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How to talk to your doctor?



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Hello. I'll start off by saying I deal with social anxiety and have made an appointment to see my doctor on the 25th. I want to finally bring up weight loss surgery but am worried he will feel I have not tried hard enough to lose weight on my own.

Last doctor I went to see (was living in another town) and she flat out said no because I had never been on a medicinally supervised diet. And then proceeded to try to sign me up for her clinics program which I couldn't join since I was moving.

I'm only 21 (BMI currently 48.9) and haven't been on any heavy strict diets, but I have lost weight in the past from changes to my diet and exercise, but it usually cuts off at about 10-20lbs and then I gain it back.

I've done research on WLS for a few years now and know it would be best for me, but what could I say to get my doctor to see that? Seeing him could go completely fine but I just get really bad anxiety when it comes to talking to people. Thanks for any advice.

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Your insurance may require a 6 moth medically supervised diet before approval. I know mine did, but thankfully I was in the VA MOVE program which is essentially a medically supervised weight loss program. I just had to have my PCP fill out the paperwork and submit it to the surgeons office.

So, unfortunately you may have to play the game with the insurance company before you can have the surgery. I will be 13 weeks post op on Thursday and I must say that it is worth the hoops you have to jump through. Just think of it this way, this short term inconvenience will result in long term relief.

Good luck and I hope to see you on the loser's bench.

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Some bariatric places also do the medically supervised part of it as well. Check all the different places near you and call to see if they can do the PCP part of it all . Good luck keep us all posted.

Amy☆☆☆

Edited by jaynamy3

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my former PCP - and now my new one - were thrilled. I think a lot of doctors have come around to the fact that this is a safe, effective surgery - and often the only treatment that "works". You may end up being pleasantly surprised by your doctor's response!

Edited by catwoman7

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Remember the following phrase when you speak to your PCP - "You work for me.... I don't work for you". With all of their knowledge and education, they are in fact vendors providing a service. If their rejection of your plans is based on nothing based in science AND common sense then get another vendor. It is not always easy to do, but that is no reason to tolerate care that is less than you deserve.

Your BMI alone makes this a viable option for you, and your PCP should be happy that you are NOT putting your head in the sand on this issue. Your previous doctor clearly had another motive to refuse to help (surely there is a substantial cost to their own diet program that they wanted you to sign up for). DO THIS FOR YOU!!! Feel GREAT about your courage and don't let ANYONE turn you around

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I to had to talk to my doctor frist and I had to try and lose weight before I had surgery I had to see my doctor for a year to try and lose weight my doctor seen I cant not lose weight so he let them do it . I had the surgery in August 24th2016 iam glade I did it my healty my energy and my hole life changed for the better good luck on your jounary

Sent from my 5054N using the BariatricPal App

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Little update. He said yes! I got my referral form heading to the Weight Wise clinic in Alberta! My doctor mentioned he really dislikes surgery, so he emphasized I try to exhaust all my other options with the clinic before surgery. Which I will see about when I get an appointment. I feel like I've taken a big step forward!

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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.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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.

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        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
      1. This update has no replies.
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