Support for Cacoethes (Beckie)

[Auror.]

the thing is that yes they were caused by a mental health problem but the physical stuff is what you need checked/help with at the moment

[Cacoethes]

Yes that's true
That's why i was unsure
It would be easier to say mh problem then deal with it when i see them, but they'll want me to be medically cleared before they'll see me probably so I'd have to go through it all anyway

[Auror.]

if you say mh problem they might just send you to psych and not actually check into the medical things properly.

right now the physical stuff is the bigger concern.

[Cacoethes]

Yeah they would definitely do that
And psych wouldn't see me anyway if there might be medical stuff going on

[Auror.]

yea so better to say the medical stuff

[Cacoethes]

Definitely. I'll try and remember what to say. May write notes because my brain isn't doing the brain things

[Auror.]

you could save the link we sent you as well to show the medical humans

but we think something like:

have been struggling to eat for x length of time
having y symptoms (heart, dizzy, etc. are the big concern ones if those are a thing)

[Cacoethes]

That's a good idea

Those are things that are going on. I will mention all of them

[Auror.]

https://www.nice.org.uk/guidance/ng6...ting-disorders

we also found nice guidelines if you would prefer to use a uk based source, but they are a bit clunkier to go through

[Auror.]

"Provide acute medical care (including emergency admission) for people with an eating disorder who have severe electrolyte imbalance, severe malnutrition, severe dehydration or signs of incipient organ failure.

1.10.4"

thats one of the things it says - so you could show that as reason for coming

[Cacoethes]

Thank you, i really appreciate all the help!
I'll have a look through those. They refer to the nice guidelines a LOT

[Auror.]

yea we figured they might take a uk based source more seriously - there's also a link in the nice one to info about refeeding too

[Cacoethes]

I think they've been more into it lately because the last 2 a&e trips they've said 'I'll just have to refer to the nice guidelines'

[Auror.]

lol yea that's actually a good thing though. it means they are admitting they don't know ed stuff so trying to refer to things that do.

[Cacoethes]

Very true!
When i was in for the ED last year, the a&e drs left a sheet that was a list of things to assess in patients with anorexia on the table. So i hope i get a nice nurse and dr who will take me seriously

[Auror.]

there are also many things in these guidelines that reference patients can be very unwell even if bloods are normal - so you may want to point that out too!

[Cacoethes]

I will definitely do that

The ED psych told me once that blood tests can be fine one minute then change dramatically in an hour
That's when he was telling me i could drop dead from electrolyte imbalances any moment, even if i felt fine. Scary stuff

[Auror.]

yes, hence our concern. we hope you go soon.

[Cacoethes]

Thank you
I plan on going first thing tomorrow

[tamobhuuta]

Good luck if you're going to a&e today.