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Questions to ask in initial consult



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Have my first consult in mid January and am making a list of questions to ask this potential surgeon. I’m looking at one recommended by my primary care as well as getting referred into the program at Stanford.

I would appreciate any advice you might have.

Edited by Hopeful_Gal

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How far are you in the process? Meaning have you decided which surgery you want? Do you have any medical issues which may dictate which surgery is best?? I have bipolar which made the sleeve more ideal for me but I wanted bypass because of the greater weight loss statistics so that’s what I spent most of my time talking about. But you may ask how many of these surgeries he/she has done and their success rates? What to expect after surgery? If work applies how much time you will need to take off your particular job? Whether you can or are expected to lose weight on your program before your pre op diet?? They should also have their own list of things to go over with you that they think are important for you to know.

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Thanks for the reply. I am at the very beginning of the process. Which surgery is something TBD. Based on reading, sleeve seems preferable to me for reasons but it’s something I want to discuss. Just wrote down that I need to ask the doctor how surgery would impact medication dosing.

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2 hours ago, Hopeful_Gal said:

Thanks for the reply. I am at the very beginning of the process. Which surgery is something TBD. Based on reading, sleeve seems preferable to me for reasons but it’s something I want to discuss. Just wrote down that I need to ask the doctor how surgery would impact medication dosing.

Good question. Sleevers tend to have less issues with medication absorption overall but it depends on the way each Med is absorbed. I just kept my list with me for like a week and had so many questions it took a few appointments to get through all of them. The good news was I had to do the check ins anyways for my insurance so at least it made it feel like less of a waste of time.

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One thing I didn’t think to ask about but has had a big impact on my peace of mind is how problems that arise outside of business hours are handled.

What can the on call surgeon do for you? Can they help you get admitted or just tell you when you should go to the ER? Is your surgeon the on call or is it someone you don’t know? During office hours are your questions answers by an assistant or can you actually reach the surgeon?

I’ve spent a lot of time in the ER with long waits due to covid, and the on call isn’t able to help me. It’s made scary situations even more stressful.

For example if I could do it again, I’d make sure my surgery wasn’t sending me home fright before a holiday or weekend. I had problems as soon as I was released and had to go wait in the ER because no one was around to help.

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Definitely spend your time reading up on surgeries. Are you worried about regain? Complications? food intolerance?

I have to admit: had my doctor not suggested the surgery I ended up having, I might never have gotten the one I eventually was very happy to get.

Are you a big meal-eater, a snacker, etc. This matters, too.

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On 12/27/2021 at 1:54 PM, ClareLynn said:

One thing I didn’t think to ask about but has had a big impact on my peace of mind is how problems that arise outside of business hours are handled.

What can the on call surgeon do for you? Can they help you get admitted or just tell you when you should go to the ER? Is your surgeon the on call or is it someone you don’t know? During office hours are your questions answers by an assistant or can you actually reach the surgeon?

I’ve spent a lot of time in the ER with long waits due to covid, and the on call isn’t able to help me. It’s made scary situations even more stressful.

For example if I could do it again, I’d make sure my surgery wasn’t sending me home fright before a holiday or weekend. I had problems as soon as I was released and had to go wait in the ER because no one was around to help.

REALLY useful. Thank you!

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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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