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Telling family Doctor about surgery



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So I'm seeing my family Dr today for the first time since I decided to book my surgery for gastric sleeve in Mexico! I'll be telling him I'm getting it done November 10th & worried he is not going to approve of me leaving the country for my surgery or having it done at all! Did anyone else have difficulties getting support from their family Dr when doing travel Medical Tourism surgery? I'm from Canada so Medical stuff is paid by our government but a gastric sleeve is a 3 year wait list which is just too long of a wait! I'm going to ask my Dr for all the preliminary testing, let's hope he agrees!!

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August of last year, I asked my doctor if he hought I might be a good candidate for a lap band. He was very helpful and referred me to a colleague who was a bariatric surgeon. As it turns out, I was sleeved four months later after going through all of my insurance requirements. I am a slow loser, but down 65 pounds at this point and feeling better in many ways.

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My family doctor wouldn't help me or give me a referral. Said its to much to go through for medicare you have to jump through hoops to get there.

Funny medicare didn't require a referral, I went and saw the surgeon who recommended me for wls. I went through all the hoops and now I see my family dr on Tues, I will be telling him about my surgery on the 27th.

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So this is probably a dumb question, but do you need his approval? I've never dealt with Candadian healthcare, but is there any reason you can't just go to Mexico and have it done on your own? If you're paying for it, I see no reason you have to tell your family doctor...what business is it of theirs? It's your decision, so if there isn't any legal requirement, who cares if your doctor likes it or not. :)

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I agree with AvaFern. Why would you need your PCP's approval if you're doing self-pay. Many of these doctors don't want us to have this done because some of our health issues will improve and therefore we won't need to see them as often...they lose money and we gain better health. Go for it girl!

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Well that went better then expected, Dr didn't say anything negative or positive just took notes. His only concern was that all the pre surgery requisition was happening on the same day as surgery and how would my surgeon adjust something that may come up in my results in time for surgery. What if something critical came up and I couldn't get it done that day or week!?

In Canada all those Dr checks take months to get into to see a specialist for endoscopy, heart specialist, radiology scan of abdomen etc. I have high blood pressure at the moment so I have to monitor that. My Dr is sending me for blood work and hopefully I can get into having my stomach & gallbladder X-ray!

Thanks for everyone's input!! I'm doing this surgery in T.J no matter what!!! :)

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I WANTED my primary care doctor's approval - I wanted her advice and her support.

I did fear telling her because I didn't know what her opinion on weight loss surgery was. I went in armed with statistics, weight history (I had only been a patient for about 2 years), lab results, etc. I didn't need them...

She was so excited when I told her what I wanted to do. I was self-pay and told her I was heading to Las Vegas for surgery - she asked a lot of questions about the surgeon and how I decided on him. She was very supportive and offered to do anything she could to help me.

I think getting the buy-in of your primary care doctor or at least having a dialogue with him or her is important...best of luck

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I did not tell my PCP about my surgery which is in Mexico next Wednesday. I've had this same doc for ten years and when I first broached the subject a few years back she was incredibly unsupportive. She told me that I should just eat less and be more active and "do it on my own" She is a firm believer in will power and she's not the only person ever that's taken that position about wls, so I've only shared with my mom, a trustworthy friend and my therapist. In all other respects, my doc has been encouraging and open minded but I just don't need any guff from anyone.

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Hubby and I went to Costa Rica 11/2013. We told family doctor when we got back. She was a bit taken back then move on to why we were there. Two weeks after our return he ended up with a very serious.....unrelated to vsg.....intestinal issue and had 3 feet of small intestine removed. The staff at hospital...especially doctors....were very judgmental and did not understand how we could possibly leave our "fantastic" medical system to have this done. Well first, our system/insurance did not pay for it here. And second, the care we received in Costa Rica was far superior to our system here in the US. I've been an RN in this community for 30 years and I did not take going out of the country lightly.

My main concern was if we had complications when we returned home would we be able to get treated. I know how surgeons are and they don't like to mess with other surgeons' work. Our VSG surgeon assured us that he had three affiliates here in Florida to care for us if needs. Not in our town, but within 3 hours. Fortunately, the surgeries were smooth and accurate and the best thing we ever did. Do your homework. Good luck....it's a leap of faith but most people don't seem to have regrets.

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Remember that you employ your Doctor and who cares if you get his approval. Of course they don't want you going to Mexico... everything is so much cheaper there. They will try to tell you night mares about Mexico, but pause for a moment and remember that malpractice happens everyday in the US & I'm sure Canada. No one is perfect, even when it comes to health care.

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As a fellow Canadian it was one of my biggest fears telling my family doctor. I originally booked a appointment but my husband said that my doctor would for sure talk me out of it, so I canceled my appointment with family doctor. Instead I did the surgery in Tijuana and finally told my doctor this past week when I went to do a check in with her one month after the surgery. I was a nervous wreck. She agreed she would have tried to talk me out of it. But felt I went well informed and haven't had any problems. The only call I did do pre surgery was call OHIP to make sure they would be no problems with coverage if there was complications. Good luck.

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I have my first appointment with my Dr tomorrow to discuss sleeve surgery. She is actually the nurse practitioner but I see her instead of the Dr for most everything. I may have to see him at some point in this process. She is actually the one who suggested this for me. High BP and cholesterol are controlled with medication but I haven't been able to lose any weight. I have arthritis in my knees and back and need to do something. At first, I dismissed the thought of doing this surgery. Months later, I decided to research the issue and have decided to tell my Dr that I am ready to pursue this plan. I am 51 and at this point, I just need to get on the right track so I can stay around to old age!

Part of me is naturally terrified, but after researching I am also excited about the prospect of finally being able to LIVE.

It's a giant undertaking, but if all of you can do it, so can I!

So...away we go!

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MUA my husband and I are having surgery with Dr Kelly on November 10 too see you there!

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • 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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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
      1. This update has no replies.
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