I have had a frustrating experience so far and I have only had one appointment. The PA basically tried to say she wasn't going to let me stay on my insulin pump even though I have been on it since I was a child and it is what I am comfortable with using. I told her "no, I want to stay on my pump" and she said "but you haven't been successful with your pump" implying that she didn't want me to be on it. Listening to the client and what they want is a critical part of patient care and medical personnel should not be trying to force clients to make decisions they don't want to because "they know better," which was the attitude that came across. She then tried to say she wasn't telling me I wasn't allowed to have my pump but that I would need to be on long acting insulin until I could get one (my pump broke over a month ago)... obviously I understood that part. She absolutely was trying to tell me she didn't want me to be on my pump before she realized it made me upset and that I wasn't going to just accept it.
She also repeated a few times "that's just how we do things here" and "we expect a lot from our patients" making this practice sound very elitist. Your job is to provide care to patients who have an incurable disease, not "expect" things out of them. I understand that I as a patient need to participate in my healthcare and historically I have struggled, but I found it incredibly rude to imply that I may not be worthy of your treatment because I won't accept you taking away my insulin pump from me.
Additionally, no one said anything to me about prescriptions. I had to ask the nurse at the end of my appointment if they were going to fill my prescriptions to which she replied "which one?" I explained that I would need all of them filled. I tried to have a conversation about how I changed insurances and I think the insulin I was using would be too expensive and asked if they would be able to help me see which insulin would be the most affordable (my other doctor did this for me without me having to ask) and she gave me her phone number and told me to text her if I needed a change. She asked me what kind of insulin I preferred and I specifically told her vials. A prescription for a quikpen was sent instead and it was too expensive. So, after contacting my pharmacist they helped me find a cheaper insulin. I texted the nurse first thing Monday morning asking for the switch to a different insulin plus syringes and Freestyle Libre sensors. She quickly responded saying yes she would do it. On Wednesday my prescriptions still hadn't been sent to the pharmacy. I called and explained the situation and again told the man I spoke to I need VIALS not a quikpen. The prescription was sent in for a quikpen again. I am now going to have to call for the second time to get the right prescription to the pharmacy.
Dr. Bujaj was very nice but that was the only highlight of this visit for me. I am hoping it goes better next time.