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Anyone Have Problems With Pcp Recommendation?



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I am just beginning this long journey and I see my PCP for the 1st time on Wednesday to start my 6 mth supervised diet. My fear is that he will not want me to do it and refuse to go along with signing off on my weight loss attempts and my clearance letter. I'm guessing he's going to try telling me that in my 6 month supervised diet that if I try I will be able to lose a lot and shouldn't have the surgery. Anyone dealt with anything like this before?

I guess I 'm thinking my doctor will say that b/c that is what my husband keeps saying!

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My OB/GYN was very supportive, so I started looking into WLS almost 2 years ago. When I finally got serious about it last January and talked to my PCP, she was concerned, but she hadn't had any patients who had done this yet. She was happy to hear that I was going through an excellent medical center and we discussed how, with my weight and family history, I would likely be extending my life (and its quality) by many years. She has seen how I have struggled with my weight.

The fact is that this is a rather radical approach to weight loss and it is not without risks. I liken it to sacrificing 3/4 of your troops to win the war; I think military folks might call that "acceptable loss". I needed to get it under control while I was still healthy and young enough to do so. At nearly 3 months out, I'm now off both the blood pressure medications that I'd been taking and am not likely to develop the diabetes that killed my grandmother and makes two of my aunts so terribly ill. If you go into this meeting with your PCP able to discuss the pros and cons as objectively as possible and as measured against your specific health concerns, I can't see your PCP not being open to the concept. In any case, they hav 6 months to prove themself right if you're able to lose weight effectively. I had a 3 month requirement and only lost 12 lbs.

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My Pcp was also very supportive about my other medical problems. When I began talking to him about getting Wls he seemed concerned. However,He commented that he never had a patient who had Wls. He went as far as to sign the referral for me and so forth. But not without comments too.

Needless to say I made an appointment with a recommended physician who is also weight loss management physician. She connected with the hospital that i will be having the surgery with. She is familiar with the program and work within the program. I'm thinking she would be better for me as far follow me up for the sleeve surgery. This a long journey and I'm not afraid to pick the best team that also the most supportive. So, best of luck to you.

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My PCP was very supportive! She asked me right away if I wanted her to do a referral. I have high blood pressure, high chloesterol, sleep apnea, shortness of breath. I also did 10 months of medically supervised (phentermine) to no avail (not with my pcp). At the time I went to the weight loss doctor, I did not know that it was a requirement for wls surgery but as things have failed it looks as if I was doing all the right things but they were not working. I thought I wanted a lap band but after attending the first survey, I knew I wanted a sleeve. I jumped on the final things, see a nut, psychologist and got my approval for surgery yesterday.

If your PCP is not supportive then find someone that is. It is important that they document your conversations and progress as the notes have to be sent to the insurance company. If they don't document the counseling it will waste your time. You might also check with your insurance company and see if they will accept weight watchers documentation for 6 months. Your surgeons office might also have a program that will take care of all of this for you.

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The pcp I started out w wasn't w the whole weightloss thing I seen him for three months before I found out but he w make remarks to finally I got me a new doc don't give up if he won't help move on if u have a coordinator ask her do she or he has a recommended doc u can use one they deal w a lot that's what I did and my pcp turned out to be great very support and he holds me accountable on my supervised diet

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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💪
      · 0 replies
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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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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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