How to prepare for WLS surgery..

Aug 11, 2008

This is a list of suggestions I've compiled.


3-6 months before:

Go ahead and get full WLS labs done.

Not to be construed as medical advice, this list is a WLS mainstay:

*80053 - comprehensive metabolic profile (sodium, potassium, chloride, glucose,BUN, creatinine, calcium, total protein, albumin, total bilirubin, alkaline phosphatase, aspartate aminotransferase) (10231)
* 84134 - pre-albumin
* 7600 - lipid profile (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio)
* 10256 - (hep panel, includes ALT (SPGT) & GGT)
* 593 - LDH
* 84100 - phosphorous – inorganic (718)
* 83735 - magnesium
* 84550 - uric acid (905)
* 7444 - thyroid panel (T3U, T4, FTI, TSH) (84437; 84443; 84479; 84480)
* 85025 - hemogram with platelets (1759)
* 7573 - iron, TIBC, % sat
* 83550 - ferritin (457)
* 84630 - zinc (945)
* 84446 - vitamin A (921)
* 82306 – D (25-hydroxy) (680)
* 84052 - vitamin B-1 (thiamin) (4052)
* 84207 – vitamin B-6 (Pyridoxine)
* 7065 - B-12 & folate (82607; 82746)
* 83970 - serum intact PTH
* 31789 - homocysteine, cardio
* 83921 - MMA
* 367 - cortisol
* 84255 - selenium
* 83937 - osteocalcin
* 84597 - Vitamin K
* 82525 - Copper
* 84590 - Vitamin E

For diabetics: *496 - HEMOGLOBIN A1C

DIAGNOSIS CODES:

269.2 hypovitaminosis

244.9 hypothryoidism

268 vitamin D deficiency

250.0 diabetes

401.9 hypertension

276.9 electrolyte and fluid disorders

579.8 calcium malabsorption

579.8 intestinal malabsorption

272.0 hypercholesterolemia

275.40 calcium deficiency

266.2 cyanocobalamin deficiency

280.9 iron-deficiency anemia

269.3 zinc deficiency

281.0 pernicious anemia

281.2 folate deficiency anemia

281.1 other B12 deficiency anemia

285.9 anemia, unspecified

*579.3 surgical malabsorption*

Start taking multi-vitamins, and take extra according to what you are deficient in your lab results. Focus on Vitamin D, C, Calcium and Iron

Start some kind of excersize program, walking, swimming, biking, or just dancing in your underwear in your living room. Just get moving.


1-2 months before:

Start a low-carb diet, go through carb detox now and not while you are also trying to recover from surgery.

Load up on protien at every meal and snack if you can.

Do "foot wiggles" excersizes to help guard against blood clots. Wiggle up down, left right, as often as you can.

Do breathing excersizes to build strong lungs.

Try some stomach crunches and other strength building excersizes added to the program you are already doing.

Arrange for extra helping hands your first two weeks of recovery.

1 week before:

Take pictures, especially if you have been very camera shy up until now. Front, back, sideways and a face closeup. You might consider also takeing measurements of body parts for comparison down the line.

Stock up on liquids and protient drinks for the days after.

In addition to other breathing excersizes, blow up ten tiny balloons a day.

If you don't have a lazy boy recliner, consider borrowing one or renting a lift chair.

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