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Re: [IP] Docs for no pumps

In a message dated 7/24/99 9:41:32 PM Eastern Daylight Time, 
email @ redacted writes:

<<  Does anyone know or can anyone think of
 any reason why an endo would not allow someone to go on the pump?  >>

Stephen's CDE mentioned that there are people in her practice that want a 
pump, but she won't give it to them until they do a better job with 
"bookkeeping."  She said that some of these people have ignored their 
selfcare for years, now think going on the pump is a cure.  Their team firmly 
believes the pump will only "do its job" if the users "do their job" too, 
meaning testing often, keeping records, learning and understanding 
carbocounting etc.  Not everyone is ready to make that commitment.  Until she 
sees that commitment, she and the other CDEs and doctors in her group won't 
make the effort to educate or write the letter of necessity for a pump. 
Stephen's regular endo would not start a pump because he has no 
CDE/nutritionist in his practice, and did not have the time to do all the 
teaching himself.  So he helped us find a place that would start Stephen, 
because he thought Stephen was a good candidate.  So I guess what I'm saying 
is, different docs have different reasons for saying no.  Your friend should 
find out why, rather than just jumping to another doc without knowing.  

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