Team Evaluation

I have an endocrinologist appointment on Tuesday and, for a minute or two after I received my week-before-your-appointment phone call, I almost thought about canceling. It’s gotten to the point where I find so little value in my 12-15 minute conversations with my endocrinologist that the struggle to find purpose and motivation to go through with the appointment.

I feel bad devaluing all of the work I’m sure my endocrinologist put in going through Med School and residency and everything it takes to have his own practice. But right now he is a means to quarterly bloodwork and prescription re-ups when I need them – nothing more. Perhaps that makes me a “good patient” in his eyes since I don’t bring any drama to my appointments. I show up on time, shake hands, smile (if I can muster it) and I’m on my way. Or maybe it really is time for a change.

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Sneaking Suspicion

My final endocrinologist appointment of 2012 is in a week or so. I’m hoping that the oft-dreaded blood work will adequately reflect the changes to my diet and exercise routines that I’m trying to stick with. I know that a less-than-stellar A1c doesn’t necessarily mean that I’m on the wrong path, but sometimes it’s nice to get some immediate feedback on things like this. At least that’s how my mind works at times.

I hope to be a few days in to my first Dexcom G4 sensor by the time that appointment comes around too. If you’ve been paying attention lately, I trust you’ve noticed my general excitement and enthusiasm surrounding the impending arrival of my Platinum. However, I have a sneaking suspicion that my excitement may not be shared by my endocrinologist.

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Not House

I had grand plans for my post on Thursday. It revolved around today’s appointment with Dr. H (not House). Then my camera imploded and the footage I had captured after my bloodwork last Friday turned into a pixelated nightmare. So instead of a video, you get the transcript. Today at least.

This post is scheduled to be published at 9:30am. My appointment with Not House is at 11:30. This means that twitter will likely update everyone reading this with my latest A1c. Because it’s all about the f*$%ing A1c isn’t it?

I know I’m preaching to the choir, but now that I am in more control than I was a year ago I hate the A1c with each successive appointment. I am working my ass off, but if my doctor doesn’t see an improvement in that single number in the 15 minutes we spend together then I get another lecture about the risks and blah blah blah.

I’m not doing Not House justice. He’s good people. He was very patient with me while I was on the road and my management was less than stellar. I hope I correctly sensed some pride when I came back after my renaissance with dramatically improved control across the board at the beginning of the year. I know I only see him 2-4 times a year, but I don’t dread my appointments with him.

Six months ago when I came in with an A1c of 8.0 (from 11.3, 8 months prior) I was hoping he would ask me what had changed so I could tell him about twitter, about my blog, about all of you. Kind of like showing off something to a parent, I wanted him to be proud of me. I don’t need his approval or anything but I wanted to see if he was aware that the Internet can have a huge impact on Diabetic veterans and noobs alike. There’s so much I want to ask him about. Does he read and/or recommend any patient blogs to his patients. Does he have any online resources that I am not familiar with. Anything to improve communication between people in the know and people still looking for answers.

I know I’m not big time, but this blog has done a lot for me. You’ll have to excuse my sense of pride for the duration of this post.

Anywho. Aside from the dreadded A1c, I DO have a purpose with this appointment. I think I need to change my Lantus dosage. Details will come after I get some answers from a “medical professional.” You’ll just have to come back tomorrow for the goods.

If you are extra nice, there may be video involved too.