I hope everyone is doing ok. And I’m so sorry to see new people come to the thread. I haven’t posted for a while and I’d like some advice please after my day yesterday. This is about my dd’s 2 long term best friends. They are both 17.
Friend 1 She has been losing weight and the family have a lot going on. I saw her yesterday and we talked. So much more weight loss. Then I had to speak to her parents as I think there is a possibility she could have long QT. She’s been waking up sweating. Then her parents told me she is being monitored by the GP for anxiety as her heart rate has been incredibly high and erratic.
I want to know how urgent this is. For me, if it is long QT, there’s a possibility her heart could need to beat before it’s recovered so there’s a risk of death. I have told them to get urgent bloods and ECG. She’s eating possibly around 1000 calories a day 2 or 3 times a day.
Should she present at A&E? Or should she be getting an urgent referral to CAMHS? Bearing in mind CAMHS were pretty useless here, very slow and we urgently got the ED coach on board, who told me I saved her life, not sure that I’d advise that for her.
She really wants to eat without external help. And that’s a tough gig. She is extremely stressed but aware of her weight loss and wants to reverse it now that she’s on a break from her boyfriend. He doesn’t eat much and I think she’s basically copied this. Neither does his sister. He’s been living at her house until 2 days ago, when her parents kicked him out.
Her eating was already disordered before she met him, like a lot of teens. I’ve told her parents what needs to happen eating wise. But that she can’t go on 3 plus 3 until they know what they’re dealing with because of potential refeeding syndrome. The girl has a plan in her head from what we’ve talked about of what and when to eat. And she really wants to eat, to put the weight back on. The more I write the more I think she just can’t do it alone. Even with her parents helping her. She may just get fed up and take an uber to the boy’s house (he’s back with his mum) or to see his young adult sister, who also hardly eats.
There is a lot more to this. She needs to get away from this family for a lot more than just food related issues. But that alone is enough.
Friend 2
It was a hell of a long day as dd’s other friend also admitted to her mum after a trip to the doctor (because she’s been fainting in the shower) she hates herself, wants to stop eating and from what I can gather is binge / restricting. The friend then called me in tears and asked to come over because she knows I understand. Her mum then called me very worried to fill me in and ask for my advice.
The friend told me she recently lost 4kg in 2 weeks then put it back on again and has been binge / restricting. I know that’s a MEEDS red. She was a lot slimmer a couple of weeks or so ago when I saw her so she’s obviously recently had a binge.
I’m telling her mum to get my dd’s ED coach urgently on board or get her to another clinic privately. I have info on that too. They have the means to pay for whatever she needs and this is the most expedient route. The doctor told her if she didn’t stop this she’d need a referral but that is going to be much slower as there’s a lack of understanding for what’s happening for her.
I am also going to keep in contact with this friend as her parents also have a lot going on. And I’m texting her mum trying to get her to understand the urgency as there’s also a lot of denial going on there and her dad is just telling her this is something all girls go through and she has to go to work today. She works in the family business.
If anyone has any info on this latter girl, I’d greatly appreciate it. For me, it’s ED coach and to watch for MEEDS red, which I’ve yet to feed to her mum. This is all the more complicated as the girl feeds herself. She has refused to eat her mum’s cooking for a considerable amount of time as she wants western food, which her mums doesn’t cook, and I’ve just realised this is also a control mechanism, which her mum isn’t understanding she needs to eat so there’s probably some kind of battle to ‘eat my food’. I’ve advised her mum to take her to the supermarket today to buy her favourite food. The girl thus far has been expected to fend for herself on this front. Her mum has a lot of issues around weight so there’s not much food in the house and pretty much nothing the girl will eat.
These are both the 2 friends, who’ve been great support to my dd. So it’s so sad that they’re now going down this route because of things going on in their lives.