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Dr Cirangle CA Self Pay



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Doing self-pay with Dr. Cirangle. Surgery was 6/20 this year. I belong to Kaiser but the procedure was not covered with my plan from work. I knew my procedure would be difficult due some remaining material left from a previous surgery. Everything has gone remarkably smooth both with my procedure as well as working with Gabriella the nutritionist and the rest of the office staff. I couldn't be happier.

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What did he charge if you don't mind me asking? You can PM if you'd not like to share on the post! If not I understand! Thanks for the insight!

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Just remember Dr Cirangle does not believe in post op leak tests. It was for this (and a few other reasons) I decided to go elsewhere.

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Sorry sent too soon! Anyways I read somewhere that he also charges $5,000 for a 5yr post op care!? Is that true!? What if you don't live near by but would still want to use him!? Why doesn't he do a leak test!?

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Sorry sent too soon! Anyways I read somewhere that he also charges $5,000 for a 5yr post op care!? Is that true!? What if you don't live near by but would still want to use him!? Why doesn't he do a leak test!?

I don't think that is true about the 5 year post op care. I had a consult with him and he never mentioned that.

I am quoting here what Dr Cirangle said about not doing a leak test: "I have never had a leak, and as such do not see a need for them. It also increases bleeding".

I am not comfortable with that at all. As an out of stater, I want to make sure my sleeve is good. I don't care if he has never had one (may not be true anyway), I could be the first one. There were some other concerns I had about him, though I have to admit: he is probably a very good surgeonw ith excellent skills. He was just not right for me.

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I self paid for a Southern CA surgeon with equal (or higher) qualifications of Dr Cirangle...and that is saying a lot since Cirangle has an excellent reputation. Excellent. Both surgeons may not have the best bed side manner but their safety record is the highest which was more important to me than price.

My safety was #1 concern. Second was aftercare which is nada if out of country. A WLS who sees you after out of country surgery takes on the liability of a surgery they did not perform. This is why it is difficult to get a local WLS surgeon to do aftercare. A GM or internist will see you but they don't "know" VSG, so is this really aftercare? Do they know what signs of any issues or special needs of during initial weight loss? Hence this is why out of country surgery was never an option for me. Also, check with your insurance if you are considering of country surgery. Many insurances will NOT cover any complications requiring ER visits or hospital stays. See liability.

Paid 18K back in 2010. Worth every single penny. No overnight hospital stay, no pain, no staples, no morphine, no post op leak test. These are not necessary. Not all VSG surgery procedures are the same. BEST decision of my life.

I hear you can negotiate aftercare fees. Weekly support group for me is free but the now annual visits are fee based. My regular insurance picks up these costs now (yet would not pay for surgey) and blood tests.

Good luck in whom ever you choose.

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Sorry sent too soon! Anyways I read somewhere that he also charges 5' date='000 for a 5yr post op care!? Is that true!? What if you don't live near by but would still want to use him!? Why doesn't he do a leak test!?[/quote']

I didn't hear anything about the charge for 5 year post op visits...everything seemed included in the 17,500. I have seen him every month or two since surgery a year ago and plan to continue seeing him through the next few years.

I believe there is more to his reasons for not doing leak tests. I know we talked about it once but I can't remember...

Dr. Cirangle is a freakin awesome surgeon who started doing sleeves long before everyone else. He has a great track record and I actually appreciate his bedside manner. He always makes sure he answers any questions I have. I love him! Lol

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Dr. Cirangle is a freakin awesome surgeon who started doing sleeves long before everyone else. He has a great track record and I actually appreciate his bedside manner. He always makes sure he answers any questions I have. I love him! Lol

When did you have your surgery!? Since you were self pay did you have to do all the things that insurance payers had to do that Mexico doesn't require!? Like psych eval, so many months on a diet, etc!?

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Oh sorry also I know Dr Cirangle comes to Stockton for seminars but do you know by chance what hospitals he uses if its more than one in CA? I went to a seminar YEARS ago & don't remember! Also did you finance this? Looking for good financing. My husband would love if I stayed in the states vs Mexico which I would too personally but of course the price for self pay is a huge difference! I could pay for Mexico but states would need some financing. Sorry for the 20 questions! Ok last one (how quick are you scheduled) I start school late August & would love to do it before then. Thanks again for your responses!

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Oh sorry also I know Dr Cirangle comes to Stockton for seminars but do you know by chance what hospitals he uses if its more than one in CA? I went to a seminar YEARS ago & don't remember! Also did you finance this? Looking for good financing. My husband would love if I stayed in the states vs Mexico which I would too personally but of course the price for self pay is a huge difference! I could pay for Mexico but states would need some financing. Sorry for the 20 questions! Ok last one (how quick are you scheduled) I start school late August & would love to do it before then. Thanks again for your responses!

For self pay he is 2weeks out.

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I self paid for a Southern CA surgeon with equal (or higher) qualifications of Dr Cirangle...and that is saying a lot since Cirangle has an excellent reputation. Excellent. Both surgeons may not have the best bed side manner but their safety record is the highest which was more important to me than price.

My safety was #1 concern. Second was aftercare which is nada if out of country. A WLS who sees you after out of country surgery takes on the liability of a surgery they did not perform. This is why it is difficult to get a local WLS surgeon to do aftercare. A GM or internist will see you but they don't "know" VSG, so is this really aftercare? Do they know what signs of any issues or special needs of during initial weight loss? Hence this is why out of country surgery was never an option for me. Also, check with your insurance if you are considering of country surgery. Many insurances will NOT cover any complications requiring ER visits or hospital stays. See liability.

Paid 18K back in 2010. Worth every single penny. No overnight hospital stay, no pain, no staples, no morphine, no post op leak test. These are not necessary. Not all VSG surgery procedures are the same. BEST decision of my life.

I hear you can negotiate aftercare fees. Weekly support group for me is free but the now annual visits are fee based. My regular insurance picks up these costs now (yet would not pay for surgey) and blood tests.

Good luck in whom ever you choose.

Your comment about insurance and complications are not relevant to the country the surgery was performed. In neither case would it be covered. Also your comment about after care is irrelevant for those who come from out of state. Mexico, California, Florida....it matters not.....aftercare is a problem.

And with you saying your safety is your main concern yet you felt ok not having a stay in the hospital after surgery!?!?! Don't get that at all.....

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      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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      1. LeighaTR

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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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
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