Background: Small community, two competing hospitals, have a PA for a PCP; type 2 for 14 years; controlled by diet, exercise, meds, (janumet and amaryl) additional medical problems, arthritis, bad knees, PTSD, +more;
I am a non-compliant patient for practical words, but in reality, I am one who does her homework and knows what I will do and what I won't do as far as health issues are concerned. Right now, my diabetes is the least of my concerns, because here in SD I am considered a controlled diabetic. However, my PA is at a new hospital and they like to have you use all their testing ideas to the hilt, So she now wants me to travel 200 miles (about $200) to see a neuro-surgeon about some discs in my neck. I don't have that kind of $$ to do. We have several orthos who can and will see me about the discs and manage that care, however, they are not connected directly with the clinic I go to…they have their own clinic. She also wants to order several invasive tests which I have said "NO" to and she keeps on me. I understand and accept that it is her responsibility to do this, suggest this avenue to go down, but I have five major health concerns on my plate now, and these tests and trips are causing great stress in my family. We have no $$, no vehicle that will take a road trip like this, and quite frankly don't understand why I can't see the docs in town until they determine there is nothing they can do,. SO…what do I do? There are few docs in our are, this is a great hospital, good diabetic department, she's a good doc, just can't accept NO as an answer. What do I do?
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