My GP charges around that amount ($85.00) for a consultation of between ten and twenty minutes.$83 later, the most expensive GP visit I have ever had I have my prescription in hand, so much for bulk billing.
Wow, how different from my diabetic experiences. Firstly I've never had anyone comment or even cast an aside glance if I happen to bolus in a restaurant. Ever. Secondly I've never used a sharps container. We have them at work in the hospital of course, but at home? I used to use a syringe for my Lantus vial injections. A box of 100 would last me about 4-5 years, I kept the syringes in a little case of 6 and would discrard them every couple months. Just toss 'em in the trash can. Same with pen needles. I keep them on the pen until the pen runs out, unscrew it, toss it, screw on a new one. Why make it complicated? Why involve other idiots? Needles are cheap, no need to get them paid for using insurance.
That's about what my GP charges for a long consult over twenty minutes.In private practice I charged $125 for a consult to Medicare patients.
I have been chased out of a shopping centre (mall) by a women (I assume) screaming at me all the way out of the centre, I assume they were upset with me very discreetly bolusing for my meal I was about to eat, I couldn't explain to them, because I don't think they could speak English, but they weren't interested in listening.
Oh heavens no. I only injected Lantus once a day. I'd use a syringe probably 10 times. Until the needle bounced off lol. I change the pen needles when the pen runs out: 12 days for Lantus, about the same for Novorapid. I don't think any diabetics use sharps containers here. And junkies can't buy sterile needles, which is stupid. I have to write a prescription for them. You can buy some types of vials of insulin without a prescription but not the needles you have to use. Go figure.Doesn’t sound like you use many needles. I get through roughly 150 a month. A new needle for each injection.
Is it necessary to change the needles every single time? I change mine once a day so they're only doing 2/3 injections each normally (split basal).Have to use a sharps box here. They are handed into GP when full. Get those on prescription too. Ironically recreational drug addicts get a different coloured one which can be handed in at a pharmacy.
Doesn’t sound like you use many needles. I get through roughly 150 a month. A new needle for each injection.
Thank God/FSM that we have the NHS in the UK. My treatment experience is far better than what you seem to have received. Add to that, I have long since given up trying to be subtle about my injections, and will never sneak off to the toilet areas of restaurants or bars to inject. If someone looks at me while I'm injecting, I just think, I hope you're not squeamish , then carry on doing what I need to stay alive. The last time someone fainted in front of me was when I was in an A&E Dept after my mum had been taken seriously ill. I injected before eating some food and a guy with a suspect broken wrist was fascinated by what I was doing, until I injected in my stomach. He promptly passed out and hit the deck, to the vast amusement of his mates. I just thought, tough, serves you right for looking. It seems that Victoria seems to be home to some people with some pretty primitive ideas, probably not evolved much from those who burned "witches" at the stake!I have been chased out of a shopping centre (mall) by a women (I assume) screaming at me all the way out of the centre, I assume they were upset with me very discreetly bolusing for my meal I was about to eat, I couldn't explain to them, because I don't think they could speak English, but they weren't interested in listening.
On another occasion one of their'friends' had security throw me out for the same offence. I don't know how they could even see, the only thing that was viewable was the blue pen cap.
The local council (in Victoria they service a number of suburbs and all they do is Garbage collection, run swimming pools and a few health centres run by nurses and social workers) where I have to hand in my full sharps containers and get empty ones, they are really kind, nice and empathetic, until they find out you are diabetic and not an illicit drug user and then the abuse starts and I mean abuse. They also then put on gloves to hand over the new empty sharp container, up to that point they would give you as many as you want, but diabetics only get one and very reluctantly at that.
Fast forward to yesterday:-
I travel for work. I return home every 2nd weekend, so I travel with supplies for 3 weeks. Work decided that I won't return home for 5 weeks. I found the closest bulk billing surgery (that means they only charge the government rebate).
I told the Dr I needed a prescription. That started a tirade, it's illegal in this state and especially in the CBD of Brisbane to prescribe Oxycontin... After 5 mins I interjected as he was onto the health lecture and I explained that all I wanted was insulin. Then it started again "Insulin is a very dangerous drug and can easily kill. I eventually convinced him that I was Diabetic and as soon as I had managed that he was great, he told me to pull my chair around so I could make certain he was prescribing the correct 'container', I use prefilled pens. $83 later, the most expensive GP visit I have ever had I have my prescription in hand, so much for bulk billing.
To make things more difficult my temporary office has just been renovated and we moved in yesterday. The toilets are really well lit everywhere, but are almost dark in the cubicles with a blue tinged light (male toilets).
I have now wised up, I'm a junkie when at the council and behave like a junkie when not at home. I have plenty of distilled water and alcohol wipes as the council give them to me as I'm now a well behaved 'junkie'.
It's best practice to change your needle every time, reduces the risks of lipohypertrophy and it's more hygienic. I'm sure most people reuse them at least once in a while, whether it's forgetting to have enough with you or the odd correction shot you weren't expecting.Is it necessary to change the needles every single time? I change mine once a day so they're only doing 2/3 injections each normally (split basal).
Anyway, I can't really comment on people's behaviour too much as I've only been injecting for three weeks, but I've bolused a few times in restaurants but not noticed anyone looking.
A similar service was / is available in the CBD except they collect on foot. I tried to use it a number of years ago, I was rejected as I'm not a Junkie, they only pick up syringes and replace with new syringes. Remember all our ancestors were the UK's criminalsAs for my sharps box. I just phone my local council (Wandsworth) and they send a chap round in a van to collect my full one and drop off a new container for me to use. Very civilised indeed.
More than anything it's a carryover from what's done in hospitals and clinics. Same with using an alcohol wipe to cleanse the injection site. I've never used one, but I'm pretty clean lol. I don't think using a sterile needle every time would affect lipohypertrophy at all. Throwing needles away multiple times a day just seems like such a waste to me. It's not like you'll get an infection at the injection site if you reuse it.It's best practice to change your needle every time, reduces the risks of lipohypertrophy and it's more hygienic. I'm sure most people reuse them at least once in a while, whether it's forgetting to have enough with you or the odd correction shot you weren't expecting.
I've never used a wipe, yes infection risks for the majority are pretty low.More than anything it's a carryover from what's done in hospitals and clinics. Same with using an alcohol wipe to cleanse the injection site. I've never used one, but I'm pretty clean lol. I don't think using a sterile needle every time would affect lipohypertrophy at all. Throwing needles away multiple times a day just seems like such a waste to me. It's not like you'll get an infection at the injection site if you reuse it.
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