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Pysch Eval - FURIOUS!

jennybittyboo

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jennybittyboo    23

jennybittyboo
Posted

I had my psych eval today and the Dr. said he would not approve me until I prove to him that I can lose weight. He wants me to send him weight loss logs and food logs every week for the next month. He said he would approve me then?!? He said everything else was great except as far as my mental wellness goes...

Anyone ever hear of this? He is a Psychiatrist, not a Nutritionalist. To make matters worse he is going to send my Dr. a report letting her know that he is going to see me for another month. So I don't even think I can go to another Dr. without it looking odd.

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ShrinkingBiker    121

ShrinkingBiker
Posted

it's insurance that needs the eval not the surgeon, at least in my case. I would see another shrink because this guy seems to be looking to make a quick buck off you.

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No game    14,436

No game
Posted

He said he wouldn't charge for the next visit. He was one of the Doctors recommended to me by the surgeons office.

Wow!!! I asked because a lot of the surgeons have psychologists and the Nuts that they normally use and things "go smoothly" because, well.... they like their "bread and butter" relationships...

I would put a call into the surgeons office then. And poke around as to why they think this guy is asking this.

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lilbearzmom    584

lilbearzmom
Posted

I had to put off having surgery in August 2012 to December 2012 because the psychiatrist wouldn't approve me until I had further therapy sessions. I was really upset at the time but now I am glad I did. I am still seeing my fantastic therapist once a month- let's face it, I wasn't morbidly obese because I was the picture of mental health. Just my experience. I hope all goes well for you once you are approved!

-Kendra

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BADB0Y    26

BADB0Y
Posted

I had my psych eval today and the Dr. said he would not approve me until I prove to him that I can lose weight. He wants me to send him weight loss logs and food logs every week for the next month. He said he would approve me then?!? He said everything else was great except as far as my mental wellness goes...

Anyone ever hear of this? He is a Psychiatrist, not a Nutritionalist. To make matters worse he is going to send my Dr. a report letting her know that he is going to see me for another month. So I don't even think I can go to another Dr. without it looking odd.

That sounds ludicrous to me. The only reason the insurance requires psych is to make she that you can make the changes needed and fully understand the impact before they shell out the cash. All they are doing is making sure they will get return on the investment.

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OKSleever    144

OKSleever
Posted

As a psychiatrist, I would say that it sounds like the dr is doing exactly their job. For whatever reason (remember, we weren't in the room, we don't know what was said), the doctor has concerns about the patient's ability to comply with the diet. Rather than saying no, they offered to gather more information before making a final decision.

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • Aunty Mamo

      Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
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      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
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      · 0 replies
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    • BeanitoDiego

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      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
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      · 0 replies
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    • BeanitoDiego

      BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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