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FAQs: 2. Before your Surgery
 
Please note - this is NOT medical advice. Below are questions typically asked by people considering weight loss surgery, followed by some comments from our surgeons. These comments are for educational purposes only. For medical advice, be sure to consult a bariatric specialist in person regarding your unique situation.

If you can't find the answers you need here, just ask us.
 
Can I advance my diet before seeing the doctor?
Can I skip the informational seminar? Why do I need to go?
Do I have to have my pre-op testing done at Theda Clark?
Does BMI measure body fat?
How can I prepare myself for surgery?
How does the scheduling process work?
How long does the surgery take?
How many days will I be in the hospital?
How much does the surgery cost?
I went to the information seminar. What do I do now?
What is the difference between overweight, obesity and morbid obesity?
What types of insurance are accepted?
When will I be able to return to work?
Will I be able to get pregnant after my surgery?
Will I experience hair loss as a result of this procedure?
 
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Can I advance my diet before seeing the doctor?
Once you are scheduled for surgery, you will receive a packet of information in the mail which can be put into the 3-ring binder we provide for you. It contains the post-operative nutrition plan that you should follow based on the type of surgery you plan to have. The nutrition portion of the 3-ring binder provides you with a complete nutrition program, which you can follow without seeing your surgeon. If you have any problems in advancing your diet, you should contact our office.
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Can I skip the informational seminar? Why do I need to go?
It is a requirement that all potential patients first attend the Midwest Bariatric Solutions informational seminar. Here you will receive important information that will help you make the best decision based on your individual situation. We will provide you with all necessary information to get started on your journey.

The surgeons lead all seminars. This gives you the opportunity to meet and interact with them.
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Do I have to have my pre-op testing done at Theda Clark?
Your pre-operative work-up including, lab, ekg, ultrasound, x-ray, and pulmonary function can be done at your local hospital. You will however, be required to meet with our nurse coordinator, registered dietician and exercise trainer at Theda Clark as part of our program requirements.
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Does BMI measure body fat?
No, BMI does not specifically measure body fat. Two people can have the same BMI, but a different percent body fat. For example, a bodybuilder with a large muscle mass and a low percent body fat may have the same BMI as a person who has more body fat. This is because BMI is calculated using only height and weight.

BMI is only one component of a person's health profile. It is important to talk with your doctor about other measures and risk factors such as waist circumference, smoking, physical activity level and diet.

If you would like to calculate your BMI please, visit the BMI Calculator.

Source:
www.walkfromobesity.com
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How can I prepare myself for surgery?
The number one thing you can do is to learn everything you possibly can about the specific surgery you have chosen. Talk with other patients, attend support groups, read books, and search the Internet. It is important for you to follow the pre-operative diet once you receive a surgery date. This will help prepare your body for the surgeons in the operating room. It is also important that you establish a support system for yourself following surgery. There will be a lot of changes both physically and emotionally.
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How does the scheduling process work?
Once we have received written authorization from your insurance company, we will look at what is available on our schedule and provide you with an appointment. We will then order all of your pre-operative testing at Theda Clark, unless you have indicated that you would prefer your pre-op work-up to be done at your local hospital.
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How long does the surgery take?
This will vary depending on the type of surgery you are having and your personal BMI. An open Roux-en-Y gastric bypass procedure takes approximately 90 minutes. The laparoscopic Roux-en-Y gastric bypass procedure takes closer to 3 hours. The Lap Band procedure is approximately one hour.
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How many days will I be in the hospital?
Routinely, patients are in the hospital 3 days for the Roux-en-Y gastric procedure. If this is done laparoscopically, some patients have returned home in 2 days. The Lap Band patients usually stay overnight or for a 23-hour length of stay.
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How much does the surgery cost?
This will depend on which option is best for you. We prefer to discuss this with you on an individual basis once you are ready to proceed.
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I went to the information seminar. What do I do now?
At the seminar you would have received a form that indicated what testing you would need prior to our office sending in your pre-authorization letter to your insurance. This would have included a psychological or psychiatric evaluation, possibly a sleep apnea test and an echocardiogram. Once we receive all of your information, we will issue a letter of pre-authorization request to your insurance.
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What is the difference between overweight, obesity and morbid obesity?
To most people, the term "obesity" means to be very overweight. According to the National Institute of Health, "overweight" is defined as an excess amount of body weight that includes muscle, bone, fat, and water. "Obesity" specifically refers to an excess amount of body fat. Some people, such as bodybuilders or other athletes with a lot of muscle, can be overweight without being obese.

Morbid obesity is typically defined as being 100 pounds or more over ideal weight.

Source:
www.niddk.nih.gov/health/nutrit/pubs/unders.htm
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What types of insurance are accepted?
We accept all commercial insurances. We are also Medicare and Wisconsin Medical Assistance providers.
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When will I be able to return to work?
Patients generally go back to work in 4-6 weeks after a Roux-en-Y gastric bypass procedure. This varies depending on the type of work you do. The surgeons will address this with you at your post-operative visits in their office. Lap Band patients can return to work as early as 2 weeks. This is discussed at the follow-up appointment 2 weeks after surgery.
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Will I be able to get pregnant after my surgery?
Absolutely, but be careful. If you choose to have the Roux-en-Y gastric bypass surgery, you must wait a minimum of 12-18 months to get pregnant. It is very difficult to continue your weight loss and provide the proper nutrition to your unborn child any sooner than 12-18 months from your surgery date. As you lose the weight, you may become more fertile. Use any and all protection so that you do not get pregnant in the first 12-18 months after surgery. After this time, patients have had healthy pregnancies with much fewer problems than they may have encountered being morbidly obese.

With the Lap Band procedure, you can become pregnant after your body has healed from the surgery, approximately 3 months. The lap band is ideal for women who are in the childbearing years since we can adjust it to meet the nutritional needs of a fetus during pregnancy. After the baby is born, you can again work towards your weight-loss goals by adjusting the band.
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Will I experience hair loss as a result of this procedure?
Yes! Your hair will thin around 3 months after surgery and will continue to thin for another 3 months. It will then grow back over the next 3 months. You can try Nioxxin Shampoo or Biatin hair products to help with the process, but these products will not completely prevent thinning. You can also try some Zinc supplements if you tolerate them. Another option is taking a Flax Seed Oil supplement, as directed, everyday. Your hair shows what your body went through about 3 months before. Initially after surgery, you will not notice much of a difference. Your body draws on your hair, which is a protein source, so it is important that patients choose foods high in protein following surgery to help with the hair thinning.
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