Surgery protocols and prices
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Romanian protocols:
1. Initial meeting with surgeon that consults you and says if you might qualify for WLS;
2. 1 day full of blood tests, abdominal echograph, abdominal endoscopy, barium abdominal rays, body composition, cardiology (EKG and blood pressure, BP under physical effort , pulmonary tests (spirometry, rays), nutrition and psychological consult;
3. Surgeon consult when he determines if and what type of WLS is recommended ( for me gastric sleeve), describes surgery and course of treatment, schedules surgery date ( plus finding out if other interventions are required - they discovered that I have a big hiatal hernia that needed fixing)
4. Surgery protocols- standard is 4 nights , sometimes 5 of hospitalization.
- hospital admission 1 day before, in the evening, for preparation: heparin shots, IV fluids
- Surgery day and 24 hours post op in ICU (again, per protocol, even if you are ok) - that was horrible, with drain tube from surgery, nasogastric tube, bad pan or catheter for peeing, BP monitors every 30 min, so slim chances of sleeping- I felt no pain at all, just nausea from the nasogastric tube
- next day in the morning transfer to normal reserve, got read of nasogastric tube and urethral catheter; I could walk just fine, minimal general pain ( like a muscle soreness after exercising), incisions painful if pressed - they offered more pain meds but I refused)
- next 2 days just IV fluids, with antibiotics, dexamethasone for inflammation, pain meds, nutrients
- day 5 discharged from hospital with following medication: heparin shots 1month, anti-acids for 1 month, ibuprofen syrup or kids for managing pain for 3 days, Debridat for transit and gas, bariatric vitamins and protein shakes for forever, hepatic protector for 3 months
They make sure you make 8.000-10.000 steps per day and that you tolerate well the necessary fluids intake.
Diet: clear fluids 1 day pre op and 1 week post op, then cream soups for 2 weeks, then mushy purees for 1 week, then soft food and solid food as tolerated.
Prices: 1.000 usd for pre op analyses, 6.000 usd for surgeries ( I had 2-in 1, GS and hiatal hernia repair, and including 1 week, 1, 2, 3 , 6 months and 1 year controls, nutrition and psychological included), 400 usd medication for 3 months, including vitamins and protein shakes
Time from diagnosis to surgery 2 weeks.