Diabetes Self-Management Blog

“You can stay here for three hours, or you can stay here overnight,” said the nurse standing in the doorway of my room in the surgery recovery area. “Those are your choices.”

“But I’m fine!” I replied.

“Your LIPS,” said my friend — also a nurse — who had accompanied me, “were BLUE! You’ll be staying the three hours.”

They were conspiring against me. All I wanted was to get out of there and get something to eat. So I’d had a little problem with my oxygen saturation rate during my second colonoscopy in less than one year. Was that a reason to keep me there?

Apparently so, although I did manage to get sprung before the three hours were up: a combination of breathing really, really well…and the fact that I did, after all, have an RN driving me home.

Have I told you how much I dislike hospitals? In the past three years, thanks to a ruptured Achilles tendon and a subsequent bone infection leading to an amputation, followed by a giant kidney stone and infected kidney, plus a case of what an emergency room doctor believed was pneumonia (it was a bad cold), I’ve been in way too many, both as an inpatient and as an outpatient. I even spent one Hanukkah in a rehabilitation unit.

The “pneumonia” wasn’t even the only misdiagnosis: My ruptured Achilles tendon originally was diagnosed as a strained muscle.

In the process, I’ve also picked up MRSA, klebsiella, and C. diff. I’ve gone in for an outpatient procedure and landed in the intensive care unit with sepsis. The less time spent in those germ-ridden places, the better.

Diabetes care? Gimme a break! The hospitalist who is in charge of my care while I was in ICU ran my blood glucose levels in the 200s while I was unconscious (I checked my continuous glucose monitor), then had the nerve to tell me he knew how to take care of my diabetes. “But you didn’t even ask me what my ratios or correction factor are,” I told him. (In fact, those are always written down on the same paper I list my medications on and then given to any doctor I see. I keep the information in a file on my computer, update it, and print it out to take with me every time I see a doctor or go to a hospital.)

Admittedly, I get defensive. My feeling is that medical folks see “Type 2 diabetes” and assume I’m a noncompliant idiot who doesn’t know anything about the condition. They then proceed to apply their own outdated methods to try and control my diabetes. In my ideal world, they would first learn what I know and then go from there. The advent of hospitalists doesn’t help. My primary-care doctor is aware of my knowledge and skill levels, but the hospital apparently doesn’t want him there.

Dietitians are sent to see me and, after doing so, determine that I’m competent to make my own decisions about food to the extent that I can order off the regular menu. However, that assessment either doesn’t make it to the doctor or the doctor chooses to ignore it. Either way, I’m left gritting my teeth at the unfairness of it all.

One time, years ago, I called the nurse when my blood glucose levels slipped way too low and asked for a regular soft drink, only to be told I couldn’t have one “because you’re a diabetic,” even after I explained that I was low. A regular soft drink, with both sugar and caffeine was what my CDE had told me to drink in those events. Luckily, I knew the CDE at that hospital and paged her. She brought me a regular soda. Then had a little in-service with the nurses.

At any rate, last week’s colonoscopy is now over. Polyps were found and removed. Unfortunately, because of my oxygen saturation levels, the anesthesiologist kept lightening up on the anesthesia and I kept waking up. While the procedure wasn’t painful, it was quite uncomfortable, and I was not a happy camper.

Also, the prep I was assigned to in the study I’m in didn’t work all that well and people kept asking me what I had taken. “Study prep,” I would answer. And they’d keep asking. I would finally say, “study prep and, I’m sorry, but that’s all I’m allowed to tell you.” And then they’d kind of grumble off.

As I said, it’s over. But only for a year. At this rate, it seems that I’ll be celebrating Colorectal Cancer Awareness Month every March into the future.

POST A COMMENT       
  

Comments
  1. Way to go Jan!

    Thank God you are OK.

    Friend of mine went in for the colonoscopy. Doctor takes polyp out.

    End of new day, bleeding like crap.. Rushes back to hospital.

    Hospital replaces his entire blood load.

    I asked how they sealed after 1st procedure. He says they cauteriuzed it.

    Iasked him - don’t they stapple that. Nope not any more.

    Has second pass, what did they do this timne - they stappled it.

    Nearly killed him.

    I am deeply impressed.

    Posted by jim snell |
  2. Jan, I’m glad you’re doing okay now. I was worried when you weren’t with us last week.
    You remind me of what my rheumatologist said about me - “Don’t you ever do anything the easy way?”
    I’m hoping I’ll forget your story and Jim’s before I have to have my next colonoscopy! Oh, and my friend’s story - she’s post-polio and has a problem with muscle spasms. She was out way longer than normal during her colonoscopy because they couldn’t get the probe out!

    Posted by Deb |
  3. Hi Deb,

    Thanks for your comment! I should mention that Jan wrote and submitted this entry the day after her colonoscopy; I didn’t mean to worry anyone by holding the entry over until this week.

    Thanks for your interest in DiabetesSelfManagement.com!

    Best,
    Diane Fennell
    Web Editor

    Posted by Diane Fennell |
  4. Staples, Jim? Ewwwwww! I cringe just thinking about it!

    Deb, it takes a lot to get me down. As Diane said, I did submit an entry the day after my colonoscopy (I ran out of time before), but it did give me a little break this week, which has been nice. I might even finish up the submissions that will run while I am on vacation in April. I appreciate your concern and will try to erase the image — now imprinted forever on my brain — of your friend going through life with a “tail.”

    Jan

    Posted by Jan Chait |
  5. Jan:

    You may cringe but stales work - reliable - do not leak.

    Otherwise, glad to hear you are trucking OK.

    Posted by jim snell |
  6. Jan, Get a letter from your primary care doctor about your knowledge of your condition. Carry it with you at all times. Insist, that unless unconcious, you should be allowed to handle your own care.

    Posted by Diane |

Post a Comment

Note: All comments are moderated and there may be a delay in the publication of your comment. Please be on-topic and appropriate. Do not disclose personal information. Be respectful of other posters. Only post information that is correct and true to your knowledge. When referencing information that is not based on personal experience, please provide links to your sources. All commenters are considered to be nonmedical professionals unless explicitly stated otherwise. Promotion of your own or someone else's business or competing site is not allowed: Sharing links to sites that are relevant to the topic at hand is permitted, but advertising is not. Once submitted, comments cannot be modified or deleted by their authors. Comments that don't follow the guidelines above may be deleted without warning. Such actions are at the sole discretion of DiabetesSelfManagement.com. Comments are moderated Monday through Friday by the editors of DiabetesSelfManagement.com. The moderators are employees of Madavor Media, LLC., and do not report any conflicts of interest. A privacy policy setting forth our policies regarding the collection, use, and disclosure of certain information relating to you and your use of this Web site can be found here. For more information, please read our Terms and Conditions.


Type 2 Diabetes
Metformin Study Currently Recruiting (08/19/14)
New Metformin Combo Drug Approved for Type 2 Diabetes (08/13/14)
FDA Approves New Oral Drug for Type 2 Diabetes (08/07/14)
Dispelling the Myths of Insulin Therapy (08/01/14)

Living With Diabetes
Information at Our Fingertips (09/04/14)
The Outside Like the Inside (08/27/14)
Upcoming "Taking Charge of Your Diabetes" Health Fairs (08/19/14)
Patterned Behaviors (08/14/14)

 

 

Disclaimer of Medical Advice: You understand that the blog posts and comments to such blog posts (whether posted by us, our agents or bloggers, or by users) do not constitute medical advice or recommendation of any kind, and you should not rely on any information contained in such posts or comments to replace consultations with your qualified health care professionals to meet your individual needs. The opinions and other information contained in the blog posts and comments do not reflect the opinions or positions of the Site Proprietor.