Psych Eval, Made it home, Really need some input

GoingMobile
on 2/20/07 8:11 am - San Dimas, CA
Went adn talked to this lady for 2.5 hours about LIFE, everything in life. time flew by and it seemed very productive then the end came and I asked a simple question that turned my world upside down, I am looking for guidance.  I asked her what she thought and what would be on her report and how long before my PCP gtes the report. PCP gets the report within 30 days-  a delay but can't fix that.  Her report will say that psychologically I am stable and have a good family life  BUT because I have not been on a weight loss program (Weigh****chers etc) for any length of time I should have to do that before they approve the surgery, That I am a very high risk to fail at WLS in her opinion, because of this. Do I sit tight and wait and see or can I proactively pursue this. Once I decide to do something It full speed ahead if I have to wait a month to get denied I will be in a bad place for a few days. Should I get a second eval froma differnt therapist and submit that as well? I will have to pay out of pocket but thats not a huge deal?  I am looking for help. Dan
Scott_I
on 2/20/07 8:46 am
I don't exactly know what to tell you, but it ****** me off when a therapist looks at a 42yr old guy with a BMI near 60 (Iv'e been there myself) and tells him he should delay surgery.  I wonder how many 42 year old men with 60 BMI have been successful with regular diet programs.   I ask this because I have never met one in my lifetime.   I wonder if this psych knows.     I do know several guys who have died way to young. If it were me I would seek another opinion.  Maybe someone hear knows better. 
Dx E
on 2/20/07 8:47 am - Northern, MS

Well Dan, It all depends…. Do you have a sense of how much weight her recommendation carries with your PCP? How did you ‘hook up’ with her? Through your PCP or Bariatric Clinic? Was there anything else other than her assessment of you that would make her "Doubtable?" Like, did she seem un-professional in some way? - Other than "Dropping the Bomb on you" at the end? If there is a tangible and "Bona fide" good reason her assessment should be discounted, then the recommendation of another may be needed…… However, It’s got to be impossible for You to be objective about it. Yes? I mean, You are the commodity that is being judged, tested, evaluated… I don’t know you at all and neither will any other well meaning person typing out here on the net. We can sympathize, feel for you, imagine how we’d feel in your shoes, But that’s about it… Is there the outside chance that she’s right on some level? Have you tried every other means and those didn’t work out? If at present, you might be at more risk of not having WLS work for you, Wouldn’t you want to know that before they gut up your guts? A "Delay" now is very different from a "Horrible Realization" after the fact. Tough as hell to hear, but think about it. Take a day off, and let it go. Talk it over with your Doc. Let them know Why you want WLS and Ask him if he Honestly Thinks it wouldn’t work for you. Maybe a second opinion is exactly what's called for. Maybe this Quack-ess has reccomended NO Surgery for the last 15 patients ever since her boyfriend left her for some skinny chick!  You have no way of knowing all that right now. Maybe your Doc has formed an opinion of her opinions...... At any rate, don’t let a few days 'in a bad place' or even month trip you up. It’s a total Life Long Thang…. So what if this month isn’t right for you, It’ll still be there and your doc will have had more practice…. Don’t know if any of this babble helps, I just know that I wouldn’t want to go through the whole WLS process And have it NOT Work for me….. That would be worse than never having it at all…. (For Me!!!!) Your Mileage May Vary!! Best Wishes- Dx

Danny Riggs
on 2/20/07 4:41 pm, edited 2/20/07 4:51 pm - Houston, TX
Yeah, Dude.  So right now, that kinda sucks.  But I gotta kinda quote Dx to some degree. Speaking from my own experience, I had every doctor, shrink, nutritionist, etc etc etc all in agreement that I needed this surgery to save my life.  Unfortunately, it took me 5 insurance companies, 4 job changes, and 3 years to get approval.  Now that it has finally happened, I can't tell you how many other positive changes are beginning to take place. Looking back, I am certain that all the delays I encountered, hoops I had to jump through, and games I had to play were there for a reason.  If this is something you believe in, then prove it to yourself by doing whatever is necessary without harming yourself or others.  Good luck, buddy.  No one here is going to have the perfect answer for you.  I hope this may help you find what is right for you.
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