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Old 04-15-2008, 12:09 PM   #1
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My labs are back.....

Just got a call from the ditzy nurse at my primary's office. She said my labs, done on 4/7, showed elevated microalbumins (protien) in my urine. Normal range is 0-30, mine are 80. And what do you know?? My primary wants to see me himself! Isn't that just ducky of him to actually care!

Sorry I sound a little bitter, but I guess the anger and frustration over all of this is still just under the surface. I will give him the chance to make this right, but I hope he is ready for an earful! I have also made 2 appointments to speak to a couple of other docs, to see if they would be a good fit and be on board with the specialists I have ongoing referrals to. Especially my PM.

My BP has been at better levels for the last few days. My diastolic is still not under 93. But at least I'm finally seeing double digits instead of the triple ones. My pain has increased significantly over the past few weeks and I know it is due to all of the stress this office has put me through. He's going to hear about that, as well.

Well, just thought I'd put out a little update. Thanks again to all who have been supporting me and praying for me. I have always believed very strongly in the power of prayer. It has gotten me through so much in my life. I hope all are having the best day that pain will allow. God Bless, cmpgirl

 
Old 04-15-2008, 12:58 PM   #2
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Re: My labs are back.....

WOW!

The doc actually wants to see you personally. How "professional" of him.

At least you now have numbers to work with. I probably don't have to mention this, but please make sure he hears about the loser PA. As well as the good one - give credit where it's due.

I think it's very good for this doc to know that you believe his practice is partially responsible for your suffering. Let him wonder if you're seeking counsel without saying it outright. It's time for him to "suffer" a little. He is ultimately responsible for the loser PA.

I don't blame you at all for your anger. Actually, I think you've been very patient given the seriousness of your BP, etc. You deserve so much better. It makes me so mad every time I think about how you've been treated there.

I wish you the best at your next visit. I'm sure it'll go well.

And thanks for the update.

steve

 
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Old 04-15-2008, 01:17 PM   #3
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Re: My labs are back.....

cmpgirl, I am so glad you got the call........... but i bet it made your blood pressure rise today after he phoned you.

I'm sorry I just have my belly full of doctors, Consultants, Pain Managements. Neuro, Ortho, ......... God whats left that I havent seen. Just having a bad day and need to vent......... I actually dont even know where I belong on the board here anymore. Pain Managment, Fibro, Back...................

Was just thinking there of what you said about your pain increasing and your telling him that it was due to stress, I don't know if I would.......... will he just think all your pain is stress related and brought upon yourself. I dont know its just I have been to pain management, gp, and consultant in the last 3 weeks, and feel I am going around in circles, especially when the consultant rheumy said we need to get the Holistic approach and see what brought this on............. are you happy in your life.......... blahhhhhh, as he doesnt examine my back.......... I think I wouldnt say your pain was increase by him......... just a thought others might disagree, actually would like to hear what others think......... Round1

 
Old 04-15-2008, 01:17 PM   #4
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Re: My labs are back.....

I could not have said it any better than Steve did!! The only thing that I might add is that your bottom number is still way to high for my comfort.

I am continuing to pray for you and hope that your appt is soon and not next week.

 
Old 04-15-2008, 01:38 PM   #5
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Re: My labs are back.....

Quote:
Originally Posted by Round1 View Post
... I think I wouldnt say your pain was increase by him......... just a thought others might disagree, actually would like to hear what others think......... Round1
Round1,

You have a good point. I didn't even think about the possible negative and I'm glad you did.

I do think it can be communicated without risk though. Something like "...you know, my daily pain is bad enough as it is, then I have to endure the jerk PA and it makes the pain that much harder to deal with..." Something like that.

What do you think?

steve

 
Old 04-15-2008, 02:29 PM   #6
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Re: My labs are back.....

That sounds good steve........ i would just avoid giving them food for thought, ah she is stressed, and the pain increases............. there now we have the answer. Relax go home light a few candles and play soft music and sure you will be flying in the morning.....

You are right, all this running about trying to get the BP sorted etc..... all the extra work really took its toll............

Take care, and do you know someday we will be flying around without these pains........ heres to hope

Good night,
Round1

 
Old 04-15-2008, 02:33 PM   #7
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Re: My labs are back.....

Hey everyone: Thank you for the replies. I definitely did have a little BP spike after the phone call, because the nurse said the labs came back on Thurs of last week. I wanted to say, "So, you thought it would be better to let me just stew in this a few more days? Thanks!" But I took a Xanax and am much better at the moment.

I have no concerns about telling my primary about my pain being worsened by this. He has been happily referring me to my PM for 8 years now and knows I have had chronic pain long before any of this began. So, I will let him know. (diplomatically, of course) He needs to realize that the miscommunication in his huge practice is causing his patients to suffer needlessly, with worry and frustration. And he definitely needs to know that "Bob the PA" needs some serious attitude adjustment. I may rant a little here, but out there in the world of tangibles I have been known to be pretty diplomatic. I am 100% Irish, after all. (Some may call it Blarney, but I prefer diplomacy)

While I am happy to see double digits, I am still not satisfied with the diastolic numbers. I know they should be below 90. I would call and ask about it, but with the way my past inquiries have been handled, I'll wait till my appointment. It's next Tuesday and I probably wouldn't get a call back before then anyway. (Still a little too bitter?)

Thanks again for your kindness and support. I really do love you all. I don't know if I could have gotten through this without you. I truly think the Man Upstairs sent me here, when he did, for a reason. God Bless, cmpgirl

P.S. I definitely plan on flying back to Eire someday, Round1 !!

Last edited by cmpgirl; 04-15-2008 at 03:00 PM. Reason: added postscript

 
Old 04-15-2008, 03:03 PM   #8
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Re: My labs are back.....

I am glad that you got a call back from your doctor although his office does not sound like it is run very effectively and I would seriously consider changing doctors to get the best care possible. Try to take a deep breath and try some relaxation techniques which might just do more for the BP than your meds are doing. I know definitely NOT an easy thing to do and I need to learn to do this more often as well. I am glad that your BP is definitely alot lower than it was. Keep us informed of what happens.

brian

 
Old 04-15-2008, 03:07 PM   #9
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Re: My labs are back.....

CMPgirl, 100% Irish - next visit stay away from the Blarney Stone !!!!!!!
Actually to try and kiss the stone one certainley wouldnt want a bad back.

Sorry to all fellow PM's. "The Blarney Stone " the theory is if you kiss it, you are given the gift of the gab, dont know if you use that expression or not, you just dont stop talking.......... but thats not ture us Irish are very quiet people.

Well cmpgirl, if you are coming to Blarney give me a shout, easy reach for a coffee.......... Round 1

Were you born in Ireland or your parents....... are you ture ture irish like 100% pure Irish Beef !!!!
round1

 
Old 04-15-2008, 03:19 PM   #10
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Re: My labs are back.....

Brian, Thank you for the support. I have definitely been taking a lot of deep breaths today. I already told my hubby, dinners in the fridge, let me know when it's ready! (LOL) I'm in the process of interviewing some potential new primary docs. I don't see this one getting any better.

Round1: Lets just say.....planted in Ireland, bloomed in the states! 100% And I didn't even attempt the kiss! With my luck lately, I would have snapped something! As I'm sure you can tell, I didn't need any more of the gift! If it had been 10 years ago, it wouldn't have been coffee....more like a pint or a dram or two of something sweet and smooth! Probably both!

Thank You both and God Bless, cmpgirl

 
Old 04-15-2008, 04:12 PM   #11
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Re: My labs are back.....

Well cmp, all I can say is: May the road rise up to meet you....!

I am praying that all goes well with this doctor. I can't believe how you have been treated. You have been much more patient I think than I could ever dream of being.

I really do hope you are able to help this doctor to realize that "Bob the PA" is putting this Dr.'s patient's lives at risk. Not only their general peace of mind, but their physical well being. Add to that all of the stress that you have put up with since this whole terrible ordeal has started.

Had this been handled from the get-go, you would probably have your BP under control right now, which means that your stress levels would be down, which means your pain levels would probably be down (in theory). If he CAN'T see that, then this Dr. is definitely NOT a good fit. JMHO.

Good luck with the interviews with your other docs and I would straight up ask them how they handle call back situations. What is the MAX time frame I can expect to get a return call if I call your office? That way you will know (should you choose THAT particular doc) that A) the message wasn't relayed, or B) you were shuffled to the back burner or C) you were plain 'ole forgotten about.

I'm so Blessed that in 24 years of seeing the same GP, and 4 years of seeing the same NeuroSurgeon and PM I've always gotten a call back on the same day before 4pm. (KNOCK WOOD)

Good luck.
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Old 04-15-2008, 09:42 PM   #12
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Re: My labs are back.....

Spinal: Thank you for the blessing. I realized when I was talking with my hubby about changing primary docs, that I had to make sure that if I transfer my primary care to them, they absolutely have to be on board with my referrals to my PM. I would stay with the current doc, if I couldn't get that guarantee. He has been my PM for almost 8 years and like your docs, I have always received a callback from him the same day. I've already threatened him about retirement or leaving the area! LOL

If I can't find a new doc that is a good fit, I think as long as I can see my actual doc at my current practice, I would bite the bullet and stay on as his patient. I generally do not have a problem with PA's or NP's. I've seen some really good ones over the years. 20+ years ago, my primary's office was just three docs, one NP and the nursing and office staff. Now they have 12 or 13 docs, at least one PA or NP for each and floaters who come in just for the after hours urgent care clinic. It has gotten so hard to feel like you matter.

Most single or 2 partner GP's and Internists are either focusing on a sub-specialty or are not accepting new patients. Medical offices are becoming more like factory assembly lines....get 'em in, take the money, get 'em out.

Well, now that I've rambled on, I suppose I should stop and read a few other posts. Thank you so much for the support. I will keep you updated. God Bless, cmpgirl

 
Old 04-16-2008, 04:32 AM   #13
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Re: My labs are back.....

cmp, I am glad something showed in your tests.
Man it is so tough dealiing with doctor offices who just make life tougher. You feel like something like look "my life is tough enough, why would I pay someone to make it alittle tougher when there are plenty of people who do that for free" .
I really feel that BP of yours should be brought up. Is it staying around a certain reading or flexuating all over? Remember everything pretty much efffects your BP so try to stay calm, I know, it is hard when dealing with certain people. Good luck & I am curious to see what is said. Sammy

By the way guys I have a peice of the Blarney stone that was passsed on from my mother in law, its inside a little glass egg. Both are irish, inlaws straight from scottland but all roots are in Ireland. My husbusnd loves that thing, it fell on the tile floor one day & I swear I held my breath thinking it would break, thank god it survived I moved it the heck away from the tile floor to be displayed only where there is carpet. It is to special to take a chance with.

 
Old 04-16-2008, 11:10 AM   #14
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Re: My labs are back.....

Girl,
93 is still too high....
Protein in urine is high too. My husband has diabetes and his kidneys "leaking"protein due to complications from diabetes. I wonder what is casing your leak?

I am glad you finally on a right path and maybe all your questions will be answered. Good luck to you!

 
Old 04-17-2008, 08:46 AM   #15
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Re: My labs are back.....

hey cmp,i am sooo glad you 'finally' got some solid info here. you KNOW already just how i feel about the care you have been getting so i wont even go there. that is a 'gross' amount of protien you have hon. did you happen to obtain any other lab info from these people yet or was this all they "let' you know about? do you have your creatinine or GFR numbers yet? these two labs are very telling of overall kidney function(tho you still do need other tests done here too). these are the ones i look at first when i have my every six months labs done on my kidneys and liver. you just really need to know(needed it long ago)where you are at with overall kidney functions.

when you see that wonderful doc,let him have it with both barrels hon. geez,what a putz. once you can finally tell this idiot about the wonderful care you have been getting and how it has exacerbated every imaginable problem you have,your BPs will probably automatically go down some,really. carrying around all that you have been hon really DOES affect your BPs. stress and frustration really DO affect our BPs and alot of other things too. you just need to feel some level of 'peace"for once with all this.

your doc kind of forced you into this posistion and you shouldn't have been placed there. give him he** for me too,lol. hopefully this ongoing nightmare will be over soon and you will finally get the info and answers you have needed all along. hang in there hon and please DO keep us posted. Marcia


hey moldova,i will get back to your other post here soon,i just keep running out of time. but i will get to it hopefully tomorrow hon. sorry. marcia
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