will do anything....

Was in WalMart with my sister today. She had visited me to help me to get some necessary stuff like soap, laundry soap and other misc items. I guess I was acting a little funny and she told me to check my blood sugars. BTW, my sister is a nurse. She had set the meter up and took my blood levels, was running low in the 50's. Started to feel ugly and getting argumentative. Tam grabbed a soda, opened it and have it to me to drink.

A person in line said your husband needs to take better care of himself. Started up on how people like me are a burden on society that her sister is a diabetic and takes excellent care. I turned around and totally ripped her a new one in front of everyone. Really can't remember what I really said, it must have been bad, since my sister won't repeat what I said.

Went to the car and feel asleep. Sister drove around to get stuff done while I slept and checking blood levels when she returned.

Sorry flustered by narrow minded people who don't get it, don't understand and are conceded in there ways.

I do appolize if I offended. Hope you understand what I wrote, I'm a horrible person in writing and spelling. My English teacher in college was irritated by me cause I was a horrible English student. She passed with a B with the understanding that I never ever taken another English class with her again.

Sorry.

I am so very sorry for your pain Chadd. It sounds like you are getting it from all ends at one time. I knew someone once that was in a very similar situation and it breaks my heart to see others still having the same problems. I would definitely apply for the reduced cost programs and change providers until you find one that works for you again. Also, I recently reviewed a chart on the reliability of glucose meters and the WalMart Relion meter is extremely accurate, so this is an option if you need to purchase extra strips for A LOT less money than One Touch. Between the reduced insulin and being able to purchase cheaper test strips, hopefully you will be able to get back on track.

First off you have NOTHING in this world to be sorry for. People in the world nowadays are just so conceded and ignorant they don't think before they speak and they certainly don't care how their words hurt others. So many people are so uneducated about Diabetes and how this disease affects everyone differently! I'm so sorry that your going through the financial crisis that you are going through. I know it feels like you are at the end of a tunnel with no hopes of ever seeing the light but you've got to keep fighting and trying your very best. As we all know this disease is EXPENSIVE, but I'm hoping that not only will you be able to get the food stamps but also be able to get the other assistance.

What type pump are you on?! If you don't mind me asking.

I don't think that you should apologize for ranting. It sounds like the new doc is not very sensitive to your situation which concerns me as it sounds like you are really in a tough spot. I think the doc is kind of full of it about the One Touch Strips, which aren't even listed in the current "accurate strip chart" that someone shared here recently (I did a quick scroll back to look for it and couldn't find it...).

I loathe saying I agree with the doc but if your A1C is elevated and you're not able to test, you probably to test more. I hope the financial solutions from the various people you are in touch with help but I'm often suspicious of hospitals which seem to focus on "their" bills, doctor's associations' bills, etc. with little concern for the need PWD have for supplies to fuel our existence. This is deeply disturbing to me as testing BG should be a right, not something to beg for. One obvious solution which I've seen here from people I respect [Brian(BSC) and pancreaswanted come to mind but I know there's other folks...) is that the WalMart Brand test strips are *a lot* cheaper. Your doctor should be aware however if she's not or if she's on the take from One touch, maybe you can get that sorted out somehow and try them.

Another thing that concerns me in your saga is that you are reusing pump supplies. In my experience, if I let a site linger for a few days too long, 5-6 days, my numbers will get pretty elevated pretty quickly. I am very high-strung about my control but it happens consistently enough that I have come to believe that pumps and the supplies are engineered very precisely and that if you use the supplies in manner that is not recommended, pushing the envelope, as it were, they don't work nearly as well. It seems as if you are on top of your financial numbers and I'd hope that if you can sav some $$$$ on the Relion strips, perhaps you can use the "change" to get some fresh supplies.

Hi -

I just want to follow up on what AcidRock about reallocating your very limited funds. I love my pump but it is expensive. If you can save even $50 per month by going back to MDI, you can get another 100 low cost strips per month. Testing an additional 3 times per day will allow you to use your insulin much more effectively and should allow you to radically improve your A1c.

Your current financial situation is wearing you out but so are your very high blood sugar levels.

Good luck and God Bless,

Maurie

chadd, this sounds like a nightmare! im so sorry you have such a crap doctor. its hard to find someone knowledgeable and understanding of the economic difficulties a chronic disease like diabetes can be. with all of the other stress of D, people shouldnt have to worry about getting the tools we need to keep ourselves well.
i would definitely look into getting a relion meter and strips. i used to think my low carb diet kept my blood sugars in check, but i believe that keeping an eye on my blood sugars and testing as much as my pocketbook allows is the key. the meter itself is about 15 dollars and the strips are 9 dollars for fifty. it gives me piece of mind to be able to test more than three times a day.
how would you feel about going off the pump, as maurie suggested?
let us know how you get on with all this, good luck with everything.

i really sucked at maths when i was at school, i wish my maths teacher would have made me a deal like that!