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Pulmonary and Cardiac Clearance



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So, of the many things I need to get done, Cardiology and Pulmonology are on the list.

Can anyone tell me what exactly that entails (did you have to do the same?)? I guess there are some sort of tests they will do?

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I didn't have to do anything with pulmononlogy. For cardiology, a lot of people have to have an EKG. That's a breeze.

My surgeon also required a nuclear stress test for people over age 50 and/or people under 50 who'd had previous heart issues. For that, I had to lie on a table and they pushed me in this big loop thing that looked kind of like an MRI machine, but it was much bigger and shorter (because only your chest really needs to be inside - your head sticks out one end and you're sticking out the other end from the waist down). They did all kinds of readings - not sure what exactly, but I don't remember feeling anything. Then they gave me this shot of something that made my heart race (they said they can also make a person run on a treadmill for awhile, but it's hard for some people to get their heart rate up fast enough when they do that, so they usually just do the shot which has the same effect as really intense exercise). Then they stuck me back in the machine and did a bunch of readings again - the same readings they did before, because they want to see how your heart functions under stress, and how quickly it recovers.

other than the part about the heart racing feeling freaky, it wasn't bad. No pain or anything.

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Thanks for all the info!! For me they listed the EKG on its own then also listed a separate "Cardiac Clearance" visit which is why I was wondering what else that could mean. Apparently the cardiac clearance AND the pulmonary is a requirement from my insurance. I have no heart issues that I know of. Thanks again.

Edited by SummerTimeGirl

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My insurance also required cardiac and pulmonary clearance. The pulmonologist had me do a sleep study which uncovered severe sleep apnea, and a stress test which revealed mild asthma. The cardiologist had me do an echocardiagram and EKG which showed a leaky heart. None of these things stopped me from being cleared, I just now have a cardiologist to visit every 6 months plus an inhaler and cpap :)

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As Catwoman7 described, I had to do the stress test for the cardiac clearance because I was on two blood pressure meds, also EKG and echocardiogram.

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14 hours ago, SummerTimeGirl said:

So, of the many things I need to get done, Cardiology and Pulmonology are on the list.

Can anyone tell me what exactly that entails (did you have to do the same?)? I guess there are some sort of tests they will do?

I had to see a pulmonologist and a cardiologist for clearance. As other posters mentioned, I had a sleep study (which revealed sleep apnea), a breathing test (for lung function) and some other stepping test which I am not sure what it was for. The Cardiologist did a stress test, ekg, echocardiogram - which I think is just to make sure my heart is in decent shape for surgery.

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Thanks everyone for the responses! At least now I have an idea of what I could expect going to these appointments. I actually had a echocardiogram back in 2010. All came back good and normal. Hopefully if I need another I will get the same good report. Thanks again!

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So I just got my cardiac appointment done. I got an EKG done earlier in the morning before my appointment and so the cardiologist said everything looked good on that so based on that test and nothing alarming in other previous tests, that he didn't require me to do any further testing as he feels confidant that I am fit for surgery. YAY!! One step closer.

Pretty much all I have left to do now is my pulmonary, dietician and mental health appointments and they will all be completed by April 5th! So, fingers crossed my blood work (which I did this am) is fine too and nothing unusual shows with that. Oh and I guess next week I'll hear back about my H-Pylori test too. But after that, that should be it!!!

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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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    • 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.

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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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