Time to Change Nephrologist
I had a very unsuccessful third visit with the nephrologist. I again asked when I signed in if I could have a copy of my lab report. The receptionist said "I'll tell the nurse". No copy given me. When I told the doc about my experience at the lab, she said, "that was irresponsible behavior for tech not to be wearing a mask the whole time nor asking you questions about covid or taking your temp." When I asked if this was her "preferred lab", she said "Yes. We have an arrangement with them." Should have asked what that meant??? Should have asked instead, What other labs do you use???
When I asked which lab values I needed to be most concerned about, she said, "your lab values all look good….what does that tell me?" What do I need to do differently or pay most attention to until next appt? Her response: You are doing well and then talked about how we could do a Zoom or Facebook appt if needed down the road. I am so frustrated.
I told her about asking for but not getting a copy of my lab to follow along as she went over my labs. "That is not customary." Said: I have hearing loss, you speak softly, (and wanted to say: you are hard to understand anyway because you are from the Phillipines) and I need to read or be shown how to do something to learn. I am not a good listener for learning things.
Could you please see that I have a copy of my labs beforehand for my next appt? Response: I will tell the nurse. Can I please get a copy of my labs today before I leave? Yes, I will have one printed for you. What did I learn about my kidney function from her? Nothing. The wait in lobby and exam room plus additional wait for lab printout resulted in 2hrs and 40 minutes. Time with her? Maybe 10-15 minutes.
Because I have learned to read and understand more about the lab results, I am very happy that my original Gfr values that showed Stage 3a CKD have stayed at 62, a high Stage 2 for the second report in a row. My Bun value was also normal range. However, when I asked what my A1c showed for diabetes, she said that value wasn't reported. It was the time before.
When I got home to go over the report, it showed that my HGB, MCV, and MCH were each High. The report didn't give a number value for the diabetes but these three values have to do with protein and creatine ratio…the normal range for the latter showed normal range 0.021 – 0.161; mine reported 0. 278mg.
I feel like my last lab visit exposed me to a tech who didn't wear a mask or gloves until she began to draw blood and that the doc visit was a waste of time except for getting a copy of the lab report. I will be asking my PCP for a different referral at my next annual appointment.