Just had to find an outlet to rant and rave.
My endo wins the golden award for Worst Bedside Manner in the Universe. I've seen him only twice since being diagnosed in June 2009 for a grand total of about 10 minutes. The first time he was curt, the second time rude and impatient as well.
Here's the story: the first time was December, when he met with me for about 5 minutes, gave me the brush off, wouldn't answer any of my questions, told me to get my A1C under 5.7 (A1C was 6.0...diabetes discovered very early due to follow-up testing after GDM) and prescribed me Januvia, told me not to come back but to follow up with my GP. Long story short: adding Januvia, daily workouts and a low-carb low glycemic diet did NOT budge my A1C. After six months I emailed him ("are you SURE I'm type 2?"); he said to meet with him and he would add on another med.
So I went to my appt but was informed he was away on a family emergency (thanks for the call! I had to take time off work for that, too), and the next available appointment would be in five months. FIVE MONTHS. Even in Canada with our loooong waits for treatment I thought that was extreme so I begged (well, begged, complained, begged, wheedled, cajoled...) and managed to get in to see his associate, a Diabetes Case Manager (DCM).
So, DCM meets with me and suggests that perhaps I should try Janumet for a month before going onto Lantus. Ok. But, DCM starts me on Janumet 50g/1000mg 2x/daily. Yes, folks, that's 2000 mg of metformin daily, as my introductory dose. Boy, did my body have something to say about that! After three days of pure hell, I couldn't take it anymore and emailed again. At least Endo emailed to say to stop the Janumet. And was generous enough to fit me in for an emergency meeting three days later. Maybe generous is the wrong word, though; in retrospect I think he was just trying to get rid of pesky me as soon as possible. (God forbid that a new diabetic should want answers or guidance!)
[*All Endo's answers need to be read with a condescending, brusque,
rushed, "you're-wasting-my-time" tone of voice. Feel free to interject a very impatient "I have a deadline to meet in FIVE MINUTES" every few lines or so.]
So the meeting lasted about 10 minutes at most. Shot down my questions. Am I type 1 or type 2? Time will tell. Do you think I could get the antibody tests? No. May I ask why not? Wouldn't make a difference in your treatment. (hello, isn't it the patient's right - and the doc's responsibility - to know?!)
Accuses me multiple times of "starving myself". I say, no, I'm taking
30g a meal and 15g at snacks (this is very high for me, but his nutritionist told me to). He says that's nothing, you're starving yourself (said very rudely). I argue, no, this is exactly what your nutritionist told me to eat, and it's more than I ate even before I was diabetic. He sniffs.
He gives me Lantus and Humalog and tells me I can use one or the other, but not both. I can choose. (Choose?! Shouldn't there be more of a treatment plan than that?) Endo: Maybe the Humalog because you're starving yourself. I'm not! Yes, you are. Do I need to clean the injection site? No, don't bother. Do I need to change the needle? No...well, you're supposed to, but everyone uses them multiple times. You'll be fine.
(Ok, maybe true, but coming from a doctor? Encouraging multiple use of needles?)
He tells me to keep my 2hr pp under 7 (126). I say, it's already under that, my highs are 1 hr pp, when I hit 10 or higher (180+). He says, well keep the 2hr pp under 7. I ask "do you mean the 1 hr pp?" Well, WHATEVER (impatiently). You're being difficult. Look, I have a deadline to make in THREE MINUTES and then I'm late. Do you want me to show you how to use this or not? (meaning, shut up and STOP asking questions!)
Shows me out the door with 2 pens and prescriptions. No packaging, inserts or instructions for the pens. (online, I see that before opening they are supposed to be refrigerated, which they were not. Are they still ok to use?) No follow up appointment. No instructions on how to adjust the Humalog based on carb intake. Now I have absolutely no clue how to begin. I am scared to death to
take either in case I go low. How do I figure out my doses? Who do I
see for help in managing this?
I'm not going back to him again, but a referral to another endo could
take months. So, I pick my poison...dive into the world of insulin with
no guidance, or keep my elevated BG levels until a referral comes
I am not a writer and I'm too exhausted to try, so I don't think I came anywhere close to capturing how horrible this session was for me. I was on edge the entire appointment; I felt inconsequential and helpless, and I was so upset by the whole thing I had to pull over on the way home to calm myself down. I see on Rate My MD that he was rated terribly by other folks, so I am not the only one to experience this.
Why do people become doctors if they have no interest in helping patients?