PCP Will Not Run Future Labs

[Spiky Bugger]

I would think there would be legal ramifications if your MD has been given outlines for your proper health care and does not follow through. Diana?

How about a letter?

~~~~~~~~
Dear Dr. Know-It-All,

Bcause I was not a science major, I am (understandably, I think) confused by conflicting information regarding what labs I need post DS.

Because a recent (small) study http://www.ncbi.nlm.nih.gov/pubmed/25595384 revealed that 93% of DS patients tested suffered from nutritional deficiencies, I am hopeful that best practices for me would include routine testing so that we don't have to wait until I am very sick to deal with something tbat might have been preventable.

And, I may not be the only one confused. It looks like even among tbemselves, bariatric surgeons who perform the RnY have different practices regarding testing than bariatric surgeons who perform the DS. http://www.ncbi.nlm.nih.gov/pubmed/10340768. Given that difference, I can't think of any good reason to consult with a surgeon with no...or limited...experience dealing with post-DS issues.

Please reconsider your position on the requested testing.

~~~~~~~~

Or something nicer...but demanding.

 

[BebeZed]

How about a letter?

~~~~~~~~
Dear Dr. Know-It-All,

Bcause I was not a science major, I am (understandably, I think) confused by conflicting information regarding what labs I need post DS.

Because a recent (small) study http://www.ncbi.nlm.nih.gov/pubmed/25595384 revealed that 93% of DS patients tested suffered from nutritional deficiencies, I am hopeful that best practices for me would include routine testing so that we don't have to wait until I am very sick to deal with something tbat might have been preventable.

And, I may not be the only one confused. It looks like even among tbemselves, bariatric surgeons who perform the RnY have different practices regarding testing than bariatric surgeons who perform the DS. http://www.ncbi.nlm.nih.gov/pubmed/10340768. Given that difference, I can't think of any good reason to consult with a surgeon with no...or limited...experience dealing with post-DS issues.

Please reconsider your position on the requested testing.

~~~~~~~~

Or something nicer...but demanding.

Perfect - I have bookmarked this and will be customizing for when I do battle with my next PCP.
All I can say right now is thank goodness for Direct Labs...

 

[TakeIII]

How about a letter?

~~~~~~~~
Dear Dr. Know-It-All,

Bcause I was not a science major, I am (understandably, I think) confused by conflicting information regarding what labs I need post DS.

Because a recent (small) study http://www.ncbi.nlm.nih.gov/pubmed/25595384 revealed that 93% of DS patients tested suffered from nutritional deficiencies, I am hopeful that best practices for me would include routine testing so that we don't have to wait until I am very sick to deal with something tbat might have been preventable.

And, I may not be the only one confused. It looks like even among tbemselves, bariatric surgeons who perform the RnY have different practices regarding testing than bariatric surgeons who perform the DS. http://www.ncbi.nlm.nih.gov/pubmed/10340768. Given that difference, I can't think of any good reason to consult with a surgeon with no...or limited...experience dealing with post-DS issues.

Please reconsider your position on the requested testing.

~~~~~~~~

Or something nicer...but demanding.

Oh I love this @Spiky Bugger ! I have been stewing on this ever since I got her email. I may soften a tiny bit, but you nailed it. Thank you!

 

[Spiky Bugger]

Oh I love this @Spiky Bugger ! I have been stewing on this ever since I got her email. I may soften a tiny bit, but you nailed it. Thank you!

I always need to be softened...enjoy.

ETA...Just make sure SHE knows that YOU know that she is expected to utilize "best practices," and that the odds are overwhelming that you have or will have at least SOME deficiencies.

Also...she sounds like someone who might discount another doctor's website...so I would use PubMed articles.

 

[BebeZed]

I always need to be softened...enjoy.

The way I see it, you're wonderful just the way you are!

 

[Spiky Bugger]

The way I see it, you're wonderful just the way you are!

That's because we are both Rumbaut Vets.

 

[newanatomy]

How about a letter?

~~~~~~~~
Dear Dr. Know-It-All,

Bcause I was not a science major, I am (understandably, I think) confused by conflicting information regarding what labs I need post DS.

Because a recent (small) study http://www.ncbi.nlm.nih.gov/pubmed/25595384 revealed that 93% of DS patients tested suffered from nutritional deficiencies, I am hopeful that best practices for me would include routine testing so that we don't have to wait until I am very sick to deal with something tbat might have been preventable.

And, I may not be the only one confused. It looks like even among tbemselves, bariatric surgeons who perform the RnY have different practices regarding testing than bariatric surgeons who perform the DS. http://www.ncbi.nlm.nih.gov/pubmed/10340768. Given that difference, I can't think of any good reason to consult with a surgeon with no...or limited...experience dealing with post-DS issues.

Please reconsider your position on the requested testing.

~~~~~~~~

Or something nicer...but demanding.

I really like this letter, maybe it needs it's own thread! Hint, hint.

 

[southernlady]

Apparently I am NOW in the same boat. We had our PCP on board but he's let one of his DS'ers know when she went last week that he is also doing the same thing...farming us out to a local bariatric surgeon for labs. And altho we have rumors of one surgeon who is suppose to be doing the DS, we don't know for sure.