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Why Won't The Doctor Give Me A Referral To A Dietician?

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Why Won't The Doctor Give Me A Referral To A Dietician?

Postby Harlow » Sun Sep 24, 2017 11:34 pm

I went to see a gastroenterologist because I get bubbly sensations in my stomach.
After testing, he told me to try eliminating milk from my diet.
I found it hard to do on my own.
I called to ask for a referral, and he wouldn't do it because I guess there's not enough documentation or whatever that means.
He said to use resources from the website or try asking my primary doctor for a referral.
I am paying the nutritionist, which is only $ 45 dollars for a session because insurance don't pay for it.
I have tried calling my primary doctor, but they have gotten the wrong message twice, so I have delayed in calling again.


I tried going on almond, soy, coconut milk, but for some odd reason, zits forms around my mouth from it.
So, I have gotten tired of it.
Now, I find it hard to eliminate milk because it's hard to find other alternative especially when there are days I crave it.
Plus there are people who will question why I deny a piece of dessert or something that has milk in it.
I don't need them to know my business.

Why won't the doctor give me a referral? Is there a specific reason? He recommended that I remove dairy, and it has helped, but I have a hard time truly eliminating it.
Harlow
 
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Why Won't The Doctor Give Me A Referral To A Dietician?

Postby Hail » Wed Sep 27, 2017 2:19 am

A large number of insurance plans require that the primary care doctor be the one who decides if the patient can have a referral to another doctor or specialist. This is of course a money saving matter for the insurance company who pays each primary care doctor a stipend to keep you on the roles as an active patient. Specialists cause the insurance company to have to pay out more money because specialists charge more. In general it is felt that the primary care doctor should be able to handle most patient complaints without referring to a specialist. Since you were not given a referral to the Nutritionist from your primary doctor, the insurance is unlikely to pay if you go see another doctor with a referral from her. You have to go back through the primary physician. It is simply a way for your insurer to make it difficult enough that those who are not really serious will simply give up and stay home. Your primary gets audited for following procedure and he must have sufficient documentation that he did all he could to help you first before referring. It is simply a cost savings measure for the insurer.
Hail
 
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Why Won't The Doctor Give Me A Referral To A Dietician?

Postby dennison » Wed Sep 27, 2017 3:39 am

FYI Cocconut milk can cause zits.


Doctors are like over the phone customer service reps. The primary doc hooks you in, finds out what you need, then transfers you to that department. Once you get into that department, if you got transferred incorrectly (aka, you need a referral else where), they make you hang up and call back. This means going back to the primary doc for the rest of what you need. If you don't feel your gastroenterologist is doing a good enough job, don't settle. Try a different specialist. Just because your doctor recommended it doesn't mean you have to take his recommendation.


Also, I would double check that your insurance won't pay for a nutritionist. I had CRAPPY insurance with my last job and I could still go to a nutritionist if I needed too. Just go to their website or call the 800 number on the back of your card.

PS: I like almond milk best. It has more than double the protein and less fat than cows milk. Get the original for cooking and you might try the flavored ones for everyday drinking.
dennison
 
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Why Won't The Doctor Give Me A Referral To A Dietician?

Postby Camy » Sun Oct 08, 2017 3:56 am

I am not a Dr. but I just got back from my yearly physical and my regular Dr. gave me a prescription to see a nutritionist. Your gastroenterologist Dr. probably diagnosed you as lactose tolerant. And did not see it necessary for you to go to a nutrition Dr. I have good insurance and it doesn't cover nutritionist either. Even with prescription. You might want to look up lactose tolerant on the Internet to learn more about it. But I found a cool site that helps me keep track of the types of food that I eat. My goal is to lose 25 pounds and I am not doing too well. I have lost 5 pounds following the site that I am going to give you guidelines it has helped quite a bit. A nutritionist will do a blood chemistry on you more likely and give you a specific guideline for your diet. I would think that is the best way to go. Wish you a lot of luck below is the website if you want to check it out and it does not cost anything. Like most sites they have a lot of things for you to buy but you are not obligated to buy anything just signed up for it. It even has a blog site that you can communicate with other people. Lots of luck
Camy
 
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