Welp, I had my appointment with my endocrinologist on Monday.
In sum, it was mostly an uneventful affair, considering the times.
Immediately upon arriving, I was asked to put on a clinic-provided mask and to sanitize my hands. I checked in with the receptionist and sat in a chair in the mostly-abandoned waiting area, taking in the fact that seating was reduced in order to maintain social distance.
A nurse came out to bring me into my exam room and she took my blood pressure (good) and my weight (let’s not talk about it) before leaving to get my doctor. I was slightly surprised that she didn’t check my temperature with a contact-less thermometer, but I decided not to second-guess it.
My endocrinologist entered soon after…and she spent all of 15 minutes with me. She said that she reviewed the information I sent her from my Dexcom, as well as data from my pump, and said she couldn’t really detect any patterns besides some lingering lows in the late mornings/early afternoons. Again, I found myself a bit bemused by this observation, because I hadn’t picked up on it. She decided to adjust my basal for the 11 A.M. to 1 P.M. window (I went from 0.9 to 0.8 units for those two hours) and then asked me if I had any questions.
She didn’t check my feet, listen to my heart, examine my thyroid, or review my labs with me…all things that I’ve come to expect from previous endocrinologists.
My mild shocks of surprise from earlier in the appointment turned into something else: As the kids say, I was SHOOK…meaning that it was absolutely wild to me that she was already done with me.
I expressed my dismay with my A1c – it had gone up a little bit – and she told me that I was “still under good control”.
I said that I was befuddled by my weight gain – I’ve been working out like a fiend the last couple of months – and she suggested that perhaps it’s muscle.
I asked if she could recommend any blood sugar meters to me – I’ve had the same one for practically a decade and I worry about its accuracy – and she said that I should try a new meter from the same manufacturer that’s supposed to hit the market “soon”.
For every question or concern I brought up in that short span of time, she had an immediate, unsatisfactory answer that made me feel like my concerns were being brushed away.
But the real kicker? I’m not seeing her again for another seven months.
That’s right, folks. I went from having quarterly endocrinologist appointments for my first 22 years of life with diabetes to once every six months, and now in SEVEN months.
This means that I will have seen my endocrinologist once for the entire year of 2020.
That’s bananas to me, and a sign that my instincts from our first meeting were correct: This may not be the right doctor for me. I have no doubt of her intelligence or capability, but sometimes you just know when a given doctor-patient relationship isn’t the healthiest one for you.
The whole appointment – the brevity, the indifference, and the outcome – was almost enough to make me forget about my anxieties surrounding medical facilities during this pandemic…
Luckily, that’s what face masks, Clorox wipes, several squirts of hand sanitizer, and a thorough hand-washing or five are for.
2 thoughts on “A Dis-Appointment: My Experience at the Endocrinologist”
Its like my eye doctor appointment. I am required to see them every years. I am freaked out about my eyes so I see him every six months. If I had to wait a year I would be depressed if i waiter for six months. So I tell the doctor, thanks for the year but no, I will show up every six months. I have this minor argument every six months, I have never lost one yet. I suggest you call and get a 3 month appointment.
The mental health value wins in my opinion. Is it overkill? Well maybe, (I still go every 3 months,i go 6 months for my CDE and 6 months for my doctor or 4 / per year). I suggest that you employ your doctor as your consultant, you should take their advice on issues only they can know (writing prescriptions) but insist they take your advice on things only you know (your mental health). So these are my two criteria for doctor selection. 1. I am in charge, 2. They must laugh at my jokes. Oh number 2 is most important.
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