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Diabetes Soapbox - Have Your Say
A vent about slack GPs
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<blockquote data-quote="AndBreathe" data-source="post: 931389" data-attributes="member: 88961"><p>When you say if you had been told about the diabetes risk years ago, you might have lost weight before you dod, do you really mean it? I am pretty certain that most people think there is an every person walking through the door mantra HCP_s chant; That being, "lose weight and don't smoke". Anyone in the UK who has even watched then news, never mind had the messaging from HCPs says they've never heard that carrying weight wasn't good for them isn't being oncredible straight with themselves in my view.</p><p></p><p>I have spent years and years working with Change; working out ways to motivate how people, process and systems can be changed for the better. Of those three massive categories, the most difficult to achieve sustainable change is the people. Without a real and meaningful implication, with a matching "what's in it for me" benefit of making the changes, they either don't happen at all or they are only sustained very short term. Let's face it, before we were in this arena, how many of us gained a lost dollops of weight, like going through a revolving door? A fair few, I'd wager.</p><p></p><p>I could have done with losing a few pound pre-diagnosis. I am a highly, highly educated individual, with a background in the wider health care professions, so I had no excuse for ignoring the fact that love handles are sub-optimal to put it at it's most flattering. If I couldn't be motivated by the messages I had read, hear or been told, how can I really, really expect others to have reacted differently. </p><p></p><p>Once I crossed the diagnosis Rubicon, suddenly the answer to the "what's in it for me" question became a lot clearer. It had gone from being "well, in decrease my chances of being diagnosed with a condition" to "I have a potentially very damaging condition and I don't to deteriorate or have any complications coming my way". Suddenly it's more tangible.</p><p></p><p>On a more general note; I too feel for GPs and other generalists. Whilst in an ideal world, all GPs would have a great handle on diabetes - especially now it's been awarded the epidemic label, but how many more epidemics are they juggling, in terms of their time, investment knowledge - in a fast moving world. By those other epidemics, I'm thinking of stress, obesity, back ache, depression, substance abuse for all sorts, just for starters. Like the rest of us, they only have so many hours in the day, and also do deserve a decent quality of life and family time.</p><p></p><p>As I have mentioned, I used to work in the NHS, but left when I could see I wouldn't tolerate the direction is was taking 20-odd years ago. By now, I might have been well on my way to a fabulous NHS pension, but I am also absolutely certain I would have suffered burn-out or other forms of mental health. Rates of substance abuse and suicide are shockingly high within the wider health and veterinary professions. Whilst "Physician heal thyself" is all very well to chirp out, but who heals the healers?</p><p></p><p>In terms of how I manage my relationship with my GP (I've encountered Practise nurses immediately after diagnosis and for one single review), I always make sure I am well prepared for my appointments, and will often have notes with me, if there is something I particularly want to discuss (as opposed to an acute issue like a chest infection). Up front, I make my objective clear, so that we both know my expectations. Yes, I have been told by my GP that I know more about certain topics than she does, but I have time to focus on my specifics. I'm not juggling all those other epidemics too. I have also made it my business to ensure that if my GP isn't so confident as me on a certain topic (as has been the case with my lipids), I ensure that I leave her with notes, and references to my reading material, so that she can pick up on it if she chooses. Her lipid knowledge os coming on a treat!</p><p></p><p>(Whhhooooooooooooaaaaaaaa...................... Yes, that was a bit of a rant. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> )</p></blockquote><p></p>
[QUOTE="AndBreathe, post: 931389, member: 88961"] When you say if you had been told about the diabetes risk years ago, you might have lost weight before you dod, do you really mean it? I am pretty certain that most people think there is an every person walking through the door mantra HCP_s chant; That being, "lose weight and don't smoke". Anyone in the UK who has even watched then news, never mind had the messaging from HCPs says they've never heard that carrying weight wasn't good for them isn't being oncredible straight with themselves in my view. I have spent years and years working with Change; working out ways to motivate how people, process and systems can be changed for the better. Of those three massive categories, the most difficult to achieve sustainable change is the people. Without a real and meaningful implication, with a matching "what's in it for me" benefit of making the changes, they either don't happen at all or they are only sustained very short term. Let's face it, before we were in this arena, how many of us gained a lost dollops of weight, like going through a revolving door? A fair few, I'd wager. I could have done with losing a few pound pre-diagnosis. I am a highly, highly educated individual, with a background in the wider health care professions, so I had no excuse for ignoring the fact that love handles are sub-optimal to put it at it's most flattering. If I couldn't be motivated by the messages I had read, hear or been told, how can I really, really expect others to have reacted differently. Once I crossed the diagnosis Rubicon, suddenly the answer to the "what's in it for me" question became a lot clearer. It had gone from being "well, in decrease my chances of being diagnosed with a condition" to "I have a potentially very damaging condition and I don't to deteriorate or have any complications coming my way". Suddenly it's more tangible. On a more general note; I too feel for GPs and other generalists. Whilst in an ideal world, all GPs would have a great handle on diabetes - especially now it's been awarded the epidemic label, but how many more epidemics are they juggling, in terms of their time, investment knowledge - in a fast moving world. By those other epidemics, I'm thinking of stress, obesity, back ache, depression, substance abuse for all sorts, just for starters. Like the rest of us, they only have so many hours in the day, and also do deserve a decent quality of life and family time. As I have mentioned, I used to work in the NHS, but left when I could see I wouldn't tolerate the direction is was taking 20-odd years ago. By now, I might have been well on my way to a fabulous NHS pension, but I am also absolutely certain I would have suffered burn-out or other forms of mental health. Rates of substance abuse and suicide are shockingly high within the wider health and veterinary professions. Whilst "Physician heal thyself" is all very well to chirp out, but who heals the healers? In terms of how I manage my relationship with my GP (I've encountered Practise nurses immediately after diagnosis and for one single review), I always make sure I am well prepared for my appointments, and will often have notes with me, if there is something I particularly want to discuss (as opposed to an acute issue like a chest infection). Up front, I make my objective clear, so that we both know my expectations. Yes, I have been told by my GP that I know more about certain topics than she does, but I have time to focus on my specifics. I'm not juggling all those other epidemics too. I have also made it my business to ensure that if my GP isn't so confident as me on a certain topic (as has been the case with my lipids), I ensure that I leave her with notes, and references to my reading material, so that she can pick up on it if she chooses. Her lipid knowledge os coming on a treat! (Whhhooooooooooooaaaaaaaa...................... Yes, that was a bit of a rant. :) ) [/QUOTE]
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