Wednesday, January 30, 2008

Choosing the D doctor!

For the most part I make changes to Julia's doses on my own. My main need for a pediatric endocrinologist , or diabetetoligest is to write scripts, and take A1Cs. It's nice to have a second set of eyes though when things are just way up and down and the trend is that there is no trend.

In May Julia's pediatric endocrinologist quit his practice. He had some issues with the hospital he was working at. He was the only pediatric endo here. I went on a search which led me to a pediatritian that specializes in diabetes. I was having trouble seeing Julia's trend. Some mornings she'd go high, and others she'd go low. I also wasn't seeing enough of the overnight pic even with hourly checks. I needed that second set of eyes. Since her meter average was 149 he wasn't concerned. That upset me. I thought we were out of the dark ages of making dose changes based on averages. Well since then I take Julia to her GP. Our GP is great. She knows that I have knowledge to make good changes in doses. She knows I test a lot. She's pro pump, and pro CGMS. She'll fight with the insurance co with you, and takes the time you need for the appointment. Only she'll tell you up front she doesn't know that much about diabetes.
I get my way though, and I am a control freak so this has suited me the best out of my choices.

Now we have a new pedi endo in town. I think Julia needs to see him. I think he'd be a good choice. However given the attitude of the hospital with diabetes I am scared of him taking our pump, and restricting her diet. I'm scared of having to call in numbers and not having the control to make changes again. To me, waiting to make a change that's staring me in the face is stupid. I've also always had "changes may be made to diabetes health plan by parents when they feel that a change would be of benefit" on all of our school stuff since if they write it as an order, so that we don't have to wait for the doctor to call and say, she started ballet last night, and has been running low, so her basal needs to be reduced and she should only be bolused for half carbs, or she's sick, we need to double up on it all. That can take a day or two of waiting. Diabetes is an immediate disease.

I hate going to new doctors. I hate doctor hopping. I am going to give this one a chance, but I will explode if he thinks he's going to take the pump, restrict her diet, or not give me control over changes made.

Yeah, I know. I am a HUGE control freak.

1 comments:

nicole said...

Have you done the switch yet? If I were you I would try to schedule an interview. Feel him out. Find out what kind of pedi endo he is. That way you commit to nothing, risk nothing, and come out knowing ahead of time what you would be getting into.