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Hello all,

Just had to write and tell you that I think I have had it with doctors!

I know this is the pancreas board but I went to a doctor for my thyroid

and he decided to become my nutritionist and pancreatic specialist all

in one.

He decided that my thyroid was good on the medication I am on. Despite

TSH being 0.02 Low and 0.40-5.50 being normal. He would then NOT talk

to me about my thyroid anymore. He decided to tell me just how grossly

obese I was and that he could help me lose 10% of my body weight before

gastric bypass surgery. WHO SAID ANYTHING ABOUT gastric bypass

surgery??!!! He decided that because of my 7 pancreatic attacks that my

life span has been severely compromised!!!! And my chance of pancreatic

cancer is quite high! He decided that I should be on a diet forever of

only 8 egg whites a day, 10 servings of fresh fruit and 6 servings of

steamed veggies a day. No dairy, no pasta, no meat and no fat!!! 800

calories a day and absolutely NO FAT PERIOD!!! He guaranteed me to lose

13 pounds in the first week. He also decided to send me to another

specialist for my pancreas and has picked out the doctor to do the

pancreatic surgery I will need!!! I asked for none of this.

Did I mention I ONLY went to him for a thyroid problem???

He decided that my aching joints, EXTREME exhaustion, fatigue and other

symptoms were from my gross obesity. He told me that I should never

weigh more than 170 pounds for my height (5'10) despite a large bone

frame and wearing a size 14. That my extra 50 pounds was surely going

to be the death of me...literally! So obviously that makes me 220

pounds. I have gained these last 20 pounds when my thyroid went bad,

but according to him, this has nothing to do with the other. Perhaps

4-5 pounds weight gain when your thyroid goes bad but not 20! I over

eat is what he said despite walking 5 miles a day and watching the fat

grams. I do not watch the caloric intake and thats my problem he said.

He told me how he was the head of the Bethesda Naval academy for

nutrition and that he has put Presidents on his diet and they have all

done extremely well on it.

I am just beside myself in tears here. I went for a consult on my

thyroid and suddenly I am thrown into a new diet and am seeing a new

pancreatic specialist and surgeon. He wouldn't even let me talk. Just

kept telling me how he walks 12,000 steps a day and wears these shoes

that weigh 3 1/2 pounds each all day to help him keep physically fit.

Even showed me his pedometer. He just kept staring at my stomach as if

it were going to explode and something would jump out at him at any

moment!!! He then took a " before " picture of me and measured my waist

so he can track my weight loss on his very own diet he put together.

I know alot of you are on low fat diets, but for those of you without a

feeding tube that are still eating solid regular food, how many of you

are actually on a no meat, no dairy, no pasta, no fat at all diet? I

need to try to get a handle on this guy and would appreciate advice. He

wants to see me back in 2 weeks at least 20 pounds lighter! That

doesn't sound like safe weight loss to me. And yes, he would prescribe

for me, Adapix (Half of the phen-phen drug) meridia, provigil, and other

amphetamine based drugs to take along with this diet of his.

What are your thoughts?

Sandy in Ca

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Sandy,

I think the doctor is an idiot! At 5'10 " and 220 lbs, I don't think there is

any health insurance that would cover gastric bypass surgery for you. The

normal requirements are that you are at least 100 lbs overweight with a BMI of

40 or greater. If your BMI is 35 or greater and you have several obesity

related co-morbidities, you can sometimes get the insurance to cover the

surgery. I am 5'9 " tall and I weighed 260 lbs and had a BMI of 38.5 when I had

the gastric bypass. I would do it all over again in a minute. However, you are

nowhere near overweight enough to consider something so drastic.

At 5'10 " tall and 220 lbs, your BMI is about 31 or 32. That does put you in the

obese category, but just barely.

The Body Mass Index (BMI) scale is as follows:

18.5 to 24.9 normal

25.0 to 29.9 overweight

30.0 to 34.9 obese

35.0 to 39.9 severely obese

40.0 to 50.0 morbidly obese

50.1 or greater - super obese

Personally, I think I'd run from this doctor!

W

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Dear Sandy,

I have only been dealing with acute pancreatitis attacks for less

than a year, but I have been on thyroid meds over 35 years after

having part of my thyroid removed for Grave's Disease (a form of

hyperthyroidism). TSH (thyroid Stimulating Hormone) is the

pituitary hormone that tells your thyroid to make & release the

thyroid hormones. When it is low, that means you circulating

thyroid hormone levels are high. In otherwords, you are taking too

high of a dose of thyroid replacement. Thyroid hormones plus

amphetamines were used in the late 60s & early 70s to promote weight

loss. They did, but in a very unhealthy manner. Too high levels of

thyroid hormones have a couple of serious side effects: significant

osteoporosis and heart rhythm abnormalities. I would be VERY

cautious with this doc. Get a second opinion!

Caroline Burton

Chairman of Science Department

NorthWest Arkansas Communty College

Bentonville, Arkansas

> He decided that my thyroid was good on the medication I am on.

Despite

> TSH being 0.02 Low and 0.40-5.50 being normal. He would then NOT

talk

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> Thyroid hormones plus amphetamines were used in the late 60s &

early 70s to promote weight loss. They did, but in a very unhealthy

manner. Too high levels of thyroid hormones have a couple of

serious side effects: significant osteoporosis and heart rhythm

abnormalities. >

I would be tempted to send a copy of this to the doctor and stating

that if you did in fact, go ahead with his advice, that you would be

concerned that you would be putting your health and his " reputation "

at risk

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