and what a waste of time. Most of them seem to be A**holes and this guy was no different. He asked me nothing about my diet, my testing, or much of anything. The only thing he recommended was to get off NPH. I could just tell he wanted me in and out of the office as quick as possible. I was actually referred to this guy by a close friend of my moms daughter who apparently worked with him at some point. I spent $125 for the visit but at least I was able to talk the nurse into giving me two vials of humalog.

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Usually I give the doctors my logs before the visit, so they have time to look at them. I look at them too. If you don't have a log or meter reports of the visit, what is he supposed to talk about? I think a lot of docs will try but don't really feel the obligation to invest a lot in you unless you show that you are going to invest the time in yourself.

Did you explain any of your special symptoms that you have told us about? I would think he'd be interested in that? How old was he? If he's younger, it's possible that he may not really have a lot of experience with NPH and may not be able to offer much? Really, I'm not sure anyone could offer much with that stuff.

Yeah I did.. He said some people are sensitive and some aren't but obviously couldn't give a valid explanation as to why. I told him I don't feel well at 110 and he didn't even respond like wow I never heard that before. No compassion what so ever.. Just by the book. I really felt like just walking out the door and not paying him but his nurse was nice and I felt rather ok so I paid the schmuck. To be honest if he didn't want deal with me because I had no log he should have told me so and sent me out of the office without charging me. I need a shrink more then I need an endo.

I think that for those with diabetes for a long time, the endos expect the patient to be the 'driver' for the appointment, to address what they need from the endo. I usually tell my endo what I've changed on my own (ie diet, exercise, TDD etc) so my endo can make notes. Obviously those new to diabetes need more education and the endo to be asking more questions. However, in your case, I'd expect he should have via questions, or forms being filled out, asked for a basic history of your diabetes treatment, successes and struggles.

So I'm wondering - what did you expect from this new endo ? Did you let him know ?

How did you respond to his recommendation to get off NPH ? Did you discuss alternatives and pros/cons, or simply dismiss it.

If you went into the appt with the idea it would be a waste of time, then sounds like you got just what you wanted.

I think too that endos probably have a "flow chart" running and patient w/o numbers= a short path on the chart. I've had appointments like that myself and fed the doctor a song and dance about what was going on but the docs sort of limited in that they can't give you any advice if you can't show them something or give them an idea what you're looking for. Maybe a lot of their patients are like that. SuFu, who is in med school and had left recently, as he didn't want to post stuff here that would get him in hot water, said that there was no way he'd consider being an endo. He didn't exactly explain why but I suspect that dealing with a sort of "unsolveable" equation would have been a big part of it? Which is not to say that my equation is any more solveable as I totally bounce along from test to test.

Yea know the feeling have not been to Endo in several years even though it is Commie here. GP actually listens to what I say.

At least the 2 vials are some compensation.

Disappointing. I have optimistic high hopes for a new doctor & those hopes are quickly dashed. Yep, the meter is running & the clock is ticking loudly. I now have lowered expectations & go armed with what I want to discuss. Smart girl to get freebie vials.

This is from a thyroid blog, but has some valid points for dealing with doctors in general. I can't imagine sending materials ahead to any doc I've seen & sure they'd eye roll & put promptly in the trash. http://thyroid.about.com/od/findlearnfromdoctors/a/Five-Things-Thyr...

Mine d/l the reports to her laptop and refers to them while we are visiting.

Acidrock,

I was referring to suggestion in the posted link.

I dunno, both of my endos appreciated getting stuff ahead of time so they had an opportunity to review it? Admittedly it's a *really* small sample size but they read the stuff and bring copies of it that they've noted "here's some lows" or "here's a lot of lows..." or whatever? I don't think thyroid patients, the subject of the article, can test their thyroid levels so their "paper" isn't the same as our paper, which has actual (or actual +/- 20%...) data in it, which is what endos need to be able to formulate or at least guesstimate what's up?

Nope, thyroid patients can't test themselves. What the author was referring to was patients who show up with tons of written info & articles, not records or logs, to discuss. I said that I couldn't imagine any doctor reviewing this type of thing.

From the link (http://thyroid.about.com/od/findlearnfromdoctors/a/Five-Things-Thyr...):

The last thing many doctors want to see is a patient who walks into the examining room carrying a stack of paper -- news articles, journal references, Internet printouts -- to share during the appointment. Some doctors actively make fun of this -- calling patients the petits papiers ("little papers" in French) people. Others are threatened by knowledgeable and informed thyroid patients. Some are genuinely willing to read and explore things you want to share...but they simply don't have the time to do so in a quick appointment, while still providing provide you with a thorough office visit.

Solution: Pick a few of the most important items you want to share, and send them to the doctor at least a week or more ahead of your appointment, along with a note explaining which aspect of the material you would like to discuss, and indicating the date and time of your upcoming appointment.

Thanks for the link, Gerri. It was really useful! It gave me a lot to think about for my next endo appointment!

marty1492

Glad you found it helpful, Marty. Made me re-think my approach. Oops, I've done this & that--not effective.

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