Insulin injection versus beta-cell stimulating drugs - Page 4

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Insulin injection versus beta-cell stimulating drugs - Page 4


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Old 05-03-2012, 20:58   #31
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The reason she gave me was that pills are easier. That with insulin, I would need to do injections twice a day and that's a pain. I wanted to discuss but a highly overweight elderly man fell from his rascal and hurt his leg. As he was yelling for help, she said to just try the amaryl for a month and we would look at the c peptide and antibodies next month as she rushed out to help him. She then told a nurse to get me setup with some neuropathy study and I was moved to the checkout lane.

I do think she may be keeping something from me but that just makes me angry. I am not a child. Tell me why I shouldn't have it. Don't sugar coat it. As I said earlier, if there is a good reason I will back off. Ease of use isn't good enough for me though.
Well, it sounds to me like she hasn't closed the door on the issue. I think sometimes doctor's worry about patient compliance. Again, I'm not saying this applies to you, but some people don't comply with taking medications they need to live, simply because they have to take the medicine 2 or 3 times a day. That's why so many drugs end up having extended release versions, because compliance is greatly inhanced by once-a-day dosing verses multiple dosing. So, if the average person is fairly uncompliant taking a pill 3 times a day, think of how uncompliant the average person would be taking multiple injections per day.

Anyway, back to your doctor. If she said try Amaryl for a month and see how it goes, then I'd wait the month out. Then in my follow-up appointment, I would say that I didn't like the drug. Then I'd say that we agreed I'd try this for a month and see how it goes. I'd like to try insulin. Can we try that for a month and see how it goes? Your strategy should be one that follows the "foot in the door" psychological trick. Don't allow your argument to seem like it's insulin forever (even though it is). Make it be insulin for a month. Try to get her to agree to something small and point out that you agreed to try the oral meds for a month. Then at the end of your month, if you go back glowing and reporting insulin is working well, then I cannot see her suddenly taking it away from you.

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Old 05-03-2012, 21:04   #32
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Anyway, back to your doctor. If she said try Amaryl for a month and see how it goes, then I'd wait the month out. Then in my follow-up appointment, I would say that I didn't like the drug. Then I'd say that we agreed I'd try this for a month and see how it goes. I'd like to try insulin. Can we try that for a month and see how it goes? Your strategy should be one that follows the "foot in the door" psychological trick. Don't allow your argument to seem like it's insulin forever (even though it is). Make it be insulin for a month. Try to get her to agree to something small and point out that you agreed to try the oral meds for a month. Then at the end of your month, if you go back glowing and reporting insulin is working well, then I cannot see her suddenly taking it away from you.
If this was the last endo in town, it might be an approach I would reluctantly adopt. But honestly, I would want to find a doctor I could have more faith in, someone who could partner with me as my pancreas poops out, which there is every indication it is in the process of doing - someone I wouldn't have to play these sorts of games with.

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2/13/11 .. 14.7 . . . . . . Trig/HDL ratio .. 5.5 to 2.2 in 6 mo
5/23/11 .. 6.2 . . . . . . . Low-carb/high healthy-fat diet
9/8/11 .... 5.6 . . . . . . . No meds, No statin
2/24/16 .... basal/bolus insulin 2-3 days/wk due to steroids

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Old 05-03-2012, 21:13   #33
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If this was the last endo in town, it might be an approach I would reluctantly adopt. But honestly, I would want to find a doctor I could have more faith in, someone who could partner with me as my pancreas poops out, which there is every indication it is in the process of doing - someone I wouldn't have to play these sorts of games with.
Quoted for Truth...

There are some exceptions I've encountered, but it seems like there are two perspectives doctors seem to adopt when it comes to their attitudes towards a patient:

1) This patient is uncompliant, they don't listen to anything I say, they don't read any of the brochures I give them, they don't give a **** about getting better and there's nothing I can do about this moron. Why can't my patients take more responsibility for their own healthcare?

2) This patient is a know-it-all. They come in here with peer-reviewed research articles and act like that's as good as my medical degree. I don't need this bozo telling me how to do my job. Why can't my patients relax and let me take care of their needs?

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Old 05-03-2012, 21:15   #34
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Yeah, I think moon is right. I have a lot of options living in a huge metro area. I am just going to move on. I have time. I am not that bad off I just believe in being proactive rather than reactive. I want to get control back before it gets worse.

I want a doc I can believe in. I don't believe in her right now. I expressed my issue with toxic concoctions they give in the form of pills. She didn't care. That doesn't give me much confidence. Again, if she has a REAL reason, she should have expressed it.

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Old 05-03-2012, 21:16   #35
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3. What a pleasure to have a knowledgeable patient who wants good health, to take of themselves, and with whom I can have an intelligent conversation. It takes the burden of responsibility off me and puts it on my patient, where it belongs.*


* I have several of these.

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5/23/11 .. 6.2 . . . . . . . Low-carb/high healthy-fat diet
9/8/11 .... 5.6 . . . . . . . No meds, No statin
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Old 05-03-2012, 21:21   #36
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3. What a pleasure to have a knowledgeable patient who wants good health, to take of themselves, and with whom I can have an intelligent conversation. It takes the burden of responsibility off me and puts it on my patient, where it belongs.*


* I have several of these.
That's the way it should be. And not just with the doctor-patient relationship. Any type of relationship should have give and take like that.

I'm convinced that there must be something about my approach that is causing the difficulties I'm having, because I am finding it hard to believe that I just happen to come across so many doctors that, at least to my reasoning, aren't motivated to give me the treatment I seek. Of course, I'm not sure what it is I do wrong, so I don't know what I would need to change.

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Old 05-03-2012, 21:45   #37
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Originally Posted by policebox

That's the way it should be. And not just with the doctor-patient relationship. Any type of relationship should have give and take like that.

I'm convinced that there must be something about my approach that is causing the difficulties I'm having, because I am finding it hard to believe that I just happen to come across so many doctors that, at least to my reasoning, aren't motivated to give me the treatment I seek. Of course, I'm not sure what it is I do wrong, so I don't know what I would need to change.
I am right there with you. I don't know what I am doing wrong. They say ther is safety in numbers. Maybe we need to go as a group so we can get our point across.

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Old 05-03-2012, 21:51   #38
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I am right there with you. I don't know what I am doing wrong. They say ther is safety in numbers. Maybe we need to go as a group so we can get our point across.
I need someone to advocate for me, because I can't do it anymore.

Oddly enough, I'm generally good at helping other people get their problems solved. I just can't seem to manage to fix any of mine. I've always said that I'm good at running everybody elses' lives, but not my own. Hmm, that came across as me being pushy and difficult, which I'm not. Just difficult.

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Old 05-03-2012, 21:55   #39
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I need someone to advocate for me, because I can't do it anymore.

Oddly enough, I'm generally good at helping other people get their problems solved. I just can't seem to manage to fix any of mine. I've always said that I'm good at running everybody elses' lives, but not my own. Hmm, that came across as me being pushy and difficult, which I'm not. Just difficult.
We seem to have a bit in common.

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Old 05-03-2012, 23:43   #40
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I need someone to advocate for me, because I can't do it anymore.

Oddly enough, I'm generally good at helping other people get their problems solved. I just can't seem to manage to fix any of mine. I've always said that I'm good at running everybody elses' lives, but not my own. Hmm, that came across as me being pushy and difficult, which I'm not. Just difficult.
I don't think it's the patient's fault if their doctor doesn't listen to them. It's their JOB to listen.

I have had problems with doctors in the past and when I felt scared, intimidated or unable to deal with the attitude I would bring in my mom or a friend. I would print out a list of my questions and concerns and give a copy to my "advocate". Then they could play "bad cop" and otherwise ensure that I didn't quietly go "oh... okay" and leave with issues unresolved.

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