What Is Involved In Office Visits?
Each office visit is a private, completely confidential clinical interaction between the patient and Dr. Michaelson. Unlike some "medically supervised" weight-loss programs, which utilize "counselors" or other non-physician personnel, and in which personal interaction with the "supervising" M.D. is minimal, each office visit, generally averaging 45 minutes, is with the doctor. The same is true of the initial visit, which is roughly twice the length of a typical follow-up visit with an established patient.
On the first visit, Dr. Michaelson takes a complete medical and family history with a special emphasis on past episodes of weight gain and loss, conducts a brief, basic physical examination, and explains the metabolic and behavioral basis of what he has termed hyperinsulinemic chronic relapsing obesity. He explains how and why his Method works, goes over the YES NO MAYBE list and how to use it, and answers any questions the patient may have.
Follow-up visits are the occasion for evaluating the patient's progress and include not only measurements of weight, waist, and hip circumference, blood pressure and heart rate, but also, of course, an assessment of the patient's ability — since the last visit — to adhere to the high-protein foods on the YES list and to avoid the NO foods. More questions are asked and answered, and where compliance has been difficult, the patient and Dr. Michaelson explore what went wrong and how to address the issue. Often Dr. Michaelson can help, based on his years of experience with the behavioral Rules and Strategies he has developed as part of his Method. Sometimes prescription weight-loss medication can be helpful to help reduce appetite, "speed metabolism," or address underlying stressors or predispositions that have tempted the patient into "self-medicating" with sweet or starchy foods.
In brief, the typical office visit might reasonably be described as a combination of (a) a somewhat shorter-than-standard visit with a psychiatrist, psychologist, or substance-abuse/addiction counselor who has suffered through the problem himself and (b) a substantially longer-than-typical visit with your internist. Each visit takes place in a comfortable, living-room-like setting without a single little box-like patient cubicle in sight.