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Re: . Dr. Apt Yest....long (:) Long reply too!
From: Ivy (anonymous@obgyn.net)
Sun, 24 Sep 2000 13:08:56 -0500 (CDT)
I'd be frustrated, too. Kindness is all well and good, but.... Well,
it is no substitute for being treated like a rational being with a brain
between your ears! No matter how kind they are, and how much they
explain the things they think ought to be explained, if they don't
address the questions that YOU have.... Well, it does make one feel
about 2" high and as smart as a stump.
By the way, 130lb.s sound pretty good to me, for your height, but yeah,
I HATE trying to have a discussion with someone who keeps missing the
point.
I wish I had some practical advice for you - other than CALMLY (and
lord, that's hard sometimes) and politely reminding him, "Yes, dear, but
you still haven't answered my origimal question" etc.
And I do believe he's wrong about the fasting Gluc. and insulin - you
need to have the 2hour deal. See if you can convince him, if he won't
look at the literature, then "for your peace of mind" to let you have
the 2hr. fasting IGTT.
Play up the emotional "for my peace of mind" bit, if that's what it
takes - Can you find another doc in your area, or do you think this one
will do with a little work? Take care, Hope you're over the cold soon!
and keep us posted!
Good lluck,
Ivy
At Sun, 24 Sep 2000, Linda wrote:
>
>>The hard cold reality is though, if one loses weight, some of the symptoms do diminish. Even at my lightest though, I still had some hair growth because my hormones were still imbalanced. The fact is, while we can do as much as we can with diet and exercise, the real relief will come when the d-choro-inositol (sp?) is tested and available. I'm fully convinced of that.
>>--
>>Kallie
>>
>>At Thu, 21 Sep 2000, Michelle wrote:
>>>
>>>Yesterday was very frustrating...I am kind of in a fog and I need help
>>>from you gals sorting this all out.
>>>
>>>I went to a dr that was highly recommended for PCOS. He is a
>>>reproductive endo, but after calling and talking with the office they
>>>were happy to treat/diagnose my pcos even though I wasn't looking to get
>>>pregnant. They sent me a big fertility packet to fill out. Which I
>>>took in stride, assuming they just send it out to everyone... I had to
>>>clarify over and over and over that I am not here to get pregnant!! A
>>>gal in the front office was upside with me because I didn't bring my
>>>husband along, they requested that I do and I didn't fill out all of the
>>>paperwork for my husband. It was soooo frustrating. I am a fairly
>>>forward person, but by the time I saw the doctor I felt 2 inches high.
>>>
>>>We spent an hour just talking. I had the packet from PCOSupport.org
>>>with notes taken on all the symptoms. He wouldn't acknowledge the
>>>paperwork. When I tried to tell him about something I had heard, he
>>>gently redirected the questions to something else. He thought it
>>>sounded true that I had PCOS and insulin resistance. He was kind and
>>>gentle in his talking, but how come I still walked out of there wanting
>>>to cry my eyes out?! I had to bite my lip at one time so I wouldn't
>>>burst into tears! It was like he was in a drone...he was telling me
>>>about the aspects of PCOS and how they are treated. Which was fine, but
>>>it was a lot of general info that I already knew. Then it all came down
>>>to this... he said in a "kind" way that I was obese and that if I would
>>>just lose weight I would feel tremendously better (190lb 5'6"). I
>>>needed to make the decision and no one else could do it for me. I then
>>>asked him why, when my symptoms were at their worst, I weighed my ideal
>>>body weight - 130#. He said 130# is NOT my ideal body weight.....I felt
>>>like I was talking to a wall. I tried to explain to him that though I
>>>am over weight, and yes, I would like to lose some weight, I am not
>>>overly obsessed with it. It is all the other symptoms that drive me
>>>crazy. He has run a lot of lab tests - BUT he would not do an IGTT, he
>>>said that you can tell if someone is truly insulin resistant by
>>>comparing a fasting insulin and fasting glucose and check what the ratio
>>>between the two is. By that time, I was frazzled...Then he did the vag.
>>>ultrasound and said that my ovaries are perfectly normal - 7-8 follicles
>>>on each ovary, but no "string of pearls". I had an vag ultrasound in
>>>April by my gyn and he said that I definitely had pcos, but he didn't
>>>know enough about it to treat (but did ask me to be part of his
>>>test/case studies so he could learn more). I ended up moving out of
>>>state and couldn't continue with him.
>>>
>>>He wants me on a low carb diet, which is fine with me, I have been
>>>looking at starting that anyway. He wants me to exercise 5 days a week
>>>plus weight training 2-3days a week. We are going to meet again after
>>>all of my lab tests come back at the beginning of next week. Not sure
>>>there is any hope there either. He said a bunch of stuff he was testing
>>>for then said, "I don't think you have any of this stuff, but lets check
>>>anyway."
>>>
>>>Part of me thinks I am totally overreacting, because he was kind. Then
>>>the other part of me says that I shouldn't have felt as bad as I did
>>>through our entire meeting.
>>>
>>>He is more than willing to treat me though, if the tests come back bad.
>>>He says that if I lose weight, he thinks I will not have a lot of the
>>>symptoms that I do - Maybe I am so fatigued all the time because I am a
>>>stay at home mom and bored? I want to just curl up in a ball and cry!
>>>Why do people treat me like it is all in my head?!! And he was supposed
>>>to be different!!!
>>>
>>>Sorry for the vent, gang, but I need to bounce off someone to regain my
>>>sanity. I also woke up w/terrible chest cold and laryngitis today, so
>>>maybe I just wasn't feeling well and took things wrong. I don't know.
>>>
>>>Shelly N.
>>>Spokane, WA
>>
>>--
>>Kallie
>>
>--
>Linda
>
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