I had planned on documenting my gastric sleeve surgery experience in the order it occurred, but I forgot about the psych evaluation. Once again luck was on my side as I knew what to expect before arriving. I had a chance to talk with a post-op gastric sleeve patient during my 1st appointment with my doctor.

The test itself was about 451 questions. Really though, you could say it was about 150 questions asked 3 different ways. My best guess is it is done in that format to measure how consistent and true you are answering. I guess that they believe that if you are trying to manipulate the test for whatever reason, by asking the same question 3 different ways mixed in with 450 questions, you won't be able to remember how you answered previously and your true feelings will be revealed.

I can't remember the exact answer selections, but I think there were 6 choices - ranging from Always True to Never True. So they might ask, "Have you consistently missed work because of drinking?" and you choose among the 6 answers as to how true the question applies to your situation. 50 or so questions later, it is asked again differently, "I never drink so much alcohol that I have called in sick at work." And they mix in questions about how alcohol has played a part in your family and social life. Your feelings about stealing, is it better to be a child or an adult, how you behave in social situations, how you bad/good feel most people behave, which is the better part of life - being a child or being an adult. I think you get the general idea.

The psych interview was pretty brief - about 15 minutes. The questions mainly center around my eating habits and what I knew about diet and nutrition. That I realized that surgery was only a tool and not the solution. That I needed to exercise before and after surgery. And what I thought my ideal body weight should be. I told him that I didn't want to fixate on a specific number and just wanted to look "normal", whatever that weight turned out to be. I had been following a guy on youtube who started out at my weight 350 and was down to 235 and I thought I'd be very happy to look like him. I haven't been down below 270 since 1997! My doctor later told me that my ideal weight is 200 and seem to take it in stride that I'd have no problem getting to that weight. So we'll see. My plan is to set small goals and not get too hung up on reaching a specific weight.

Expenses so far:

My copay for the doctor has been about $2000 so far ($500 office visits, nutritionist counseling / $1500 surgery cost)

My hospital costs so far, $3000 ($1000 blood, ultra sound, chest xrays and EDG / $2000 surgery cost)

I had a bit of a panic yesterday. The hospital called to confirm my surgery date and collect payment. They told me the surgery cost was $19,000 and in my mind I'm thinking "NINETEEN THOUSAND DOLLARS!" I wasn't expecting to have to pay out of pocket that much! And then they said,"Your copay is $2000." Fortunately, I hadn't completely stroked out after hearing the first part and was able to get my heart out of my mouth after I realized I wasn't responsible for the full 19k. :-) I fumbled my Discover card out and gave them the digits.

Still to be paid (and as far as I know, the last):

Pre-op blood typing/urine testing (must be done within 72 hours of surgery)

- I'm scheduled to be tested on 12/26 / surgery 12/27 / expected to return home 12/28.