Random bitch fest warning.
Let me say first though, that the following does not diminish my general admiration for physicians. Especially those who listen to their patients.
I had to switch doctors this year because of changing my insurance plan. Thank goodness next year I'll be able to switch back.
I've only seen this doctor twice. The first time I thought she had already made up her mind about me before she even entered the room and saw me for the first time. I thought that she was a bit of a bitch. Then I thought that maybe we just hadn't got to know each other yet.
Nope. She's a bitch, which is a personal thing, but worse, she spent the entire time with me today trying to cram me into some mold she thought I should fit. Finally, (yes and I know she's a doctor) she really tried to feed me a bunch of baloney, quasi threatened me, and dismissed me as if I was a 5 year old telling her stuff.
On my first visit to her in April, she didn't have my medical records from my other doctor, so I filled her in how I had become borderline diabetic, had started eating a keto diet, and how from my daily BG monitoring I was very hopeful, and fairly confident that my A1C had come down. BTW, it did, went all the way down to 5.4, totally normal.
On that first visit, she asked me when I had last had various screenings, like a colonoscopy. I said I didn't know when the last one was, but that my former doctor had told me I was going due for one within the year.
She: So when did you have your last one?
Me: I don't know, but again, Dr. L. said I was just coming up due for my next one.
She: When was that?
Me: When I saw her last, about 8 months ago.
She: And when did you have your last one?
Me: I don't know. You'll have to wait until you get my medical records. I'm letting you know what Dr. L. said.
She: Have you had one before?
Me:
Yes! I've always followed all recommendations for having all screenings. I know I've had 3.
She: 3? That would mean you had some kind of problem. When did you have the last one?
Me: (internally) Jesus Tap Dancin' Christ. (out loud) You'll have to wait to see my medical records.
She basically rolled her eyes when I said I was eating keto, and didn't want to hear how I was now eating so many more vegetables, since I had cut out fruit, breads, all dairy except for cheese, sour cream, and cream, etc. She also obviously wasn't listening when I said how I had lost (at the time) 17 pounds, since I was sure I was actually eating more calories overall, what with all the fat.
Oh well, no biggie. I was really interested how my A1C would be come this month, October. A year since starting to eat keto.
These last 3 weeks have been challenging to me, what with travel, and coming back from my travel 2 weeks ago with a cold, the cough of which still lingers.
I noticied my BG in the last 2 weeks has definately gone up. I asked on a diabetic forum I frequent, and a lot of other members said that, oh yes, being sick will raise your BG, as your body is fighting being sick.
Plus, not feeling 100% has frankly made me not as conscientious about my diet. Nothing tastes good. It's not like I'm splurging on obviously bad choices. I've basically let some bread slip into my diet, in the form of "I'm too tired/don't care about eating, so I'll just eat that extra sandwich my husband made and decided he didn't want." The problem is that's enough to kick me out of keto, and then things just aren't right. I haven't been exercising the way I want, as I'll have coughing fits. Basically, just a crappy month.
So I go to my appt today with (as requested) a list of all my meds. Plus I jotted down 4 or 5 other items I needed to address/request. I walked in prepared.
Right off the bat, she acted (as I noted in another thread) as if I was asking her for meth, rather than an antibiotic for this cough that makes my lungs burn, keeps me fatigued and forces me to take cough medicine I don't want. I toughed it out this long knowing I'd be seeing the doctor, and hoping it would have gone away by this time. From past experience, I have learned lung things don't resolve quickly with me.
I finally just had to tell her I was tired of feeling sick, and didn't want to take another month to slowly climb out of this. I want to be aggressive and knock it out.
I then asked her to take GERD off my list of diagnosis since it had resolved itself since shortly after cutting out carbs. I quickly realized carbs had been inflaming my entire system.
She said, like she had on the first visit, that the GERD went away because I lost weight (now 25 pounds). I said I didn't think so, as I had developed GERD at least 12 or more years ago, when my weight was quite a bit less than it is now. I also added since I eat a lot of fat, you'd think I would get heartburn, but instead I go for many hours without eating (which in itself would give me heartburn), and then eat what is a pretty large calorie and bulk wise meal.
So now according to her, the GERD went away because "I wasn't eating all the time"
Ok, fine, whatever.
I then asked her for a prescription re a personal matter, and she asks "Is that covered by your insurance?"
Well lady, HTF would I know? Write me a script and when I get to the pharmacy, if it costs a million dollars, I just won't get it, and will find an alternative.
She then said she was taking pre diabetes off my list, as my A1C had been 5.4, 6 months ago.
I asked if she could wait to see what my A1C was this time, as I was concerned it had gone up.
She actually said "That doesn't matter"
It doesn't matter?! One time in the past, I don't know, 5 or 6 years, my A1C was in the normal range and you don't want to wait to confirm with a 2nd test? It doesn't matter?
I guess she couldn't contain her disgust with me not fitting into her agenda anymore. She asked "So what is this you're doing? Paleo?"
No. Keto. There is a difference.
"Well" she said dismissively, "That's not a good way to eat"
Me: Why?
She: It's not healthy
Me: How?
She: You eat a lot of fat.
Me: Yes. That's why my BG is normalizing, I lost weight, my brain is clear, and I'm much less stressed. When you did my bloodwork in April, didn't my lipid panel improve all around, as well as my BG? I don't think anything was out of range, and at least a couple of things were before.
She: Eating a lot of beef is a concern re cancer.
Me: I don't eat a lot of beef. I eat wild salmon a lot though. That has a lot of fat. Most of my fat comes from avocados and avocado oil, olive oil, and eggs.
She: High fat is associated with cancer.
Me: What kind?
She: Colorectal
Me: That's why I always get colonoscopies as recommended. (zing)
She: There are other ways to loose weight. Keto is all right to lose 5 or 10 pounds, but then you need to stop (yeah, and gain it back, and more)
Then, because quite frankly I was tired of her, I said. "Look, I know nothing I'm saying will make you tell me different. The thing is, I feel better than I have in years. I was always happy, but now I'm happier. You're not listening to me when I've said I'm eating this way because of blood sugar control. Losing weight was just a by product. My mother died of diabetes, other people in my family have it. Cancer doesn't run in my family. If I had to make a choice between having cancer, and diabetes, I'd take cancer. Isn't colorectal cancer one of the easiest to cure if you catch it early? I tried for years to lose weight, nothing worked, and I gave up on that. Now weight is coming off, and I don't really care. I just feel good. I'd rather feel good than follow these recommendations that never worked for me, and feel bad.
We didn't have much to say to each other after that.
What is so maddening is that there are physicians that have no issue with giving half asses advice that keep people on the constant edge of failure, instead of knowing how the body metabolizes fat so much more efficiently than other forms of food like carbs.
To celebrate my doctors visit, I came home and ate creamed spinach, an avocado, and eggs.
I then looked up colorectal cancer, and saw it's not just fat, but processed food that is a concern, and I eat a miniscule amount of processed food.