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Outpatient or hospital stay ? American Surgey Ctr.



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Hello ... I just got my date of April 13 for surgery. It was going to be done at a hospital ( Saint Francis in Delaware) but now the scheduled at a surgical center instead and I was told I can be there only 23 hours? I am concerned because all of the classes and doctor appointments had been about hospital stay ? Possibly staying one to two nights. Now that it is a surgical center i am only allowed to stay at max 23 hours. How if i am sleeping from pain meds do they know there is a problem ? Maybe i am wrong but i thought is was major surgery ? Anyone else had theirs done at American Surgery Center in Delaware with Dr.Peters ? How was your experience ? Also, I had my colonoscopy there and the prep nurses were not very nice and made me very nervous and uncomfortable ... at that time i told my husband that god the surgery wont be here ... ;-( Now i am feeling really upset.

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Could this be because of insurance? When my RNY was first approved it was only approved for outpatient (23 hours or less). My surgical coordinator appealed it and got me one night in the hospital.

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I think you will be fine. I was cash and still out in less then 24 hours = Trust me you are going to want to go home

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My coordinator said it was maybe because i was not a high risk patient? What does that even mean ?

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2 hours ago, themonk4u said:

Hello ... I just got my date of April 13 for surgery. It was going to be done at a hospital ( Saint Francis in Delaware) but now the scheduled at a surgical center instead and I was told I can be there only 23 hours? I am concerned because all of the classes and doctor appointments had been about hospital stay ? Possibly staying one to two nights. Now that it is a surgical center i am only allowed to stay at max 23 hours. How if i am sleeping from pain meds do they know there is a problem ? Maybe i am wrong but i thought is was major surgery ? Anyone else had theirs done at American Surgery Center in Delaware with Dr.Peters ? How was your experience ? Also, I had my colonoscopy there and the prep nurses were not very nice and made me very nervous and uncomfortable ... at that time i told my husband that god the surgery wont be here ... ;-( Now i am feeling really upset.

1. It will be alot cheaper costs in the long run. 2. Im scheduled in a hospital and My dr told me I could expect to check in 1p on Thurs and be out Fri by 10am (around 22hrs). You will be fine.

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I took 2 days in the hospital, but that's because the first pain reliever didn't relieve my pain. Most people are only overnight, so you should be okay.

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I really think it depends on the doctor. My doctor told me to plan on 2 nights at the hospital but I am also have a hernia repaired at the same time that they do the RNY.

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I think my surgery was 3 days/two nights in hospital, I’m pretty sure that was the timeline. I had my gallbladder removed at the same time. But my nutrition class had also said at least two nights. I have had some surgeries with major stitches and have them same day but can’t imagine having had gastric bypass surgery and leaving same day but perhaps my case was just different. I had a abdominal drain and catheter for all three days. But due to my chronic illness I unexpectedly was bed bound and couldn’t get up to walk the way most people can post surgery.

unless something comes up in surgery then home is usually the best place for recovery. But still seem strange since you’d think they need to allow some time to heal, make sure you are functioning well enough, and check for leaks. I would at least question the doctor about it.

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@themonk4u I'm going through the same thing with my insurance. My surgeon requires 2 nights, and my insurance says that it can be done as Outpatient and that I can spend those two nights in "observation", which is still in hospital, but not admitted. Idk, it's weird but I think it's a common thing, try not to stress. I'm sure if you need more time, your office will go to bat with the insurance.

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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.
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      1. LeighaTR

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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. 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.

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        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.

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        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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