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RE: [IPk] Lantus v. pump

Dear Jackie,

I'm sorry to hear about Sasha's missed dose!! Happened to me once on MDI and 
my DSN gave the same advice Andrew's passed along--an unusual time of 
injection for insulatard can really mess things up for a couple of days.  I 
hope Sasha's up for the gym meet tomorrow.

I am appalled to hear about the consultant in Bristol. Have you advised the 
person who told you of the situation that the child's family would do well 
to contact John Davis (INPUT)? John knows which hospitals and in some cases 
which particular consultants at them are content to have children on pumps. 
Speaking of him, has John not been able to advise you of the name and 
location of a hospital that would be a better institution for Sasha?

I agree with you that Sasha's present consultant must have entered the field 
because he wanted to help people. Yes, his skills need updating--he has been 
neglecting his professional responsibilities and has not been reading any 
major journals (other than the BMJ, which is not by any means a diabetology 
publication!) or attending diabetology conferences with regularity for quite 
some time. From the cases I have heard of and read about, the road to a 
lawsuit for medical malpractice is usually paved with good intentions. If 
the doctor is out of his depth with regard to pump therapy, he's being an 
arrogant so-and-so for not referring you to a colleague who is willing to 
discuss it seriously, from an informed, experienced perspective. If the 
doctor your present 'specialist' had suggested is the selfsame one who wants 
the kid from the US off a pump, your appointment with him would have been 
less of a second opinion than a repeat of the same old--at least you didn't 
waste your time that day.

Good luck,
John's number is 01590 677911,


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