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I know I'm not well but I can't find anyone to see me, what do I do here??

I know I'm not well but I can't find anyone to see me, what do I do here??

gydorack

If urgent care says you need to see a specialist then it probably isn't life threatening. Keep your schedule open and tell your provider that you want to be seen as early as possible. If they get a cancelation they will call you and get you in earlier. In the meantime drink plenty of water, avoid salt and calcium, and have a little bit of lemon juice in water or tea.


furry_dracone

They didn't say to see a specialist, they said they don't have the tools to look at it and to go see my primary care, which functionally I don't currently have. Thank you for the advice, sorry if this is asking too much but what might be the alarm to go to the ER?


gydorack

The ER's job is to determine if your condition is life threatening or able to be treated quickly and then send you on your way. They would probably be able to help and get you some labs, but if you are not bleeding or unconscious they probably just want you in and out. This isn't because they're heartless. They can only do a focused assessment on a single presenting issue. If you want a more complete understanding of your health then you need someone to do a complete assessment and history and lab work done on you. It sucks to have to wait to see someone, but sometimes that's all you can do. Try to find support such as time off work etc to take care of yourself until then


furry_dracone

Thank you very much for your time & advice I appreciate it


NotSteveBuscemisCat

Blood in urine isn’t something to brush off, kidney infections can get serious quickly. Do you have any pain in your back? Unintended wait loss? How do you manage and monitor your sugars? Get frequent UTIs? If your local hospital has a live time estimate for ER wait times then keep an eye on that and go in. Don’t downplay your symptoms or pain! Even if it is stones, that’s a LONG time to be passing them. If you find you forget things when talking to triage, write it down just like you did here. I love it when my patients have their symptoms with subjective assessment ready to go for me!


furry_dracone

Pain is travelling around lower abdomen, it's just the occasional *poke*... No UTIs and I'm not currently set up to monitor sugars (long story, negligent PCP, that's another reason I'm looking for someone) So you'd recommend going to the ER? I felt it would be silly or waste people's time to go there if there isn't some obviously severe injury or symptom.


NotSteveBuscemisCat

Yes I do, especially with your diabetes and how your treatment plan has been changing with it. I know it may feel gross but if you go to the washroom and notice that blood is in bowl (whether brown or red), take a picture, it’s much easier to just show than try and explain. A couple things I’d recommend emphasizing AS WELL as the blood in your urine and how it hasn’t resolved in 2 months: - Your current sugar management, if you’re checking your sugars through the day then have your recent results ready. *****if you haven’t been checking your sugars/they’ve been fluctuating/your diagnosis is recent then PLEASE tell them, Diabetes is a risk factor for impaired kidney function***** -VISION CHANGES! Seriously push this one, if sugars are too high/not well managed it can cause blurry vision, easy eye fatigue, and some nasty headaches - The pain in your lower abdomen and any you’ve had in your back (I know it’s hard not to try and downplay it but unless you’ve always dealt with chronic pain you shouldn’t be having any, so if anything play it up) - Any swelling/cramping you may have had in your legs - ****SEVERE FATIGUE/weakness. Emphasize that this is NEW and the type of exhaustion that is bone deep/not helped by sleep. Again, this can be related to sugars and that IS something serious - The whole body burning at night, especially if it’s accompanied by itching (can be a sign that kidneys need some help) Let me tell you from both personal and professional experience - a lot of easily fixed problems turn into big problems because we don’t want to be a nuisance. I almost went septic a couple years ago because I didn’t want to clog up the ER after getting into an accident (bad idea). Especially with diabetes it’s important that you are ready and willing to trust your intuition, know the signs/symptoms of sugar changes or known complications (like kidney problems, slow healing, easy infections, and nerve problems - please check your feet regularly 😅). Diabetes can be volatile especially if you’re unwell or changing treatment plans. When you go into triage please stress that your treatment plan is currently in the process of being changed. Diabetes is more than just a blood sugar issue, and it absolutely CAN and DOES become life-threatening/emergent when complications pile up. Your health is not less worthy than anyone else, so when you’re unsure about seeking emergency help ask yourself this: “if someone I loved was experiencing these symptoms, would I take them to the ER?” If the answer is yes then give yourself that same understanding. Also, ask the staff if they have any diabetes programs or something that could help you get a glucometer for free or low cost so that you can track your own sugars. I’m Canadian, so not completely familiar with the resources down there - but don’t hesitate to reach out if you have questions. I truly hope you can get quality treatment and start feeling better. Last thing - if you don’t already, please get a medical alert bracelet and add medical alert/emergency contact info into your phone. At least until your sugars are under control and well monitored.


NotSteveBuscemisCat

Here’s some resources on diabetes complications that I want you to be able to access, that way you know what to look out for (most are Canadian but the information is still helpful, keep in mind we use different units though) - Blood sugar converter (to see what the mmol/L equivalents are for mg/dL) https://www.diabetes.co.uk/blood-sugar-converter.html - Diabetic Ketoacidosis (DKA) https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=aa21118spec - Diabetic Hyperosmolar Syndrome (HHT) https://www.mayoclinic.org/diseases-conditions/diabetic-hyperosmolar-syndrome/symptoms-causes/syc-20371501 - Diabetic complications https://myhealth.alberta.ca/health/pages/conditions.aspx?hwid=uq1235abc&lang=en-ca#uq1235abc-sec - Diabetic nephropathy (kidney issues) https://myhealth.alberta.ca/health/pages/conditions.aspx?hwid=uf3486&lang=en-ca#uf3489 - Signs of high sugars https://myhealth.alberta.ca/health/pages/conditions.aspx?hwid=aa21178&lang=en-ca#aa21178-sec - Managing high sugars https://myhealth.alberta.ca/health/pages/conditions.aspx?hwid=uq2657&lang=en-ca#uq2657-sec - Signs of low sugars https://myhealth.alberta.ca/health/pages/conditions.aspx?hwid=aa20831&lang=en-ca#aa20831-sec - Extra diabetes resources/information https://myhealth.alberta.ca/health/pages/conditions.aspx?hwid=center1010


Dijon2017

Are you seeing an Endocrinologist for your diabetes? They could begin the work up for your gross hematuria and refer you to the specialist if needed.


furry_dracone

Not seeing anyone at the moment is the thing :( Having trouble finding doctors. But thanks for the recommendation I wasn't aware I should be seeing an endocrinologist


Dijon2017

I’m not sure if you should be seeing an Endocrinologist (a specialist). I suggested it because you said there was a delay in seeing “generalized” doctors (= primary care). Do you have a Community clinic available to you or perhaps there may be a PCP available in a nearby town/city?


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dense_soggy_bone

blood in pee is always a HUGE red flag definetly get that checked out ASAP (i know nothing medicinally just my 2 cents)


NotSteveBuscemisCat

Just wanted to confirm that your 2 cents are spot on! Those little body beans (kidneys) are not something to be messed with.