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Questions for the doctor???



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I am going for my pre op on Friday, even though my surgery isn't until the 28th. I was just wondering what kind of questions I should ask. Does anyone have any suggestions?? First one I have is will he fill the band some during the operation.

Thank you so much for helping.

Alesha

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There used to be a great thread here with a list of questions to ask. Since the forum has been updated, it's gone, WAAAAAA!!!!

So I'll see if I can retrieve my list for you.

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Here's one list:

PROCEDURE

How many lapbands has the surgeon performed?

What types of complications have you personally ran into doing this procedure?

What is your policy when a complication occurs during a procedure?

What kind of band will be used?

What size-or will you determine once you are in there?

Are you Inamed/J & J approved for the procedure? If not then who qualified you to

perform the procedure and can you have literature to verify this?

What are the chances of infection? Does an occurrence of infection always mean the band must be removed?

How often do your patients need their band removed (or any other additional surgical procedures)?

Since I carry a lot of weight in my abdomen, does that increase the complexity or risk of complications with a laparoscopic procedure?

Does my abdominal fat increase my chance of needing fat pads removed from my stomach?

Does that have any risks associated with it?

What are the chances I will need my gall bladder removed? Is there anything I can do dietary-wise to reduce the risk of gall stones?

Are sutures always used to place the band? Is there any complications that arise from the "stomach wrap" around the band? Is it true that the sutures are permanent and do not dissolve?

AFTER CARE / RECOVERY

What should I expect during the recovery period? What is normal?

What kinds of self-care could I be doing to help my recovery?

Will my activities be limited during the recovery period? If so, which activities and for how long?

When can I return to work?

What help might I need while I recover? (driving, lifting, etc.)

What symptoms should you call a doctor about?

What programs do you have pre- and post- surgery to help me succeed?

How much support do you provide during the insurance approval process?

FILLS

What is your fill schedule?

When can I get my first fill?

How is the fill procedure performed? (ie: with or without fluroscopy)

What is the cost for fills? (under fluro and not)

How often will I need to be seen?

Will I have access to a Nutritionist?

How do you handle unfills?

Is there a direct line in case of Emergencies?

Does your doctor have email address?

What Vitamins should I be taking?

How will I take my birth control pills, HTN pills, etc? Are they crushable?

Will I need to crush my pills? If so then for how long?

Are there any pills that cannot be crushed? If so then how will I be able to take them?

PREGNANCY

Once pregnant, will I have to get a partial unfill or be completely unfilled?

Should I expect any issues/complications with a pregnancy after being

banded? If there are any what could they be and how will they be addressed?

After being banded, are most babies delivered via c-section or can they be delivered naturally?

If my baby needs to be delivered via c-section could that damage the port and tubing?

Are there additional Vitamins I should take while pregnant?

Edited by faithmd

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Here's the second list, some are duplicates:

Questions to ask during consultation:

Research the doctor.

What kind of follow up care is provided? (ie: fills, unfills, endoscopies, fluroscopies, port revisions, removal, etc).

Ask to speak to about 5 or 6 of his patients before you make a decision (this one os tricky with HIPAA, but usually at the pre-op seminars there are at least one or two patients there-or some have indicated they'd be willing to talk with prospective patients). Ask those people if they have any complaints or issues with their care before, during and after the procedure.

How many of the procedures has he done?

What types of complications can occur from this procedure and how frequently do they happen? (ie: perforations, etc)

What types of complications has he personally ran into doing this procedure?

What is his policy when a complication occurs during a procedure? (ie: does he discuss options with family or immediately convert to bypass or other WLS).

Is he Inamed/J&J approved for the procedure? If not then who qualified him to perform the procedure and can you have literature to verify this?

Research the procedure.

How is the procedure performed? Will you use the Pars Flaccida approach?

What type of sutures do you use? Can I request glue and not staples?

Will I have a catheter placed?

If I am on my menses, can I wear a tampon?

What will I need to have prepared when I get home in way of food items?

What are the short term issues?

What are the long term issues?

How will I be able to take my pills?

Will you write today for liquid pain meds?

Do you want me to take antibiotics post-op? If so, will you write for Diflucan (if get yeast infections when on antibiotics)?

Follow up care.

What is the schedule for fills?

When can I get my first fill?

How is the fill procedure performed? (ie: with or without fluroscopy)

What is the cost for fills? (under fluro and not)

How often will I need to be seen?

Will I have access to a Nutritionist?

How do you handle unfills?

Is there a direct line in case of Emergencies?

Does your doctor have email address?

What Vitamins should I be taking?

Will I need to crush my pills? If so then for how long? Are there any pills that cannot be crushed? If so then how will I be able to take them?

Edited by faithmd

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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.

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