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I had an occasion to personally ask a weight loss physician...

Posted By: SM on 2006-02-06
In Reply to: Relacore - anon

about all these cortisol products on the market.  She said FORGET IT.  It's a waste of money.  If you read the bottle, they all say that you must follow a sensible diet and exercise regime.  In my belief, you'll lose weight without the pills if you watch what you eat and exercise.  I've lost 8 pounds since January 1.  No pills, no special diet food, no membership fees, nothing.  I try to eat food that comes in the form that mother nature provided.  No white bread, pasta, or rice.  All brown forms of those foods.  Lots of salads, vegetables, fruits, lean meats.  No cakes, cookies, pies, or other such junk.  I have some occasional fat-free candy like Mike N Ike just to keep my sweet tooth happy.  It's working.  Slowly, but it's working. 


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It depends. The side effects can go either way - weight gain, weight *loss*... sm
Or no weight change at all, but maybe some other unpleasant side effect. Or you might have only mild side effects, or none at all and it's like a miracle cure for you. ;o) Everyone is so different, you never know until you try a med. for yourself.
weight loss
I use TrimSpa (baby) it's working o.k. I am making a conscious effort to not fry, not add salt, eliminated cornbread (I'm a Southerner), etc., etc. I work a lot of night hours and this helps me with my snacking between 9 p and mid. I do drink green tea. I think it boosts my metabolism....
weight loss
just a general word of encouragement to everyone trying to lose weight that YOU C-A-N DO IT!!!!!   I am very small-boned, 5' 6', and weighed nearly DOUBLE my normal body weight.  Looked like nothing but a big bowl of pudding.  One day I decided to move.  Maybe it was the Nike slogan, but I just did it.  Could barely walk around ONE BLOCK.  But I walked the block.  One day, I could walk two blocks.  One day I walked a mile.  Took me two years to lose the weight, ladies, but I got skinny and toned by EXERCISE (95% walking, a bit at the gym, not much), and sensible eating.  Every single reader here knows what sensible eating is:  Eat healthy, not overprocessed food, and don't eat too much of it  PERIOD.  Deep down, we all know that.  Admit it and change your eating habits -- and walk and/or exercise, and you can do it.  By the way, I am not holier than thou, I did used to take ephedra at half the recommended dosage, every day in the early days, just to take the edge off at dinner time, when I would rip off the cabinet doors cuz i got so hungry for the deadly four: pasta, potatoes, rice and bread.  Couldn't get enough of it.  decreasing (NOT ELIMINATING) these and making myself full with veggies and water did the trick.  I eventually eliminated the ephedra.  GOOD LUCK  TO ALL OF YOU.  Nike:  Just Do It. 
weight loss sm
I tried the following - a little more walking, no more white bread,(12 grain), flavored non-dairy creamer instead of cream, not water-friendly, so drank a lot of non-caffeine tea (raspberry) and Sweet & Low (don't think this is a good idea). Tried Benefiber chewable to add bulk and fiber; lean beef, 90% lean a few times a week only, sweet potatoes instead of white, only 1 at a time and generally cutting out the obvious (no alcohol, fried foods, rich pastry). Took off 15 lbs. and was able to get into an old Size 10 for my reunion, from a 14, and saved a bunch on new clothes and felt great! Hope I can keep it up. When my son was getting married years ago, I hated the "mother of the groom" puffy chiffons, so I stationery biked from Feb. to May and went from a 14 to a 10 (700 miles total) and wore a lovely silk suit. Unfortunately, I ate my way back because I felt the "empty nest" syndrome. Once you lose, don't snooze, keep it up! You'll like yourself better. This profession can ruin your body, take control by getting up and moving around as much as you can. I did not do that and suffer the consequences with my back, my right thumb is totally painful so that I can't open jars, unlock the babies' safety belts, etc., it comes upon you when the damage is done. Don't let it happen to you, exercise when you can, you're worth it!
Has anyone used LA Weight Loss?
If so, what were your results. Any info would be greatly appreciated. TIA
LA WEIGHT LOSS
I tried it and lost 40 pounds in 3 months or so but it came back as quick as it went. They are VERY expensive. Currently not working on anything but GOOD LUCK TO YOU!!
weight loss
I needed to reduce my cholesterol, so I really cut down on fat in my diet.  By doing this, I not only lowered my cholesterol, but I lost about 13 lbs. in 5 months!  This is so much safer than those fad diets.
weight loss over 50
Thanks so much for responding and for your words of encouragement! At age 56, it's very encouraging to hear this. Small goals and one-day-at-a-time are very good advice Thanks again! (and congratulations on your weight loss too!)
weight loss over 50 years of age.
Your post is so inspiring--Would you mind telling your age (just roughly?) I so badly want to lose on my own--without going to expensive weight loss clubs. A so-called friend insists that once past age 50, metabolism is so slow, it is next to impossible--very discouraging to hear. Thanks for your uplifting post!
getting up and moving about or weight loss.NM

Such a tremendous weight loss!
Apple Scruff--Could you elaborate how you initially got started--did you follow a specific diet? With a sedentary MT job, did you force yourself to exercise much? A "scare" really is a tremendous motivator (it took a "scare" to get me to stop smoking, but I am not having success taking off approximately the same amount of weight that you succeeded at losing) Thanks for your tips.
weight loss and bypass

Hi!  Several things here - 1)You are on COBRA now, is the insurance your husband has group or individual?  If it group and you are on COBRA, then you are considered covered with no lapse in coverage and they HAVE to take you!  I don't think they have to cover you if it is not a group policy. 


2) Gastric bypass - my brother had one at 605 pounds.  I need one, but my insurance wouldn't cover and I can't afford it, so I won't do that.  But if you live in Arkansas, I have the name of a fantastic doctor  - the one that did my brother's! 


 


Has anyone tried the green tea thing for weight loss? nm
nm
excess skin after weight loss
Did you then have surgery to remove the sagging skin? I need to lose 140 lbs, which I have packed on over the past 20 years. I never weighed over 112 lbs. or wore larger than a size 3 (!!) until I turned 30. My lifestyle changed (not for the better) at that point, and I basically lose interest in how I looked. Now, at age 51, my health is seriously in trouble due to my obesity. What am I going to do with all the excess skin? I already have a big fat pouch under my waist, and above my waist I look like I'm 7 months pregnant! Are there any health insurance plans that will pay for surgery to remove the leftover skin? I see people on Dr. 90210 having the surgery, but I bet they have to pay out of pocket and I bet it's tens of thousands of dollars.
sagging skin after weight loss
Thanks for much the info about plastic surgery. I guess the only way to look at it is this: My health and life are in danger if I don't take this weight off. Whether or not I'm left with skin hanging down to my ankles (I hope I'm exaggerating!), at least I'll be alive and have more energy and flexibility. Guess I should cross one bridge at a time. :) I've decided to start Michael Thurmond's Lifestyle Change course. Ordered the whole kit from HSN (or maybe QVC), and truly think I can do it. Have never tried any diets in the past. Was in denial about my weight for the longest time...kept thinking it was a "phase." Ha-ha! You know how formerly anorectic people still think of themselves as fat? Well, I'm an stress-overeater in denial, and I still think of myself as thin...until I see myself in the mirror. Yikes!
Has anyone tried any of the cortisol weight loss products and if so which ones and do they work? nm
nm
Gatorade ... push it. He is dehydrated maybe with that weight loss.
dd
I had a local weight loss clinic not pay and finally had to get an attorney. sm
Had to pay the attorney so lost some.  By that time, I was so angry, it had become a matter of principle and was determined to make them pay.
Yes, I lost 42 pounds on LA Weight Loss, but gained back 50 a little more than a year later . .

I was on the program for approximately four months and lost 40 pounds.  The weight did come off really fast.  At the time I was a member, there was a rebate if you kept the weight off for one year.  It sounded good, but you had to buy the supplements for the entire year, which by the end of the year added up to a few thousand dollars. 


In any case, after I finally lost the weight, I got pregnant with my fourth child.  I am now trying to lose the 50 pounds that I gained while pregnant, but my metabolism seems so much slower now.  The weight isn't coming off nearly as fast as before. :(


Lost the extra weight and have maintained a good weight and size just by walking him twice a day. n
x
My dwindling paycheck, loss of benefits, and loss of respect is all the proof I need. nm
,
That's good! Have used it myself on occasion sm
Another time I said I was on top secret governmental business. Haven't been asked anymore. 
What is the occasion, how many people...
and does it have to be a crockpot? When I think of Italian cooking I don't typically think "crockpot". I have a ton of recipe sites plus my own so just trying to help.
My mother-in-law got me a box of all occasion cards for Christmas.
I take it that was a hint, although why I should have to remember everyone else when none of them remembers me is beyond my comprehension. Her son can remember to buy gifts for his whole family. My family doesn't do stuff like that. We maybe send a card or call each other, but no gifts and parties are expected for adult relatives.
I've been called DIRECT on more than one occasion

and they DIDN'T mean it as a compliment.  Hah!


 


Harry and David does NICE gift baskets for any occasion
I adore getting gift baskets myself!
Depends on how busy it is, but our small town Wal-mart has asked me on occasion, even when the
buzzer has not went off. 
Per my physician....
"All the antibiotics in the world will not clear up your sinus problems because you need to dry your sinus passages out." Get those little red Sudafed tablets and take the maximum dosage for several days. Also, try avoiding dairy products to see if that's a trigger. I can't even eat Ranch, mayonnaise or gooey cheese anymore because it triggers postnasal drip with that irritated ticklish throat and cough.
This is a physician saying this
The patient was tooken to the operating room. OMG, please keep me from screaming!! Where did you go to school, or did you finish?
Get another physician
NM
Not OUR job, it is the physician's and/or
x
EMR physician
I need quick advise. I worked for 4 physicians, one used EMR (partially) the others still use tapes. The EMR physician does not like to read his dictation and the three mouse clicks to sign his documents is too much. The physician has a high school graduate opening up the notes, reading them, editing them at her discretion and then SIGNING them. I informed them that to the best of my knowledge this was 100% illegal but they are still doing it. I have been doing this for some time, but did not think the rules had changed.
see what I mean? LOL ... physical not physician...
x
Your own physician tells you that you know too much. nm
//
I saw an xray the physician had
that showed a Gator-Aid bottle up this guy's rectum. The wife wanted to know if he had accidentally sat down on it. He had to have it surgically removed. And then again, there is the one I typed on where the person was an alcoholic, had drank dog shampoo and when arriving at the ER was blowing all kinds of bubbles.
Physician Websites

Here are a couple good ones:


www.healthgrades.com


www.doctorpricing.com


The physician put his comment in
quotes and it should have been transcribed. I would get more offended about incorrect dosing of meds you hear in reports if I had the option to pick my battles, but the fact is, you are a Transcriptionist who is being paid to transcribe what the physician says. You really have to leave your personal stuff out of it. And, if you are the patient, and you are crass enough to be so rude and foul then you deserve to see it in black and white.
This sounds like an ad placed by a physician's
I cold called thinking they may consider an at-home MT, which yes they would be fine with, but they thought event $1.00 per page was pricey since the in-house MT could easily type 20 reports an hour, so they were doing the math.  They figured by my charging per line that I would make way too much. Of course, I told that person very politely that I would work for no less than $3.00 per page if that's how they were looking at it and that I charge for production.  So maybe this office expected the same thing your hospital does.  However, if you type 3 MRI reports, then you're done for with the expectation of 20-25 reports per hour.  All I can say is the hospital advertising this way must have a lot of normals and only perform plain x-rays and not any kind of special procedures or MRI/CT.
A physician shared this one

with me...


The patient was in a cute dress... (medical Transcriptionist error....)


Physician Letter

Opinions on this please:   Most of my physicians dictate where they would like new paragraphs to start in their letters to other docs.  However, I'm just starting with a new person and she didn't specify.  She told where she would like periods, quotations, etc. but she never even once dictated that there should be a new paragraph. 


 


I'm tempted to just put the breaks where they seem correct, but I'm not sure if that's the right thing to do.


Any suggestions?


Physician Finder - a useful one

you can search using different criterias, might be helpful for u ppl


use the link below


http://doctor.webmd.com/


Try the AMA Physician Finder
You can do a "sounds like" search by state, and by specialty. Somewhat tedious, but you can generally find them when all else fails.

Here's the link:

http://webapps.ama-assn.org/doctorfinder/html/patient.html
Exactly why I quit using my last physician.
I would wait close to an hour in the waiting room only to feel ignored once I got into the exam room. My doctor spent more time on the computer than he did with my exam. I finally got tired of this and changed doctors.

How do you know the physician hasn't
reported it. No, I do not believe it is our place to do so.
are you sure the physician HASNT sm
reported it? I don't think (I am quite sure) that our scope of duties does NOT involve any of that. Would be real tempting to report though wouldn't it?
Actually, throw out the BOS and use the physician's preference.
I learned that disc is eyes, disk is computer disk, and disc/disk for back is up to the account preferences.  The doctors do not care what some stupid AAMT BOS book says because it's THEIR notes and they aren't regulated by the AAMT.
Work hourly for physician. Need help..
I wonder if someone could tell me how they created an invoice when being paid hourly doing transcription. I tried using MP Count but it only calculates using line counts. Thanks for any help.
I worked at a 25 physician multispecialty

clinic as an audit clerk to the transcriptionists (counted lines by hand back when we used typewriters).  I picked up some terminology by reading clinic notes as I was counting.  I took a terminology and anatomy class and my boss let me take tapes home to practice on.  When there was an opening, I tested and got in!  I also worked for an ENT doc (who was desperate for a transcriptionist) part-time in the evenings while I was learning to transcribe. 


Then the dictating physician needs to spell it out instead
of expecting us to be psychic. I used to waste so much time at my old job trying to find the proper addresses for these yahoo CC physicians. In the meantime, the dictating physician mispronounced, didn't spell, and didn't even give a clue where the other doctor worked. I had to check the company physician list, the hospital physician directory, Anywho.com, then Google. And that was even if I could spell it properly! One physician in particular couldn't pronounce properly. He would put extra Ns and Rs throughout the name. How was I supposed to find it? And I got chewed out by QA for not being psychic enough to figure it out.
I worked in a physician's office as well.
Normally they get paid only a percentage of that.  If your mother has insurance she can pretty much disregard that initial bill.  The hospital my parents used also chopped off a large amount due to their fixed income.  The worst part about this system is that people with no insurance and who do not qualify for the indigent write-off have to cough up the whole thing. 
Are you seeing a sleep physician or just thinking
If you're having a rough time with sleep, make sure you see a sleep medicine doctor (if you already have, please excuse the following). Family docs are great but a sleep doc will know much, much more about it. There are a lot of things you can do to improve your sleep routine and they can do a sleep study or have you fill out a questionnaire that will tell them more about your sleep habits. Provigil should only be tried as last resort with a diagnoses of narcolepsy or when all else has failed. Plus, there are a lot of different wakefulness-promoting meds, such as Ritalin mentioned above, and Provigil may not even be the right one for you.

If you already are seeing a sleep doc, you can ask to try something else if you are leery of Provigil. Sorry for being presumptious, but I just want to be sure you are not jumping to medicine first because it's wise to try other methods before resoring to an Rx.