roberts30

after I was approved thru insurance 1st visit was weigh in , talked with my surgeon he asked me what I was interested in as far as procedure I said the sleeve he said that would be great for me with taking alot of meds due to health issues we went over my chart of Dx's said when ya want to do this I said immediatly or ASAP he seen I had already had the endoscopy a yr and half ago by my internist which also practices in the same hospital, already had xrays , had 2 stress tests already over 2 yrs all's I needed was to meet with the NUT, the psych and do my 4 preop classes and be released from my endocrinologist over my thyroid disease, they won't approve surgery unless thyroid is in normal function so I was already put on thyroid med and it already made a difference within 2 months.this is the time to ask all questions and concerns ,time you need him to excuse for being off work, and believe me the benefits outweigh the risks! I had no supervised months of dieting required I was start to finish 3 months. on my last preop surgeon visit I was within 2 wks of date then I started my 2 wks of 2 shakes and 1 reasonable meal a day then my 48 hrs before surgery was strictly 3 shakes a day to help shrink my liver as much as possible. I didn't want him to have to cut me open to do this. it all worked out! I really like my surgeon he also to this day is my pain management dr for my other issues. (pain not due to surgery) best wishes...

The first visit with the surgeon should outline the programs guidelines and expectations. This varies from program to pgram based on the requirements of your insurance company, the bariatric program and your body makeup. It will be at this meeting that you will find out whether you will have a preop diet or not. You will be given an outline of the pre-op testing needed. Typically that includes meeting with the nutritionist, one or more nutrition classes, a psych eval, either an upper GI or EDG, a chest xray and possibly a sleep study.