Friday, August 21, 2009

Nutrition woes...

So, I've decided it's time to go and see an nutritionist. I have Sean's food rules and while they served me well initially, I think it may be time for something a little different. In all honesty, I think that when the rules became stricter (and anti-carb) it became harder and harder for me to follow them and so I rebelled. I'm back to the basic rules right now, but I figured it can't hurt to get an expert opinion.

However, based on the difficulties I had making an appointment, you would think I just said that I've decided to take on an experimental drug treatment or radical surgery. I called the nutrition clinic (bc all of the RD's at MCV recommended this one woman) and I was told that there were available appointments either Monday or the end of October. Being that I'm flirting with the number I promised myself I'd never reach again, I chose the former. Then I was told that I would need a referral from my doctor. I thought this is odd as I have a PPO and don't need referrals for my insurance. Well, I called the doctor's office and of course my PCP is on vacation. Her nurse called me and confirmed my insurance doesn't need referrals and so she was unclear on how she can assist me. When I called the nutrition clinic for clarification, they told me that they needed an MD referral so that they could have my height and weight and a diagnosis. I told her I would gladly provide that information, that being morbidly obese I clearly qualify to see a nutritionist, and that I plan on seeing one even if my insurance won't cover it. She then told me it would be against the law (?!?) for them to see me without being under the care of a doctor... who knew you needed an MD's order to learn more about healthy eating???

When I called my PCP's office back and explained the ricidulous-ness of it all, the nurse said she would try to get another doc to sign it (although just about everyone is on vacay in that office right now... Note to self: don't get sick!). I told her I would see if one of my friends from work would be willing to refer me. Lucky for me, one of the docs in the office overheard this conversation and said she would gladly do the paperwork...

So I guess all's well that ends well, but seriously...

Happy Friday!

LP

4 comments:

Cristina said...

That's just craziness! Why do they make things so difficult?!?! Keep us posted.

Laura P said...

I know, right? I even told them that I was an MD and asked if I could refer myself (again, just talking about healthy food choices here)... they said no.

The Carter Family said...

that is total craziness!! I will definately remind you about this on Monday - after all this trouble you definately need to be on time (or early!). Interesting that the whole faculty practice would go on vacation at the same time!!

Stef said...

Oh, don't even get me started.

My insurance doesn't cover preventative / wellness care like nutrition, so while my nutritionist gave a 20% discount to people who were referred through a BCBS doctor, I get no coverage or reimbursement. But I don't think she *required* a referral, that seems so odd.

But good for you - as you know, I have become a total believer in nutritionists! Good luck!