How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr J Burk Your Own Question

Dr J Burk
Dr J Burk, Doctor (MD)
Category: Health
Satisfied Customers: 2639
Experience:  MBBS MRCGP
5101698
Type Your Health Question Here...
Dr J Burk is online now
A new question is answered every 9 seconds

I have Borderline PD/Bipolar 2/Depression with anxiety, OCD

Resolved Question:

<p>I have Borderline PD/Bipolar 2/Depression with anxiety, OCD (around cleanliness/perfectionism standards). I wish to have cosmetic surgery (ears pinned back) as have been self-conscious of them since I was a child and have wanted this operation for years. I finally have the money to pay privately and it's a 40th birthday present to myself this year. Because of my underlying conditions the surgeon who would carry out the operation has asked for a letter from my psychiatrist regarding my psychological condition to be clear that surgery is the best thing for me, or otherwise as the case may be. I've done my research about the op and am confident in the surgeon. I do not have an other body image problems and no-one is pressuring me for this op, it's purely my decision. Could my psychiatrist refuse me to have this op? I've been stable for 4-5 mths now on various medications. Help pls. I have an appt with psych on Oct 5 to discuss with him. If he refused can I appeal this decision. Am looking for a counter-argument if this scenario happens. Thanks</p><p> <u>PS I LIVE IN THE UNITED KINGDOM</u> WHICH MAY HAVE DIFFERENT LAWS REGARDING COSMETIC SURGERY FOR PEOPLE WITH MENTAL HEALTH ISSUES.</p>
Submitted: 4 years ago.
Category: Health
Expert:  Dr J Burk replied 4 years ago.
Chat Conversation Started
Dr J Burk :

Hi

Dr J Burk :

I practice in the UK.

Dr J Burk :

I am surprised that your surgeon has requested such a letter - but impressed at the same time - it is best practice to check out a patients psychological status in these circumstances.

Dr J Burk :

From what you have said I would not expect your psychiatrist to have any concerns about you having the surgery.

Dr J Burk :

Please get back to me if you wish.

Customer :

Ok, many thanks. He's a very reputable surgeon where I live and caring so I understand where he's coming from. He said I'm not a psychiatrist just a simple surgeon. That's put my mind at rest, thanks!

Dr J Burk, Doctor (MD)
Category: Health
Satisfied Customers: 2639
Experience: MBBS MRCGP
Dr J Burk and other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 
Chat Now With A Health Professional
Dr J Burk
Dr J Burk
Senior Partner in large medical practice
1929 Satisfied Customers
MBBS MRCGP