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PRE-OP INFORMATION



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Does anyone know what the pre op Testing consists of and what they are looking for..?

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every insurance company AND surgeon are different, and each may require certain pre-op things including:

-apt with family doctor and written letter from them In full support of surgery

-supervised nutritionist classes and on-on-one nutritional counseling that requires you to keep food logs, count calories, Protein, fat, etc. plus Fluid intake, Vitamins, supplements...

- psych consult (my surgeon required more than one apt) and sometimes ongoing psych appts for counseling

- multiple appts with the surgeon themselves

-cardiac clearance, usually including a stress test

- Upper endoscopy or EGD or barium swallow

- Pulmonary Function testing and apt with Pulmonologist

- MAJOR amounts of bloodwork including thyroid, liver, kidney function, lipids (cholesterol), diabetes screen including fasting blood sugar, A1C, blood insulin levels, various hormone levels, complete metabolic panel, CBC, pregnancy test, and more...

- sleep Study and if positive, a 30 day compliance with CPAP machine (the machines have an SD card that stores the data of compliance and it is downloaded)...

- Some require proof of ongoing weight loss efforts either through gym, trainer, formal programs like Weight Watchers, etc, and I have seen some require that proof for a 6-12 month timeframe

- Required attendance to a bariatric support group for a period of time

At the time of surgery, the hospital may also require a chest x-ray, urinalysis and pre-op blood work and EKG

and more. These were my requirements. Luckily, I breezed through most of this within a couple of months and just wrapping up my nutrition appts!

Like I said, they are all different. Then, there are also some insurance companies that barely require anything at all other than a BMI of 40!

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Thank You..I did all the stuff you mentioned for the most part. I'm just curious on just the Pre Admission Testing Before Surgery..My Husband Smokes and I'm so afraid their gonna detect it in me and I'm a non smoker..I told him he can't smoke near me anymore..I will be really upset if they cancel it because of that..

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pre-admission testing usually consists of a chest x-ray to make sure you don't have pneumonia, a urinalysis to check for UTI, sugar, and ketones and a CBC to check for active infection.

every hospital is different too, but I don't believe that secondhand smoke will make any difference. good luck!

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