JOURNEY 4 : Experience with FPP Hospital Putrajaya

Hi All, 

This episode, i would like to talk about our experience with FPP Hospital Putrajaya. 

Insurance
Since my company covers maternity cost, we have opted to go for FPP - O&G. 

First Visit
We have registered an appointment to meet with the one and only women Doctor for FPP at Hospital Putrajaya, for now we will call her The Doctor. Well known for her kindness and specialties, we unfortunately had a bad experience with her. 

During our first visit, she was accompanied by another MO, i would name her as Dr S. 

Dr S had mistakenly advise The Doctor that my wife had DKA during pregnancy. After a minute only she realize that the DKA happened long back when my wife was first diagnosed with diabetic type1 (20 years ago!). 

The whole thing changed. "The Doctor" then review my wife glucose monitoring logbook and she started to mumbling about the glucose reading without even trying to understand her condition and recommendation provided by Endo team. She immediately tell my wife to be admitted for strict control. 

When we discussed this with our endo doctors, they are not surprise with it considering there are not many doctors whom aware of insulin pump. 

Since then, we realize that she might not be the best for our case. It seems, this is her first time to seeing Type1 Diabetic patient with Insulin Pump. 

I remember she said, "Owh, this is how the insulin pump looks like. Come Dr S, look at this" 
p/s: Dr S ignore her. 

Lastly, we agreed with "The Doctor" to release my wife to normal clinic. The reason is because of the cost which we feels nothing about it as we both know that we can afford it. 

My wife cried so badly after leaving the room. We both understand her concern on both baby and mother health, but jumping into conclusion without trying to understand the background, that was wrong. 

After all, we both happy with our decision to be released into normal clinic instead of FPP. Probably, they are best in normal case but not for special case like ours. 

Nonetheless, i hope this experience would not hinder you from seeing them. Their services are still the best, indeed. 

:) 

JOURNEY 2 : Appointment at Hospital Putrajaya

Hi All, 

We were scheduled to meet both specialist at Hospital Putrajaya through combine clinic. However, since my wife is Type 1 Diabetic and using insulin pump, therefore it is very difficult for the O&G to do their monitoring. 

Further discussion, we decided to separate the clinic into, Endocrine and O&G. 

Insulin Pump
Insulin pump is one of the method to manage Type1 Diabetic Patient. It works by providing continuous insulin injection. 

In my wife case, she is using NovoRapid (prescribed by the doctor). 

During early pregnancy, the glucose reading were haywire. Up and Down. It was so difficult for us to monitor. My wife have to take the glucose reading manually at least 8 times a day.

Fasting Sugar (wake up), Pre-Breakfast, Post-Breakfast, Pre-Lunch, Post-Lunch, Pre-Dinner, Post-Dinner, Before Sleep

Its tedious work but worth it. Throughout the pregnancy, my wife HbA1c was 6% which really good!

Dawn Phenomenon 
We always encountered high glucose reading for fasting sugar due to dawn phenomenon. Because of that, we have to increase the basal insulin rate to almost 2.0unit/hr. 

And during pregnancy, my wife insulin utilization is quite high as well, around 130unit per day. This mainly due to insulin resistance resulted from hormonal change during pregnancy. 

Assurance 
Rest assured, the support and commitment given by specialist and consultant at Hospital Putrajaya was really great. They supported my wife since day1 we got to know she is pregnant. 

:)