Thursday, December 8, 2011

Ruminating Update...

First, I want to say Thank You to those of you who showed me so much support by commenting on my Ruminating post. Your words of encouragement meant so much to me and helped me during a difficult time.

I called into the Endocrinology Department the Monday following the Friday conversation with said nurse and asked to speak to the Chief of the Department but was only able to leave a message with the Receptionist at the time. The Nurse Manager called me back and stated that they were given my message and wanted to call back and see how they could support me. Okay, not the Chief but they would do!

I spent almost an hour discussing the situation and the things that had been said or done over the course of interacting with said nurse as well as the infamous Friday phone conversation. The Nurse Manager listened, was sympathetic, supportive and most importantly apologetic for what had occurred while we were being cared for at their practice. Oh course, I got the line that they are understaffed and their patient caseload keeps growing and growing...not something that this momma needs to hear, worry about or does it make me feel reassured to be going to a practice that isn't staffed to meet patients needs but I understand it is happening everywhere. Upon ending the phone call, I asked for follow-up in regards to what we had discussed and I was assured that would happen but to give them a couple of days.

So, I WAITED AND WAITED...and after two weeks went by I left a message inquiring about where we were with the follow-up on what was discussed since I had heard nothing back and I have to say I was starting to get somewhat annoyed...so annoyed that I had started to gather information on other practices we could switch too. I realize that a Holiday took place in between that time but I believe that two weeks is more than enough time to discuss my concerns with the parities involved and come to a resolution that works for both of us...and I finally heard back last Friday...TWO WEEKS AND FOUR DAYS LATER...and I really feel it was only because I called back again to remind them that this problem wasn't going away!

Did I get the response I had unrealistically wished for...NO... since having said nurse fired wasn't really reality only in my mind did that make me feel better...so bad of me I know. So, the resolution that we came up with for now is that we are going back to the Fellow we had started seeing when we first joined this practice. How will this all work out is still unknown until we see the Fellow at our next appointment and discuss all the details. However, after getting this all settled in our minds, just this week we learned that our insurance is going to change at the first of the year and as you could of guessed this practice nor the affiliated hospital are covered in network. WHAT! Say all this hard work to get us where we are today is all for not or maybe I should be seeing it as a sign? I just don't know.

Despite this setback, we have decided to wait for now to see how the next appointment goes with the Fellow before we make any major decisions or changes since the contract with the new insurance is only for a year and I really don't want to keep changing practices every time Hubby's insurance changes. It isn't like we aren't struggling financially already and living day to day and paycheck to paycheck on one income but who isn't when it comes to the expense of diabetes care.

I just can't help but still have some lingering questions mulling around in my mind though that just might help in the decision process...

* Do I really want to continue to go to a practice that I have lost faith in?
* Do I really want to support a practice that has started to not meet my expectations in the quality of care being delivered?
* Do I really want to start this whole process again with another practice?

I am spent and feel so empty inside since this all occurred and Our Sugar Babie has been the one to really suffer for Momma opening her big mouth. Talk about roller coaster blood sugars...and no one to talk them over with but I have to admit, I have avoided calling into the office since this happened. I guess what Hubby and I have really learned from all of this is that we really only have each other in this "D" life...what a hard lesson to learn and a hard way to learn it...but so true.

TO BE CONTINUED....

3 comments:

  1. HUGS Kelly! Sorry you're still going through this. I hope you are able to find a resolution or a new practice that will meet your needs. We've been there and the only thing that worked was to keep demanding to be heard. Good luck!

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  2. I'm so happy to see that you've moved forward with this...even if things aren't exactly where you want them to be. I'm praying for you, and I hope it all gets worked out quickly. I've done the new insurance-new endo dance more times than I care to remember, but more often than not it ended up being a blessing in disguise. I hope that happens for you too.

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  3. Wow - just read your Ruminating post and am floored. Read the comments and was even more floored. (For example - starting a child on a 1:10 carb ratio?!!!) I'm glad the clinic at least heard you, but how frustrating. You're justified in feeling angry at them. We're at a large hospital where it often feels like we're seen as doing such a "great" job that we don't get much advice, but they are very supportive and respond fast to questions. They got us on a pump while still in the hospital after dx, loaned us a cgm to try (I think all small kids should have cgms offered as a care plan option, with their bgs being so volatile), suggested we try different insulins, b/c people respond differently... Just to say that you have the right to expect that sort of treatment and support! I hope things go well with the first fellow! Wow. You're amazing for keeping your cool with them. Good luck!!!

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