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Preop Requirements



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Hi there.

I just wanted to start a thread on preop requirements. As I don't recall seeing one on the site.

I have just completed all of my preop requirements today. YEAH!!

My doctor's requirements were as follows:

A. Attend Informational Seminar about bariatric surgeries

Then:

1. Medically cleared letter (BCBS requires it says medically cleared or medically stable) for surgery from my PCP

2. Surgeon Consultation

3. Dietician Consultation

4. Psychological Evaluation

5. Pre-op testing (EKG, Echo, UGI Xray, blood tests, etc)

6. Attend Mandatory Support Group Meeting

7. Medical Diet History

8. History of last 5 years of BMI/co-morbidities(BCBS does not require)

A long process....but attainable!!!

I am so glad today I have completed the final steps and my doctor should have everything together by next wednesday to submit to insurance.......:biggrin1:

How has your preop process been!

I know it had me :eek:!

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Mine has been a little different but real similar

Started doing research online 9/1/07

Called center for information 10/5/07

Filled out preliminary form online 10/6/07

Recieved paperwork: 10/15/07

*Diet History

*Health History

*Letter from PCP stating medical necessity, weight history, medical clearance for surgery

All paperwork submitted to surgeon 11/15/07

Pyschological evaluation 11/15/07 Passed

Surgeon's office submitted paperwork to insurance 12/6/07

Upon Insurance approval:

Pre-op classes with Dietitian, Physical Therapy, Pre-op testing, and Consultation with surgeon to set date TBA

Manditory Support Group meeting: Probably Dec. 19

Surgery. Hopefully sometime in mid to late January

I guess it has moved fairly quickly. :whoo::whoo::whoo:

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I am in the pre-op stage now and here is where I stand...

Prelim meeting with PCP - 12/3

Lap Band seminar - 12/10

Surgeon consult - 12/10 (immediately followed seminar)

Nutritionist consult - tomorrow!

Psyc consult - trying to book one before 12/31

My insurance requires these things prior to 12/31 because on 1/08 they will no longer cover WLS. I am working really hard to ensure I go through the proper channels for insurance approval. My BMI is 44 so it's high enough to avoid needing other comorbidities.

After the consult with the psychologist I have to be on a medically monitored weight loss program for 6 months and then I can submit for approval. So... I'm looking at June for a possible surgery date.

I was hoping to have weight loss by summer but I'm willing to wait... I've been big for 23 years; I can wait 6 more months!

The best of luck to you all! I've learned so much from this forum that I could have given the seminar on Monday! LOL :whoo:

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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.
      · 0 replies
      1. This update has no replies.
    • 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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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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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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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