Having a hard time getting Endo. Dr. to prescribe Insulin Pump

My 2yr old daughter was dxd 2 months ago. We decided on putting her on a pump. Her endo. dr. showed us the Minimed Paradigm Revel and said he would write the prescription. Well I had already been looking all over the internet and saw there are 3 popular pumps. I didn't want the dr. to write me a prescription for Minimed before I got to see the other pumps in person. So we met with 3 representatives and heard about each of the pumps. After trying to weigh out all the Pros & Cons I chose the Animas Ping. I have been waiting a week for the endo. to prescribe the Animas Ping. He calls me and says how much superior the Minimed is to the Animas. I told him all the reasons why I like Animas and he tried to discredit all my reasons. So I did begin to second guess myself but then I thought WOW why is he pushing the Minimed so much. He has pushed so much that now I really don't want the Minimed. Isn't there some kind of Ethics issue that Doctors shouldn't push certain insulin pumps? I know they're Doctors and they should know more than us but I feel it's my daughter + my insurance = my choice. He ended the call with telling me he will talk to the Minimed Rep. and try to get the meter & CGM with the pump for free. Seriously?? He would do all that just to get me to purchase Minimed? Feels like Peer Pressure to the 10th degree.

Views: 173

Comment by MossDog on September 2, 2011 at 3:26pm
Sounds to me like this endo is TOTALLY off base. The only reason it should make any difference to your endo is what reports they get when the pump is downloaded. Otherwise for him it should make no difference. The trainer of the pump does get paid by the pump companies but I can't imagine an endo is doing their own pump starts. His behavior makes me VERY suspicious of his motives.
Comment by Theresa on September 2, 2011 at 7:00pm
My son is 13 and he likes his Animus Ping. His doctor did not try to sway us one way or another. They told and showed us all 3 pumps that they are trained to support and the decision was ours as to which way we went. Good luck!
Comment by SuFu, Ph.D. on September 2, 2011 at 7:27pm
One of the reasons is familiarity with the system. While it shouldn't make a difference if the endo is more comfortable with a system then they will push that one hard. I am the only patient at a VERY large endocrinology group practice that uses the PING. The majority of the doctors, even though I made informed decisions, have a PhD in biomedical science and am a medical student, were still uncomfortable with me getting the PING because of their lack of experience with it. Either way I went with the PING and am very happy with it (with the exception of a major error a month ago). I wouldn't take it completely as that he is only for MiniMed because there is something in it for him, but it may be that he understands that pump and those are the only pumps that he has CDE's for. My CDE had never even seen a PING before I brought mine in. I had to read the direction booklet on how to work it. So they were less than helpful when it comes to troubleshooting and with a 2 yo on the pump they really want to know how to work it. Could you be right that he's in it for other reasons, absolutely, but don't jump to conclusions if you've always had good experiences with him previously.
Comment by luvmyelyssa on September 2, 2011 at 9:32pm
Seems the whole town knows that he only uses MM. I'm hearing it from everyone. He just said so many crazy things. One of his biggest reasons was that he could crunch her numbers better with the information he could download from the MM. I told him that if he was a good dr. then he should be able to help get her better numbers with which ever pump we go with or which ever method of insulin we are using. Guess we aren't getting a Xmas card from his office this year. LOL....I found out that the CDE for the Endo. dr. was a representative for Animas until a couple years ago when she started working for his office. I guess that's why she didn't call me back to give me her opinion. Can't change endos. right now so I have to continue the fight for the Animas. I think its so crazy he wont let it be my choice.
Comment by Kelly WPA on September 6, 2011 at 1:12pm
If uploading software is his main reason, you can use something called Diasend to upload the pump info for him to look at. Not sure that will really help though because he will then probably come up with another reason. You can call Animas support for technical pump questions. Unfortunately, some doctors are like that and until you can change doctors, you will be stuck with MDI or a MM pump.
Comment by luvmyelyssa on September 20, 2011 at 8:43am
Ok so it took many long talks with the Endo. Dr. but he finally approved the Animas Ping for us. I picked it up Friday and we have training Monday. Yippee
Comment by Kelly WPA on September 20, 2011 at 8:54am
I am glad that you were able to get him to see the light! Good luck with the training. I am sure you will do fine!

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