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How many hoops do you jump through ....



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before you get cleared for surgery?

My 1st appt is in 10 days - consultation.

I have seen bloodwork, psych eval, what else?

I have CTs and labwork a good bit because I am just a year out from Breast Cancer.

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For me, it was:

-Consult with bariatric dr

-2 nutrition classes

-1 support group

-exercise consultation

-Psych eval & follow up

- Monthly check-ins with bariatric dr to see how I was doing on losing my 5% & getting my Iron up (I was near anemic)

- Surgeon consult

- 2 weeks of waiting for insurance approval

- surgeon scheduled me 1 month after insurance was approved

- pre-op visit with surgeons PA

- pre-op bloodwork & registration at hospital

- I also had to pay my portion up front. (For me it was $1,400)

- 2 week pre-op liquid diet, which i start tomorrow

- Surgery is July 1

Timeframe for all that was 4 1/2 months.

I hope this helps!

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This does help. Can you tell me why you must lose the 5% before and then on liquids 2 weeks before?

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Two reasons, one mental, one physical:

1. It shows your level of preparation, commitment and understanding of the massive life change you're about to undertake

2. It gets you in the best shape possible for surgery, which minimizes risk of complications, including shrinking your liver

Many insurances require a 5% weight loss before you even meet with the surgeon. Mine didn't but the bariatric center I'm with is a center of excellence and both they, and the surgeon required it. The surgery isn't a quick-fix, as you know. It requires a huge mental shift before they ever do the surgery.

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So glad I went to Mexico. I don't want to jump through hoops when I knew I was ready!

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for myself, due to a few unforseen new medical diagnoses, my journey will be appx. 8 months.

i had/have to have the following:

5 nutritional counseling visits, spaced 2 weeks apart for each visit

pulmonary (lung) clearance with a sleep apnea test

psych evaluation

gastroenterologist (stomach) clearance with an endoscopy (pictures of the stomach with a camera down the throat)

cardiologist (heart) clearance...this is what my holdup is. because of an arrythmia, my cardiologist has been ordering a ton of other tests, many of which have NOT been approved by my insurance. they include a nuclear stress test, echocardiogram, and ekg.but this saturday, after 3 months of testing, waiting for clearance and going back and forth--i will finally be cleared for my endoscopy above (due to the anesthesia) and prayerfully, with good results from my other tests, for the surgery.

i have to watch a video on the surgery and sign off on it (35.00 fee included)

my insurance does NOT require pre surgery weight loss unless my surgeon requests it--just intensive nutritional counseling. my surgeon has not required me to lose any weight so far before surgery--only to do a liquid diet to prep my body beforehand.

right now i am done my nutritional counseling, pulmonary has been cleared pending my sleep apnea test which i purposely put off until very last due to me being a full time breastfeeding mom.

again, altogether, my journey is taking appx 8 months...which im not complaining about. i had to prepare myself mentally and otherwise, and it took more than the typical 3 months.

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    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

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      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
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      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
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