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Dr. Paul Cirangle - Dr. Cirangle patients?



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:redface:Hey everyone, I have a consultation with Dr. Cirangle tomorrow. I guess I’m getting a little nervous. Are there any other people here to have been banded by Dr. C? I was just wondering about how long the entire process will take? My insurance doesn’t require a 6 month doctor supervised diet. When I called HMSA they said all I need was a BMI of 40 or above (mine is 43.3) and I need to be at least 100 lbs overweight. I’m about 128 lbs over. I’m really excited and super nervous at the same time. I was also wondering what kind of pre-op tests he requires and what his aftercare program is like? Mahalo, Malia

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Dr. Cirangle is my doc and I love him. I don't have a band, but I don't think that will make a difference in how long it takes. He says with insurance it generally takes around a month. Some of that time is spent submitting and getting approval so it's going to depend on your insurance company though.

The pre-op tests are pretty standard. There is variation based on your medical history but at a minimum you should be getting a physical, an EKG, an X-ray or Upper GI, and lab work. Women have to have a pap and mam within the last year. Everyone does a NUT consult where they go over the diet and a psych eval as well, even if your insurance doesn't require it. They have an in-house dietician and counselor you can see, but you can use your own too.

The after-care program is awesome and it's why their results are better than published averages. They have support groups all over the Bay Area every month. There is a newsletter too. In addition, you have full access to the on-staff dietician and counselor, pretty much as much as you need them. Fills are included too. Dr. C likes to see his band patients every month -- some docs make you wait 6 weeks in between fills and that can be frustrating and often leads to people getting off track.

You get so many months of after-care included in your program fee. I don't know exactly how many. It's a least a year, but more likely two. I was self-pay for a sleeve and my price includes two years of after-care.

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I have Dr. C. I went in for a consultation really wanting to get the Sleeve or band. He told me that the Sleeve would never be approved by insurance and if I wanted Anthem Blue Cross to pay, I needed to do a band or the RNY. I chose the RNY much to my surprise.

Dr. C isn't a warm and fuzzy type of guy. He is a skilled laproscopic surgeon who provides the facts, and truly has a passion for what he does. I really liked that about him. I am usually the gal who wants the warm and fuzzies but I really loved Dr. C.

My big issue is that my PCP didn't support my decision and I am looking for a new primary doc. I've got my surgeon but I am doc-less...any suggestions?

I am in East Bay Area.

Good luck!:)

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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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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
      1. This update has no replies.
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