Quote from RN007
Hey, I understand completely (or as best I can as a person who does not have an eating disorder). One of my best friends has extreme, treatment resistant bipolar disorder, and her daughter is also bipolar, also recovering from an eating disorder. Being near scales continues to be a problem for her, and I respect that.
I may have a simple reason: When I went to a surgeon for a consult recently, I commented on how much I hated getting on the scale and the woman told me the insurance companies require it. It proves that you were actually there. I know this doesn't solve your problem, unless maybe you could find out and run some interference with the insurance company?
I wish you the best with your recovery. I know it's a challenging course.
As a former health insurance broker I can tell you that a few insurance co's do like to see this sort of standardized input on charts, that is, if and when they ever *might* audit them.
All that is needed is to jot on the chart "pt. declined" under weight and the situation is taken care of. Unless the office notes this for every patient, there isn't going to be a problem.
Meerkat - I hate this sort of patients as cattle mentality, and ordering patients around. I think some techs say this sort of thing just because they are afraid to deviate from the norm. They are probably afraid of the doc getting mad at them.
I think I might have to call the office manager. I think I'd have to say something like: "I very much like being a client
of Dr. XYZ at this office, and appreciate the care I have received. However, as Dr. XYZ's client
, I chose not to not adhere
to this request of weigh ins because I have an eating disorder and I find weigh ins distressing. Could you please note this on my chart so there isn't confusion regarding weigh ins at future visits."
This would telegraph to the office manager that you do appreciate the office and that you are cordial. By using the lingo of the day, client
, rather than 'patient' and 'comply', you are reminding them of your ownership of your own darn body and right to decline. I think it's a gentle nudge to use the lingo that is associated with the shift in medicine to recognizing patient autonomy.
Oh this whole thing just makes me mad.