The weigh-in today went fine. I didn't need to water-load. I did wear a heavy sweatshirt, and I'd had my usual breakfast plus one glass of orange juice and one glass of Coke. This week I was weighed in the morning, previously I was weighed in the afternoon, when I'd presumably have had more food and drink in me. My stoma bag was also completely empty when I was weighed this morning. So I think it will all even out. I gained 1kg since last week.
My GP was not happy at all about my refusing to see the gastroenterologist, but eventually agreed to send my to either the other nutrition gastroenterologist, who is also very keen about having me admitted in-patient, which I don't like, but who at least recognises and tries to treat the physical things wrong with my digestive system; or another gastroenterologist, who I saw briefly when I was in-patient gaining weight. He was the one who saw no point in me taking up a hospital bed when the only "treatment" I was getting was food, and discharged me and another patient with anorexia, when the first gastroenterologist's back was turned.
(And she was not happy about it!) So you can see why I asked to see him instead.
My GP gave me a lecture about how I see one doctor, get mad at them, then switch to another. Which is a bit unfair, since I didn't ask to switch, I'd have been ok without seeing anyone at all.
I also said I'd see any of the surgeons instead, whether they were the ones who looked after me during my emergency admission, or the surgeon who I've been seeing since 2007. You see, I do have some long-term relationships with doctors - I've been seeing the same urologist for almost as long, and this GP even longer (though we have our differences
). But apparently I need a medical/nutrition/gastro consultant, not a surgeon.
But the doctor I don't want to see tells me that food doesn't make me ill, and still doesn't believe I can eat as much as I do and be so thin, and since these are the two cruxes of my weight problem, I don't see how she can help as long as she thinks like this. I spent all those weeks in-patient, having one-to-one supervision, twenty-four hours a day, to prove how much I eat and how it affects my weight, and the surgeon has told her that eating so much led to my blockage, so there is nothing more I can do to help her recognise what is wrong with me.
I know how it looks to keep changing doctors, but I can't see any other way. My GP came out again with stuff about sectioning me if I refuse to see anyone, pointed out she's responsible if anything happens to me due to my being underweight, but found it hard to answer when I asked her if she was responsible for arranging the admission which led to my blockage and perforation (she referred me to the nutrition gastroenterologist and had threatened me with sectioning back then so pretty much forced me to go). I hate how this makes me look and behave, that I'm saying stuff to hurt her, but it's the truth, and I'd rather do that than let the gastro. be involved with my care again.
So we compromised - I keep gaining, I see one of the other consultants, and she is aware of the risks of another blockage, though it's beyond her expertise to know what to do about it, and she feels it's safer for me to keep gaining weight and increase the risk of a blockage than the other way round, and I think that's fair enough.
Why are relationships with doctors so complicated?! Do other people have this trouble? Maybe I should start a thread on that.
We worked out I'm having about 2500 calories a day at present. I do a slow walk with my dog each day, from ten minutes some days, to maybe 40 minutes other days. The rest of the time I'm pretty sedentary. So gaining 0.1kg a week is less than it should be for someone of my weight eating that much isn't it? That's what I have been doing. 1kg this week, but part of that was a heavy jumper.
