{"id":5111,"date":"2019-05-15T06:26:05","date_gmt":"2019-05-15T06:26:05","guid":{"rendered":"http:\/\/circles-of-blue.winchcombe.org\/?p=5111"},"modified":"2019-05-15T06:26:05","modified_gmt":"2019-05-15T06:26:05","slug":"quickest-clinic-appointment-ever","status":"publish","type":"post","link":"https:\/\/circles-of-blue.winchcombe.org\/index.php\/2019\/05\/15\/quickest-clinic-appointment-ever\/","title":{"rendered":"Quickest clinic appointment ever"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/circles-of-blue.winchcombe.org\/wp-content\/uploads\/2019\/05\/20190519-distribution-cut-down.png\" alt=\"20190519, distribution cut down\" width=\"350\"  class=\"alignright\" \/>Last night&#8217;s clinic appointment was the quickest one ever, not that time is a measure of a successful appointment, but it felt really nice. Normally Amy has great chats and lot of time with her normal Consultant but this time she had a Doctor she&#8217;s only seen once, some time ago.<\/p>\n<p>Other than clinic notes the new Consultant knew nothing about Amy&#8217;s history with the pumps, she&#8217;d never seen her\/a DanaRS or knew that Amy has used DIY looping part time for a while now. (Amy&#8217;s not a fan of wearing CGM so has regular breaks from CGM\/looping, her choice, it works well for her.)<\/p>\n<p>As usual all the measurements were taken, then as soon as we&#8217;d sat down in the waiting room Dr L came to get Amy, who asked me to go in with her. She&#8217;s in transition clinic so naturally she takes the lead on whether parents go in, and she always wants us there, under no pressure I should add.<\/p>\n<p>Dr L asks Amy how she is.<br \/>\nAmy feels good, explains her diabetes just started going well again after a worse time, without her doing any changes. She feels in control, everything&#8217;s fine.<br \/>\nDr L: &#8220;That&#8217;s great. Do you have your Diasend reports, we had trouble accessing your account&#8221;<br \/>\nAmy explains we don&#8217;t really do that, we give them Nightscout reports as we fund CGM, so it&#8217;s better than a few BG checks per day.<br \/>\nDr L hasn&#8217;t really seen Nightscout reports from us before, but we&#8217;ve given her a range of 1 week and 3 month reports (distribution\/time-in-range reports, percentile (AGP-esque) chart, weekly success).<br \/>\nShe&#8217;s pleased. &#8220;Look at those graphs, that night time section is really tight&#8221;.<br \/>\nMeanwhile the DSN asked if Amy was looping and after I nodded she explained to Dr L that Amy was looping with the DanaRS which she got in November. Amy estimated that she&#8217;s looped 60% or more of the time since December.<br \/>\n&#8220;These results are what we&#8217;d like to see for all our patients, well done.&#8221; said Dr L.<\/p>\n<p>After the (not the most crucial thing but still interesting) HbA1C result was ready with its pleasing 0.4% drop since 4 months ago &#8211; which had dropped 0.4% from the one before &#8211; Dr L asked Amy some diabetes management questions (alcohol etc.), asked Amy if she had any questions (&#8220;No, I&#8217;m fine&#8221;) and we left.<\/p>\n<p>20 minutes.<br \/>\nStill had to blooming pay \u00a31.80 for the car park though.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Last night&#8217;s clinic appointment was the quickest one ever, not that time is a measure of a successful appointment, but it felt really nice. Normally Amy has great chats and lot of time with her normal Consultant but this time she had a Doctor she&#8217;s only seen once, some time \u2026 <a class=\"continue-reading-link\" href=\"https:\/\/circles-of-blue.winchcombe.org\/index.php\/2019\/05\/15\/quickest-clinic-appointment-ever\/\"> Continue reading <span class=\"meta-nav\">&rarr; <\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":5112,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[42],"tags":[97,27,83,98],"class_list":["post-5111","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general","tag-cgm","tag-clinic","tag-hospital","tag-wearenotwaiting"],"_links":{"self":[{"href":"https:\/\/circles-of-blue.winchcombe.org\/index.php\/wp-json\/wp\/v2\/posts\/5111","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/circles-of-blue.winchcombe.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/circles-of-blue.winchcombe.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/circles-of-blue.winchcombe.org\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/circles-of-blue.winchcombe.org\/index.php\/wp-json\/wp\/v2\/comments?post=5111"}],"version-history":[{"count":3,"href":"https:\/\/circles-of-blue.winchcombe.org\/index.php\/wp-json\/wp\/v2\/posts\/5111\/revisions"}],"predecessor-version":[{"id":5115,"href":"https:\/\/circles-of-blue.winchcombe.org\/index.php\/wp-json\/wp\/v2\/posts\/5111\/revisions\/5115"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/circles-of-blue.winchcombe.org\/index.php\/wp-json\/wp\/v2\/media\/5112"}],"wp:attachment":[{"href":"https:\/\/circles-of-blue.winchcombe.org\/index.php\/wp-json\/wp\/v2\/media?parent=5111"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/circles-of-blue.winchcombe.org\/index.php\/wp-json\/wp\/v2\/categories?post=5111"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/circles-of-blue.winchcombe.org\/index.php\/wp-json\/wp\/v2\/tags?post=5111"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}