F.E.A.S.T's Around The Dinner Table forum

Welcome to F.E.A.S.T's Around The Dinner Table forum. This is a free service provided for parents of those suffering from eating disorders. It is moderated by kind, experienced, parent caregivers trained to guide you in how to use the forum and how to find resources to help you support your family member. This forum is for parents of patients with all eating disorder diagnoses, all ages, around the world.

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Ladybugs_Journey_CAN
Besides a renewal for meds, what questions should I ask our GP when we see him every month? What should I bring along?

Our GP is terrible. He rushes in and out even if I'm in mid sentence. Last time he didn't even weigh d, check her heart or bp. He left us with not enough meds to get through the holidays and a long distance call and a bill to his on call doc. A new GP isn't a possibility where we live.

Mom, who attends Dad to his oncology appts, suggested I make a list of Qs for the doc and put a copy in front of him as soon as he walks in so he knows I mean business.

D also has a dietitian, psychologist and an upcoming appt to a psychiatrist this month.
- three teens and hubby all with special needs; blended family - D18 is Ladybug; fed at home for three months, then inpatient far away for three months. We lost nine family members in that same year including her step-mom,both grandfathers,four uncles - She now insists on living on own - family falling apart.
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Bontoplen_USA
Wow, why even go? Isn't weight,BP and heart check the real reason to go? Is that the only GP in your area? I guess I am so lucky to have good care here. You said he walks out in mid sentence? why not just sit there till he comes back or someone comes back to see why you are still there and say"Oh I wasn't done speaking yet" Bet that will get his attention.I have to wonder why some people go into medicine,it certainly is not caring!!!
Bontoplen
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Ladybugs_Journey_CAN
I've seen him off and on for twenty years. He was amazing as a new, young doc, but I think he's burnt out. There are no docs taking new patients in our area.
- three teens and hubby all with special needs; blended family - D18 is Ladybug; fed at home for three months, then inpatient far away for three months. We lost nine family members in that same year including her step-mom,both grandfathers,four uncles - She now insists on living on own - family falling apart.
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1997mom_CAN
So sorry that you find yourself in this position with your FMD. I can relate to the shortages of family doc's as that is the situation here in Ontario, too. The only advice I've got on that is to keep your ears open for any new possibilities in your area (you are probably already doing this ...)

In the meantime, I would make a separate appointment with the GP to discuss your expectations from his follow up appointments without your d. The Canadian pediatric society position paper has some pretty clear guidelines ... I would take a high lighted copy with me to the appointment to advise him of what he should be doing. Also, if I remember correctly, you are on the waiting list for some provincial ED programs. I would call the person who does intake for each of them, advise them of the situation with your GP and ask what their protocol for GP follow-up is. The program we were involved with had a very clear requirements for our GP to follow.

I hope this helps. I think you are doing an amazing job, especially given all of the challenges you are facing! Hugs.
1997mom Ontario, Canada
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YogurtParfait_US
If you want a weight and a blood pressure and a resting pulse, I wonder if it is possible to make an appointment with the nurse for that? Maybe nurses on this forum can chime in???

YP
"Hope is a wonderful thing ... but hope by itself is not enough. Hope is the reason to take action, to make a plan and then to change the plan when it isn’t working - over and over and over again if necessary." Hannah Joseph (Let's Feast Friday Reflection, "Just Keep Going," Friday, March 3rd, 2015)
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alwaysvigilantCAN
LBJ, are there any new clinics opening up with nurse practitioners.? We have some of these now in Ontario. 
This is where to find the referral that your GP should have filled out I would suggest you ask to see the copy of the referral. There are tests that he can repeat that are on the referral. He should be plotting her weight and height on a growth chart.

I would contact this woman, via email, and explain your situation. I can't say enough times that you have to advocate and don't wait for the intake referral. Explain your situation-you have an awful lot on your plate.  
 Paula Winstanley, MA, Registered Provisional Psychologist

Family Counsellor/Program Consultant

Calgary Eating Disorder Program

Richmond Road Diagnostic & Treatment Centre (RRDTC)

Main (403) 955-8700 Direct (403) 955-8703 Fax (403) 955-8577

paula.winstanley@albertahealthservices.ca  





 

5 years in active recovery; With many, many days of full nutrition and closed loopholes, insight, life experiences and brain maturity we are slowly loosening the safety net
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mec
At the very least, orthostatic BP, laying down and standing up.
21 year old daughter who was DX with RAN at 9 years old. The work of recovery is ongoing. 
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alwaysvigilantCAN
Putting Eating Disorders on the Radar of Primary Care Providers from Ontario.  Pg 67 & 68 pg 79
5 years in active recovery; With many, many days of full nutrition and closed loopholes, insight, life experiences and brain maturity we are slowly loosening the safety net
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Ladybugs_Journey_CAN
Thank you for your ideas.

AV, I have spoken to Paula and another counsellor in Calgary's ED centre. They haven't got our referral yet, but say I, the counsellor or doc may call any time. I've left a message at the Edmonton centre. That may be where her referral went; its the program the psychologist prefers for D.

I'm not familiar with nurse practitioner clinics, but I'll do some Googling and ask around. The nurses at the college health centre have been very helpful and I'll ask them for ideas.

- three teens and hubby all with special needs; blended family - D18 is Ladybug; fed at home for three months, then inpatient far away for three months. We lost nine family members in that same year including her step-mom,both grandfathers,four uncles - She now insists on living on own - family falling apart.
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YogurtParfait_US
Some GPs also have an NP on staff, and you can make an appointment with the NP. 

YP
"Hope is a wonderful thing ... but hope by itself is not enough. Hope is the reason to take action, to make a plan and then to change the plan when it isn’t working - over and over and over again if necessary." Hannah Joseph (Let's Feast Friday Reflection, "Just Keep Going," Friday, March 3rd, 2015)
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Ladybugs_Journey_CAN
The dietician suggested the following questions for our doctor, pharmacist and naturopath:

- Can phosphorus be taken as a supplement? Are there other supplements that would be beneficial?
- Retest phosphorus levels
- Ladybug's sleeping has not improved. Is that a side-effect of the Cipralex she takes?
- Why was Cipralex chosen as her anti-anxiety med? Is there a better one for her?
- How should we treat diarrhea and bloating?
- three teens and hubby all with special needs; blended family - D18 is Ladybug; fed at home for three months, then inpatient far away for three months. We lost nine family members in that same year including her step-mom,both grandfathers,four uncles - She now insists on living on own - family falling apart.
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