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Psycholgists, testing etc...



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I see a lot of people talking about seeing a psych about their surgery, and some people`s surgery being pushed back after some testing etc...

I am just going to get it in TJ April 27th, without pre op appointments and all that stuff. Is that just something a lot of your insurance needs? And what could be the possible things that would push back this surgery? My doctor is just saying I need 3 days pre op liquid diet and two weeks post op on liquid as well. What huge factors am I missing here?

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Some insurance requires it. Some doctors require it.

My insurance didn't require pysch, nutrition, stress test, EGD, etc... But my surgeon required those things.

He wants to set each person up for success. Pysch to make sure you are mentally prepared for it, nutritinal counseling to make sure you are aware of how the pre-op diet works and what your diet will be like after surgery, stress test to make sure your heart is ok for anesthesia and surgery and to make sure you don't have any blood clots, and an EGD to make sure that all is good down there and check for a hernia so that there aren't any surprises.

It covers his butt, and makes it a safer surgery for the patient.

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Some insurance requires it. Some doctors require it.

My insurance didn't require pysch, nutrition, stress test, EGD, etc... But my surgeon required those things.

He wants to set each person up for success. Pysch to make sure you are mentally prepared for it, nutritinal counseling to make sure you are aware of how the pre-op diet works and what your diet will be like after surgery, stress test to make sure your heart is ok for anesthesia and surgery and to make sure you don't have any blood clots, and an EGD to make sure that all is good down there and check for a hernia so that there aren't any surprises.

It covers his butt, and makes it a safer surgery for the patient.

Are these things I should be doing? Can I just make a doctor app to do all this?

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My insurance and surgeon required it. They're checking for things like, do you have the commitment to make the necessary changes to be successful, are you doing this for your health or someone else? Tendencies to transfer food addiction to drugs, alcohol, sex, etc, suicidal thoughts, etc. They want to make sure you understand it's not a "quick fix" but a lifetime commitment. Not a big deal at all. Several paper\pencil tests and an hour interview. Mine didn't require anything post op and I've not felt like I needed therapy, (though I was prepared for that if I felt like I needed it.)

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My insurance requires it...Am already a nut case LOL...i had the nut crying along with me, turns out a perfectly normal...and all these years of me considering my self a nut case was uncalled for...LOL but it a basic test to see how ready are you for this life changing experience...Does one have an addicting personality...the sort of thing, good luck!!!

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Some insurance requires it. Some doctors require it.

My insurance didn't require pysch, nutrition, stress test, EGD, etc... But my surgeon required those things.

He wants to set each person up for success. Pysch to make sure you are mentally prepared for it, nutritinal counseling to make sure you are aware of how the pre-op diet works and what your diet will be like after surgery, stress test to make sure your heart is ok for anesthesia and surgery and to make sure you don't have any blood clots, and an EGD to make sure that all is good down there and check for a hernia so that there aren't any surprises.

It covers his butt, and makes it a safer surgery for the patient.

Are these things I should be doing? Can I just make a doctor app to do all this?

I'm sure you could go to your primary and ask about getting some of these tests done to make sure you are healthy enough for surgery.. and you can always do nutritional and pysch counseling yourself

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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!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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