Author Topic: Unwanted advice from a new doctor.  (Read 12273 times)

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Schmoopie3928

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Unwanted advice from a new doctor.
« on: June 09, 2009, 08:37:46 AM »
After a year at my job, I got health insurance. It is paid for completely by the company. My old OBGYN is not on the plan but I'm okay with it as I have moved and it would have been kind of far to go anyway. I selected a new one, they had an appointment available in the next month, so I went.

He was a very nice man and I will admit he was the quickest and most painless OB I have ever been to. I was only having a checkup. Before we started however, he came into the exam room to give me a "quiet lecture". I knew my BP had been running a bit high, so I was expecting him to voice a concern over it and maybe ask about diet and exercise.

No, the quiet lecture I got is about my weight, all the health risks involved and how I need to have Bypass surgery. This BTW is while I am laying Naked on an exam table under a paper sheet. Then he tells me about a Dr. he knows that does amazing things with Bypass and can get me on a payment plan. Then he gave me his colleague's card. He went on and on about how he knows how hard it is to lose weight and I'm not getting any younger and so on. I was stunned!

I never asked him on advice about my weight, he never asked me If I had been trying to lose weight. He just told me to have by-pass surgery! The man knew nothing about me! I was so hurt and shocked I was silent for a while and only answered direct questions. As fact would have it, I had been making long term changes to improve my health. Making Smarter choices when eating and such.

Luckily, like I said before, the exam itself was quick and painless. Of course that might have been because I was in shock.  :P

I left and have no plans to see that DR again.

Harriet Jones

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Re: Unwanted advice from a new doctor.
« Reply #1 on: June 09, 2009, 08:53:54 AM »
I wouldn't go back, either.  While WLS seems to work really well for many, it's a *drastic* lifestyle change and IMO should be a last resort if nothing else is working.  I wonder if that GYN gets a referral bonus from his friend.

caranfin

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Re: Unwanted advice from a new doctor.
« Reply #2 on: June 09, 2009, 09:29:40 AM »
Discussing your weight was appropriate if it's causing issues, but pushing WLS went way over the line.
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Re: Unwanted advice from a new doctor.
« Reply #3 on: June 09, 2009, 09:31:53 AM »
Holy Moly!  Unless he's a specialist EXTREMELY familiar with your medical history, etc., he has no business telling you that you need any sort of surgery.  I wouldn't go back either.

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ShieldMaiden

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Re: Unwanted advice from a new doctor.
« Reply #4 on: June 09, 2009, 09:42:49 AM »
While I don't think that expressing his concern about weight was over the top, pushing surgery goes too far.  There are alot of other options he could have told you about in addition to surgery (such as diet and exercise).  It seems to me that he's just trying to get his collegue some more business.

I wouldn't call the concern about weight unsolicited (because it does concern your health, and he is your doctor), but the push for surgery as an only option is unprofessional imo.  You could tell him that you aren't considering surgery and you'd prefer not to hear about it if you think it's better to stay with him to keep those quick and painless exams.  Otherwise it's time to look for a new doctor.

MrsO

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Re: Unwanted advice from a new doctor.
« Reply #5 on: June 09, 2009, 10:05:48 AM »
While I don't think that expressing his concern about weight was over the top, pushing surgery goes too far.  There are alot of other options he could have told you about in addition to surgery (such as diet and exercise).  It seems to me that he's just trying to get his collegue some more business.

I wouldn't call the concern about weight unsolicited (because it does concern your health, and he is your doctor), but the push for surgery as an only option is unprofessional imo.  You could tell him that you aren't considering surgery and you'd prefer not to hear about it if you think it's better to stay with him to keep those quick and painless exams.  Otherwise it's time to look for a new doctor.
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ShadesOfGrey

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Re: Unwanted advice from a new doctor.
« Reply #6 on: June 09, 2009, 10:20:39 AM »
While I don't think that expressing his concern about weight was over the top, pushing surgery goes too far.  There are alot of other options he could have told you about in addition to surgery (such as diet and exercise).  It seems to me that he's just trying to get his collegue some more business.

I wouldn't call the concern about weight unsolicited (because it does concern your health, and he is your doctor), but the push for surgery as an only option is unprofessional imo.  You could tell him that you aren't considering surgery and you'd prefer not to hear about it if you think it's better to stay with him to keep those quick and painless exams.  Otherwise it's time to look for a new doctor.

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sourgirl27

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Re: Unwanted advice from a new doctor.
« Reply #7 on: June 09, 2009, 12:45:19 PM »
i wonder if he has made a deal with his colleague to advise patients to go to him? that was a very abrupt and rude thing to say. a good doctor would check you out thoroughly, with blood tests, thyroid test, everything, and i would think that you would be advised to make some healthy changes on your own and see how that worked out before you would be told that you "need" bypass surgery. i think there is a deal going on between these doctors to send patients each other's way.

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Re: Unwanted advice from a new doctor.
« Reply #8 on: June 09, 2009, 12:53:49 PM »
I was thinking exactly what sourgirl was.  I bet you $20 that doctor is his buddy, and they've worked out a mutual referral system.  From what I know based on my own OBGYN appointments, one visit is nowhere near enough to know that a person needs bypass surgery.  What a pair of cojones that doctor has!


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cass2591

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Re: Unwanted advice from a new doctor.
« Reply #9 on: June 09, 2009, 12:56:18 PM »
i wonder if he has made a deal with his colleague to advise patients to go to him? that was a very abrupt and rude thing to say. a good doctor would check you out thoroughly, with blood tests, thyroid test, everything, and i would think that you would be advised to make some healthy changes on your own and see how that worked out before you would be told that you "need" bypass surgery. i think there is a deal going on between these doctors to send patients each other's way.

If that's true, it's grossly unethical.

I agree with some PPs who said that the PCP was within his medical scope of practice to address the weight issue, but recommending surgery was out of line.
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Re: Unwanted advice from a new doctor.
« Reply #10 on: June 09, 2009, 01:01:38 PM »
My OB/GYN is something of a health nut. He lectures me after every visit about my exercise habits (even when I'm rehearsing 12 hours a day on weekends, and fighting three days a week, both in Texas I might add). I like the guy, so I figure the lecture comes with the territory. And really, he's doing it because he does care and wants to see his patients stay healthy.
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Re: Unwanted advice from a new doctor.
« Reply #11 on: June 09, 2009, 01:04:36 PM »
IDK, I am just getting frustrated with being told, "You're fat - you're going to get sick!" everytime I go into an OB/GYN. Actually, I've been checked out and I'm very healthy, thank you very much.
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Re: Unwanted advice from a new doctor.
« Reply #12 on: June 09, 2009, 01:07:24 PM »
I was all ready to say that doctors are some of the few people who actually should give you unsolicited advice, but from your description that one was way over the line. Is an OBGYN even qualified to determine that you need heart surgery?  ??? ...and to advise it while you are naked and under a sheet - at a great disatvantage? Oh, that's creepy, in my book. What doctor doesn't let you get up and dressed before they discuss major medical concerns with you?

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Schmoopie3928

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Re: Unwanted advice from a new doctor.
« Reply #13 on: June 09, 2009, 01:09:44 PM »
i wonder if he has made a deal with his colleague to advise patients to go to him? that was a very abrupt and rude thing to say. a good doctor would check you out thoroughly, with blood tests, thyroid test, everything, and i would think that you would be advised to make some healthy changes on your own and see how that worked out before you would be told that you "need" bypass surgery. i think there is a deal going on between these doctors to send patients each other's way.

If that's true, it's grossly unethical.

I agree with some PPs who said that the PCP was within his medical scope of practice to address the weight issue, but recommending surgery was out of line.

Exactly. I expected the "I would like to see you lose some weight for health reasons" Speech. He never even went there. That is why I was so shocked! My PCP does talk to me about my weight, warned me of the risks and tells me to watch my BP. I have seen him for years. For an OB to just bust out with "You should have Bypass!" Right off the bat was rude and offensive to me.

ch1pch0p

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Re: Unwanted advice from a new doctor.
« Reply #14 on: June 09, 2009, 01:10:14 PM »

If that's true, it's grossly unethical.

I agree with some PPs who said that the PCP was within his medical scope of practice to address the weight issue, but recommending surgery was out of line.

Does it make a difference if this was not the PCP? The OP said it was an OBGYN. (I know some do both, but she didn't say.)