Miss Tickle
Well-Known Member
Can't wait to see how it went YG . Good luck!
-
Hi, If you cannot get into the site, be sure to Contact Us. Please be advised that the app is no longer in use!
First appt tomorrow. Am starting to get anxious.
- Thread starter yorkiegal
- Start date
yorkiegal
Baxter's mum
Well I've just got back. I'm not sure whether to be disappointed or not really.
First of all I saw a nurse who weighed me, checked my height and took my blood pressure. Turned out she was a fan of True Blood so we had a good chat about that whilst we waited for me to see the nurse practitioner.
He was a really nice bloke. I was in there for about 30 mins and we talked about what I eat and when, my past attempts at dieting, my mental health and how it is now. He said that with my bmi of 49.16 I should qualify for surgery and agreed with me that a bypass would be the best option. He sort of indicated that funding would be even likelier with a bmi of 50.
Then he said he wasn't going to refer me for the tests just yet (endoscopy, sleep apnoea, diabetes) because he had reservations about how I would cope psychologically with losing my coping mechanism for the rest of my life. He said that psychological problems does count as a comorbidity along with my cholesterol, but that it's all rather woolly and it can end up going against you too if they think you'll go into meltdown post surgery.
I reiterated that surgery is what I want and that I am prepared to pay privately for therapy to prevent having to wait for ages on the nhs.
So as it stands my referral is sort of in limbo at present. I will see him again in three months time when I will need to show proof of having worked on my issues with food. I need to find someone in York who can give me cbt who has experience in binge eating.
I agree completely with what he said. Even talking to him about what I eat each day was difficult. I had trouble recollecting it, which he said is quite common. He said that if people go for the surgery without being emotionally ready, they often don't lose much or even put it on, and can suffer badly from eating too much sugar.
I know that I'm stable. I've already conquered my other coping mechanism, self harm. If they need me to do cbt then so be it. I'll jump through all the hoops if it gets me the surgery.
My only concern is that this might be a way of them saying no, and that I'm going to keep going back every few months only to be told to have more therapy. I can't pay for it indefinitely as I am on benefits, but if I do it through the nhs it could take a year.
He did make some comment about it takes as long as it takes even if it's ten years! Not on your nellie mate!
I asked about a support group. There is one led by two ex patients but they won't be meeting til june now, so I may try the one in Leeds instead.
He did say that currently York has no weight management team. The surgeon and he have been trying to get some psychologists / therapists to work with them but are unable to find any with experience of wls.
So that's it really. He's told me to phone him and keep in touch between now and the next appointment. I'm not on the list yet but after decades of being fat I think I can wait another 3 months if that's what they want, and in the meantime I'm going to search out a therapist.
edited to add: I did have a bit of a light bulb moment today. I realised that the reason I can successfully lose weight quickly on very restrictive diets is because in my mind I always know they are just temporary, and eventually I can lapse and go back to stuffing my face again.
First of all I saw a nurse who weighed me, checked my height and took my blood pressure. Turned out she was a fan of True Blood so we had a good chat about that whilst we waited for me to see the nurse practitioner.
He was a really nice bloke. I was in there for about 30 mins and we talked about what I eat and when, my past attempts at dieting, my mental health and how it is now. He said that with my bmi of 49.16 I should qualify for surgery and agreed with me that a bypass would be the best option. He sort of indicated that funding would be even likelier with a bmi of 50.
Then he said he wasn't going to refer me for the tests just yet (endoscopy, sleep apnoea, diabetes) because he had reservations about how I would cope psychologically with losing my coping mechanism for the rest of my life. He said that psychological problems does count as a comorbidity along with my cholesterol, but that it's all rather woolly and it can end up going against you too if they think you'll go into meltdown post surgery.
I reiterated that surgery is what I want and that I am prepared to pay privately for therapy to prevent having to wait for ages on the nhs.
So as it stands my referral is sort of in limbo at present. I will see him again in three months time when I will need to show proof of having worked on my issues with food. I need to find someone in York who can give me cbt who has experience in binge eating.
I agree completely with what he said. Even talking to him about what I eat each day was difficult. I had trouble recollecting it, which he said is quite common. He said that if people go for the surgery without being emotionally ready, they often don't lose much or even put it on, and can suffer badly from eating too much sugar.
I know that I'm stable. I've already conquered my other coping mechanism, self harm. If they need me to do cbt then so be it. I'll jump through all the hoops if it gets me the surgery.
My only concern is that this might be a way of them saying no, and that I'm going to keep going back every few months only to be told to have more therapy. I can't pay for it indefinitely as I am on benefits, but if I do it through the nhs it could take a year.
He did make some comment about it takes as long as it takes even if it's ten years! Not on your nellie mate!
I asked about a support group. There is one led by two ex patients but they won't be meeting til june now, so I may try the one in Leeds instead.
He did say that currently York has no weight management team. The surgeon and he have been trying to get some psychologists / therapists to work with them but are unable to find any with experience of wls.
So that's it really. He's told me to phone him and keep in touch between now and the next appointment. I'm not on the list yet but after decades of being fat I think I can wait another 3 months if that's what they want, and in the meantime I'm going to search out a therapist.
edited to add: I did have a bit of a light bulb moment today. I realised that the reason I can successfully lose weight quickly on very restrictive diets is because in my mind I always know they are just temporary, and eventually I can lapse and go back to stuffing my face again.
Dear Yorkiegal
Well I not sure what to say. Now that you have had to time to think what he has said what do you think. Another 3 months sems a long way off when you want it now, but think how long you have waited then 3 months is not a long time, if you get what I mean. Just think you are another step closer now. Keep being positive. Let me know your thoughts. I wil let you know how I get on on Tuesday.
Nicky:wave_cry:
Well I not sure what to say. Now that you have had to time to think what he has said what do you think. Another 3 months sems a long way off when you want it now, but think how long you have waited then 3 months is not a long time, if you get what I mean. Just think you are another step closer now. Keep being positive. Let me know your thoughts. I wil let you know how I get on on Tuesday.
Nicky:wave_cry:
yorkiegal
Baxter's mum
I do feel really positive about it to be honest. I've been googling and have found a therapist near me who specialises in binge eating disorder and does CBT so I've sent her an email asking for an appointment.
I have a twenty year history of mental illness of varying degrees. Frankly I'd have been surprised if he wasn't worried by it. But I'll keep at him til he says yes.
I have a twenty year history of mental illness of varying degrees. Frankly I'd have been surprised if he wasn't worried by it. But I'll keep at him til he says yes.
Katastrophe
Love My Bypass !
I too found it really hard admitting to some of the food i eat but it helps to find youre not alone with your addiction. I can sympathise with your comment about losing weight on temporary diets... When you have a lot of weight to lose and you know it's going to be such a hard and long journey it's easy to go off the rails after a few weeks.... It really isn't easy to sustain.
Plus unlike all other addictions ... we have to eat :sigh:
Good luck with the next 3 months and with the CBT
Plus unlike all other addictions ... we have to eat :sigh:
Good luck with the next 3 months and with the CBT
yorkiegal
Baxter's mum
I've made an appointment for this Thursday to see a therapist and have an assessment session. She has experience in both binge eating disorder and personality disorders so hopefully will be able to help me. (I have a diagnosis of borderline personality disorder). She uses CBT along with other techniques. I really hope we gel because then I can make a start on the therapy.
If anything, I won't be able to spend so much money on food whilst I'm paying for the treatment lol.
If anything, I won't be able to spend so much money on food whilst I'm paying for the treatment lol.
12dobidog
New Member
I had my meetings back in october and they checked my hieght, weight, blood pressure and gave me loads of info and advice. I had my pre op last week were they did MRSA swabs,ECG,Checked my weight,had a meeting with the anethasist who asked loads of questions and I have to go back on 25-3-10 for an echo sound on my heart. If the scan is ok I go in on 27-3-10
yorkiegal
Baxter's mum
I found her via www.counselling-directory.org.uk
You can search BACP too or the association of pychotherapists.
I've been disappointed by how little information there is on the web about psychological problems post surgery. It feels like it's the big elephant in the room which nobody wants to talk about, because they don't want to admit that it takes more than just the operation. By 'they' I'm talking about the clinics, doctors etc, even BOSPA don't have anything on their site about it.
I don't believe for a minute that people can get to our weight without having an eating disorder. I'm almost glad that I can't afford to go private for the surgery, because I know I wouldn't be ready.
You can search BACP too or the association of pychotherapists.
I've been disappointed by how little information there is on the web about psychological problems post surgery. It feels like it's the big elephant in the room which nobody wants to talk about, because they don't want to admit that it takes more than just the operation. By 'they' I'm talking about the clinics, doctors etc, even BOSPA don't have anything on their site about it.
I don't believe for a minute that people can get to our weight without having an eating disorder. I'm almost glad that I can't afford to go private for the surgery, because I know I wouldn't be ready.
yorkiegal
Baxter's mum
spent 90 mins today opening up to a complete stranger in her converted garage, about my eating disorder and lots of other stuff about my past. Then she told me she didn't think I would be suited to having therapy with her and suggested I look for group therapy instead. She felt that my binge eating disorder was not a stand alone problem (is it ever?) and that dealing with it might bring other issues to the fore.
So, off to look for alternatives now.
I did amazingly well not to succumb and buy a packet of cigarettes on the way home. Unfortunately I wasn't strong enough not to buy the chocolate fudge cake.
On the upside, I have a date now for my follow up appointment at Mr Millers clinic at York. 11th June, which still hopefully gives me time to find a therapist and at least make a start.
So, off to look for alternatives now.
I did amazingly well not to succumb and buy a packet of cigarettes on the way home. Unfortunately I wasn't strong enough not to buy the chocolate fudge cake.
On the upside, I have a date now for my follow up appointment at Mr Millers clinic at York. 11th June, which still hopefully gives me time to find a therapist and at least make a start.
Similar threads
