because taxes will make business flee! I am kidding.
Mine knows where I live. He is a big fellow, and I don’t fire thugs, I adapt.
LOL
Rick Phillips
I have fired doctors before. They are businessmen is how I look at it. You pay them enough and they will bend over backwards for you.
I had one doctor years ago that almost killed me. I fired him and got another one. Within 3 days I was in the hospital getting treated to save my life.
As long as my endo does what I tell her to do, I will keep her. Otherwise, I will find another doctor or self treat now that I know what I have to do about my disease.
Only need the doctor for prescriptions to get analogs. But I can easily use regular insulin if needed.
That might be true in other parts of Canada, but in Quebec, a doctor HAS to pass a French Language test in order to be able to practice here. Same with getting the equivilency over here. I know a lot of engineers/doctors etc working as janitors because the government does not accept their credentials.
I am amazed at american big business in the past. If I was GM top leadership I would have been glad if the Govt took away a major expense from my income statement. It is also better for people because without universal health care I would have not quit my job to start my own business it would have been irresponsable to do so.
Well, just remember – diabetics are the Sharps Samurai – he should be scared of you!
We laugh at the blood lesser mortals fear.
It might violate HIPPA but that doesn’t mean they don’t do it. A doctor is going to protect another doctor and they certainly would not turn another doctor in for it.
I have been in the room when conversations took place. The conversation itself was in violation of HIPPA let alone the fact they were discussing patients in front of me, but they happened. Some were by doctors and others by nurses. In the case of the doctors, I knew both doctors & the patient involved.
When I did HBO, I was having a conversation with another patient while we were waiting for the doctor to come in. I asked him if he ever ate salads. The nurse informed me that he could not eat salads because he had a gastric bypass. If he wanted me to know that, he should have been the one to tell me that, not the nurse.
This summer, a woman in my apartment complex went to her doctor and had a pregnancy test done. The nurse in the doctor’s office happens to be a cousin of the manager here. Guess how everyone here found out the woman was pregnant?
Doctors are allowed to freely share information about you as a patient with anyone involved with your care, and particularly when you have already established a doctor patient relationship with both. HIPAA does not restrict them at all from talking about you in this context. Here is some detail on HIPAA. While they can’t share information not relevant to your condition (diabetes), you should bet that a discussion of your non-compliance and attititude problems will be shared.
No straw man here.
The complexity of the problem is irrelevant. Presumably both the mechanic’s and doctor’s training matches the level of complexity inherent in the problems they will face. What’s the doctor’s years of training for if not to be able to handle the complexity of the issues?
A doctor is not entitled to any more deference than any other professional. If the doctor can’t figure out the problem, go to a different doctor. How many chances you give him is a matter or personal choice - do you like the doctor/mechanic? Are they explaining the problems to you? Are they communicating a plan of action? Are they accepting your input?
We are conditioned to give a great deal of deference to physicians, but I wonder if it’s really merited. It certainly is, however, a bigger pain in the butt to change doctors than to change mechanics. In addition, your auto insurance company has a lot less influence over which mechanic you can choose. I think those are the reasons people don’t easily change physician’s.
Terry
Yes, I liked Levemir a lot better! To be fair though, when I was on Lantus, I was doing one shot a day. I first heard about splitting Lantus and doing basal testing when I also heard about Levemir. My doctor asked me if I wanted to try splitting Lantus and I just wanted to dump it. A lot of people have said they needed a little more Levemir than Lantus but that wasn’t the case for me (although I was probably taking too much Lantus). Levemir only lasted about 7 hours for me so I actually took it 3 times a day. I also did 24-hour basal testing to know how long it lasted. I don’t think it took too long to figure out the accurate dose but I can’t swear on a time-frame! The Levemir was a lot smoother for me.
It is hard to say whether or not it is the Lantus. Both my sister & I were in our 40s when we ended up with allergies. I worked with a guy that was using Lantus for awhile then all of a sudden became severely allergic to it – he landed in the hospital because of it. The guy I worked with did not have a reaction around his sites. I don’t remember how they figured out it was the Lantus – he was in the hospital when they figured it out.
I will go to bed without snacking in the 70s, but I also know my BS is fairly stable at night – it is during the day I have problems! Have you tried doing any basal testing? I know it is a pain in the you-know-what, but some night, set your alarm every 2 hours and test your BS. If you know you are not dropping, then you would be safe not snacking in the 70s. You shouldn’t drop by more than 30 points. If you started at 100 and dropped to 71, you would be OK but if you started in the 70s and dropped 29 points, that wouldn’t be OK! You have the added problem of the fact that you are still spitting out some insulin and that makes it hard to predict what is going to happen. I don’t know how long it takes for your insulin production (or lack thereof) to level out, but until that happens, you might be safer taking those glucose tablets when you are in the 70s.
I am guessing the 120 could be a little DP since you were good at 3:30.
I know you have been on the fence about low carb, but you should check out Danny’s TAGgers group. Some of us bolus for protein & fat – low carbers tend to have more of a problem with protein than people eating higher carbs.
Except that we’re not talking about wrecking your own ducati or your own body - we’re talking about allowing a mechanic or doctor to wreck your ducati or your body.
If a bad mechanic ruins your ducati you can get a new one. If a bad doctor wrecks your body you’re screwed.
In either case, if you suspect you have a bad mechanic or a bad doctor you should get a new one before they ruin anything. Given the consequences, even more so if you have a bad doctor.
I still think it’s a fair and reasonable comparison. In both cases we’re seeking advice from a person who has expertise that we don’t.
My opinion is that there is no reason to give greater deference to the expertise of a doctor over the expertise of a mechanic.
Terry
Just remember, you have the absolute RIGHT to see your medical records.
Look at them before you change doctors and after the new doctor has seen you.
Look for variations and discrepancies.
You could just see another doctor without telling them of your previous doctor.
It would cost you an office visit, but at least you will get an unbiased diagnosis.
Also, if you can prove your existing doctor is badmouthing you, y=sue the pants off them for liable. And make sure it’s in the news…
This will bring awareness that patients won’t put up with BullSh*t from the medical field.
Remember, your doctor has an OPINION, and we all know about those don’t we…
i fire doctors.
i have many endocrine diseases and i have learned that one endo does not fit all endocrine diseases. i have a fair diabetes doc. his team kind of sucks. but im doing well under their direction as long as i do a lot of my own research and legwork. they can stay.
my other endocrine doc…well, i fired him.
Endos mix Type 1’s and 2’s because there are not enough Type 1’s to make a living off of. Type 1 really IS rare, although it may not seem so here. And a good endo SHOULD be able to treat both types properly, anyway.
Well, I DID fire my endo (after 16 years), after he let me fall into a coma when the signs were very clearly there. I’d been with him long enough that he should have known that an A1c of 10.7 was WAY out of my usual range (always in the 6’s), my fasting BG at 302 was WAY out of my usual range of 100 - 120, my liver enzymes were in the 100’s (normal is <40), and I was barely able to talk to him, when I’m normally quite verbal.
That was on Monday; by Sunday, I was in a coma, and only survived because my friends came looking for me after I didn’t show up for a picnic. By the time I got to the ER, my BP was 73/52, and my kidneys had shut down. I was SICK! He should never have let me get so sick.
So now I have a new endo, a Type 1 pumper, and he’s more receptive to my individual uniqueness (although he still has a lot to learn about me, I trust he will). I just never want to go through the coma business again, and will do everything I can to prevent it.
I don’t have a diabetes team.
Personally, I don’t need one. It’s just another expense that isn’t worth the money.
All I want is the prescriptions for my insulin needs and test strips. I can handle the rest on my own.
If you want to control your blood sugars, then stop eating carbs and exercise more.
Of course, take your meds.
I went from a1c of 6.8 down to 5.3 without a single med. Then 5.2 with meds.
Next one will be a bit higher though due to lack of exercise on my part…
And if my endo doesn’t perform as I pay them to, I will fire her, find another one, or self treat. It’s not hard to do.
Lantus is claimed to start action at 1-2 hours and not peak until 6 hours. It actually seems strange that you would take Lantus at 9:30 pm, eat something and already see a low by 11:30. A sudden onset action from Lantus like that suggests that maybe you injected into muscle. Do you pinch up and take special care to inject into your subcutaneous fat layer? You can inject fast right into the muscle without consequence, but not so with Lantus.
I’m not sure I’d say it’s ‘normal’ as docs are usually looking for it to be a shade higher than that.
The other thing about BG is that it sort of takes 2 tests or a CGM to say for sure what it’s up to?
If it was 300 1/2 hour previously and you are at 75, it can be quite hair raising? I would think that if the 108 was in the 70s AFTER a small snack, it had something to do w/ ‘leftovers’ from a dinnertime 'log shot if you are taking that? I ‘overbolus’ for dinner a lot to cover the evening beer, junk food, dessert, etc. and I think that the sort of ‘winding down’ at that time of day, or perhaps that I exercise when I get home from work, tends to push down my PM #s and sort of stretch out a significant dinnertime bolus? You might try turning down your carb insulin ratio just a notch too?
BSC has a good point about maybe hitting something but I would think you’d get a welt or gusher from that?