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Doc Wants Dietitian Consult



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My mother-in-law is in the process of getting sleeved. She should be scheduled for surgery in late September/early October.

As part of the requirements, she has to have 6 months of consults with her regular doctor. At her last appointment, the regular doctor told my mil that she wanted my mil to see a dietitian for a consult.

Personally, I think this is a waste of money and time. The dietitian she will be meeting with is not associated with a WLS practice. My mil already has appointments to meet with a nutritionist through her surgeon's office to deal strictly with the pre and post surgery diets.

My MIL is going through with the dietitian consult. I hope the dietitian ends up being knowledgeable about WLS diets. It just seems like my mil's regular doctor isn't up-to-date on what is going on, and she should be. I also know that the insurance-documentation of the monthly consults that were filled out by her doctor had to be redone because the doctor didn't fill them out correctly.

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Oh no!!! I think she should check into that. I believe this is a waste of time as well. Tell her to call her insurance company to see if they require all that excessiveness. If not, question the doctor's rationale regarding this. Personally, I find that to be quite ridiculous. But I'm no M.D. so who am I? *shrugs*!! Hehehe.

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Does her regular doctor know that she's already seeing a nutritionist associated with the clinic she is having the surgery through? It might be worth just making sure that she knows your mother is already having nutritional consultations.

If she does know and still makes your mother do the dietitian appointment, I agree with TinaMari, question the doctor's rationale. Let her know that you do not want to spend money for something that it repetitive and you're already required to pay for.

Worst case scenario, if it does turn out to be a waste of time, at least it was only one consult. Maybe have a talk with your mom and see what the dietitian said and see how it relates to what the nutritionist has said. That way you can be sure your mom will be following the healthiest instructions.

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The doctor is aware of her going to the nutritionist and still wants her to see the dietitian.

I think it is a case where her doctor doesn't really want her to have the weight-loss surgery. The referral for WLS actually came from her cardiologist.

I'm just concerned that her doctor will fail to do something that she needs done to get approved for surgery.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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