[IPk] Bucking the trend
Partially playing devil's advocate here, I would like to say that my GPs
over the last 15 years have had far more impact than my consultants on
my diabetes. My consultants have
a) suggested that I use Humalog, and
b) reluctantly agreed to let me try a pump (against their advice)
c) performed various tests to check my health and welbeing which any
trained nurse could have undertaken (and indeed, usually these tests
were performed by a nurse). None of the tests were ordered
speculatively: they were only those recommended that all diabetics
should have regularly
d) recommended (upon occasion) that my blood pressure meds should be
increased (but did not write to my GP to tell him/her that - so left it
to med to go and sort this out.
A specialist DSM has supported me through the early weeks of pumping...
And that's it.
My GPs on the other hand have had long discussions with me about the
various other medical conditions I have, and how the condition and/or
treatments might have an impact on diabetes (not all of them, all of the
time - I have been cautioned about cortisone less than 50% of the times
I've been injected with it) but significant numbers of times.
What _does_ going to a specialist clinic do for you, that a GP could
Maybe I've been lucky with my GPs, lucky with my diabetes, unlucky with
my consultants, or a combination of all three, but honestly, I wouldn't
mind moving to GP only care. Particularly if I could use the savings on
dismissing the consultant to fund my new pump, and have quarterly work-
ups, not six monthly.
(probably just unlucky in consultants)
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"It might look a bit messy now,
but just you come back in 500 years time"
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