Hello! I just started my WLS journey July 9th. Can others post what types of pre op testing they had to have done?

For my preop testing I had to do an EKG, chest xray, labs, and a pulmonary test. I am currently waiting for the nurse to call me schedule my EGD. Other than that I only have to do a six month diet. I don't have to do a psych evaluation, cause my psychiatrist wrote a letter to the surgeon and they accepted that as my evaluation. Now I am just hoping my insurance covers my visit to the bariatric medical specialist.

I only have a 6 month supervised diet and a psyc eval. Thats it.

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So far I have only had the initial seminar, 6 months+ supervised nutritionist visits, metabolic test, visit with surgeon, RN, PA, had to lose 15lbs, general physical, and then after I was denied the first time by my insurance for being to healthy I had to have a sleep study. Now approved and scheduled for surgery on Sept 11th, I have to go Sept. 3rd for my actual pre-op which does consist of blood work, EKG, and physical for sure along with visits from all the same folks plus some others.

Informational Meeting – 6/25/13

Support Group – 7/2/13

Follow Up Support Group 8/13/2013

Surgeon consultation 8/12/13

Cardiac Evaluation 8/12/13

Dietician consultation 8/12/2013

Sleep Study 8/2/13

Blood Work 08/12/2013

Insurance approval - 7/12/13

Psychiatrist clearance 8/19/13

Letter of Medical Necessity 8/21/13

Nutrition Class 10/02/2013

Surgery date

sleep study right now..

....Oh How I hated that test and this stinkin CPAP machine! evil!!!

I finally finished all my pre op tests. I just have to do my 3 month preparation then hopefully surgery in Oct/Nov. :-)

I had to have labs, chest xray, upper gi, abdominal/pelvic ultrasound, EKG, h pylori test, pulmonary function test, pysch eval, pulse oximeter overnight test and an oxygen uptake test.

Hey all....I attended an informational seminar, initial appointment with surgeon, nutritionist meeting, psych eval, I had a Barium Swallow, loooots of labs, EGD, 2 support group meetings, go back to nutritionist on Monday and hopefully get a surgery date AM SO READY

For surgeon/insurance..psych clearance, 3 hr nut class, one on one with nut, 3 hr pre op nut class, abdominal ultrasound, supervised diet documentation (had 5 yrs worth, but did not meet Cigna standards, so got denied, had to do another 3 months with the nut to meet the ins comp demand), physical/blood work, referral/statement of medical neccessity by PCP. surg sometimes wants sleep study done, but didnt have to do that. Surgeon/hospital requires another pre op physical by pcp w/in 30 days of surgery date....HOWEVER, after submitting everything cigna wanted again last week, found they now will not accept the statement of "surgery is not contraindicated" anymore, they require full medical clearance fit it BEFORE they will even authorize it. Soooo...my PCP, despite having full physical in may, wont give the basic med clearance statement to cigna to satisfy them for approval...even though she knows that surg still req the full pre op physical. I cant get in for pre op phys til 8/28. Cigna rep goes on vaca for 2 wks, starting 9/1. If they dont approve in 2 days before she leaves, it will be 9/16 @ earliest before i hear for sure, and then i will have 12 days to get on OR sched before the pre op physical is no longer "good". So, in.reality may have to have two preop physicals. :/ & betting stupid cigna wont cover the second one.... not sure what all the pre op physical entails yet, def ekg, blood labs to check vitamin/iron, etc,...met w/surgeon last week.again ($300 for 20 min, smh) & he had no reservations about my health or readiness... i just want to get this done, tired of insurance bs.

....Oh How I hated that test and this stinkin CPAP machine! evil!!!

Mine is for a revision to bypass from the band. Psych evaluation, 6 dietary classes. .1 seminar, endoscopy, ultra sound of my gall bladder cardiac and blood work. All this so the band can come out (placed 3 yrs ago and my old DR isent a DR anymore....drugs) makes me soooo mad what if he did something really wrong? I need to wait and see. Uuggghhhhh

I had labs, ekg, endoscopy, and my pcp had to sign off. I did not have to do the nut appointments, diet or psych eval. My bmi is high enough that my insurance doesn't require those things.

I do not have a date yet but I did get my list of requirements from the office. It's so crazy my insurance requires the psych eval and that's it. But the Drs. office has a whole list of requirements. I have to attend 10 support groups, endoscope, h pylori a test and abdominal X-ray and ultrasound and a ton of bloodwork. I had the scope ultrasound and h pylori a tests done in June during a hospital stay so they are trying to get the records now so I can avoid the repeat. I also am required to do a full 4 week post op Opti Fast only prep. I am not thrilled to find out I have to pay $125 a week for 4 weeks to prep for surgery. The do not give you an option of any other prep. Has anyone had to do the opti fast for a month prior? I'm hoping to get my date when I go in on Tuesday, from what I was told this week it should be around the mid to end October.

Psy clearance, three months weight management with PCP, three visits with the dietitian, thilium stress test and EKG & clearance with cardiologist, clearance with pulmonlogist (who thought I should maybe have another sleep study, but nixed it because I've only had mild apnea when I was 48 lbs heavier and couldn't use the CPAP anyway so he agreed, 2 1/2 hour class of what I call the ( "In's and Out's, Do's and Don'ts class) EGD (had that to find out if the band had to be removed, it did + the H-Pylori test at the same time) and all this was submitted yesterday to my insurance for approval for RNY. Prior to surgery will have final visit with surgeon then will have to have complete blood panel and then into surgery about a week later (Date to be announced). I do have to say that the requirements this time was faster, and more informative then when I had the band. That clinic just wanted what the insurance required, 6 months of weight management, psy clearance, cardiologist clearance, pulmonologist clearance. That was it and other than fills after that that, it was all they did. Never even checked the band the three years that I had it. Maybe because I never had an ounce of trouble with it, even up to the time my new doctor did check it and found it had slipped. But I am more definitely satisfied this time, as this clinic shows they want to make this work for you and make it safe.

I have done my EKG, Chest Xray, Ultrasound, and Bloodwork.

I have my sleep apnea test which is tomorrow, my physical exam monday, and my psych eval wednesday. The type and screen will be held a few days before my surgery date which is Oct 2. BTW, I had the lap band and had it removed. Now RNY!!!!!!!!

Psy clearance, three months weight management with PCP, three visits with the dietitian, thilium stress test and EKG & clearance with cardiologist, clearance with pulmonlogist (who thought I should maybe have another sleep study, but nixed it because I've only had mild apnea when I was 48 lbs heavier and couldn't use the CPAP anyway so he agreed, 2 1/2 hour class of what I call the ( "In's and Out's, Do's and Don'ts class) EGD (had that to find out if the band had to be removed, it did + the H-Pylori test at the same time) and all this was submitted yesterday to my insurance for approval for RNY. Prior to surgery will have final visit with surgeon then will have to have complete blood panel and then into surgery about a week later (Date to be announced). I do have to say that the requirements this time was faster, and more informative then when I had the band. That clinic just wanted what the insurance required, 6 months of weight management, psy clearance, cardiologist clearance, pulmonologist clearance. That was it and other than fills after that that, it was all they did. Never even checked the band the three years that I had it. Maybe because I never had an ounce of trouble with it, even up to the time my new doctor did check it and found it had slipped. But I am more definitely satisfied this time, as this clinic shows they want to make this work for you and make it safe.

Everything completed today, labs, x-ray and even had to do a true and false test, at the doctor's office, regarding bypass surgery. Basically think if you missed any questions then when you seen the doctor he would go over those. In my case I talked with him for about five minutes. I got them all correct, so it was me who got to ask the questions, but I only had one. This is a very good clinic and they actually cover all their bases explaining everything as you progress toward your surgery date. So happy I switched doctors. Question asked was how long will surgery take? Answer: The same as the sleeve and the lapband, about 30 minutes actual surgery time, about 45 minutes from the time you roll into the operating room and get put under then back to recovery. Looking forward to my diabetes to go into remission, a healthier me and of course weight loss, but we are looking at only 50 lbs there.