Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

Posted (edited)

I'm 41 with no family history of breast cancer. I'm with Kaiser and they do not require mammograms at this age. I had done my research and decided to wait until I was 45-47 unless something happened sooner to make me feel like I need one. But the bariatric surgeon told me that I have to have one before surgery. I asked why, and the surgeon just said, "Because it's a life saving procedure." I told him that Kaiser doesn't require it and I talked to my OB and I decided to wait. He said, "Well, the program requires it."

I'm not trying to argue with them, because they are not making the process difficult for me, so I dropped it. And I scheduled a mammogram for this week. But, I can't stop asking myself WHY a bariatric surgeon would know better than my OB when I need a mammogram and why it would be required for an unrelated procedure. I don't like answers that are "because I said so" without any logic and explanation, but that's basically what I got from the surgeon. And I don't want to piss them off, because on my first appointment, he said I was at my pre-surgery goal weight, agreed it was medically necessary, and targeted surgery for my preferred date - early August. But, I also made an educated and medically advised decision not to have a mammogram yet, and it's really annoying me that I have to do it....

SO - does anyone have any insight on WHY, at a younger age, they make you have a mammogram before the surgery? Maybe I would be less irritated if I knew there was some science behind it...

Edited by Plink

Share this post


Link to post
Share on other sites

I've never heard of a mammogram being required prior to surgery, but all surgeons are different.

Sent from my SM-N960U using BariatricPal mobile app

Share this post


Link to post
Share on other sites

I was 40 and didn’t have my mammogram before. I did have it two months after but it wasn’t required. I just wanted to get a baseline and since insurance covered it, I did it. Not sure why your surgeon wants it....maybe they are just crossing certain things off of a list they have and since you are of age to get one, they want it. I was a little uneasy about getting it done (nervous) but it was easy peasy. Glad I did it...

Share this post


Link to post
Share on other sites

The only reason I can think of as a possibility is if you did find you had breast cancer and needed chemotherapy. When people lose weight during cancer treatment, it is most often due to an inability to maintain good nutrition. Chemotherapy can sometimes cause nausea and a general loss of appetite, while vomiting and diarrhea can greatly impact your ability to retain nutrients from the foods you eat.

Share this post


Link to post
Share on other sites
I agree with KCgirl. I don’t as told you had to be 5 years cancer free to even be considered (I don’t have cancer they were just telling me all the requirements). If you were to need chemo you would have a very difficult time getting the required nutrition needed if had severe food restrictions. It wasn’t required but mine was due right before my surgery. I hated doing it because I didn’t want anything found that could delay my surgery but then I realized I was being ridiculous because I was talking about cancer which way trumps obesity!!

Share this post


Link to post
Share on other sites

That doesn't make any sense to me

Share this post


Link to post
Share on other sites

Not sure although your breast density changes a lot when you drop a massive amount of weight. There are a few women I know who've been WLS patients who've had call backs after mammograms after they lost all their weight because things looked a bit odd - although in all cases, it turned out to be nothing. Maybe he just wants a baseline?? At any rate, if he requires a mammogram for surgery, then he requires it - not sure you're going to be able to fight that one.

Share this post


Link to post
Share on other sites

No idea. I saw three different docs before I chose mine. One required a mammogram (I'd already had one, so it wasn't an issue). But that same doctor often answered questions with either "because your insurance requires it" (even when I knew full well it didn't) or "because I said so". Even though I'd done 3 of my 6 months pre-recs with him, I decided I didn't want a doctor who wouldn't explain things and outright lied to me, so I switched doctors.

Share this post


Link to post
Share on other sites
It doesn’t make sense to me however from an insurance perspective I would probably just do it. I would assume that you will end up paying your deductible etc this calendar year with WLS anyway so at least the mammogram would also go towards that. On the other hand a lot of younger women get false positives and have to get an ultrasound etc which ends up being a lot of unnecessary stress.

Share this post


Link to post
Share on other sites

Nope, didn't have one either. Not required by my doctor.

Share this post


Link to post
Share on other sites

No mammogram required for me. But.... my stress EKG showed something a little funky and I ended up having 2 nuclear exams and then ended up with the full cardiac cath! Thank goodness it was normal. I would choose a non invasive mammogram any day over having wires threaded through my heart!

Share this post


Link to post
Share on other sites

Please know that in my previous post I was not trying to minimize the concern - or pass over a doc who won't explain things. Just trying to add perspective to some of the things we can't change. Like why some insurances require 6 months of pre-op supervision and others don't. My doc required the psych and nut consults, 2 classes, cardiac clearance, a zillion labs, and throw in a sleep study for good measure. Took me 8 months to get the check list done. Some docs don't seem to require anything - just sign and pay. Hopefully, we find compassionate doctors who will explain the rationale for what they order, but control of the surgery is in their hands, so we gotta do what we gotta do.

Share this post


Link to post
Share on other sites
Got to agree with you there! Of course, when you get to be my age, almost every test has some sort of "caboose" to it; but I prefer finding these things out before I get to a High risk state. As an example:
Chest MRI to check my aorta- Renal cysts
Neck Cat Scan- thyroid nodules
Multiple endoscopies- Bowing of Vocal Cords
Repeated blood labs while PICC line in place- low blood iron- Iron INFUSION
DEXA scan- yearly INFUSION to stave off osteoporosis worsening
Mammogram- only one they found Nothing Else- what a relief!
And all of these since January 2019. Trust the bailing wire I'm fastened up with lasts! LOL😝

Share this post


Link to post
Share on other sites

SO, the insurance and surgeon are Kaiser. I will call Kaiser and see if it’s mandated for the program, but I think generally if the surgeon says it is, then they are going to make me do it.

Thanks all all for offering some ideas on this!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Recent Topics

  • Most popular:

  • Recent Status Updates

    • allwet

      this one is a bit of a slog to get thru but it is important to see the differences they are trying to define.
      https://www.cambridge.org/core/services/aop-cambridge-core/content/view/2A9776922A28F8F757BDA32C3266AC2A/S1368980017000234a.pdf/un_decade_of_nutrition_the_nova_food_classification_and_the_trouble_with_ultraprocessing.pdf
      · 0 replies
      1. This update has no replies.
    • CocoaRNYBBCPromsFanInUS

      Dinner tonight was: a dessert plate (cuz it's small) topped w/ dark leafy greens, refried beans & stewed shredded chicken. Pretty good.
      · 0 replies
      1. This update has no replies.
    • CocoaRNYBBCPromsFanInUS

      This is great, but having difficulty changing where it says under my moniker & next to my profile picture, "Pre Op" to ---> "Post Op".  I'm new, but had my Gastric Bypass procedure 06 February 2018. Halp! lol  Also, how do I post Before & current "After/ Work In Progress" photos?  Do I post it/ them in this status box? Any assistance appreciated. Thanks a bunch in advance. Toodles!
      · 1 reply
      1. CocoaRNYBBCPromsFanInUS

        Nevermind, I found the answers from the HELP thread. :)

    • AshleyDosie

      Day 3 of the liquid pre-op diet. I haven't felt too bad, but my brain wants some food!!! I can do this!
      · 0 replies
      1. This update has no replies.
    • FullMoonFanny

      Day 2 of pureed food diet, 15 day post Sx. I'm eating lunch (leftover taco ground beef mixed with 2% cottage cheese) and wondering "Am I full? Am I full? How will I know I am full?" I've prepared about a 1/2 cup total and eaten about a half of that. Then I get the familiar pressure behind my sternum, like a burp is just sitting there wanting to come up. I hiccup a couple times and gas bubbles up from my belly. There's no feeling of fullness in my stomach, its all in my chest. I guess this is full for me? I am just learning what full feels like. For the new me, fullness isn't leaning back from the table with my hands on my belly wanting to unbutton my jeans. Fullness is a feeling low in my chest that the food has stopped going down. Air is trying to escape to make room. It's the feeling of really needing to burp. Still learning.
       
      · 1 reply
      1. gabybab

        I get a heavy feeling in my chest and can't burp, then the hiccups come and they are loud and obnoxious

  • Trending Topics

  • Together, we have lost...
      lbs
    ×