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KPNW Sunnyside RNY Process

wsheldon77

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wsheldon77    1

wsheldon77
Posted

Hi Everyone,

So I currently work for Kaiser Permanente (however would love to get some input from others who have gone through the process here in the NW specifically). I spoke with April today in the Bariatric group (RN) and she advised to keep loosing as much weight as possible throughout the entire process. I start the Weight Management course next week (via Online). From what I've read, and researched here at work, perfect attendance is not mandatory? Only reason I ask, it presses right up against when I'm off for work, so I'll likely be starting the meeting in my car over Bluetooth until I make it home.

I just want to make sure I don't "loose too much weight" prior to my consult as my BMI is the only thing qualifying me for approval for this program. From what I understand, they go off your BMI at time of submission to the program, not at the time of the consultation. Is there any confirmed truth to that?

April advised that I'm to make contact with her halfway through the Weight Management Class to setup the Orientation appointment. I guess I'm looking to get some confirmed next steps after that Orientation.

* How many additional appointments I'll be looking to make?

* What were the time gaps between appointments? Were they driven by the Provider, or your own schedule?

* Any usual tips/insight I should preemptively be doing now, to avoid frustration and/or hang-up throughout the process? (I have my sleep apnea testing scheduled for July)

* Does the surgeon look for 5% or 10% overall weight loss prior to approval for the surgery?

* Also, I was reading about my "Contract/Commitment" and was curious, is this going to be based upon overall weight loss? Or weight loss from that point, moving forward?

Thank again for any insight/help! Congrats to all of you for taking a step to finally overcome this relentless battle! I'm finally taking a step to hold myself accountable from myself to make sure I'm around for my daughter :)

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LifeChangesLori    79

LifeChangesLori
Posted

Hi, my name is Lori and I live in the NW going through Kaiser's Bariatric program. I started last September with the Weight Management Class and am now meeting with my surgeon tomorrow for a pre-op appointment. At the orientation they will give you a checklist that you go through, there is no time frame you have to finish, it is based on you and how quickly you get things done. There are 7 steps you have to go through to get your surgery scheduled. I am on step 6!

They use your BMI from the time you are accepted into the program, they encourage you to lose weight but they did not give me any number to lose. They really want you to show them that you are trying, documenting your foods with certain calorie count, and showing that you are trying to exercise. I lost 21 pounds just cutting calories the way they encourage you to. Just show them that you are trying hard so you will be able to follow diet after surgery.

Hope this helps!

Lori

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gaely    7

gaely
Posted

Wsheldon77,

I started the process in November. It feels like each step takes forever but just stick with it and try your best to track and lose along the way. I am on Step 3, meeting with the Nutritionist and Social Worker on July 5th. I'm not sure what the time frame will look like between this appt and my next, but I will keep you posted as I go through each step!
Good luck on your journey and let's keep in touch along the way!
Gael


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wsheldon77    1

wsheldon77
Posted

Hey Lori and Gaely! Thanks for your helpful insight. Congrats to the both of you and I look forward to hearing more about your journeys!

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LifeChangesLori    79

LifeChangesLori
Posted

Wsheldon77
Your welcome!
I got a call today and most likely will have surgery in Sept. But, who knows, may be sooner if there is a cancellation. I will keep you and Gael posted!

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gaely    7

gaely
Posted

Lori, that's so exciting! We met with nutritionist and social worker today. We've got our follow up already scheduled for August 30th....I feel like the time between appointments is so long. I'm nervous we won't ever get a surgery date!

How soon did you meet with the surgeon after your follow up with the Nut/Social worker?

Hoping to get this surgery before my deductible rolls over in November!


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alysia    6

alysia
Posted

Hi there! I'm in WA state and have Kaiser insurance. I had to do my sleep study, then wear my cpap for 6 weeks. Not sure if that was required by my surgeon or insurance. I was not required to do any supervised weightloss thankfully! My big delay was the cpap. Then a blood draw, psych eval and gallbladder ultrasound and they submitted. They approved in about 2 days after submitting everything. Good luck!![emoji6]

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alysia    6

alysia
Posted

Hi there! I'm in WA state and have Kaiser insurance. I had to do my sleep study, then wear my cpap for 6 weeks. Not sure if that was required by my surgeon or insurance. I was not required to do any supervised weightloss thankfully! My big delay was the cpap. Then a blood draw, psych eval and gallbladder ultrasound and they submitted. They approved in about 2 days after submitting everything. Good luck!![emoji6]

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P.s. surgery is August 16th!!!!!

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LifeChangesLori    79

LifeChangesLori
Posted

Lori, that's so exciting! We met with nutritionist and social worker today. We've got our follow up already scheduled for August 30th....I feel like the time between appointments is so long. I'm nervous we won't ever get a surgery date!

How soon did you meet with the surgeon after your follow up with the Nut/Social worker?

Hoping to get this surgery before my deductible rolls over in November!








P.s. surgery is August 16th!!!!!

Sent from my SM-G930V using BariatricPal mobile app




I had my Pre-op class today, start 2 wk liquid diet on 8/29, then surgery 9/12! I am really excited, not as nervous, but worried I will get too grouchy with my Pre-op liquid diet lol! I have even asked to have these 2 weeks off work to concentrate on my diet without the stress of work.

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LifeChangesLori    79

LifeChangesLori
Posted

Ugh, I start my pre-op liquid diet tomorrow, so nervous!
Hope things go well and with no low blood sugars. I know it will be worth it in the long run. Lost 5 pounds since surgical consult in June as went to my last pre op clinic appt. Last week:)

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Sexycubita    59

Sexycubita
Posted




I had my Pre-op class today, start 2 wk liquid diet on 8/29, then surgery 9/12! I am really excited, not as nervous, but worried I will get too grouchy with my Pre-op liquid diet lol! I have even asked to have these 2 weeks off work to concentrate on my diet without the stress of work.

Sent from my SM-G955U using BariatricPal mobile app






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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • Alisa_S

      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

      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

        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

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      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

      bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
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