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Wednesday, 21 June 2017

Yesterday It Was Clinic. June 21, 2017

Yesterday it was clinic and today I got Summary of my visit to doctor. It was primary doctor. In March I was in hospital, wounds development. I was discharged in March 29, 2017 with direction to follow up with my primary withing two weeks. Yesterday it was first time after hospital I finally was able to see my primary. In most time one day before appointment there is call from clinic, and it was used to say, doctor would not be available, and I have to re-appoint my visit. So, I did. Yesterday finally doctor was available.
     Today I do have Summary of visit, and there is Big Question for me, what does it mean?
Lantus Solostar 100 unit/mL (3 mL) subcutaneous insulin pen
Does someone able to understand what does it mean? Yes, one pen of Lantus Solo star is 300 units. I take 300 units daily dose, every day.  But still, it is nothing about dose of insulin in the medication. No one even doctors would be able to understand it. And what about those of us who are not med pro? At the same time when it was said, "Lantus Solo Star 100 units three times daily" it is clear for anyone, med pro or patient, it is three shots, three needles a day, three glucose strips a day to check up level of sugar before insulin shot, and 100 units of insulin each time in every single injection. If needle with lock, then there are two needles to one shot because of limit of pen is only 80 units, and I need 100 units. Usually I re-digit the injection, so I use one needle for one shot. If I run out of needles, or run out of money and do not order next supply of needles, then I use one needle for the full pen, three shots, one day. I do not use more then one pen for one needle. Medicine simple can be blocked, and I will need to replace the needle. So, usually I discharge needle after one pen.
     So, when doctor placed in my record, 100 units/mL then what is this about? Doctor does not want to keep responsibility for my health. Today it is 100 units/mL insulin pen, and tomorrow it will be 100 units daily dose. Try to find out doctor who will take responsibility to Rx 300 units insulin a day. I bet it is not so easy. At least with record in my file that I take 300 units daily dose, I can demand this dose. If in record it is 100 units, then there is no one way I will get 300 units. Medical Care is Tricky indeed.
      On one point I see that there is no hypertension. Today BP is good, but why? because of I take all medicine I do have in my medical box, and practically never miss it. So, BP is under control. Try to take any of those medications, and my BP will be up. It is up even without missed medicine. But in general it is pretty well controlled with medications. So, I sent E-mail to doctor that I need the discrepancy be fixed. The same as COPD. It is never forgotten to mention "severe obesity" but COPD missed like it is something not important at all. It is important for me.This condition may be fatal. I do really very worry to carry heavy rock on my chest.
       My left leg right now is dry, but I still wrap it to try to reduce swelling. So, doctor took a look at my leg, and we discussed the treatment of this condition. Why not? Now leg s not draining, and it is easy to be discussed. When yellow liquid drained from my wounds he did not want to discuss it. And it was not my primary who sent me to Wound Care but myself. I call to clinic, and I was given appointment right away, to the next day. A few weeks nurses wrapped my legs, both or just left one, and doctor discussed the problem with nurses, me, and my man who all the time accompany me in clinics. Finally, wounds started to closer and dry out. Now there is a new skin, dry, clean, still red, but slow getting lighter and whiter.
      I do not want to say, why this or that. I try to say, if I am only one who come to ED with melting skin? wounds on legs? If I was first one in hospital with those wounds? Not at all. If so then why there were no treatment for me? Why no one wound care specialist come to see me? To take care for my draining wounds? Now when all skin is dry and wounds are no longer the treat, I am under attention, and it is presented that all done is right and it is best treatment I have to have? I really was in panic. Amputations are the great tread for diabetics type 2.  It is easy to say, obesity, and this is why. But why is it so important? Simple wrap on legs and there is no infection, no wound, no melting skin, no pain. 
       It is easy to say, It is all my fault. It is I who developed obesity. But say me, why the test which was run in hospital, never was ordered by primary doctor? Why sufficiency of my blood vessels never were tested? I do have a lot of different referrals to different doctors, and when the problem surfaced, there is no one test result, no one follow up tests, and there were no one any treatment.
      This is why I try to say, keep your own health under your own closer control. We all can do it.Probably doctors would see us differently, a little bit more then Lab Rats or poscket to carry money from health care company to medical clinic.


via Ravenvoron

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