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My Primary Care Physician retired at the end of last month. That kinda sucked. I only started seeing her at the beginning of the year when my company's insurance plan changed and my old PCP wasn't covered in the new plan. However, she is the one who diagnosed my diabetes and cholesterol issue and got me on the path to better health I am on now.
Saw the new doctor yesterday. He pissed me off. It was his second week there, but he didn't bother to review my chart before seeing me and all he saw was a fat middle aged man sitting there. I explained I was there because my old PCP has prescribed me Adderall on my therapist's recommendation and I needed to get it refilled. He balked at the idea of it saying, "This place prescribed Adderall like candy. You don't need that, you just need to lose weight and exercise. That will help you mental issues."
"I have been losing weight," I relied.
"Of course you have, you have been taking Adderall! You need to change your diet and exercise, not rely on drugs to lose weight."
I admit I kinda like that approach. So many doctors just throw drugs at problems and don't treat the cause. However, since I have been dieting and exercising his point was moot. He then looked at my chart.
"This says you have hypertension but you BP was 128/79 today."
"Yes," I reply.
"So how did you get you BP under control?"
"Diet and exercise. I walk 4 miles every morning before work. I have cut out unhealthy foods and reduced my caloric intake dramatically. Also drastically cut refined sugars from my diet to battle my T2 diabetes. My average blood sugar is in in 100 mg/Dl range."
He then finally looked at me as a patient trying to get healthy not someone looking for a drug fix. In the end he still did not refill my Adderall. I do still have a heart condition and he didn't thing having stems was a good thing. Went to my cardiologist this morning and he said it would not affect it.
So, what I am asking you out there, should I try and find another PCP? The guy was a total a-hole and will not fill medicine my psychotherapist says I need. However, the office is so close and I HATE looking for doctors. Anyone think I should stay?
Diet Calendar Entries for 09 May 2017:
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1470 kcal
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Fat: 60.50g | Prot: 75.00g | Carb: 164.00g.
Breakfast: Nature Valley Protein Chewy Bars - Peanut Butter Dark Chocolate. Lunch: Great Value Creamy Peanut Butter, Cobblestone Bread Co. Knead For Seed 12 Grain Bread, Welch's Natural Strawberry Spread. Dinner: Maple Bacon Dijon with Artisan Grilled Chicken, McDonald's French Fries (Small). Snacks/Other: Quaker Popped Rice Crisps - Caramel Corn, Publix Fat Free Unsalted Rice Cakes. more...
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4060 kcal
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Activities & Exercise:
Desk Work - 8 hours, Walking (exercise) - 3.5/mph - 1 hour and 10 minutes, Resting - 6 hours and 50 minutes, Sleeping - 8 hours. more...
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 Comments
Do you want to keep using the medication? If you do, find a new doctor.
09 May 17 by member: ginger dog
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I can so see a psychiatrist and get the meds refilled through that if I decide to stay with new PCP ... kind of a work around.
09 May 17 by member: poofwizard
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Regardless of whether he filled your script or not, it's the approach of the Doctor I don't prefer. He made assumptions about your behavior and issues, then made a diagnoses without even glancing at your chart first to see if these issues were in the process of being addressed by you and your previous Doctor. It sounds like the Doctor did more talking at you, then genuinely listening (very common in the medical industry these days). Some people do well with that approach. However, I have issues with the "diagnose first, ask questions later method." In fact, that approach can often lead to mis-diagnosis and inept treatment. Sometimes, if it's possible, I use word of mouth and ask people I work with who they use and if they like their PCP.
09 May 17 by member: Egull1
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I say go to a psychiatrist, who could consider what both your PCP and Psychotherapist
have said.
09 May 17 by member: shirley o
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The doctor does sound like a jerk. Your conversation with him, letting him know you are aware of your health issues, could recite your stats and that you are being proactive in your own care obviously got his attention. He adjusted his attitude to address you as a person and not just a "body". I'd give him another visit and then, if he pisses you off again you'll be certain the two of you are not meant for one another. Sometimes we have to teach people how you wish to be treated. If he's not willing to comply...deuces, dude. As for the Adderall, I'm certain there's another way to get your refill without him. Yes?
09 May 17 by member: Collie9541
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