Richa Mittal MD

05/28/2026

IYKYK.

Recently I had a prior authorization nightmare. I worked on a prior authorization that required 5 different faxes back-and-forth from the insurance plan in order to get a medication covered for a patient with obesity who has undergone bypass surgery in the past and is trying to prevent completely regaining all the weight that was lost!

The administrative burden is real and takes time away from staff and doctors trying to care for and serve patients! It ended up working out, but this is an example of the struggles providers face with insurance companies.

05/26/2026

Bodies aren’t meant to be moralized. They are just meant to be lived in.

A tree can grow in any direction and still be admired.​ But a person gains weight​ or loses weight and suddenly everyone thinks they’re allowed to comment on their discipline, health, or value.

And something about that felt deeply sad to me.

05/21/2026

I’m not trying to keep you sick… I’m trying to keep you healthy. The best outcome is you living such a healthy, supported, stable life that you don’t need me anymore (or not as often). I don’t want patients stuck in cycles of fear, weight gain/weight loss, burnout, preventable illness, or feeling ignored until things get worse. I want people feeling well enough to go enjoy their lives outside of a doctor’s office. That’s kind of the whole point. ❤️

05/20/2026

I hate BMI anyway.

But, I’ve never looked at someone’s body and decided that tells me who they are. I’ve never believed needing help with weight makes someone lazy or weak. I’ve never thought a number on a scale determines whether someone deserves love, respect, good healthcare, or to feel confident in their own skin. And I definitely don’t think being thin automatically makes someone a better person, parent, or woman.

People deserve a little more compassion than the world usually gives them.

05/19/2026

Insurance should exist to help patients access care... not to overrule the clinical judgment of the doctor actually treating them.

We spend years training to evaluate symptoms, interpret risk, understand complexity, and make decisions based on the individual patient sitting in front of us. Insurance companies do not examine the patient, follow them longitudinally, or carry responsibility for the outcome in the same way. Yet in practice, treatment decisions are often delayed, narrowed, or denied by administrative policies designed around cost containment instead of patient-centered medicine. It’s frustrating.

05/18/2026

Like if you can relate 🫠🔥🥶

05/13/2026

Validating women’s health experiences with greater scientific accuracy? Count me in. I’m sure you’ve heard the news! Here’s my take…

Let’s not forget that language shapes research priorities, medical education, screening protocols, insurance coverage, and public understanding.

The previous name minimized the complexity of the disorder. The new name acknowledges what patients have been saying for years: this condition affects far more than reproduction. Recognizing PMOS as an endocrine and metabolic disorder moves women’s health closer to the comprehensive, evidence based care we have always deserved. Recognition matters.

05/12/2026

Like if you can relate ❤️

If you’re tired, if you’re overwhelmed, if you feel like you’re barely keeping up… you’re not alone in that.

Some days it feels like we’re expected to be everything to everyone… and still somehow have something left for ourselves. And most of us don’t say it out loud. We just keep going.

Note to self: Even on the days it feels messy, what you’re doing still matters more than you realize. 🤪

05/11/2026

Only sometimes. 😉

.sidhu.md

05/06/2026

05/06/2026

GRWM as I chat about body positivity! Also loving these scrubs from I got at

body positivity​ | body acceptance​ | self love journey​ | size inclusive​ | body diversity​ | plus size representation​ | real bodies​ | normalize all body types​ | weight stigma awareness​ | anti diet culture​ | health at every size