Got an interesting phone call from our Tandem rep (or should I say our ex-Tandem rep) earlier today. In the way of background info, my daughter (and I) had her "Pre-Pump" appt. on April 30. For those of you who haven't read my long-winded account of the event, let me summarize: 1. I had to essentially beg and plead (multiple phone calls and carefully worded emails) to get this appt. before my daughter reached the 6-month post-dx mark. 2. Day prior to this appt. I telephoned daughter's endo with a request that our family be viewed as if I were a single parent because my husband cannot/will not help manage our daughter's T1D, and great pressure was being placed on me by my daughter's diabetes team to "get him more involved" to the point that I was told "no husband, no pump." Request granted by endo. 3. During same phone convo, I expressed my concern that this "pre-pump" appt. would consist of showing us pumps, telling us about pumps, etc. and that we would be given another pump appt. in 3+ months. Endo suggested that I write what essentially turned out to be a Ph.D. dissertation assuring the (I call her "The Pump Lady" or "TPL" for short) that I know what T1D is, including its pathophysiology and etiology, that I am an expert at managing my daughter's T1D via MDI, that I already know everything about pumping, and what my "contingency" plans were when things go wrong, AND "guarantees" I would put in place to insure that nothing would go wrong. 5 hours (during which I desperately needed to sleep) later, my "dissertation" was complete. On to April 30. Arrived at appt. on time with daughter. Husband sent off to nearest Kinkos with flash drive containing My Daughter's Autoimmune System Effed Up and I'm Still a Pancreas in Training: How I Will Avoid Causing a Fatal Hypoglycemic Episode or Instantaneous DKA While Using an Insulin Pump by Me to print up because I was up half the night writing it and our home printer wasn't working. Daughter and I had already started our appt. with The Pump Lady and a receptionist knocked on the door and presented me with the freshly printed (still warm) dissertation to present to TPL. Started to hand it to TPL and she asked what I was handing her. I explained that daughter's endo advised me to write this. TPL said she had no idea what endo was talking about and that I should just keep it because she didn't want to see it. (Someone give me back those 5 hours of my life!) Daughter and I politely and attentively listened to TPL tell us all about different pumps, their features, etc. I (very respectfully and deferentially) explained that I had been researching insulin pumps beginning 3 hours after my daughter's dx (not a lie), including speaking with reps, coming to this forum and reading absolutely everything ever posted here about pumps, reading articles from well-respected and peer-reviewed medical journals, speaking IRL with another mom of a child with T1D who is using a pump, and reading Pumping Insulin and Think Life a Pancreas. No, I do not consider myself a pump expert just because I am a physician and because I devoted many, many hours to educating myself about insulin pumps. But I think I know enough to make an informed decision about which pump to choose and to reassure TPL that my daughter was in hands as safe as the next parent's whose child was about to begin pumping. I also told TPL that we had initially chosen the OmniPod for various reasons, but had changed our minds after getting some excellent advice from other parents on this Forum to get a tubed pump and then "Cut the Cord" to get the pump we truly wanted (The POD) for only $200 or so out of pocket, just in case my daughter and The Pod could not establish a mutually agreeable working relationship and/or because doing it this way would provide us with a "back-up" pump in the event we would need one. The tubed pump we chose (once again after much research by me) was the t-Slim. Well, this did not go over well. According to TPL, the t-Slim is "not really a children's pump" for various reasons, not all of which I can recall at this point in time but which did include the whole no reverse-correct issue. Additionally, TPL told me that that's not the way the "Cut the Cord" program worked and that our insurance company would never cover the cost of supplies for both pumps. I attempted to explain to her what I was told on this Forum: that our insurance would cover either supplies for the t-Slim (or other tubed pump) or pods (after I purchased the OmniPod PDM out-of-pocket) but not both at the same time. No problem, right? So I couldn't (and still don't) understand the problem she was presenting. Soon I could tell that I was speaking to deaf Pump Lady ears and realized that if I wanted my daughter to get an insulin pump before she turns 20 (she is currently 11 years old), I would need to agree with everything TPL had to say. And I did, and my tongue was bleeding (because I bit it so many times) by the end of our appointment. So we chose the OmniPod primarily because there was no way in heck TPL would give her blessing in order for our endo to OK a lovely t-Slim for my daughter. The next surprise occurred after I told TPL that our endo had signed the paperwork necessary for us to get a :angelexcom:angel: and that it was in the loving hands of the USPS as we spoke. (It arrived the very next day). I must add that I did all of the "legwork" save signing the damned paper in order to get our Dexcom and to this day firmly believe that our endo signed the paper accidentally when she was signing a huge stack of papers that needed her signature. (I did not tell TPL this last little bit.) TPL proceeded to look at me like I had just announced that I was withdrawing my daughter from school so she could work in the fields picking fruit in order to supplement our family's income. She said (and I paraphrase) "I'm wondering why you think a CGM would be useful?" and (turning to my daughter) "Do you really want a CGM because you'd have to carry around that thing in addition to your insulin pump?" My daughter turned to me with a look of utter confusion in her eyes (in addition to tears), so I quickly mumbled something like "I'll just send it back without opening it and hope I can get reimbursed the copay." The Good News: TPL bestowed her blessing on the OmniPod and our endo signed the papers and my daughter will embark on a dreaded saline start on June 3 followed by pumping with gas, I mean insulin, on June 5. I originally planned on ripping that saline-filled Pod off my daughter's arm upon our arrival home and replacing it with a Humalog-filled Pod, but I learned many years ago not to cut off my nose to spite my face. (The Pump Lady would know. I don't know how, but I just know that she'd know and I know that she would punish us somehow some way some day.) The Relatively Bad News: We will not have our much-desired t-Slim for back-up purposes or for "real" purposes in the event that the OmniPod is not a good fit for my daughter. And we are (ecstatically) using a Dexcom behind our diabetes clinic's back. I will remove my daughter's Dexcom sensor and all traces thereof right before her saline start so as not to piss off The Pump Lady. After that Pod filled with honest-to-goodness insulin is attached to my daughter two days later, back on goes the Dexcom. (Again, I don't want to deal with any passive-aggressive retaliatory bullcrap that I fear would transpire if my daughter showed up sporting her pretty pink Dexcom.) The Actual Bad News: While I thought my daughter trusted me implicitly regarding the management of her T1D because I'm a pretty decent mom and because our State's Medical Board has not revoked or limited my license to practice medicine in any way, shape, or form since I was initially licensed in 1993, The Pump Lady has caused my daughter to question whether I know what I'm doing because this Pump Lady at this Big Name Diabetes Center where my daughter receives her diabetes care said quite a few things that were significantly and markedly different from what I told my daughter about CGMs and pumps. This both saddens and pisses me off. Finally, onto the interesting part of this too-long post. Our extremely helpful (as in bent-over-so-backwards-that-she-could-look-upside-down-at-her-own-belly button) Tandem rep phoned me today to ask about our plans to acquire a t-Slim. I reluctantly (and with much guilt over the groundwork she had already done for us) told her that we had decided to join The Pod People. She went on to say that she had to watch her words because our conversation was being recorded (probably for "quality assurance" purposes, no doubt) BUT she already knew that I was going to say what I said before I said it. Because, based on her experience and the experience of other pump company rep friends of hers, our Pump Lady (and I paraphrase because I do not have access to our recorded conversation) rules the roost at our Big Name Diabetes Center and the MDs do not sign off on any device that The Pump Lady does not first approve because they know better than to incur the wrath of The Pump Lady. And for reasons not entirely clear to our very nice Tandem rep, The Pump Lady hates the t-Slim. And the Dexcom CGM. And all other (isn't there only one other?) CGMs. What I have written above is the (very minimally-exaggerated) honest-to-G_d truth. For perhaps the first time in my life I am speechless. Almost. I am seeking your advice on whether I should act on the above, and if so, some suggestions on how to proceed would be greatly appreciated.