Learn about adipose(fat) tissue disease here:…read morehttps://www.youtube.com/playlist?list=PLkz9iB3mMAUlDHYYCSQqdztrA9aaJBGBY
PATIENT REVIEW:
I came here (at the urging of my rheumatologist) for a second opinion on a simple vascular procedure. Instead of agreeing to help me and discussing a treatment plan, he chose to use more than half of the appointment to tell me about his experience losing 50lbs on a personally-modified Keto diet which entails the patient eat 80% fat daily. I did not come here for unsolicited diet advice, in fact, the last year of my life has been spent traveling back and forth to out of state doctors offices regarding my "fat". I am at the point where surgical removal is necessary. After trying just about every diet under the sun, doing my own extensive research and then losing 150lbs, I think I know a little more about my own body than this doctor......who wouldn't even ask me one detailed question about my food allergies, bloodwork or GI health before assuming that eating a diet consisting of 80% fat is all I'd need to fix everything. What about my leg vein? He won't even discuss his willingness to touch that, or any of the services in general this practice has to offer, until I jump through the hoop of being on this "diet" for 6 weeks.
I also used the medically correct term "Lipedema" which he repeatedly switched to "Lymphedema" despite my numerous attempts to get him to stop. The ultrasound I had minutes before had JUST ruled out lymphedema. The 4th time, I think I raised my voice. I have to be pretty heavily provoked to do that. I'm a path of least resistance type person.
I had a preference for getting the procedure done at this practice because they have 5 high-tech ways to kill a vein, where the previous place I went to had only one. He tried very hard to steer me back to the first place because "it was so much closer to my home." "So, that's it then? You're just here for a second opinion, right? What else could you possibly need from me? I was just supposed to check what the first place did."
At my request, he filled out a referral form for me to be measured for compression garments. I've had a number of these written in the past year (figuring I'd go with the Rx written by the place that actually did the procedure) and the garments he chose for me (with no input from me) were so completely off the mark - if I need whole leg compression, why would he have ordered just over-the-knee? The website reads like they do compression fittings there, but just like everyone else, they DO NOT. All they do for that is send you to a medical supply house for the actual fitting. When I asked him if he would write in that I needed upper arm compression, he got visibly agitated and asked me 5 times in rapid succession why I would even want arm compression to begin with...each time I tried to be polite but again, by the 4th time he asked me the same question, all I could manage was "FOR COMFORT, SIR! DON'T I DESERVE COMFORT THROUGHOUT THE DAY?" To which his response was to shake his head, repeat(for a 5th time) "OK, but I just don't get why you would want any of that." he did write it on the form. The upper arm compression was the only part of that order that was even remotely correct.
Total Vein Care - what does the "total" mean here, exactly? It's totally both hilarious and sad to see him carrying this 5lb wad of rubber fat around like it's his pet...but yet he refuses to discuss adipose tissue disease in general. The only humor to be found in this situation is my desire to dress that rubber pet fat glob up like a baby.
In the end, whether or not I did this diet would make no difference, his parting words to me pretty much amounted to a decided unwillingness to do this (again, simple) procedure, on my fat thigh. Honey, even with the best keto my thighs are still going to be too fat for you to put your 99% success rate hands on. 35 years experience? K. Y U so afraid of fat people? Why couldn't you let me wipe the goo off and put my pants back on after that ultrasound b4 busting into my exam room without knocking? Because that was super comfortable, too.
The office staff was very nice, the person who did my ultrasound was very personable, professional and informative. Since we have to give at least one star, they can have that one. If I could give them a separate rating it would be closer to a 4 or 5. Dr. Landis gets a zero.
If you are signigicantly overweight and have been dismissed by this doctor or asked to follow an extremely unhealthy diet plan in order to prove that you deserve a simple procedure, you are not alone.