OK dBlogville, need your advice, as I’m ready to go medieval on someone whose taking care of my mother and yes, it’s totally diabetes related.
As I’ve told you before, my little 113 lb mom was diagnosed with t2 a few months back and put on Metformin once a day – lowest dose possible.
Now, normally her fasting b.s are only about 20 points higher than they should be, but since she going to have a surgery that had a high risk of infection, her docs decided to nip her slightly elevated blood sugars
Cut to last night – 7:30 PM. My mother calls me and says:
Hey Kel – guess what? They took my blood sugar and it was 250 – I wouldn’t let them give me insulin – I didn’t want another shot of anything.
Internal Voice: WTF, WTF, WTF, WTF!!!! Why not just tell me your having lunch with Serial Killer & stab me in the heart with a two-by-four????! She’s never been over 133 and visions of DKA started dancing in my head…but then, something made me ask the following question:
Me: Mom, when they took your B.S, had u washed your hands??
Mom: I always wash my hands when I go to the bathroom.
Me: That’s not what I asked. Did you by any chance have some chocolate or some Big Red Gum and just wipe your hands clean or did you get up and REALLY wash your hands?
Mom: Ummm, no.
Me: OK listens to me mom. Go wash your hands and don’t eat anything. I’m calling your nurse at the Nurses Station and asking her a few questions. If she comes in and takes your b.s again & it’s high, you have to take the insulin. If not – then we won’t worry about it.
Mom: I don’t want a shot.
Me: (Very exasperated) Listen to me mom – I know your veins are collapsing & your feeling like a pin cushion – I totally get that, but the insulin gets injected in the fatty tissue – not your vein – it won’t hurt as much and you won’t turn black and blue (OK – maybe I lied) but in order for your knee to get better, your blood sugars have to be perfect – or you won’t heel properly and your doing SO well.
So she promises me she’ll wash her hands and we hang up. I call the front desk and ask to speak to my moms nurse. They put me on hold for 10 minutes and finally Brenda the Nurse Practitioner from hell gets on the line.
NP from Hell: Yes, what can I do for you? (Can I just mention that she sounded really condescending?)
ME: I’m Marjory Kunik’s daughter Kelly and I just got off the phone w/her. What’s the story with her 250 blood sugar? She’s never been on insulin and her blood sugar is never over 130 = tops 140’s. She refused insulin, correct?
NP from Hell: (In the most irritated and are you f’ing kidding me voice ever): Your mom had a b.s of 250 and refused medication. This is a rehab and we cannot force the patient to take any meds they don’t normally take.
Me: I understand that – but,... I wonder if she had washed her hands - this was quite sometime after dinner, correct? I know she has chocolate in her room – she might have just popped a Hershey’s kiss and the remnants of said chocolate Kiss may have actually caused her high b.s. She’s never had such had such an elevated b.s in her life!
NP from Hell: Sugar has nothing to do with high blood sugars (yes –idiot banshee’s exact words, I kid you not!) and I swabbed her finger with alcohol.
Me: (Trying not to verbally annihilate her over the phone) Well, I’ve been a type 1 for 30 years and I’m also a Diabetes Advocate and beg to differ with you. Sugar, olive oil, anything on the hands can absolutely cause a false reading – articles have been written on the subject – go ask a CDE about it, I'll wait. Look, my mother barely eats as it is – hence the reason she has a bit of chocolate in her drawer – the woman only weights 113 lbs for god sakes. IF this is a TRUE high blood sugar, I want it dealt with Paula, immediately, and if not - thank God she refused the insulin – Does the name Sunny Von Bulow ring a bell? I want you to retest within the hour.
NP from Hell: I plan on going in at 10.
Me: Paula, I need you to do me a favor and go in at 8:30 - PLEASE.
NP from Hell: FINE.
Me: Thank-you Paula I’ll check back with you at 9.
SO, basically I’m fuming at this point and those of you who were privy to my Tweets and FaceBook status last nite can attest to that fact.
8:15 my sister calls and I fill her in – she calls my mom.
9:00 my mother calls me and says: Hey, guess what? They took my blood sugar and it’s 140. Washing my hands must have REALLY helped!
Me: Thank God. Listen – you must scrub your hands every time they check your blood sugar, OK?
Mom: OK – Good night, I love you!
Me: I love you mom, goodnight!
Cut to this morning - her blood sugar was 111.
Me – I've been checking in all day and blood sugars are text book. I've talked to her nurses & told them that they must call me if her b.s is over 150 and to make sure her hands are washed with soap and water before they test.
My sister met saw her today and sat in on a cumadin meeting with my mom and her team this afternoon - I haven't talked to her since this morning so I'm not sure what she said about last night.
Me, I still wanna kill Paula,Nurse Practitioner from Hell. I found her actions and attitude incredibly irresponsible and potentially lethal and I plan on discussing in excruciating detail during the meeting we have tomorrow with her doc's.
Any suggestions on How I should deal with the Dr’s regarding Paula, Nurse Practitioner from hell almost killing my mother or do you think I'm overreacting??