Surgery probably cancelled

Nancy Geoghegan
on 1/18/18 4:46 pm - Lincoln University, PA
RNY on 01/23/18

Hi All. So my surgery is scheduled for Tuesday next week. Last night I forgot to plug in my phone. When it was finally charged at 515 today I had a voicemail from the bariatric team coordinator. She said she needed to talk to me regarding my bloodwork.

I have mild stage 2 kidney disease. I also have Fatty liver disease. I saw my labs last week on my portal. I knew they weren't great but I am on the preop ketosis diet and they did them without me fasting and I didn't get a chance to hydrate.

These are the worst parts:

urea nitrogen/creatinine ratio, serum 31.8

urea nitrogen, blood 35

potassium, serum 5.3

erythrocyte (RBC) count 3.95

egfr 55

aspartate aminotransferase (SGOT), serum 41

Alkaline Phosphatase, Serum/Plasma 57

alanine aminotransferase (SGPT), serum 39

So I call back, they are of course gone for the day. I am afraid this surgeon won't do the surgery. What other reason could they have to call me 8 days after these labs were done. I can't stop blubbering.

Then I have to have stress test and a echo cardiogram tomorrow at 730. I also receive a call from the imaging people saying they don't have insurance approval. Of course they are closed too. I called the insurance company and they have no record at all for approval of a echo or stress test.

The cards are stacked against me and I am fearful. The RNY was my only hope for a healthier life. I am miserable.

Nancy Geoghegan

Gwen M.
on 1/18/18 6:12 pm
VSG on 03/13/14

Take a few deep breaths. I know you're worried right now, but there's no reason to borrow trouble. The nurse probably just wanted to talk to you about your results and what you'll need to be aware of going forward. Don't assume that everything is the worst and surgery will be cancelled.

VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)

Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170

TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)

Maddymoe2
on 1/18/18 6:23 pm
RNY on 11/22/16

Yes, breathe and have a little faith! :)

seattledeb
on 1/18/18 6:27 pm

You and the doctors need to know all these things before surgery. Kidney and heart problems addressed. You might get delayed or your post op meals may need to be modified.

Deep breathing. One test at a time.

supershopper
on 1/19/18 5:35 am

no use worrying until you know. Yes, I need to also take my own advise.

I had NASH liver disease and fatty liver and had RNY. My doctor said I added 5 years to my life by having the surgery and getting to a normal weight.

Fingers crossed for you.

HW 305 SW 278 Surgery weight 225 GW 160 LW: 118.8

RNY 12/15/2015,

GB removal 09/2016,

Twisted bowel/hernia repair 08/2017

M1 Dec 2015-13.0, M2-7.0, M3-14.5, M4-9.4, M5-7.1, M6 9.8, M7-7.6 ,M8- 7.6, M-9 5.5, M10-6.4, M11- 2.2, M12 Dec 2016- 5.8

ScottAndrews
on 1/19/18 1:17 pm
RNY on 03/20/17

Pretty much everybody obese has fatty liver unless they're a mutant so that's certainly not gonna make them cancel your surgery.

Sparklekitty, Science-Loving Derby Hag
on 1/19/18 1:33 pm
RNY on 08/05/19

I wouldn't jump to the conclusion that surgery is cancelled forever. It's entirely possible that the surgeon may want to delay it a bit, but you'll still be able to have surgery eventually.

Don't give up hope completely!!

Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!

Grim_Traveller
on 1/19/18 4:29 pm
RNY on 08/21/12

Listen to the other nice people. Don't climb the walls all weekend.

The main reason behind the preop diet is to help your liver. Super low carb diets will do that. Maybe focus on cutting all carbs now, in case you need to redo bloodwork, or have a longer preop diet. It will at least give you something to do while you wait.

Always keep your phone charged! What if Dialing For Dollars called?

6'3" tall, male.

Highest weight was 475. RNY on 08/21/12. Current weight: 198.

M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.

MyBariatricLife
on 1/27/18 12:29 pm

So what was the outcome? Are you proceeding with surgery now or at a later date once some of these conditions are resolved?

Living larger than ever,
My Bariatric Life

Dizzy

Lyds85
on 1/27/18 7:42 pm
RNY on 02/20/18

I dont really have any advice for you other than to tell you that I can SO relate to the stress of these pre-op appts! I hope everything is working out fo you. *hugs* from your pre-op friend

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