I had my appt this morning with the new Endo .. I was pretty nervous going in, but was determined to go in with an open mind and a positive attitude. I’ll go over the facts from the appt and then y’all can let me know if I’m being too nitpicky? It’s been so long since I’ve had to find a new dr, that maybe some of these things are the norm nowadays?
When I was in the waiting room, they called me back but just called me by my last name and then when I went back with the nurse she never said “Hi” or “How are you?” No small talk.. Just told me to step on the scale, and then measured my height. Put me in a room and asked some basic questions. Then said the dr would be in soon.
(Side note: My old dr is in his own practice, and one thing that did keep me going to him for as long as I did was the one on one aspect of it – his office staff was very small, only 4 people, so everyone knew me as soon as I walked in and you do get treated differently in that type of practice. I knew that this would be a larger practice and I’d be giving that up but hoping that the good outweighs the “bad.)
A few minutes later, he poked his head in the door and said he’d be back in 5 min, but he had a big smile and was super chipper so I thought “so far so good!”
When he came in, there were no introductions, he just sat down and got straight to business. Still had a smile… but never looked me in the eye. First thing was he commented that he knows my former Endo (great *sigh*) and said that they have different styles of practicing medicine (good!) He asked why I was switching and I said it’s nothing personal against my old dr, but he’s very traditional and not very hands on, and I want to have more of a team effort, with someone in my corner to help/guide/support me. He said that this practice is much bigger, very involved in research, and has 6 CDE’s on staff that I would be able to meet with regularly. (Great!)
Then he starts talking about how people with diabetes don’t die from diabetes. They die from complications of diabetes, mostly heart disease related. (I already know this … and I suffer from pretty bad anxiety related to this. I feel like a ticking time bomb sometimes, just convinced I’m going to have a heart attack – but I digress.. )
He was flipping through my medical records and making conversation about how he likes to see an LDL of <100 … mine last year was 155 (yeah, I know … bad) but I told him that if he can find this most recent one from June, it had come way down. He found it and it was 97. (high five, right?) Then he said that he REALLY thinks it should be closer to 70. (Didn't you just say <100 was good?) Ok so we'll get it closer to 70. I've dropped it 58 pts .. what's another 30.
Then he sees my last A1C, which was 6.7. He said that's "fantastic" and he likes to see 6.5-7.0. And proceeds to tell me that there are recent studies that show that if you have an A1C < 6.5 there are higher risks of heart disease. (huh??) So yay me for having an A1c in a "perfect" range (according to this particular dr) but should I NOT try to improve it by going < 6.5 now??
He did check my feet, which my last dr only did maybe twice the entire 12+ years I saw him. (looked fine)
He checked my thyroid and noticed the nodule I have that was biopsied 3 yrs ago (benign) and said we'd keep an eye on it. Said it might be Hoshimoto.
He listened to my heart for MAYBE two seconds. If that. Did not listen to the back (lungs?) just in the front.
At one point he was typing on the computer and glanced over at me and said, "Yea, you're a tad overweight. If you lose some weight, your insulin resistance will be better." (huh??) I told him "Well, I weigh less now than I did when I got pregnant with my twins that were just born last year. It's coming off slowly but surely."
So after all that, he said he wants to raise my cholesterol Rx. Said BP was good so no change there. Wants me to see the CDE in the next few weeks (appt scheduled for end of August) and she and I will be able to work on tweaking my pump settings, etc. (I've been doing those myself for YEARS and am looking forward to having some guidance there.)
Then he got up and left the room … no "goodbye", no "nice to meet you", "see you in 3 months", nada. I had no idea if we were even finished? I sat there for a second thinking "is he coming back?" and when he didn't, I peaked out in the hall … nobody. So I assumed then that we were finished. I grabbed my purse and headed to check out. When I was checking out, the lady said "Ok it looks like he wants you to come back to have a ….. bone density test?" I said, "No, he wants me to see the CDE." She said "Ohhhh ok, that must be what DE means." (huh??)
He also did not ask to see my BG log. Did not even ask anything about my BG's. Did not ask if I needed any Rx's.
There are several doctors in this practice… and I've heard great things about 3 or 4 of them – nothing about this particular one. But when I called to make the appt a few weeks ago, I was not able to get in to see any of the ones I'd heard about for various reasons (booked too far out, and one doesn't take new T1 patients.) So I'm debating whether or not I'm being too picky on some of these things that "bothered" me? He seemed nice enough. But I was naively hoping for less "worst case scenario" talk and more sincere conversation about my diabetes management. I definitely want to meet with this CDE – have heard nothing but great things about her from different people. So maybe if I really like her, and she's the one helping me with my pump settings, etc, then I can look past some of today's weirdness and hope that the next appt is better? Or should I try to see another dr in the practice next time? Not sure if that is frowned upon or not.
Would appreciate any feedback/opinions ……….. Thanks!