Why am I doing this? Did I blow it? Feeling the stress....

[ajmsp8879 24]

This process is very stressful. All the appointments and such, twists and turns. I met with the nutritionist and the pulmonary doctor, and those things went well today. Then I pulled up my medical records and saw a diagnosis of "eating disorder" that had been put in there 5 years ago. I believe this stems from a conversation that I had with a doctor in which I expressed concerns about my affinity for fast food and high calorie foods. I was actually thinking I might have a diagnosable eating disorder. She suggested I ask my psychiatrist about it and slapped that diagnosis onto the referral. I did, and it was determined that I don't have any kind of eating disorder (stress eating issues, yes, but I have never been a binge eater, anorexic, or bulimic). Quite franky, I'm pissed, because this doctor was completely unqualified to even make that assessment, which is why she referred me out. I emailed my surgeon and gave him the heads up that I noticed this had been imported when they did the electronic records transfer and provided the additional details. I do not want it to look as though I am hiding anything as I have put everything out there about my food habits with the nutritionist. I took the MMPI today and have an appointment to see the psychologist next month for my psych eval. I have been working my butt off to make changes and I don't want this to derail me from having the surgery. Thoughts?

Edited March 8, 2018 by ajmsp8879

[Healthy_life2 8,319]

24 minutes ago, ajmsp8879 said:

This process is very stressful. All the appointments and such, twists and turns. I met with the nutritionist and the pulmonary doctor, and those things went well today. Then I pulled up my medical records and saw a diagnosis of "eating disorder" that had been put in there 5 years ago. I believe this stems from a conversation that I had with a doctor in which I expressed concerns about my affinity for fast food and high calorie foods. I was actually thinking I might have a diagnosable eating disorder. She suggested I ask my psychiatrist about it and slapped that diagnosis onto the referral. I did, and it was determined that I don't have any kind of eating disorder (stress eating issues, yes, but I have never been a binge eater, anorexic, or bulimic). Quite franky, I'm pissed, because this doctor was completely unqualified to even make that assessment, which is why she referred me out. I emailed my surgeon and gave him the heads up that I noticed this had been imported when they did the electronic records transfer and provided the additional details. I do not want it to look as though I am hiding anything as I have put everything out there about my food habits with the nutritionist. I took the MMPI today and have an appointment to see the psychologist next month for my psych eval. I have been working my butt off to make changes and I don't want this to derail me from having the surgery. Thoughts?

I understand the stress and frustration. Uggh the hoops you have to jump through.

My psych eval was pretty straight forward. Think of it this way. They need to know if you can change habits/behaviors.

They also need to know if your psychological state would be exacerbated with a major life change. It's a liability issues for the surgeons. Honestly, I think many of us have/had some type of disorder (stress/emotional eating) that got us to the point of surgery.

We have about the same height and weight. I wish you the best. I hope you hear good news soon.

[abefroman329 704]

I saw that my primary wrote in his notes that he doubted I’d be successful with the surgery. f**k him. I’ll prove that bastard wrong.

[Creekimp13 5,838]

Trust your surgical group. This isn't their first rodeo. They've have seen notes like this from doctors many times before. And in your doctor's defense, at least she was trying to document a problem she hoped to find you help for, and she made the correct referral.....it's better than a doctor who doesn't pay attention.

There's no reason to be pissed. Your doctor was concerned about a possible eating disorder (and you were, too)...and sent you to a professional to investigate the possibility. They found you didn't have one.

So there ya go. Further investigation proved a suspected diagnosis was not correct. This happens in all areas of medicine. You go where the symptoms point, and you seek additional expertise.

Nothing in your history is wrong or inappropriate.

Also, the term "eating disorder" is vague as to being nebulous. http://www.anad.org/get-information/about-eating-disorders/eating-disorder-types-and-symptoms/

What is Other Specified Feeding or Eating Disorder?

When you meet some of the criteria for an eating disorder, but not all, you may find yourself in the category of OSFED: There are 5 categories of OSFED:

Atypical Anorexia Nervosa: meeting all of the symptoms of Anorexia with weight at or above normal range

Binge Eating Disorder that is less frequent or did not occur as long as needed for the full diagnosis

Bulimia Nervosa that is less frequent or did not occur as long as needed for the full diagnosis

Purging Disorder is when a person purges without bingeing

Night Eating Syndrome: this occurs when a person consumes at least 25% of their daily intake after the evening meal. Waking up after going to bed in order to eat may also occur.

Unspecified Feeding or Eating Disorder is for disorders which do not meet the criteria of any of the above disorders, but still cause great emotional upset or interferes with daily life.

Edited March 9, 2018 by Creekimp13

[logicwand 269]

I saw that my primary wrote in his notes that he doubted I’d be successful with the surgery. f**k him. I’ll prove that bastard wrong.

How horrible. Dr. should have provided advice, and maybe most importantly, encouragement. Seems like an uninvolved doctor.

[frust8 962]

A caretaker should not divorce himself from caring!
You deserve something better than what he is willing to dispense!

Sent from my VS880PP using BariatricPal mobile app

[TakingABreak 2,733]

16 hours ago, ajmsp8879 said:

This process is very stressful. All the appointments and such, twists and turns. I met with the nutritionist and the pulmonary doctor, and those things went well today. Then I pulled up my medical records and saw a diagnosis of "eating disorder" that had been put in there 5 years ago. I believe this stems from a conversation that I had with a doctor in which I expressed concerns about my affinity for fast food and high calorie foods. I was actually thinking I might have a diagnosable eating disorder. She suggested I ask my psychiatrist about it and slapped that diagnosis onto the referral. I did, and it was determined that I don't have any kind of eating disorder (stress eating issues, yes, but I have never been a binge eater, anorexic, or bulimic). Quite franky, I'm pissed, because this doctor was completely unqualified to even make that assessment, which is why she referred me out. I emailed my surgeon and gave him the heads up that I noticed this had been imported when they did the electronic records transfer and provided the additional details. I do not want it to look as though I am hiding anything as I have put everything out there about my food habits with the nutritionist. I took the MMPI today and have an appointment to see the psychologist next month for my psych eval. I have been working my butt off to make changes and I don't want this to derail me from having the surgery. Thoughts?

Oh yea, I'd be upset too. Doctor's get crazy when diagnosing patients. I'm lucky to have a doctor who looks at things over a longer period of time. You don't just come in for one appointment, your blood pressure is elevated, and they prescribe blood pressure medication. Obviously, you are overweight, but I don't think everyone who is overweight has an eating disorder. I've had the same problem with having "depression and anxiety" slapped on my medical record. Now every time I see a healthcare provider I think this is the first thing think about.

[Ppdunn22192 24]

I saw that my primary wrote in his notes that he doubted I’d be successful with the surgery. f**k him. I’ll prove that bastard wrong.

That’s shocking that your doctor wouldn’t be optimistic about your success.


Height: 5’6”
HW: 250
CW: 246
GW: 150

[abefroman329 704]

On 3/8/2018 at 10:52 PM, logicwand said:

How horrible. Dr. should have provided advice, and maybe most importantly, encouragement. Seems like an uninvolved doctor.

In fairness, I’ve been seeing him for 4 years (since we moved to Chicago), and nothing to this point has worked long-term, including two different (and very expensive) prescription weight loss medications. Well, three, if you count the Ritalin, which wasn’t prescribed for weight loss but, for a time, was a hell of an appetite suppressant.

[Losebig 508]

I had something similar where a referral had a diagnosis (sleep apnea) that turned out to be false. It showed up on an insurance background check and I had to get my pcp to add a letter to the file stating that it turned out I did not have that. The drs office new exactly what I needed when I explained it so it seems common. If they require it you may need to go that route. If the primary dr won't do it then the psych who did the eval might.