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Consult Appointment on 12/1....



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I'm so nervous for my appointment on Monday. I'm so afraid the dr is gonna say "no cant do it!" Or reject me. What are some things that happen at your appointment? Are there any do's and dont's? How long from consultation til surgery? (I've already done my 6 months of weigh ins).... See I'm kinda freakin out!

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Because it's an initial consultation, there isn't much that actually "happens". In fact, my initial consult didn't even involve my surgeons. I spent most of the time with the office staff, then with the nutritionist. My visit involved going over fees, insurance procedures, medical clearances, a discussion of why I was interested in bariatric surgery, and finally an overview of the lifelong dietary changes that I'd be signing up for.

At an initial consult, I'd try not to worry too much about being "rejected" if you've done your homework first about a couple of things. Meaning...

1. Insurance coverage. Insurance policies vary widely, but from what I've learned, it seems as though most of them have a minimum BMI to cover a bariatric procedure- usually 40 with no comorbidities, or 35 with the presence of one or more comorbid conditions like Type II Diabetes, High Blood Pressure, etc. As well, it seems many insurance policies (in addition to a doctor-supervised weight loss program prior to considering WLS) require a sort of "laundry list" of other weight loss interventions (Weight Watchers, Herbalife, etc...), complete with approximate dates, and amount of weight lost.

2. Expectations for the procedure. Though you may go through a formal psychological exam as part of your preoperative clearances, both the surgical office manager and the nutritionist had a dialogue with me about what brought me to the office in the first place. How you'll fare with WLS surgery depends on a lot of factors, one of which is how realistic your expectations are for results.

**How far from consult to surgery? Honestly, that's a question with no definitive answer. For me it was almost exactly 3 months. But.....it depends on (among other things) your clearance tests, how quickly your insurance company approves your procedure (if you're going that route) and what the availability is for your surgeon/hospital to schedule your procedure.

One of the best things about my consult visit was my "Bible Binder". My surgeon's office had a fantastic binder assembled that outlined the whole WLS surgery process. Every. Single. Step. That consult appointment is an information overload, and to have everything written out for me was wonderful.

I remember how excited I was at that initial appointment- it was all starting to become "real" finally! I wish you the best of luck- keep us posted on your progress :)

Edited by SuzeMuze

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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!
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    • Doughgurl

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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. 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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