IF you didn't need

I just lost my medical provider…see my blog. So now I am considering going it alone, bad choice, I know. But if all I need is scripts for meds, and the twice a year A1C, what do I need a doc for? It’s not a stupid question, when you consider the cost of care, the lack of care in rural America, and the idea that the “haves” have it, and those of us who don’t learn to survive.

So, my question today, is this, IF you didn’t need to have a doc for anything other than scripts would you need to have a doc on your team? What would you use him/her for?

Remembering that we have few docs in my area, and they seldom take new Medicaid patients, and hard to get into for new people…what are your suggestions? No we don’t have a FREE clinic…nor public health…critical care or ER care, yes.

Just looking for ideas…and support.


Honestly, my doctor is useless, pretty much… I know more about D than she does… Only thing is, without a job nor insurance, I am quickly going to be out of strips soon… :frowning: Just 11 more left. I am scared of going it blind… but, oh well. We’re a money driven society, and if you can’t find a job, any job, or insurance, it’s a tough ride. The free clinic only offers me so much… No strips, and no prescription coverage. I heard of a few places that were going to be offering metmorfin for free now, with a script… That at least will help some, I guess. Sorry to hear about your issues. hugs

Well, if everything is fine and dandy then you may not need that direct care from the doctor. But let me ask you. If something bad happened and you suddenly had to get care from a doctor for a serious condition, who would you want working on you. A doctor that knows you, or an unknown who may make decisions totally inconsistent with your wishes.

My doesn’t hesitate to give me referrals to specialists and I can get in to see him right away if I’m sick. I don’t have Medicaid and I know it’s frustrating to work with that system. If you get really sick you will need someone to take care of you, though. I wish you luck.

When I got sick I didn’t have a doctor. I had insurance but…heck…I was always well so why go? I learned quickly that was the wrong thing to do. The doctor I first saw was an absolute ZERO. I was stuck with his opinion, his treatment, his lack of quality care. I was fortunate & figured it out. I quickly asked around to see who was better - at least that got me somewhere.
You do need a doctor you can form a relationship with. If it means travel (if you can travel) do so. Make it a 2x a year trip. If you have questions / issues you can always call his / her office on the phone and let them decide if you need to make an additional trip to come in to be seen.
Yes, you can manage this without but if something happens…and it always does with diabetes…wouldn’t you want to be seen by someone who has your records and you trust? Or would you like to see someone when you are desperate for help and not know what way to turn? You may have turned to the wrong doctor and wrong treatment plan.
I would NEVER go it alone with diabetes. My endo, whom I don’t need anymore is still on my ‘doctor list’ and I can use for consults even with me now using a GP for most everything.

I would have a doctor I know and who knows me on hand. I might not see him often, but in an emergency there would be someone to call and someone who would have my medical history. It could save a lot of time and maybe a life.

In addition, if you actually DID need to see a doctor, it might be easier to get an appointment as an existing patient than as a new patient. Furthermore, a once a year or every other year checkup couldn’t hurt - doctors sometimes find things we aren’t aware of.

So, get a doctor, if you don’t have one. Get a thorough exam and make sure he/she has all your medical records, then keep their name and number in your back pocket.

That’s what I would do, anyway.

Terry

I went without insurance for a while about a decade ago.

The actual doctor’s bills were not too bad - circa $80-$120 for a checkup at the time (I think $200 might be the “list price” today).

I was using R and N insulin at the time so not so expensive. Humalog and Lantus are way more expensive now of course.

But the labwork bills can be outrageous. While my insurance right now pays circa $35 for a typical 3-month labwork (metabolic panel, A1C, sometimes cholesterol, sometimes some kidney panels etc.) the “full retail” price for the same lab tests comes in like $600. That’s just outrageous.

I agree with Kathy here… a good doctor/patient relationship is just that, a relationship… if you can’t work together, then don’t - but try to find a doctor that you are happy with! I am glad to have finally settled in with an Endo team I really like and trust. I do lean on my CDE more than my Endo because she’s not as busy, but they’re both very helpful.

Personally, as a type 1, I would never be comfortable going without a doctor for long simply because of the labwork involved… in 6 years of also having Thyroid disease, my meds have NEVER been regulated for more than a few months at a time. It’s been a horrible rollercoaster and without being able to have that checked regularly I’d be in even worse shape than I am now.

If diabetes was the “only” thing I had to worry about I might feel differently, but even still I’d want labwork done at least once a year to reassure me that my kidneys are doing fine.

I also think it’s important for EVERY healthy adult to have a yearly physical just to make sure nothing is going on. A lot of diseases can be more easily managed if caught early… so why wait until there is a BIG problem?

I was without insurance when I was diagnosed, I was young, and scared, and it felt like every single penny I had went to paying for supplies, insulin, and Dr’s appointments, but I know that I couldn’t have gotten through it without the doctors… there’s just no way.

Oh I totally agree there… I was recently screened for Celiac and while the lab “billed” my insurance something like $680 for the 4 tests in the pabel, my insurance paid a whopping $36 ($9 per test) as their “contracted rate”. It is insane. I think the lab would kick me out if I suggested I only pay 5% of my bill.

A question that is now driving the bus to be sure. As it is now, if I stay at the clinic where I am, there is NOT a doc there, and I would still get someone who doesn’t know me…if I switch to another clinic, the benefits aren’t there, the education is worse, and the following up isn’t as good, but I would have an MD…it’s a quandry to be sure.

All very good and valid ideas. Thank you.

Right now, we who use this clinic have no idea what is going on and won’t until Monday…not that anything bad is going to happen, but as someone said, you never know. Right now I am in a diabetic study with this clinic for Native Americans, I am the token white woman. So my information, my lab results, etc are vital to the study. Yet, there is no doc there, only cnp…and a doc who checks in with them as a proctor twice a week.

At this clinic, I have exercise equipment, blood work done, physicals, eye care, nutritional help and a CDE. It’s like a one stop place, AND my family can go there also.

Yet, the CNP who is there now, and I don’t always see eye to eye about many things, and I can be a very non-compliant patient when I don’t want to do something, or understand the “why” of doing something. I am no dummy and I want to know what’s going on with me. So…the next few days will be interesting.

I do have appt’s with two docs in town, both new to our community, however, one is a diabetic, and has more education that the other, not that it matters, but this one is a guy. The other one is a woman, appears nice enough on the phone, but very new…I would rather have someone who knew a little bit more than 30 minutes of medical school about all the things I deal with. Diabetes is the major thing, but I also have Hi BP; PTSD, BPD, chronic severe depression and arthritis…and I am 57 years old…that alone is a whole new ball game of things. So it’s going to be a nice roller coaster of a ride this summer, but I hope in the end to have put together another fine medical team.