“Ugh I don’t want to taste that syrupy gross glucola again,” she said adamantly. A long discussion ensued, where I reviewed her risk for diabetes- her size, her family history, and where I went over the risks of undiagnosed diabetes, including stillbirth. I often have patients complain about the diabetes test. It’s gross, but it’s necessary. I offered her a jellybean test or referral to do finger sticks to assess blood sugar. She didn’t seem interested. I tried to instill how important the test is.
“I won’t sleep well at night until I know you don’t have diabetes. I want to make sure your baby is okay,” I pleaded. She reluctantly agreed to go before her next appointment, though I wasn’t convinced. I knew this patient well- she’s generally jovial, educated and opinionated. She had been my gyn patient before pregnancy and was seeing me exclusively for her prenatal visits.
“You better be there when I deliver!” she coaxed me.
“You know I’m not doing deliveries right now, right?”
“Well you’ll do them by January 1st, right? In the new year?”
“We’ll see. When I’m ready. I’m taking it day by day right now.”
“Why aren’t you ready now?”
“My baby died. It’s too sad for me right now.”
She stood up and gave me a big hug.
“So this is why you want me to do the glucose test, huh?”
“I know what it’s like to not take a baby home from the hospital. I don’t want anyone else to have to do that.”
She did her glucose test right after the visit. She passed. I’ll sleep better.
Mabel came up organically in this conversation, but I worry some people might view me a using her to guilt people. I don’t usually bring her up under these circumstances, but it just came out naturally- and frankly, it felt right. What do you think? Am I using my experience in the wrong way? Have you had a similar situation?