Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Had Consult Today-have questions about pre surgical testing



Recommended Posts

so i met my surgeon today. all went well and i am still very excited. there are some concerns i have. first off, when considering another surgeon for lap band (prior to my research on the sleeve), the other surgeons list of pre surgical was extensive. exerciise stress test, cardiovascular ultrasound, upper gi series, sleep study, pulmonary functuon test.....My surgeon on wants the upper gi series blood work and a ekg and chest xray w weeks before the operation. anyone have the surgery with

minimal pre surgical testing?

Share this post


Link to post
Share on other sites

I think it may depend more on any pre-existing conditions. For example, I had multiple EKGs, a heart ultrasound, a stress test, a 24-holter heart monitor, bloodwork, psychological evaluation, and that was about it. No sleep study because I don't have sleep apnea, and the reason for all the extra heart tests was because I have an irregular heartbeat which I had never had tested. So I think my dr.'s basic testing would probably be EKG & blood work & psych eval, unless the patient has other conditions (sleep apnea, heart condition) that warrant additional testing. :001_tt2:

Share this post


Link to post
Share on other sites

I had to have an EKG, upper gi series, full blood work, psych eval, and sleep study. It seemed like a lot to get done at the time. It wouldn't hurt to ask your surgeon if you'd like some other things done...he might order them as well. For me I felt good about those requirements and being self-pay, I wasn't going to push it unless I really felt something was missing.

Share this post


Link to post
Share on other sites

I did not have any medical conditions or medical history, other than bad knees and therefore only had to have physical, blood work & meeting with nutritionist.

Share this post


Link to post
Share on other sites

i have high bp and on medication. when i question my surgeon about the lack of pre surgical testing (the stress test and heart ultra sound, spefically) he siad unless i have a history of chest pains and or heart attack (to which the answer is no), then he doesnt need me to have the tests done. after reading all the reponses i am reassured that not all surgeons require a baatery of pre surgical testing and that it also is based on the individual.

that being said, i already hae the referral from my pcp for the upper gi series and will call to scedule today. i have the psych consult and nutrtionist nnext week. i could potentially be finishe with everythin in a couple of weeks. how awesome would that be?! i cant believe its getting closer.

Share this post


Link to post
Share on other sites

I had high BP and was on medication - the only tests that Dr. Aceves performed pre-op were complete blood panel, urinalysis, EKG and chest x-ray. The only other surgery I have ever had was a D&C and all I had done for that was a chest x-ray and EKG. I think you'll be fine and that you should have trust in your surgeon - if anything funny shows up in any of those tests, then he'll order more tests as/if necessary.

Share this post


Link to post
Share on other sites

My personal opinion is that some of the surgeons who order a huge number of expensive tests on everyone are doing it because it makes money, if not for them personally, for someone they work for or get referrals from.

I had hi BP, hypothyroidism and sleep apnea. I did not need any other tests than what Dr Aceves ordered.

Share this post


Link to post
Share on other sites

I didn't have any co-morbidities.

For my band surgery, I had to have a full lab work up, chest xray, ekg, urinalysis, nutritionist consult, and a psych eval.

For my revision, I had all of the above, plus a hematology work up with an oncologist because I had issues with bleeding. Come to find out I have an idiopathic clotting disorder, and for any surgery I have to be given medication the day before, the day of, and the day after surgery.

No sleep study, or heart ultrasound.

Share this post


Link to post
Share on other sites

thanks to everyone for responding. you all have made me feel so much better just by sharing. it helps so much when you can compare notes!

Share this post


Link to post
Share on other sites

so i met my surgeon today. all went well and i am still very excited. there are some concerns i have. first off, when considering another surgeon for lap band (prior to my research on the sleeve), the other surgeons list of pre surgical was extensive. exerciise stress test, cardiovascular ultrasound, upper gi series, sleep study, pulmonary functuon test.....My surgeon on wants the upper gi series blood work and a ekg and chest xray w weeks before the operation. anyone have the surgery with

minimal pre surgical testing?

I had all my pre-op stuff done 1 week before my surgery. . .makes more sense to have test results closer to the date then further away. . .what if there are changes??????:hurray:

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 1 reply
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×