She glanced away sheepishly.
“You haven’t been checking your blood sugars?” This surprised me. She always checked. She was one of those patients you wished you could clone.
“What about your blood pressure?”
“No. But I have been taking all of my medications.”
I looked at her vital signs. Her weight had gone up 6 pounds. She had lost 39 pounds over the past year and now she was gaining.
“Are you exercising?”
“Not for the past couple of months.”
“How has your diet been?”
“Well, we’ll check your bloodwork and see where those numbers are. You know what to do from a diet and exercise standpoint, so try to get back to it. I’d rather not increase your meds if we can help it, OK?”
“Sure.” She shrugged. “Ok.”
I stood up to go.
There was a nagging feeling that she was hiding something. People don’t just DO this kind of stuff without a reason. I always struggle with patient privacy, how far do I delve into their personal life before it is considered intrusive? How much do I need to know, anyway? And once I know, what can I even do about it?
“There is something else going on, isn’t there? You look different…. sad.”
Tears welled up and over flowed.
I passed her the box of tissues and sat back down.