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Re: [IP] purchasing pumps



I don't know about the woman who began this thread, but with my HMO, and
endo had to precribe the pump.  This was a real problem for me because we
had only 1 endo and when my dr. left, this one wasn't accepting any new
patients.  So I worked with my family physician, but he was at a loss to
figure out what to do next.  So he referred me to a CDE who suggested the
pump and then referred me to the endo.  I saw him a total of five times. 
His attitude was that since my diabetes was not in control, I was wasting
his time.  And he refused to prescribe the pump as well.  He told me to go
home and keep testing, and when I could show him better numbers, he would
consider it.

That was over a year ago, and when my highs and lows became more severe, I
went back to the CDE, hoping to get some more advice.  She told me that
since the dr.'s time was so limited, if I met with her, the dietician and
the other CDE, they would sign off that I was ready for the pump, and then
the dr. would write a scrip.

Some systems make it as difficult as possible to "grant" diabetics good
medical care.

------Original Message------
From: "Kathy Trondsen" <email @ redacted>
To: email @ redacted
Sent: July 30, 2000 9:43:04 PM GMT
Subject: Re: [IP] purchasing pumps

Forgive me if this is an obvious question, but can't the internist prescribe
a pump for your husband?  Or even the renal specialist, for that matter?  Or
is your insurance saying the prescription has to come from an endo?  The
reason I ask is that my internist did the prescribing and the local
hospital's diabetes education center does the training and follow-up (with
appropriate reports to my doctor, of course).

You might want to check and see if that kind of arrangement is an option for
you.

Hope this helps,

Kathy Trondsen
dx'd at 12, started pumping recently

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