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> Hello all,

>

> I have a few more questions for post-ops especially those with BCBS-

> Federal.

>

> 1. I am a child care provider-infants thru age 2. What is the

> average time spent out of work if there are no problems with

surgery.

> 2. If you have BCBS-Fed, did you get pre-cert and if not how did

you

> go about paying(did you have to pay up front)?

> 3. If you had insurance that would pay, did you have to pay

anything

> up front?

> 4. Has anyone had a C-section? And if so, was the post op pain

about

> the same?

> 5. Did any of you have a real fear that after the surgery you

still

> would not be able to control your eating and end up hurting your

self?

> 6. And final question-this one comes from my 9 year old daughter,

> -Will we ever beable to go to Chuck E. Cheeses again? Ha!

Ha!

>

> Any help with these questions would be a great help.

> Thanks SandiJeanes1@y...

Hi Sandi,

I am still pre-op. My surgeyr is next Wednseday, but I have been on

the list for 4 months and seen a lot of questions answered. Here is

my take from what i have learned.

1. Most people are back to work within a week, but my still have

lower energy for awhile. @ weeks off should be more than enough.

Remember your in Durham for 8-10 of those days. Lifting shoud not be

a major problem like it would be with an open surgery.

2. I don't know anything about BCBS fed. But I am pretty sure that

the clinic wants your co-pay amount up front. Also remember that

starting in Oct. there is a $1000.00 upfront fee to the clinic that

is reimbursed when your insurance comes through with there payment.

3. Se #2, once you are approved by your insurance and know what

your part is, the clinic will clarify for you what they need up

front.

Not sure about the hospital portion. Except if you are totally

self-pay then Durham regional wants $11,000. (?) upfront and will

refund what you did not spend.

4. A good number of women have had Csections and it has not been a

problem for this surgery. They may have some scar tissue that takes

extra time to deal with during surgery. Pain for birth and Csection

is rated much higher than pain for the MGB, plus it seems that Dr. R.

really takes preventative measures that keep any pain under control

and very manageable.

5. I am sure a lot of us have had this fear. my parents have this

fear for me right now. they panic at the thought of seeing me fail

at

this again. From what I have seen, your body after surgery really

helps you with this. If you eat any significant amount of sugar

and/or fat, you can suffer from dumping or vomiting. Both of which

teach you to not enjoy that food much anymore. I have seen many

people report that their desire for sweets and rich food changes

dramatically and they actually crave fruits, vegetables and simple

foods. I cannot imagine, but its my fervent prayer that that will be

my experience!

6. To , Of course mommy can go with the family to Chuck E

Cheese. The first month or so, she probably shouldn't have pizza

with

you, but theer might be something else on the menu she can have.

Later, she can have some pizza. She probably won't eat as much -

maybe only aout a slice and she might not like all the cheese as

much.

But there is no reason you can't all go there as soon as you like.

The magic of surgery for most people is that after a few months, they

are eating pretty much anything they want and can tolerate, but in

much smaller portions with more frequent meals during the day. Oh,

also, it could take her the whole dinner to finish that one slice of

pizza. That will be funny at first!

Hope that helps - we are packing the car:)

Will post when I get back.

laurie

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Hi. I am post-op and I have Blue Cross(but not federal). I think that

I can help on a few of your questions. I work at home and can not

tell you how long you will need to spend out of work with a job like

yours, but I can tell you that it was exactly 14 days before I was

able to say, " If I did not know that I just had surgery, I would not

be able to tell from the way that I feel. " I did not have any major

pain in the first 14 days, but I did tire very easily and had a few

" pulls " here and there that reminded me that I just had surgery. I

have been on the list about a year, and I believe that people who

have Federal Blue Cross are instructed to file the claim in North

Carolina. I'm sure that someone else will post on this subject. I

have PPO and have not had to pay anything out of pocket. Zero. I have

had two " bikini-cut " c-sections, and the pain in no way compares to

that. Since it is a lap surgery, you will only have five small one

inch incisions. I have also had lap gallbladder surgery, and the pain

was comparable to that. I don't know of many(actually, I don't know

of anyone, but there may be a few)who has had to have pain medication

of ANY kind after the day of surgery. Most people leave the day after

surgery, and although you will be sore, It is not the kind of pain

that you would need to take pain-killers for. You will be sore(sort

of like doing a bunch of crunches)and swollen for about seven days.

My c-sections were REALLY painful. It's nothing like that. I think

that every one has the fear that they will have a tough time

controlling their eating, not so much in the first ten days while you

are still healing, but rather a fear that you will continue to eat. I

can tell you that for me (I was a REALLY out-of-control junk food

binge eater)it was not a problem. You will NOT be hungry the first

few days, and then, when you do start to eat your new stomach will

let you know when it has had enough. It is so hard to describe to

someone who has not had the surgery, but you will have no problem

staying " in-line " until your stomach is healed. Last, but certainly

NOT least, you can still go to Chucky Cheese!!! My son and I ate

there last week because we were staying at a hotel and that was the

only place within walking distance(he's ten). You can eat pizza post-

op, just MUCH less of it. Before my surgery, my son worried about how

my new eating habits would affect HIS eating habits. I can eat

anywhere and anything that he eats, but I don't eat very much. His

eating habits are much better now because I don't keep Cokes in the

house and he drinks juice now. Also, I am cooking healthier because I

tend to crave healthy foods now. He does not even know that his

eating habits have changed, but I am thankful for the change. I hope

that I have been able to help in some way, and good luck with your

insurance!

Stormy 5'8 " MGB 8/11/00 Starting 278/Today 242!!!

(That equals one pound a day despite some plateus along the way)

> Hello all,

>

> I have a few more questions for post-ops especially those with BCBS-

> Federal.

>

> 1. I am a child care provider-infants thru age 2. What is the

> average time spent out of work if there are no problems with

surgery.

> 2. If you have BCBS-Fed, did you get pre-cert and if not how did

you

> go about paying(did you have to pay up front)?

> 3. If you had insurance that would pay, did you have to pay

anything

> up front?

> 4. Has anyone had a C-section? And if so, was the post op pain

about

> the same?

> 5. Did any of you have a real fear that after the surgery you

still

> would not be able to control your eating and end up hurting your

self?

> 6. And final question-this one comes from my 9 year old daughter,

> -Will we ever beable to go to Chuck E. Cheeses again? Ha!

Ha!

>

> Any help with these questions would be a great help.

> Thanks SandiJeanes1@y...

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  • 3 years later...
Guest guest

*Is there a way that acute pancreatitus could have gone

undiagnosed

> throughout several hospitalizations for acute abdominal pain,

both ER

> and Inpatient? and if so, how?

Theoretically NO but in reality YES. That is what happened to me.

I had major abdominal surgery for abscess drainage and had

extreme pain, nausea for more than a week after the surgery. I

was an inpatient and on TPN as well as a morphine PCA. The

surgeon was puzzled by my inability to recover and my need for

two units of RBCs because my hemaglobin and crit were getting

critical. At the end of the 10 day of not knowing why this was

happening he hit on the idea of AP and did the enzyme levels

which showed elevations and confirmed AP. If I was discharged

with him not doing the confirmatory tests it would have remained

undetected, even though I had a pretty moderate to severe case

of it. My underlying reason for being hospitalized masked it and

getting AP from surgery is considered a rare complication and a

failure on the surgeon's part so it wasn't something that he

considered until all other reasons were exhausted. Basically

this is the big flaw in evidence based medicine which is a type of

medical profiling: if you don't fit the statistical norms for being a

certain " disease " you are not worked up for it thus the disease

can be missed.

>

*Has it always been commen place to run Amylase and Lipase

levels on

> a CBC, or whatever the normal bloodwork is called when seen

ER. " Usually not. This is an esoteric blood test that is rarely rum

on a routine basis unless there is a specific reason to do so

(cost and availability are two reasons why they are not routinely

run).

>

> *Are there any other primary health issuses, which could

present with

> ALL of the EXACT symptoms of acute pancreatitus, which

might help

> explain the lack of a specific diagnosis " Yes - ulcer, heart

attacks, gall bladder disease, liver disease, appendicitis, acute

abdomen...... etc.

> Has anyone ever heard of someone exhibiting complete

recovery from

> Scizoaffective disorder, without being maintained with Meds

and

> Therapy? Depression I can wholly admit, but scizoaffective; I

can't

> get my mind around that one. - No experience or knowledge to

answer that one!

Hope these thoughts help.

Laurie

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Guest guest

Thank you Laurie, your a dream... Thats alot of what I needed to fuel

the fire...

So, step one is to get all my records from this VA and see if they

even did an amylase lipase assay, eh!

Thank you again... tooo coooool

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