Please help

Jane-Mo
on 9/8/09 6:56 am - MO
I had a nightmare experience today with the Psych. eval. doctor.  I am devastated and hope I can receive input from anyone who has had experience with Dr. Ronni Kahn at Dr. Dianne Joyce's office. (Bridgeton office).  I was hoping to have Dr. de la Torre do my lapband surgery, but not after today. 
I am 5'6" and weigh 270 pounds.  After all the questions were answered to the best of my ability, Dr. Kahn said I was not a candidate because....I am anorexic!   She said I didn't eat enough calories per day. 
Can someone please advise what I should do?  Should I contact Dr. Joyce directly?
I am diabetic with elevated cholesterol, blood pressure, and  have Sleep Apnea.  Due to Arthritis and Fibromyalgia, I am unable to exercise.  My personal physician has recommended WLS. My WLS patient packet was completely filled out with the exception of the Psych. eval.  Also, my medical tests had already been done by my local doctors.
Please, help with any info, suggestions, etc.
Jane
Barbara S.
on 9/8/09 7:35 am - Freeman, MO
I can not help you with this Dr. but, Did you by any chance ask that Dr. what she was smoking? How can you be anorexic at 270? I think maybe she needs a psych eval. I think I would call my Dr that sent me to her and tell them what she said and see what the PCP says.

I will pray for you that everything comes along fine.

Hugs
Barbara
Hugs; Barbara
Lap RNY ~ 4/22/2003
5'0" ~253 starting wt. 130 lb loss!
************************
Extended Tummy Tuck with KU Residency Program
01/08/2010 ....Lost another 7 lbs with TT.

Pixielf~*
on 9/8/09 8:17 am - in the forest........., MO
Revision on 09/30/13
I went through a horrid initial pysch eval. years ago when I was still mired in the process to achieve WLS. 

I promptly found myself a competent WLS friendly practitioner and set up ANOTHER appt. ASAP.

Needless to say it was as different as night and day.....  found out later that the original one that I had gone to was NOT WLS friendly and regularly poo poohed everyone that came to them.....

Deep cleansing breath....  I know that you will do fine!

: )

Anything WORTH having is WORTH working for !

Jane-Mo
on 9/8/09 12:18 pm - MO
Thank you Pixielf, a deep cleansing breath is great advice.  I plan to contact another psychologist on the "approved list" provided my Dr. De La Torre's office soon. 
Traci K.
on 9/8/09 8:42 am - Sullivan, MO
What specific questions were you asked by the psych. doctor? I assume he/she asked you about how many calories you ate per day and I can assume they either didn't believe you and/or thought you were unable to comprehend how much food you were really eating.

I am one of those who became obese eating 1,600 calories per day. My metabolism is that messed up and is so, in part, due to years of me eating only 1 meal per day in order to maintain a normal weight.  This is not necessarily 'normal' calorie intake for an obese person, so if you too eat very little and are obese, many doctors just don't get it.

I would contact Dr. de la Torre and explain what happened. Try to get another psych eval with a different doctor.
-----------------------------------------------------------------------------------------
Traci  <*)))><  | Sullivan, MO
Join My WLS4Health OH Group
Lap RNY  7/27/04
My blog:  http://wls4health.com


Jane-Mo
on 9/8/09 12:10 pm - MO

I was asked general psych. questions such as had I ever considered suicide, did I have nightmares, am I a binge/compulsive eater, do I overeat to the point of throwing up, have I been hospitalized with mental issues, is there alcoholism in my family, do I drink or do drugs, why didn't I finish college, how many marriages, am I a stress eater, boredom eater, emotional comfort, snacker, childhood growing up, do I regularly feel sad, anxious, nervous, flat, down, helpless, worthless, guilty.  This is just a few of the questions.  When I told her my father died of cirrhosis, she immediately assumed alcoholism.  I quickly reminded her I had already said there was no alcoholism in my family.  Apparently, she wasn't aware someone can have cirrhosis from other health issues.
Upon entering her office she said she would be asking the questions and I was to provide brief answers.  She said when she was finished I could ask questions. During the evaluation,  I attempted to answer one of the questions and she stopped me saying "that is for later".   Of course, there was no "later".
She asked how much food intake.  I told her I had been sick with sinus infection and inner ear for the past 3-1/2 weeks and had been on two different antibiotics as well as the Med Pac.  I could not smell or taste, so my appetite had not been normal.  That's when she redirected me to the original question.  Attempting to comply, I then told her what I had eaten the day before my appointment which was  cereal/ milk for breakfast,  salad with vinegar/oil dressing and chicken breast  for lunch, and 3/4 grilled chicken breast without skin and green beans for dinner.  She added that and said it was around 1,000 calories which was way to little. 
I felt like I couldn't win no matter what I said.  Obviously, this woman didn't get it.  I was respectful and kept my composure, but it was sure difficult.
Thank you for your suggestion.  I will try to get another eval from the approved list Dr. de la Torre's office sent me.

Jane-Mo
on 9/8/09 11:33 am - MO
Barbara, thank you for your kindness in responding.  And, thanks for the prayers.  I can always use those.
I still can't believe what happened today.  I've talked with several people since my appointment and this doctor's behavior just doesn't make sense to anyone.
Contacting my PCP is the first thing on my agenda tomorrow.
Again, thank you for your response.
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