posted
hi everyone..i have a drs appointment on wednesday and i am so afriad to get weighed. the last time i weighed myself i was 83 pounds. i have not been able to eat much in the weeks since i last weighed myself.
my colitis and gastroparesis make everything come out both ends. also my vertigo has been so intense i have left bed only 3 times in the past 10 days.
i am worried that my gp-who i am seeing until my llmd appointment in december-will start to insinuate i am psychiatrically troubled or anorexic, when i certainly am not-anorexic, at least.
any advice as to how to handle any particular comments or if the scale is down again? its hard to be misunderstood. i know i look very ill, and i know people make conclusions. anyway, thanks so much for letting me ramble. love, jess
Posts: 651 | From ct | Registered: Sep 2011
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Keebler
Honored Contributor (25K+ posts)
Member # 12673
posted
- Other than the doctor, nurse or a nurse practitioner, no one should even see the scale or the number and I highly doubt they will make any kind of judgment comment.
They will very likely remark about your current size - even if you don't get on the scale - and for them to ignore it would be negligent.
So, remember, this is not about your character. It's a medical issue that is just part of the overall picture.
They may want to run certain tests, say for Diabetes, Celiac, Addison's - or other conditions that may have weight loss as a symptom.
They may inquire as to your food plan, your appetite, etc., as they should. So, you might write out a paragraph or two and just hand them that first so you can save the time and energy.
Be sure to include:
colitis, gastroparesis, & vertigo (and if they prevent you from getting the nutrition you need)
If you can make a food diary of what you've consumed in the past couple days and for the days from now until the appointment, that will give them an idea of the calories in.
They really need to have an idea of the CALORIE total per day but you may not have to add that up, as long as they can glance at your menu and portion notes.
If you have certain food groups that you must avoid, write that down, too.
Just treat this as any other medical concern. -
Posts: 48021 | From Tree House | Registered: Jul 2007
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Keebler
Honored Contributor (25K+ posts)
Member # 12673
posted
- Be sure to NOT say something like you wondered above "I just want you to know that I am not psychiatrically troubled or anorexic" (Do NOT say that.)
They might write that in your chart and it might get confused somehow. Leave those words out of the office. (As you said this is not about that. But, if it were, that would be okay. Honesty matters and it's all medical, anyway.)
But, there are other reasons in your case, so don't even whisper terms that don't apply. Now, if they wonder that, just go back to the G.I. issues and vertigo.
Still, somehow, you have to get the calories in, and they need to be excellent nutrients. They may try to encourage you to use "Ensure" or other crappy drinks. I think there's a thread of yours from a few weeks back with better alternatives to that.
So, be ready with the ones that you've found that are better. Maybe have a label with you, saying something like, this one (or that one) works better for you and you like the nutrient content better.
If you've found no particular processed food drink, then show them a list of the foods and ways you fix those for
* equal (or adequate) calories,
* digestive ease, and
* excellent nutrients.
You have to have a plan. Or ask them for one and then be prepared to follow it, adjust it, or whatever. I would be very surprised if they don't do some more diagnostic work and that might give you more tools to employ in your solution.
Yet, as I recall, you were have a hard time getting in enough calories because of your stomach issues. ANYTHING that stands between you and food needs to be dealt with.
I hope they can help you. Good luck. -
Posts: 48021 | From Tree House | Registered: Jul 2007
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Keebler
Honored Contributor (25K+ posts)
Member # 12673
posted
- If you want to look back over the alternative products (and foods) to Ensure, here's that thread you posted on Oct. 12:
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