So upset with my PCP

kimkel
on 11/20/10 9:50 am - Ellsworth, ME
  I had to go for my 1st 6 month dr supervised diet this week.  The WLS Center gave me a paper that had what the insurance usually require for the dr notes.  I just got a copy of the notes yesterday.  All she did pretty much was copy down twice the criteria.  Not notes about me but about what the insurance wanted.  Not sure if that is sounded quite right.  She kept saying that it was a waste of time and money.  I was not happy when she quoted some of what I told her about the insurance requires her to only have dr notes on my supervised diet that you can't be seen for anything else. Instead of actually doing 2 different sets of notes she just wrote that I told her to do that.  She also put in there what I said about what the WLS Center said about my insurance company saying they are being sporadic about what they require for the surgery.  Why would she put those in my dr notes.  I told her I need her to put down calories, exercise, behavioral changes, weight, all my health issues, medications. ect.  I don't really know what to do about her office note because I don't think that the ins. is going to except.  Oh she also talked about when I asked her if we could use my Sept. and Oct visits to back date so we could use those. She actually wrote that in her notes for me to give to the ins. company.  Is she trying to sabotage me?  I don't know what to do. :(
WiseTears
on 11/22/10 4:49 am - Chicago, IL
Yes she is. The only things that you need to discuss when you walk into the office is the criteria that you need to pass to have the surgery. Actually, the next time you walk in the office, please have a sheet with your pointers (basicially what you did, diet, behavior changs, weight, bmi, life style changes, medication therapy, etc.). So, please dont tell her that you think she is trying to sabotage you. If she's anything like your first appointment, she'll just write down everything YOU discussed. YOU have to take charge of how you want the outcome. Remember this is a football game and many  are betting against you and who dont believe that WLS is neccessary. Be your own football player, coach, cheerleader and most of all BE YOUR OWN ADVOCATE!  You have the neccessary tools to get things done, so dont let others ruin your 6 months. Also, make a second appointment, but make sure its in the same month and tell her what things have changed since your first appointment. And, you dont have to submitt those notes from the first appointment.
    
kimkel
on 11/22/10 6:26 am - Ellsworth, ME
 Thanks so much I will be much more prepared for my next appointment. :)
windyacres
on 12/14/10 1:40 am - Garner, NC
Not me - I would go see another doctor who will be behind my weight loss plans.  No game playing for me!

Edie
Approved 8-1-11, Surgery 8-22-11  SW 231, Goal 140, CW 165


    

WASaBubbleButt
on 12/14/10 4:27 am - Mexico
On December 14, 2010 at 9:40 AM Pacific Time, windyacres wrote:
Not me - I would go see another doctor who will be behind my weight loss plans.  No game playing for me!
 
Ditto.

I didn't really care what my PCP had to say on the topic, I don't really remember if I told him before surgery or not but I opted not to jump through ins hoops and self pay instead.

If I would have opted to do the six month nonsense I would insist on a doc that was behind me all the way.


Previously Midwesterngirl

The band got me to goal, the sleeve will keep me there.

See  my blog for newbies: 
http://wasabubblebutt.blogspot.com/
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