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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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    • 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.
      · 0 replies
      1. This update has no replies.
    • 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💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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      1. This update has no replies.
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