Pre-op Psych and Medical Evaluations

April 10, 2001

I don't understand all the contraversy about having a Pre-op

Psychological Evaluation. WLS is a major procedure and an even more

major life long commitment. In my case, not only did Dr. Keshishian

require an evaluation, but my insurance required several professional

evaluations. Prior to approval, I not only needed a full physical

and recommendation from my PCP, but I was required to see a

cardiologist, an endocrinologist, and a phychologist.

These evaluations are for the patient's protection as well as

protecting the insurance company and WLS surgeon from approving

surgery for a patient who may have medical or psychological issues

that need to be addressed prior to WLS.

These evaluations were not more than a formality for me. I have

yearly physicals and therefore had no surprises when the results of

my labs and xrays were completed. My psych evaluation focused

primarily on my understanding of the possible risks and

complications. We also addressed the lifelong commitment that I have

to make following a WLS procedure. None of this was a surprise either

since Dr. Keshishian spelled out all of these things at my initial

consultation.

My advise to all pre-ops is to just go with the flow. You have to

jump through a few hoops for both the insurance company and your

chosen WLS surgeon. When you finally get the approval and have your

procedure, I can tell you that all those hoops will fade to being

inconsequential. As the surgery starts doing its magic and you begin

losing the weight, you'll realize that all of the pre-op tests were

worth the hassels.

I'm 6 weeks post-op, have lost about 45 pounds and more improtantly I

can see and feel bones I forgot I had. Everyone I know who I've seen

since my surgery are amazed at the transformation that is already

visible. Seeing the pride and pleasure from my family and friends

make it all worth the hurdles and obstacles I had to overcome. So

relax, and think positive thoughts. You will be much less stressed

if you relax and quit fighting the red tape.

I wish all pre-ops (and the post-ops) the best.

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