Guest guest Posted September 30, 2000 Report Share Posted September 30, 2000 The knowledge we have about our bodies is critical to the " team " . If one treatment is not working, we need to communicate with the appropriate dr or dietition. And, most importantly, if we can't communicate with a medical professional or if we feel that our needs are not met, FIRE them (to quote Teri.) Carol T In a message dated Sat, 30 Sep 2000 12:01:34 PM Eastern Daylight Time, " Teri " writes: << I understand that, Sam. All I'm saying is that we can't lump all docs into one group and always say that we have to be our own docs. ----- Original Message ----- From: E Levy <<Teri, I rail against the doctors with no diabeetic knowledge, and their manner of shucking patients off onto a pill. Yes it is harder to teach diet, yes it is hard to get people to lose weight and change their eating habits, whichever or both are the problem. The patient gets short shrift with them. Yes it's nice to have a team, but what if the dietician still believes in 10 carbs a day? ( Chalmers with Joslin). Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 30, 2000 Report Share Posted September 30, 2000 In a message dated Sat, 30 Sep 2000 12:19:48 PM Eastern Daylight Time, E Levy writes: Off the top of my head, " Good, reasonable treatment " = 1. Provider listens and pays attention to my concerns and comments. I can judge by the provider's questions and comments whether this is happening. 2. Provider evaluates previous and current treatments before making a new management plan. 3.Provider respects my knowledge and treats me as a partner in the decision-making. I am responsible to learn as much as I can about my body and any conditions. I also have the right and responsibility to myself to seek out other providers if I feel my needs are not met. I also control by bgs with diet and exercise...my last HbA1c was 4.9%. I " count carbs " and focus on low GI foods as much as I can. Carol T << Carol T, I am suggesting we don't take the lie down and let it roll over us approach, or the doctor knows best. I think the doctor and patient may feed on each other in this approach, give them what is not upsetting. People firmly believe that they have an ill, they must take medication. A nice idea unless you are pitting the meds against dietary misbehavior. So how do you know when you are getting good, or even rreasonable treatment? Only by " being your owwn doctor " or knowledge of the meds,and their effect. Is this discussion lively enough for you? Public website for Diabetes International: http://www.msteri.com/diabetes-info/diabetes_int >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 30, 2000 Report Share Posted September 30, 2000 In a message dated Sat, 30 Sep 2000 12:45:59 PM Eastern Daylight Time, E Levy writes: I started becoming cynical in college when I almost lost my appendix (unnecessary surgery) to an ER doc who didn't want to wait for blood results. A sharp RN suspected a ruptured ovarian cyst and was right. My biggest concern is an emergency situation where I would not be able to ask questions or communicate with the providers. Carol T << Carol you are doing well, my best was 5.3% after 8 months of weight loss, doing no fat, and on diabeta. Not everyone has a superior IQ, and they get white coat fever. My wife a former nurse thinks doctors are gods. don't look at that man behind the curtain.. Listen to the wizard. Public website for Diabetes International: http://www.msteri.com/diabetes-info/diabetes_int >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 30, 2000 Report Share Posted September 30, 2000 Carol T, I am suggesting we don't take the lie down and let it roll over us approach, or the doctor knows best. I think the doctor and patient may feed on each other in this approach, give them what is not upsetting. People firmly believe that they have an ill, they must take medication. A nice idea unless you are pitting the meds against dietary misbehavior. So how do you know when you are getting good, or even rreasonable treatment? Only by " being your owwn doctor " or knowledge of the meds, and their effect. Is this discussion lively enough for you? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 30, 2000 Report Share Posted September 30, 2000 Again, you bet! I don't take any diabetes meds. I'm controlling completely with nutrition and exercise. Re: medical care Carol T, I am suggesting we don't take the lie down and let it roll over us approach, or the doctor knows best. I think the doctor and patient may feed on each other in this approach, give them what is not upsetting. People firmly believe that they have an ill, they must take medication. A nice idea unless you are pitting the meds against dietary misbehavior. So how do you know when you are getting good, or even rreasonable treatment? Only by " being your owwn doctor " or knowledge of the meds, and their effect. Is this discussion lively enough for you? Public website for Diabetes International: http://www.msteri.com/diabetes-info/diabetes_int Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 30, 2000 Report Share Posted September 30, 2000 You bet. We're the ones living with these bodies. On my headaches site, I always advise people to keep a headache diary so that they have details to give their doctors. Those details are the basis of effective diagnosis and treatment. I'm the team leader and make that clear from the beginning. At my visit with my new neuro, I started out by explaining my philosophy of the healthcare team and telling him that if he wasn't comfortable with that to tell me then rather than wasting his time and mine. If a doctor doesn't listen, talks AT me rather than TO me, or resents my asking questions, then I fire him/her. Period. Yes, I know that's difficult in an HMO situation. Our plan calls it a network, but I think it's essentially the same thing. We have a list of approved docs for the network and have to stay within the network. I have a primary care physician who has to refer me for any specialist visits. If I go to the ER without him or his staff telling me to, they don't pay, unless we're out of town. Then, the ER is fine. Re: medical care The knowledge we have about our bodies is critical to the " team " . If one treatment is not working, we need to communicate with the appropriate dr or dietition. And, most importantly, if we can't communicate with a medical professional or if we feel that our needs are not met, FIRE them (to quote Teri.) Carol T In a message dated Sat, 30 Sep 2000 12:01:34 PM Eastern Daylight Time, " Teri " writes: << I understand that, Sam. All I'm saying is that we can't lump all docs into one group and always say that we have to be our own docs. ----- Original Message ----- From: E Levy <<Teri, I rail against the doctors with no diabeetic knowledge, and their manner of shucking patients off onto a pill. Yes it is harder to teach diet, yes it is hard to get people to lose weight and change their eating habits, whichever or both are the problem. The patient gets short shrift with them. Yes it's nice to have a team, but what if the dietician still believes in 10 carbs a day? ( Chalmers with Joslin). Public website for Diabetes International: http://www.msteri.com/diabetes-info/diabetes_int Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 30, 2000 Report Share Posted September 30, 2000 I would also make the point it's not their body that bears the brunt of poor care, Oh sorry, but they get paid the same. I had a stinky foot, and called the toe doc at Kaiser. Hw pointed out a spot between 2 toes with the skin off, that was suppurating and the leakage rotting. No antibiotics or wound care gell, here put this iodine based stuff on (cheap). I seem to react to idoine, it prevents me healing, and next thing you could see the bone. then bone infection and toe amputated. They get paid for amputation, they don't get paid for sampling the bacteria and prescribing antibiotic. They slipped this one by me. I really didn't need the toe, but you should see the other foot. I stubbed a toe, unknown. I saw it as deep purple when drying off after the shower. He cored the tip cartilege off with no anesthetic, and had me pack it with isodine and bandage. it didn't heal, i told him the iodine was too strong, he diluted it, success. But on a 6 weeks check. I saw a bulge the side of my foot, the entire arch had crumbled and rebuilt into a pile of junk, hammer toes, drawn up like the claws on a hammer. Then i read on the net that bone surgery can trigger this. I'm waiting for the other arch to drop. Trapped in a whirlpool. Sam Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 30, 2000 Report Share Posted September 30, 2000 Carol you are doing well, my best was 5.3% after 8 months of weight loss, doing no fat, and on diabeta. Not everyone has a superior IQ, and they get white coat fever. My wife a former nurse thinks doctors are gods. don't look at that man behind the curtain.. Listen to the wizard. Quote Link to comment Share on other sites More sharing options...
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