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qwurzer

Pre Op
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Posts posted by qwurzer


  1. So I use the VA for all my medical (I have BCBS FEP) just so that everything is in one place (all my records, scripts, etc.). I had to go and see my Primary Care Physician for my yearly checkup. Before you see the doctor you have to see the nurse who weighs you, takes your temp and blood pressure. While they are doing that they ask you a bunch of questions like, "Do you where sun screen when you go outside", "how much do you drink?" and now for the biggie, "Your BMI is 25.4, would you like to enroll in the VA telemove program to loose weight?" WTF? I went from a 35+ BMI less than 6 months ago to a BMI of just over 25 and you have the gall to ask me if I want to enroll in the telemove program? This from a nurse who probably has a BMI of 45 or so? My blood pressure shot through the roof and they had the gall to say, "Well your blood pressure is still too high." ce my surgery in October I have been at the VA about 4 or 5 times for different appointment and my blood pressure has been normal. Whenever I go see my primary it shoots up.
    OK, rant over.

    That had to have been so frustrating! Having said that, I work for the informatics department at the VA and while they get a lot of slack, they are held to a higher standard than the private sector. And that is exactly where that BMI question came from. All VAs nationally have a performance metric where they have to offer the MOVE! program to Veterans with a BMI greater than 25. In a lot of cases, it is an appropriate screening question, but in a lot of cases (yours) it absolutely is not. Unfortunately VA Central Office does not allow facilities to cherry pick from that "patients with BMI>25" population. And I can assure you that the nurse asking you the question would not have done so if it did not require her to do it, because we can all agree that, clinically, you are no longer a candidate! So give her a break and smile and politely decline. I'm sure she was uncomfortable asking you the question and was aware of the irony in the situation. I know I would have been!


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