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Hello,

With your first consultation with the surgeon, did they do their own exams or did they just go through your charts from your doctor? Just in case that does not make sense, did they get your BMI themselves or off of your chart? Did they do their own blood test or just look at your chart notes?

Thanks,

OldskoolHeart

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Welcome!

I happened to have a physical/bloodwork done earlier that week, so I grabbed a copy of the results and brought them with me.....otherwise they would have sent me to have it done.....may depend on how recent your blood was drawn, too....

They figured my BMI while I was there......however, in the letter of necessity from my physician (for the insurance company), he put down my height and weight.....which is what I'm guessing they'll use for approval.

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Your insurance required a letter of necessity or do all physician's need to give one to the surgeon to perform the surgery? Or is this based on insurance?

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Your insurance required a letter of necessity or do all physician's need to give one to the surgeon to perform the surgery? Or is this based on insurance?

When I had my initial consultation with my surgeon, they did bloodwork right there in the office. I am lucky in that my PCP is in the same network and that my insurance only needed one weight record in the past year. I already knew that my BMI would technically qualify me for the surgery. I am going to a weight management center that is part of a hospital network, and they could see the records from my PCP on their computer system. Where I am going is "one-stop shopping" for the most part......fitness, dietary, psych, metabolic breath test, home sleep study...they were all at the same facility, and I "stacked" many of my appointments so that I sometimes had 2 or even 3 appointments in a given day. That's how I got through some of this process quickly, plus my insurance only took 10 days to approve the surgery from the date the center mailed everything to the insurance until the day they called me to schedule my surgery.

Everything will definitely vary by doctor and by insurance requirements.

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Thanks for the reply. My insuance doesn't require all that since I have BCBS-IL. So I will only have to do the endoscopy, meet with the surgeon, psych, and they don't even have a nutritionist as one of the requirements. I got a little nervous about that. I am scheduled for a physical and pap one week after the sleeve informational. Should I just do bloodwork that day too?

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I would see what happens when you meet the surgeon. The nurse will either do it there, or give you a lab slip to have it done elsewhere.

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Thank you so much, you guys are full of info :-)

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    • 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.
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    • 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.

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