OT: Need to vent about my PCP
So I'm 3 months into the insurance-required 6 months of nutritionist visits. About 5 weeks ago, I started developing strange symptoms out of the blue -- lightheadedness upon standing, low blood pressure (it dropped ~30 points from sitting to standing), blurry vision, and extreme fatigue. Figuring I was dehyrated, I made an effort to drink more water (64-80 oz a day), which definitely helped the situation, especially the lightheadedness, but did not make the symptoms go away entirely. In any case, I go to my PCP, who orders bloodwork. Everything came back negative (Lyme, B12 deficiency, anemia, thyroid) but my fasting blood sugar was 126. The PCP didn't seem overly concerned about that. After spending all weekend in bed, sleeping 14-16 hours each day, I called the PCP today and asked where do we go from here? Her nurse told me that unless my symptoms get worse, there's nothing the doctor can do for me and that I should make an appointment with a psychiatrist!! WTF??
My first instinct is to request my medical records and go find another PCP, but I'm afraid that doing so might irk her and she'll rescind the letter of recommendation she already wrote to my bariatric surgeon. Has anyone else changed PCPs during the whole WLS process? If so, was it detrimental to the process?
Thanks in advance for your insight/advice.
Kelly
My first instinct is to request my medical records and go find another PCP, but I'm afraid that doing so might irk her and she'll rescind the letter of recommendation she already wrote to my bariatric surgeon. Has anyone else changed PCPs during the whole WLS process? If so, was it detrimental to the process?
Thanks in advance for your insight/advice.
Kelly
If you have an HMO you could change to another PCP in your same medical group and it shouldn't even make a blip on the radar. I actually was forced to change midway as my old PCP retired and I was assigned someone new.
I didn't love the new Dr. (weeks and weeks for an appointment, regardless of the severity) but they were skilled at the WLS process so I stayed until everything was done. I'm changing as of the 1st.
Good luck, sorry you're going through all of this!
I didn't love the new Dr. (weeks and weeks for an appointment, regardless of the severity) but they were skilled at the WLS process so I stayed until everything was done. I'm changing as of the 1st.
Good luck, sorry you're going through all of this!
Hi Kelly,
I'm not an MD but are you taking any BP meds or diuretics? As you loose weight, doses may need to be changed. The doc won't take back the approval, but it does seem like a good idea to make a change. My surgeon stressed how important it is to have a supportive pcp to make it through this process. Good luck to you and keep drinking!!
I'm not an MD but are you taking any BP meds or diuretics? As you loose weight, doses may need to be changed. The doc won't take back the approval, but it does seem like a good idea to make a change. My surgeon stressed how important it is to have a supportive pcp to make it through this process. Good luck to you and keep drinking!!
Hi Kim,
Thanks for your reply. To answer your question, I'm not taking any BP medication or diuretics (even at my current highest-ever weight, I've always had normal or slighly below-normal BP). Good point about needing a supportive PCP to get through this process. I know a change is a really good idea; I just want to be smart about the timing of it. Thanks again.
Thanks for your reply. To answer your question, I'm not taking any BP medication or diuretics (even at my current highest-ever weight, I've always had normal or slighly below-normal BP). Good point about needing a supportive PCP to get through this process. I know a change is a really good idea; I just want to be smart about the timing of it. Thanks again.