After diagnosis we stayed with the Childrens Hospital nearby for their diabetes/endo practices. The Dr's in the PICU were terrific. They in fact saved my sons life. Now we have transitioned to the folks that sort of watch over us, and the experience has been less pleasant. For example, it took the better part of a month to get the paperwork necessary aligned with Dexcom to get the dex that arrived last week. Yes we faxed. No you didn't. Yes we faxed it. You forgot to sign it. Yes we faxed it. It had the wrong patient on the form etc... all the characteristics of "bigness" which translates to "busyness" which (I think) translates to email exchanges like this...... First a nice thank you from me to them (even after almost a month of missed communication between them and Dexcom). From: Stephen Szyszkiewicz Sent: Thursday, May 01, 2014 10:25 PM To: xxxxxxx Subject: Dexcom Data I wanted to thank you guys for helping us get the CGM device. He did the insertion and he barely knows it is there. The only alarm we have set is a low less than 70. Based on his fingersticks, it has been pretty accurate. When calibrating it is often within 5 of his meter. The first night it was off quite a bit but I got it in line by the next morning after 4 calibrations. One at 10PM, 11:30PM, 1:30AM, and then finally 7AM the next morning. Attached is an hourly report from the Dexcom! I have some computer sense and a bit of a stats background so these reports are really terrific. These last 4 days he has been a little high between 8 and 11.....right in the middle of the school day. But its breakfast at 7, morning snack at 10, and lunch at 12. After that though, he typically comes home on the verge of a low and then stays flat the rest of the day. He is 6 units Lantus taken at night 10 to 1 carb ratio 75 to 1 correction factor ~ 6 months post diagnosis So thank you again. Steve Szyszkiewicz and then this response..... Hi Steve, I'm glad that you received the sensor and are so excited to have him start on it. Thank you for sending his report from the first week. In looking at his report, I don't see any critical changes that need to be made. Our system is set up to provide you with education and support with sensor technology in order to equip you to with the knowledge to read the reports and make decisions regarding changes that may be needed. In order to accomplish this learning, we recommend that families meet with one of our diabetes educators when starting on a Sensor and about a month after initiation to learn about interpreting the reports. This allows for our office to be familiar with the settings on the sensor and better understand [DS's] reports and needs. Unfortunately, until this requirement is met, I won't be able to evaluate reports and recommend changes. Please call xxxxxxxx at yyyyyyyyyy to set up these two appointments. I do apologize if this information was not clearly communicated, I did think we discussed it and I provided you with xxxx's contact information (names and numbers redacted to protect privacy) So I am considering that email. First of all during the last visit they only told us about one training session, not two. They *never* said they would not look at the reports until we are trained. They did make it a point to tell us they would not even schedule the training until we had the device in hand. Now they are telling us the training cannot happen for a month, oh and by the way until we are trained we are not going to look at your data (!!!!). So the question I have for everyone is, is your endo this....distant. I mean I think there needs to be a bit of an attachment here. At some point my son is one of many, but to me he is my son! Are you seriously not going to look at Dexcom reports until after we get trained and we are not going to train you for a month? Really?? I read the above email and I think to myself, "that is idiotic", but emails (like bulletin boards) can be interpretted incorrectly. So I am looking for what others think. Is your endo practice so big that it gets really impersonal in a hurry. How would you take the above exchange?