This was originally posted to my blog, Diabetes Odyssey.
I really like my general practitioner. I only see her maybe twice a year, but I'm glad to have her. She is easy going in personality, she'll joke and chit-chat with you. She is very well educated and knows her stuff. And she is thorough...and she takes the time to listen!
I have been getting monthly B12 shots because I am deficient. The nurse does them so I do not have to see my doctor and pay a co-pay. The doctor's office usually schedules the appointments a month or two in advance, but this month they didn't. Of course I called to inquire about this. The nurse on the line told me my doctor would like to see me to touch base since it has been six months since I started the shots.
OK, I set up the appointment.
Now, let me let you in on my anxiety and frustration about this office. The following rant does not in any way change how I feel about my general practitioner, it's not her fault, really.
My general practitioner orders yearly labs for me. All the normal stuff, including A1c. Well, even though my endocrinologist orders A1c tests every three months (and the doctor's share info on patients), there is still the yearly order from my general practitioner. Whenever I get the lab done that is ordered by my GP, if it is above 7 her diabetes nurse calls me to discuss it.
She calls, and calls, and calls, and sends e-mails, and sends snail mails. And then when I go in to see my doctor, or get my B12 shot, or for any reason, the diabetes nurse will jump in to talk to me. I have told her that I do not want to or need to talk with anyone except my endocrinologist regarding my diabetes. I do not need or want any other hands in my diabetes pot! I work very closely with my endo on my diabetes care, we know what's up, we need no help on this.
I've been a type 1 since 1987, I think I know all there is to know about my care. I'm not perfect, but I know what I am doing! When people (anyone) hounds me about my diabetes care it crushes my spirit. I'm not non-compliant! I'm not stupid! I'm not untrustworthy! I know what I'm doing and I don't need or want your help!
OK, so I got my labs done a few weeks ago and the nurse was hounding me again because my A1c went up significantly. I know why it went up and myself and my endo have been working on it. I have thyroid issues and this was making my BG's impossible to get and keep down. As soon as I started thyroid meds (just after my labs were done) my BG's plummeted to where they belong.
So, in the back of my mind I was thinking one of the reasons my GP wanted to see me was because of the A1c...
So I went into this appointment a bit aggravated. I kept going over my responses in my head if the diabetes nurse came in to talk to me.
Don't blame me if I punch her....
The appointment was a normal visit. Weight first - It came up too high, as usual, but a good 12 lbs lower than I was expecting, so I was mildly happy with that. My blood pressure was 127/65. My temperature was normal.
The doctor came in and she was her normal sunny, pleasant self.
"Oh, I love your hair! The style is the same but you changed the color.When did you do that?"
"I just dyed it like two days ago." I smiled.
"I haven't seen your husband in awhile, how is he doing?"
I was pleasantly surprised that she remembered my husband and that we're a couple (who I go to most of his appointments with). This is one reason I love my GP so much. I told her he's doing well.
She listened to my heart, looked in my ears, and felt my neck.
She asked me how I've been feeling, do I still have B12 deficiency symptoms? I told her the dizzy spells are gone and I feel great except that I am super sleepy all the time, I sleep an average of 15 hours a day... but I think that may be due to my thyroid issues.
We talked about my thyroid, and all my vitamin (B12, D, Iron) deficiencies... and, yes, we talked about my BG's. She was very understanding about my A1c going up, she knew it was because of my thyroid issues.
"Well, your endo has thyroid labs ordered, so I'll just add on some other tests as well. We'll figure out the cause of your sleepiness and get it fixed."
I'm so happy she is thorough.
After the visit, I got my B12 shot and then headed home.
It was a good, happy, visit after all.