- Joined
- Dec 14, 2004
- Messages
- 493
- Reaction score
- 725
Give me the uncontrolled Bipolar, schizophrenic ilegal substance abuser asking for (demanding) 2 mg Alprazolam QID b/c "it's the only thing that's ever worked and I've been tried on EVERYTHING" before giving me the unmotivated diabetic any day of the week please!
Is it just me or is diabetes the most frustrating condition to treat? At least 25% of my population is totally unmotivated to make real changes to potentially cure themselves of this ailment, and at each visit when they're 3-5 lbs heavier, it always nothing but salad and water that they've had.... no idea how I gained that weight doc! Moreover, with the unaffordable care act standards and PCMH and the new pay for performance standards, their unmotivated butts are really going to knock us. I'm in a small town and endocrine is already booked up 3 mos in the future.... if you've got good insurance. Sure I could just drop them as patients but it's always more complicated than that. Many of these fall in to the realm of no money/no insurance... but they're good people.
How have you guys managed to fade the frustration of the endless 9+ A1c and already on 3 oral agents in the unmotivated but broke and no insurance population?
Is it just me or is diabetes the most frustrating condition to treat? At least 25% of my population is totally unmotivated to make real changes to potentially cure themselves of this ailment, and at each visit when they're 3-5 lbs heavier, it always nothing but salad and water that they've had.... no idea how I gained that weight doc! Moreover, with the unaffordable care act standards and PCMH and the new pay for performance standards, their unmotivated butts are really going to knock us. I'm in a small town and endocrine is already booked up 3 mos in the future.... if you've got good insurance. Sure I could just drop them as patients but it's always more complicated than that. Many of these fall in to the realm of no money/no insurance... but they're good people.
How have you guys managed to fade the frustration of the endless 9+ A1c and already on 3 oral agents in the unmotivated but broke and no insurance population?