Has anyone here ever been kicked out of a Doctor's practice for non compliance by refusing a statin drug?
I got a phone call today from the nurse at my doctor's office telling me that my lab appointment for tomorrow has been changed to a fasting appointment. The GP has ordered a diabetic labs including A1C and fasting cholesterol.
I asked why the cholesterol test when I am intolerant of statin drugs because of some side effects? The nurse reminded me of the fact that my LDL level was out of control and my A1C at 6.1 wasn't very good either.
She then insuinuated that when a patient's levels are out of control that it makes the doctor and the practice look bad. I was told that 'they' (whomever they are) are putting the pressure on the doctor for all patients, especially diabetic patients, to be under control, and perhaps if I wasn't under control that I would be kicked out of the practice.
So.......now in addition to worrying about managing my diabetes, blood pressure and cholesterol - I have to worry whether I will be kicked out of the doctor's practice too? I thought this was America, where we have freedom to choose what medicine we want to take? :(
And those numbers are ONLY going up,with new patients NOW coming into the health care system and we do not have an influx of new Dr's coming into the system. Most Dr's today want to specialize and are not going into practice as GP's. I'm not saying our health care system in the US doesn't need some work and fixing, BUT I don't think ObamaCare took into account what this all means, and our health care is not in my opinion going to improve. It will be even MORE justification from the doctors for WHY these test need to be ran, WHY that MRI needs to be ordered, WHY this patients labs looks like they do and on and on and on. We as patients are becoming nothing but numbers.
That is why I pay an additional $3000 per year to have a "boutique practice" GP. Just so I can call and get more than 15 minutes of her time any time. So I have her email address, cell phone number and can call and speak directly to her. I am far more than a number at her office or maybe I am a number, but I am number 200 NOT number 2300.
I envy you as I don't think the doctors in my area have even heard of a "boutique practice".
WE are getting a lot of those practices here too in VA. They often don't see a HUGE number of patients, BUT they do provide very quality care and patient centered care.
It sounds like a dream, but Concierge Medicine, which allows patients to pay for special access to their doctors is becoming more and more common in my area. My primary care doctor filled out the paperwork for my CGM and had me use her office for training with the Dexcom rep and sat in on the training session. She is the smartest person I know, next to my husband who has a double PhD and although I do pay for it, she does take extremely good care of me. I am only sorry that not everyone can get the same kind of care from their physicians.
Boutique practice is nice if you can afford it! :-(
I agree 100%, Alison. Your endo sounds like he is a smart (and caring) man. To simply label someone "non-compliant" and then to either reduce expectations, show scorn or at worst "fire them" is neither professional nor humane. I've worked with probably thousands of people who appeared not to give a damn about their own lives. Actually I was one of them when I was younger. I can guarantee you from both the personal and professional view that it was never from simple apathy. The important question is why they are "non-compliant" and more important, "how can I help them become motivated, educated and empowered."
There are only about 2000 new Endos graduating every year. They are NOT a highly compensated specialty. We have some problems coming that will not be solved quickly. A GP has to learn to handle 200-300 different conditions. Unreasonable to expect them to be at their peak on every one.
That is awesome about the A1c. And yes I know as diabetics we are at higher risks from other things...but having a good tightly controlled A1c also helps those risks too. How's your BP, do you have problems with high blood pressure? I think too many times, and I don't see this improving as the feds get more and more in control of our health care. But its only the big picture that is looked at. Not ok well cholesterol is kind of high, BUT A1c is good, BP is good, family history is minimal...they are exercising, watching what they eat, blah blah blah. We are so much MORE than just numbers on a lab slip. I come from a family history of grandparents on both sides with high blood pressure, heart disease, cholesterol issues...I'm not affected. I'm the ONLY type 1 in my family. Go figure, lol but all Im saying is health care needs to be looked at on so many different levels. There is not just ONE treatment plan that fits us all. If there was lol god knows this mess would be a LOT easier to treat and control. Good luck, and if its important to you, not to be on the statins due to how they make you feel, then discuss this openly with your dr and be like WHAT can I do to improve this without the medications because of the side effects they cause...WANTING to do something to me goes a long way in showing your not just being non-compliant.
I was lucky, my GP kinda flipped when she saw I was not on any Ace inhibitor or statins or baby aspirin. Im like WHY I dont have high BP, I don't have bad cholesterol levels, my urine studies are ALL normal. Im not really wanting to take something JUST BECAUSE...she asked me if she minded her discussing it with my endo and getting his intake on it, I'm like sure go ahead as I had already had this discussion with my endo. My endo at this time doesn't feel Im at significant risk, and if that changes then maybe we will re-evaluate our treatment plans but Im not taking statin drugs with potentially SERIOUS side effects JUST BECAUSE.
I have had that conversation with my GP and she doesn't believe anyone could have so much trouble with all of the statins. Her statement - "there must be ONE that you could take". Sadly, my BP is also lousy and I'm currently taking 4 BP meds. GP is gradually increasing the dose of one of the BP meds as I react badly to some of them also. I just feel like a freak and why should any doctor want me as a patient? :(
I see Concierge Medicine being a new trend. And its either going to go to the ObamaCare providers and take a number and wait in VERY long lines and not so great of quality of care for a multitude of reason, or its going to go to Dr's practicing Concierge Medicine. Like I said I strongly believe our health care system needs some overhauling but Obamacare is a nightmare in the making for health care. Its not going to improve anything, people will either PAY for the Concierge services OR people will be stuck with overworked, underpaid physicians who have a multitude of panels and people to answer to to how they are practicing, with more patients coming on board and not enough Dr's to handle it. You think 15 minutes is a joke, try 5 min appointments.