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Co-existing with your Doctor? - Page 4


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Old 01-25-2012, 23:16   #31
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I've had some doctors use a laissez-faire approach ("keep doing what you're doing"), which I actually appreciate a great deal. The other doctors I've had do not appreciate being questioned or challenged. They're incredibly self-important, convinced of their own expertise and my ignorance. Every time I would propose something new or disagree with the recommendations, I'd get treated like a non-compliant patient.

My current doctor at my last appointment said, "Why are you even seeing a doctor if you don't need my advice?" Maybe because you're the gatekeeper of all the drugs? Also, I do need a doctor's advice, but not about everything. I also don't need to be bullied or lectured into taking whatever pill she's willing to prescribe me or following every blood sugar target she sets. I may not be an expert in all the physiological processes of the human body, but I'm in an intimate and committed relationship with my own diabetes in a way that she'll never be. So, if and when I ask for a freakin' pump or a referral to an endocrinologist, I expect for that to be respected or at least discussed before being rejected. Some doctors just can't handle patients who are self-possessed and knowledgeable. They expect you to walk in utterly clueless about your health and the newest treatments and medications. Others are amazing, open minded, and willing to work with you - still looking for one of those.

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Old 01-25-2012, 23:59   #32
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I trusted the doctor who diagnosed me a long time ago. Then he denied me the opportunity to start using the pump and my opinion of him changed. His reason for denying me the pump??.........syringes and vials have been good for 25 years, why bother with a pump? And when I persisted and asked for a referral to an Endo - he told me "why go there when I can tell you the same things he will tell you"?
Arrogant as Shanny says, but if a doctor said to me what yours said to you, I would start to wonder how up-to-date he was with his reading. In all areas. Because that's the sort of thing people say when they don't know the answer and don't want to admit it.

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Old 01-26-2012, 12:32   #33
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I had a "Dr. X" for a VERY SHORT period of time....about 5 minutes to be exact. It was first visit with my new OB/GYN, I am sitting in the exam room waiting to meet him, he walks in, looks me up and down and says "you really need to think about having gastric bypass surgery". No "hello" or nothing. Yes I know I am fat and I didn't need him to point it out. I am usually a VERY timid and NOT AT ALL outspoken person. I looked at him, and politely told him that I would consider gastric bypass when he considered not being an a**hole; at which point I got up and left. Upon recounting the conversation to my mother, she breaks out in this big s**t-eating grin and says "it's about time you grew a set and stood up for yourself". Thanks mother, I think.

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Old 01-26-2012, 14:32   #34
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I got in through the back door with my Endo. I was referred by the free health clinic, took me months to get the appt but finally did and in turn she got me in the GI clinic. I didn't have to deal with the GP til later and was slapped in the face with the truth that they didn't know squat about Gastroparesis or even much about Diabetes for that matter. Guess my other docs had me spoiled at that point and I naively thought all the docs would be just as knowledgeable about my condition.

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Old 01-26-2012, 21:20   #35
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... at which point I got up and left.
I hope you continued walking past the receptionist without paying!

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Old 01-26-2012, 21:38   #36
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I had a "Dr. X" for a VERY SHORT period of time....about 5 minutes to be exact. It was first visit with my new OB/GYN, I am sitting in the exam room waiting to meet him, he walks in, looks me up and down and says "you really need to think about having gastric bypass surgery". No "hello" or nothing. Yes I know I am fat and I didn't need him to point it out. I am usually a VERY timid and NOT AT ALL outspoken person. I looked at him, and politely told him that I would consider gastric bypass when he considered not being an a**hole; at which point I got up and left. Upon recounting the conversation to my mother, she breaks out in this big s**t-eating grin and says "it's about time you grew a set and stood up for yourself". Thanks mother, I think.
I wish I had some of your courage. I heard the same comment, only it wasn't from a OB/GYN doc, it was from the Endo that I was seeing for the first time. Unlike you, I was sort of taken back to the point where I was numb. He ordered me to "stand up", he whips out a tape measure and measures the circumference of my neck. Then he writes it on the paper chart and says "Yep, now I know you need gastric bypass - do you want me to write a referral"?

Then I wonder why I am afraid of doctors?

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Old 01-26-2012, 23:23   #37
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I have a very good doc. She did mention gastric bypass once to me, and when I told her I was skeptical of the long term results, she agreed that there wasn't a lot of data out there and dropped it. When I research a new drug or therapy she'll look into it and we'll discuss it. I'm the first patient she's prescribed Metformin XR to!

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Old 01-27-2012, 16:09   #38
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I have a very good doc. She did mention gastric bypass once to me, and when I told her I was skeptical of the long term results, she agreed that there wasn't a lot of data out there and dropped it. When I research a new drug or therapy she'll look into it and we'll discuss it. I'm the first patient she's prescribed Metformin XR to!
My doc is similar. She mentioned bypass once, just to say that if I were interested I would be a good candidate, and I replied that I was not at all interested. She hasn't mentioned it again.

I'm glad she mentioned it. She obviously considers it a viable treatment option for someone as obese as I am, and was willing to give me more information if I were interested.

And, indeed, her mentioning it (though I'd already considered it a couple times and looked up some info on it) was one of the "shockers" that made me really get back on the lower-carb/losing-weight train. I think that when a doctor mentions such an option, it can have a great deal of weight to a patient.

But if she'd said something like that the first time we had an appointment, or in such a flippant way as some of these other examples, I would have been livid. Instead, she was offering it as an treatment option, matter of factly, in response to my concern over my weight and the difficulty I have losing just with calorie restriction.

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Old 01-27-2012, 16:37   #39
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I wish I had some of your courage. I heard the same comment, only it wasn't from a OB/GYN doc, it was from the Endo that I was seeing for the first time. Unlike you, I was sort of taken back to the point where I was numb. He ordered me to "stand up", he whips out a tape measure and measures the circumference of my neck. Then he writes it on the paper chart and says "Yep, now I know you need gastric bypass - do you want me to write a referral"?

Then I wonder why I am afraid of doctors?
To humiliate you like that and recommend surgery at your first appointment is shockingly horrible. That just reminds me of doctors who get out the prescription pad before even giving you a chance to fix a problem on your own. Although I've had some really bad doctors over the years, none measured my neck or waist or told me to get a gastric bypass, even though I would've qualified. Like you, I probably would not have said anything. I would've just cried in the car afterward. Only now after getting beaten up by so many doctors have I gotten confrontational.

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Old 01-27-2012, 17:22   #40
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To humiliate you like that and recommend surgery at your first appointment is shockingly horrible. That just reminds me of doctors who get out the prescription pad before even giving you a chance to fix a problem on your own. Although I've had some really bad doctors over the years, none measured my neck or waist or told me to get a gastric bypass, even though I would've qualified. Like you, I probably would not have said anything. I would've just cried in the car afterward. Only now after getting beaten up by so many doctors have I gotten confrontational.
MissBlue - Your post is interesting in that your thoughts are so similar to my own, only you've said it much better than I did. I have been beaten up by so many doctors over the years and I am now to the point where I wish I did NOT have to see one but once a year or less.

However, I use a pump and Medicare requires that I see a doctor every 3 months and provide blood sugar logs to prove how many times per day I test my blood sugar (even though Medicare doesn't want to pay for more than 3 times a day). I am stuck going to the doctor even though I would rather not. And Yes, I've cried in the car afterwards many times.

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Last edited by Strawberry; 01-27-2012 at 17:23. Reason: mis-spelled word
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