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1st appointment questions



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I have my first appointment on Oct.24 (finally). What questions should I ask? Any you wish you had asked? Thanks!

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With my first surgeon's appointment, I asked him what he does for pain management, especially for the accumulated CO2 that builds up in the shoulder post-op causing a lot of grief. He said that he extracts as much as possible. Consequently, I did not get the painful shoulder gas.

I also asked things like how many incisions will I have and where will they be.

I had a list of 17 questions, but I don't remember them all now.

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I asked my surgeon:

What is your complication rate? What is the most serious complication you've encountered? How many surgeries have you completed? What will the scars be like?

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I find it was helpful for me to attend a WL seminar first, then I scheduled the appointment with my surgeon. I then came up with a list of questions that were either not covered in the seminar or that were personal to my situation, example, my acid reflux and poor circulation issues.

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These are some of the questions I had ready to ask:

  • How many VSGs this surgeon has done? In what time frame?
  • What's his personal surgical complication rate? Most common complication?
  • What upfront cost are there?
  • Any fees that are not covered by insurance?
  • Pre op and Post op requirements
  • Usual length of hospital stay
  • Aftercare program
  • Realistic goal
  • Access to staff?

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If you have severe acid reflux I would be sure to mention that to the surgeon. That can decide what surgery you get. My surgeon said that I have to get the gastric bypass because the sleeve will cause severe acid reflux to be worse and they no longer do the lap band where I am going.

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Thank you everyone. I have been to a seminar but it was July 15. I've been on waiting list for first appointment, finally got the call for Oct 24. I've got my notebook out & I am writing down all your great question. Still trying to decide between the sleeve or ryn.

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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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