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1/13/09 Psych and Surgeon Consult

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Band_Groupie

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It’s been a busy two days. Yesterday morning I had my Psych pre-op visit. Now, I’ve been a little nervous about this one…probably because I’ve never been before…or maybe it’s because of that somewhat dysfunctional family (or was that fun family?) I grew up in. Anyway, I Map Quested the directions downtown and I set the GPS up in the car. Even with all this technology I realize I need to start asking for landmarks. I turned on the final road, which happened to be a one way square with four lanes of traffic (about a block long on each side). The GPS is yelling at me that my destination is on the right, I’m looking for the address to no avail. About the third time circling around the square I’m feeling like a lab rat in a maze…is this part of the Psych test? I’m not going to find it…so I call (fun to do while you’re in the giant circle of traffic). Landmark “church”…NOT on the right…stupid GPS…and NO address on the front of the building…it’s on the side facing the parking lot…OK, by the time I know which parking lot to pull into, of COURSE I know I’m at the right address…stupid signs. Glad I cushioned my time to get there…my Psychiatrist looks like he stepped right out of a Psych book…Brown hair with a beard, dressed all in brown with a brown tweed coat...all he needed was a pipe. Yes, he had a couch, but I chose the chair. We signed a few forms, he showed me the form he’ll send to the surgeon, I waited while he filled some more forms out (are you asleep yet…maybe that’s what that couch is for?). He asked me a list of questions for about 20 more minutes, I answered honestly (luckily he didn’t ask too many hard ones) and we were done…it probably would have been quicker, but I tend to babble when I’m nervous. Piece of cake…whew! It was ALMOST disappointing that he didn’t bite on anything, not even my labels in the pantry, apparently NOT OCD. I think it’s good you now know someone to call if you’re having issues after the band, especially for someone like me who wouldn’t know where to find help.

 

Today was the surgeon consult. Mr.SA took the day off to go with me, and since they rescheduled it, unfortunately it was a noon appointment. We arrived early and by the time I was done completing paperwork and waiting it was 45 min. later. Mr. SA noticed that most of the waiting room had loveseat size chairs, and many there needed them…I count myself lucky I’m getting help while I can still barely squeeze into a regular chair. More deadpan nurses (Does no one enjoy their job these days? Better than 'bedpan'! Ha!) and I’m on the scale…wow…it’s a huge scale…whoops, I’ve lost a few pounds, I’m only 5# from the minimum BMI, with shoes on. I didn’t lock my knees completely and I made the 5’8” easily (I’m shrinking in my old age). More waiting in the exam room…I took this opportunity to babble endlessly to Mr.SA, as I do when I’m nervous. He asked me how they fill a band that’s already in you…Was he not at two of the three seminars I attended? Maybe he was just trying to keep my busy…so I humored him and explained the port…then I explained how it feels to be heavy…imagine someone strapped 10, 10# bowling balls to you and asked you to carry on. About that time the surgeon (Dr. Colella, which was good, so now I’ve met both of them), the woman (Susan I think) who runs the pre-op class (I’ll need to attend a few weeks prior to surgery) and the head resident came in. After a few greetings he asked what questions I had about the surgery…the woman commented on my typed and highlighted sheet of questions (a little OCD…I’m telling you) and that she liked it. I rapidly went through my questions and he confirmed I could chose the LB, and we confirmed my port site being slightly to the left, between my ribs and belly button line (the default, if you don’t care, is the right)…he acted a little surprised that I cared (I’m right handed, I sleep only on my right as my left shoulder is bad, I care), but he had no problem placing it anywhere as long as it’s not too far from the band. He listened to my extreme nausea with anesthesia issues and will give me preventatives as I had with my last surgery (actually, the resident will handle this with the anesthesiologist). He’s asked me to do a cardiology MRI and then I’ll see the cardiologist for clearance, so two new things to schedule (I’m not sure if this is routine, or if it was because of all the heart issues in my family history). I just realized I forgot to tell him about my allergy to surgical tape (the adhesive actually) so I’ll have to call about that. It was a good, positive meeting and he gives you complete confidence that everything will go smoothly.

 

If you’ve made it this far without falling asleep, I applaude you my friend, as I wanted to remember the major points. So now, for the great part!!! The insurance lady, Patty came in next to go over my questions. I asked if I could lose more than the 35 BMI min. and her answer was "If you weighed less than the 35 BMI then you wouldn't need the surgery now would you?" Got it...nuff said. Apparently Highmark PPO Blue is the ‘cadillac’ (her words) of the insurance companies in our area. She confirmed that my insurance will cover their percentage of everything, and my doc even includes 6 fills (I think ins. will cover them as well). When I discussed all the extra work I’d done with my PCP; my own form, education every month, and then asked if I could supply a personal letter to the insurance co. she told me if I had another ins. co., that might be needed, but all I needed to do was have the PCP fill out the very basics on their form and it would be fine for Highmark. She said they usually get back to her with approval within 72 hours. Then she confirmed my wildest dream that I truly only have to do 6 visits with my PCP, not 6 months/7 visits. That means if I can get all the cardio visits done I could have everything into the surgeon by early April. She said I might even be in for surgery by the end of April! Hooray!!! With two kids graduating (college and H.S.) this spring, an earlier date is so much better! Hey, I might even make my original goal of having this done by my 49 7/8 birthday (yes, and holding) on the 27th! Whoot!!!

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It’s been a busy two days. Yesterday morning I had my Psych pre-op visit. Now, I’ve been a little nervous about this one…probably because I’ve never been before…or maybe it’s because of that somewhat dysfunctional family (or was that fun family?) I grew up in. Anyway, I Map Quested the directions downtown and I set the GPS up in the car. Even with all this technology I realize I need to start asking for landmarks. I turned on the final road, which happened to be a one way square with four lanes of traffic (about a block long on each side). The GPS is yelling at me that my destination is on the right, I’m looking for the address to no avail. About the third time circling around the square I’m feeling like a lab rat in a maze…is this part of the Psych test? I’m not going to find it…so I call (fun to do while you’re in the giant circle of traffic). Landmark “church”…NOT on the right…stupid GPS…and NO address on the front of the building…it’s on the side facing the parking lot…OK, by the time I know which parking lot to pull into, of COURSE I know I’m at the right address…stupid signs. Glad I cushioned my time to get there…my Psychiatrist looks like he stepped right out of a Psych book…Brown hair with a beard, dressed all in brown with a brown tweed coat...all he needed was a pipe. Yes, he had a couch, but I chose the chair. We signed a few forms, he showed me the form he’ll send to the surgeon, I waited while he filled some more forms out (are you asleep yet…maybe that’s what that couch is for?). He asked me a list of questions for about 20 more minutes, I answered honestly (luckily he didn’t ask too many hard ones) and we were done…it probably would have been quicker, but I tend to babble when I’m nervous. Piece of cake…whew! It was ALMOST disappointing that he didn’t bite on anything, not even my labels in the pantry, apparently NOT OCD. I think it’s good you now know someone to call if you’re having issues after the band, especially for someone like me who wouldn’t know where to find help.

Today was the surgeon consult. Mr.SA took the day off to go with me, and since they rescheduled it, unfortunately it was a noon appointment. We arrived early and by the time I was done completing paperwork and waiting it was 45 min. later. Mr. SA noticed that most of the waiting room had loveseat size chairs, and many there needed them…I count myself lucky I’m getting help while I can still barely squeeze into a regular chair. More deadpan nurses (Does no one enjoy their job these days? Better than 'bedpan'! Ha!) and I’m on the scale…wow…it’s a huge scale…whoops, I’ve lost a few pounds, I’m only 5# from the minimum BMI, with shoes on. I didn’t lock my knees completely and I made the 5’8” easily (I’m shrinking in my old age). More waiting in the exam room…I took this opportunity to babble endlessly to Mr.SA, as I do when I’m nervous. He asked me how they fill a band that’s already in you…Was he not at two of the three seminars I attended? Maybe he was just trying to keep my busy…so I humored him and explained the port…then I explained how it feels to be heavy…imagine someone strapped 10, 10# bowling balls to you and asked you to carry on. About that time the surgeon (Dr. Colella, which was good, so now I’ve met both of them), the woman (Susan I think) who runs the pre-op class (I’ll need to attend a few weeks prior to surgery) and the head resident came in. After a few greetings he asked what questions I had about the surgery…the woman commented on my typed and highlighted sheet of questions (a little OCD…I’m telling you) and that she liked it. I rapidly went through my questions and he confirmed I could chose the LB, and we confirmed my port site being slightly to the left, between my ribs and belly button line (the default, if you don’t care, is the right)…he acted a little surprised that I cared (I’m right handed, I sleep only on my right as my left shoulder is bad, I care), but he had no problem placing it anywhere as long as it’s not too far from the band. He listened to my extreme nausea with anesthesia issues and will give me preventatives as I had with my last surgery (actually, the resident will handle this with the anesthesiologist). He’s asked me to do a cardiology MRI and then I’ll see the cardiologist for clearance, so two new things to schedule (I’m not sure if this is routine, or if it was because of all the heart issues in my family history). I just realized I forgot to tell him about my allergy to surgical tape (the adhesive actually) so I’ll have to call about that. It was a good, positive meeting and he gives you complete confidence that everything will go smoothly.

If you’ve made it this far without falling asleep, I applaude you my friend, as I wanted to remember the major points. So now, for the great part!!! The insurance lady, Patty came in next to go over my questions. I asked if I could lose more than the 35 BMI min. and her answer was "If you weighed less than the 35 BMI then you wouldn't need the surgery now would you?" Got it...nuff said. Apparently Highmark PPO Blue is the ‘cadillac’ (her words) of the insurance companies in our area. She confirmed that my insurance will cover their percentage of everything, and my doc even includes 6 fills (I think ins. will cover them as well). When I discussed all the extra work I’d done with my PCP; my own form, education every month, and then asked if I could supply a personal letter to the insurance co. she told me if I had another ins. co., that might be needed, but all I needed to do was have the PCP fill out the very basics on their form and it would be fine for Highmark. She said they usually get back to her with approval within 72 hours. Then she confirmed my wildest dream that I truly only have to do 6 visits with my PCP, not 6 months/7 visits. That means if I can get all the cardio visits done I could have everything into the surgeon by early April. She said I might even be in for surgery by the end of April! Hooray!!! With two kids graduating (college and H.S.) this spring, an earlier date is so much better! Hey, I might even make my original goal of having this done by my 49 7/8 birthday (yes, and holding) on the 27th! Whoot!!!

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