Posted by Cairo on January 9, 2005, at 8:08:12
In reply to Re: Text book anorexia -trigger negative talk, posted by Maxime on January 1, 2005, at 19:57:44
Maxime,
I understand what you mean about the pdoc not focusing on your intake problem. Your issues need a team with members who can address ALL your concerns and have expertise in all of them.I totally agree with your weight/caloric conundrum. "If it doesn't look broken, then don't fix it." But you know better. Trust your instincts as they sound correct to me. Don't beat yourself up because the doctor or others don't see it. The "experts" all not always experts.
When you finally get an appointment with an insurance covered therapist, make sure that they understand and can communicate with the doctor. You also need a nutritionist skilled in ED.
As to the weight issue in spite of caloric restriction, there might be other physical or metabolic issues that need to be looked into. A sharp Internist might be a good place to start or push your Endocrinologist to look further. My gut feeling is that there is something missing from this picture. You need a good workup and doctors who can see beyond the ED issue.
I have a friend whose daughter was gaining weight and the Endo and nutritionist kept blaming it on ED. But she has juvenile diabetes with "normal" blood sugars much of the time. They put her on AD meds, but that seemed to make issues worse. After pushing her Mom to go get another opinion, they went to see another Endo who is uncovering more problems contributing to her weight gain. It's not all in her head.
My own experience (not with ED, but with other issues) is that doctors diagnose and practice what they know and are comfortable with and my husband, who is a physician, confirms that. It reminds me of the story about the blind men and the elephant; they "see" only what they "know". This is normal, but the public thinks that all doctors are omniscient. Medicine is imperfect and we are our own best advocates.
Anxiety or whatever can cause negative talk, but that doesn't mean that your concerns are not legitimate.
Hang in there, Maxime. We're all in this together.
Cairo
poster:Cairo
thread:435626
URL: http://www.dr-bob.org/babble/eating/20041128/msgs/439689.html