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Advice for review meeting tomorrow.

C

Caterham

Well-Known Member
Messages
85
Type of diabetes
Type 2
Treatment type
Tablets (oral)
So, a year ago I had my annual review, all was OK apart from the ACR kidney test, that had gone up from 0.48 the year before to 5.83. At the time of my blood tests I had a urine infection that I had got swimming in the caribbean, and was taking antibiotics, so I asked the nurse if the infection could have caused the increase in protein. Her view was no, and this was the start of a 'process of kidney failure, which happens to all diabetics, and the results will get worse year by year'.

This was concerning, but I felt that, from looking online, that the infection did have something to do with it. However, it has caused me some concerns in the last year.

Fast forward to this year, ACR result, back to 0.48.

So, I have a meeting with the font of all knowledge tomorrow for my annual review. Do I mention this and ask her to perhaps think of the effect of what she says has on people?

Any advice gratefully recieved.

C
 
Caterham said:
So, a year ago I had my annual review, all was OK apart from the ACR kidney test, that had gone up from 0.48 the year before to 5.83. At the time of my blood tests I had a urine infection that I had got swimming in the caribbean, and was taking antibiotics, so I asked the nurse if the infection could have caused the increase in protein. Her view was no, and this was the start of a 'process of kidney failure, which happens to all diabetics, and the results will get worse year by year'.

This was concerning, but I felt that, from looking online, that the infection did have something to do with it. However, it has caused me some concerns in the last year.

Fast forward to this year, ACR result, back to 0.48.

So, I have a meeting with the font of all knowledge tomorrow for my annual review. Do I mention this and ask her to perhaps think of the effect of what she says has on people?

Any advice gratefully recieved.

C
Click to expand...
I would mention it. If nothing else, it's something that she should know, should anyone else present with the same symptoms...
 
Personally I'd give her no end of grief for her unthinking comments and the affect they have on her patients......but then I am a grumpy old bird and renowned for speaking my mind........especially as she must put the fear of Christ up the poor souls that don't have access to the inter web information sites and places like here.........its totally inexcusable behaviour and someone should tell her where to get off, but I guess it depends on how miffed you are with her and if there is someone else you could see "If" she decides she no longer wants your company.
I had a similar problem when first diagnosed, and so green about it all, with the DSN at my surgery telling me to eat this and that and refusing to listen or believe I couldn't eat lots of stuff because of digestive problems, at the end of the conversation, when I was reduce to a gibbering wreck, she said "If you wont listen to my advice I guess its not worth me seeing you again" to which I answered "That's fine by me"..........I now see the other DN and have done for many happy years, any insulin related queries I have are sent straight to the hospital team so I don't have to see her.
 
For me, it depends.
If I was able to explain to her in a way that was not going to impact the relationship I have during the appointment I would tell her. If the discussion is likely to become confrontational, I would not.
The purpose of this appointment should be for you to move forward rather than dwelling on the past. I believe it is about getting your latest results and deciding what you are going to do about them.
I would probably leave it to the end of the appointment and make the call.

But bear in mind, she is human and was probably trying to give you the information to get the kidney problem investigated.
Just think of the impact if she had agreed with you that it was just the infection but this was wrong; you did have a serious kidney problem. Dr Google is not always right.
 
Thanks all. Helen, I agree, but she could have said that the infection may have effected the result, so we will repeat the test in a week or a month.
 
Caterham said:
Thanks all. Helen, I agree, but she could have said that the infection may have effected the result, so we will repeat the test in a week or a month.
Click to expand...

I agree a repeat of the test when you were well would have been the best option rather than leave you worried for a year.
 
Remember you can always see a GP to ask for a test to be repeated, and GP tend to use their brains when presented with data.......
 
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