March 2, 2010

Mar 02, 2010

Yesterday I was in Duluth for my pre-op appt with the RN (Nancy) and the dietician (Julie).  It was very exciting as I knew it was the final appt before my actual surgery!  We talked about diet before and after surgery, what to expect, where to go on the day of surgery, pain management, etc.  It was all great information. 

One of the reception people on the 4th floor of SMDC asked if I had registered when I told her that I was there for 2 back-to-back appointments.  I knew that I had pre-registered for the hospital admission over the phone, and so I was confused as to what she was talking about.  But she asked my name, looked on a piece of paper, told me that I was good to go and instructed me to have a seat.  Once I had waited approx. 1/2 hour past my appt time, I asked another receptionist if she knew how long it would be and she looked into it for me.  She came back to tell me that because I didn't register, no one really knew I was there.  UGH!  So I had to go downstairs, register and come back again.   After another honest mistake, I didn't end up getting into my first appt until about 3:30 - 2 hours after I first arrived.  That was a LONG day for sure!

But in the end it was all good.  I still don't know when to arrive for my surgery.  The RN told me that because things sometimes change at last minute, they won't tell me the surgery time until the day before, which will work for me. 

I start my liquid diet this Saturday.  Dr. Pitt likes people to be on it for 1 - 2 weeks, but the closer to 2 weeks prior to surgery, the better.  I figured the weekend was a good time to start and that would give me 11 days prior to the surgery date, so that is my plan.  I bought the carnation instant breakfast while I was in the States.  The only kind I found here in Thunder Bay were the pre-mixed kind...not that I looked around a lot.  But the pre-mixed was much more expensive than the packages, and Julie suggested that it would be lower fat than the 2% milk I would use to mix mine.  So I got 11 days worth of mix at Cub Foods and I will be good to go come Saturday!

Counting down the days now!
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February 19, 2010

Feb 19, 2010

I have a date!  March 17th!  Woo Hoo!

I will be going down on March 1st for my pre-op appointment with the RN and the dietician,  and Janice said that she would call my family doctor here in town to set up a pre-op with her.  Dr. Pitt also wants a cardiology appt done and Janice said that she should be able to set that up with my family Dr as well.

I am so excited.  I have so much to do now to get ready.  Unfortunately that is my son's 18th birthday and I won't be home for it.  But I texted him right away when I found out the date, and he said he is okay with it.  We'll just celebrate before I go.

Yay me!
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February 18, 2010

Feb 18, 2010

Yesterday was my review day, and I just couldn't wait for a phone call so I called the clinic and spoke with Mary-Ellen.  She was so nice.  I told her that I really didn't want to be a bother and she assured me that I was not being a bother, that I saved her a phone call and that I should feel free to call them at any time.  So that really put me at ease.

Apparently I was a little confused as to what the "review" was.  I thought the team all sat together, discussed whether or not you've met all of the pre-qualifications and then set you up with a surgery date.  I was correct only about the first part.  After they decide that you are good to go, they then let the insurance lady know so she can inform OHIP, and they let Janice know so she can schedule the surgery.

I'm glad I called though because I found out that the dietician was wanting more info from me and that would have held up my surgery.  I had emailed her back in January with my food journal, and she gave me some tips and instructions at that time.  I didn't realize that she wanted me to email her back.  So when Mary-Ellen told me that it all hinged on that email, I immediately set to work to find 2 weeks worth of my food journal and put it all together into a word doc that I could email to the dietician. 

The good news...no the GREAT news is that the dietician emailed me back today to say she received the email, that she could see the effort I was putting into preparation (gave up diet coke and everything!) and that she was going to let the rest of the team know that I have completed everything with her and it is all good to go!  Woo Hoo.

I received a phone call from Lindsey (the insurance lady) who told me that she has done her part and that Janice will be contacting me shortly with a date!  I can hardly believe it! 

Mary-Ellen told me that Janice was booking into April, and that there were few people ahead of me...so maybe early April?  That's not a bad time.  Roads will be good for travel. She also told me that I would be offered a date and that if it didn't work with my schedule, then I can take the next available date.  I laughed out loud at that and told Mary-Ellen that I am ready to go whenever and will arrange my schedule to fit the surgery date!  LOL

I will have to go down 2 weeks prior for a pre-op appt during which I will get the instructions for my liquid diet.  And the dietician told me that the post-op diet and vitamins, etc will all be explained thoroughly to me.  So maybe I am finally getting somewhere!?

I am quite excited now.  One of the goals I had set for myself was to be under 200 lbs by the time I reach my bday in July.  I was afraid that I may not reach that goal as the surgery was not yet booked.  But with the pre-op liquid diet and the surgery hopefully being in April...maybe I can still reach that goal.  And if not, that's okay....there are lots of goals I have set for myself!

Today is also my 15th anniversary of marriage to my beautiful and loving husband. 

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February 11, 2010

Feb 10, 2010

I have received 2 bills from SMDC for my consult appt but just put them aside thinking they were just an FYI as the cost is covered by OHIP.  Then I received a call from the SMDC business office asking me about payment.  I explained the OHIP thing to the woman on the phone, but she didn't quite get it.  She thought that perhaps I was supposed to pay it and then be reimbursed by OHIP.  I explained that it didn't work like that and OHIP was  provincial health insurance and not personal.  I told her that I had gone over all of this with Lindsey during my consult appt and she asked that I call Lindsey and explain the situation to her.  So yesterday I did that.  I turned out that, for some reason, my pre-registration information was never put into the computer system.  That means it defaulted to bill me instead of an insurance company.  So I then had to call the pre-registration department and I gave them my health card number and the approval number that was listed on my approval letter, along with my address and phone number, and the address and phone number of the OOC office for the MOHLTC.  So hopefully that will be all straightened out now.

While I was on the phone anyway, I decided to ask to speak to someone in scheduling to see if my surgery date had been set yet.  I left a voicemail for someone named Janice but didn't hear back from her all day.  I didn't want to call again because I don't want to end up being one of those people that makes staff cringe when they hear your name, but I soooo wanted to know what was going on.  So finally at the end of the day I called back.  This time the lady on the phone told me that it should be Barb that I talk to because she is usually involved with the review.  However Barb was gone for the day.  So I left a number where I could be reached.

Just before I left work my phone rang and it was Jenny from SMDC.  She told me that my case wasn't actually reviewed on Feb 3 like I thought it would be.  She said there were so many files they couldn't get through them all and so my file is up for review next Wednesday (Feb 17).  Ugh...  That made me sad.  But oh well. 

I asked her how long it would be before I heard back and she said that it could be a week, depending on how busy they were.  However she said that I could call there Wednesday afternoon and ask about it.  I asked her if that would be a problem and she said that it wouldn't.  So I don't know what to do.  Like I said, I don't want to be a pain in their keesters, but I am going nuts with the waiting.  (I am not a patient person  LOL!)  I think by the time next Wednesday rolls around I will be too anxious not to call.  I guess we'll see.  Maybe I can keep myself busy so that they days will fly by and then I won't have to think about it.

So now I wait some more.....

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February 9, 2010

Feb 09, 2010

Well, it has been almost a week since the review was done, and so far I haven't heard anything.  I was told that I'd probably get a phone call or a letter within a week or so of the review.  So now I don't even know how it is coming.  Everyday I wait for that phone call that hasn't come yet, and then I rush home and check the mail and find nothing!  It is so hard to wait!

I asked what the usual time frame is from review to surgery, but I was told instead that there is usually 3 - 6 months between approval to surgery but it is closer to 3 months.  Well I got my OHIP approval in Nov and now it is 3 months...so does that mean I'm close?!  I hope so!

I saw my family doctor today for other reasons and she asked if I was excited.  I told her that I was and she seems interested in seeing how it all comes together.  I don't think she is a huge proponent of gastric bypass, and she told me that she only has one client who has had it, but has done well and has lost about 120 lbs.  So maybe after she sees the results in a few people she will feel better about it.  She was of course telling me how my eating will have to change and that I will have to make time for exercise, and I listened politely even though I do know all of that from all of the research, reading and dr. / patient counselling I have had.  I just wish we could get on with the next step now!

Well, I will go back to waiting.  Hopefully I will be posting my surgery date soon. 
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January 18, 2010

Jan 18, 2010

Woo Hoo...Finally! 

On Friday Dr. Bosma called me back and told me that he had my report ready to be picked up, which I did on my way home from work.  This morning I faxed the report to SMDC and just received a message back from them saying that they did receive the report and that they will be forwarding my file for the team review, which is the last step in the process before a surgery date! 

I was kind of hoping that I would be part of the team review coming up this Wednesday, but the nurse on the phone said it would probably be the next one held on Feb 3 which is my mom's birthday. 

Good things are happening!
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January 14, 2010

Jan 14, 2010

I'm starting to get a bit frustrated now.    It has now been 3 calendar weeks since my appt with Dr. Bosma and I still have no report.  I called his office again today to ask if it is ready, but no one seems to ever answer the phone there.  So I left a message and hope to hear back from him before tomorrow but I may end up waiting until next week. 

The thing that makes me the most frustrated is that I had (and have since cancelled) an appt at SMDC for next Tuesday to see their psych guy.  I made that appt back in December when I was in Duluth but was sad that it was so far away.  So when I got back to Thunder Bay I called up Dr. Bosma and he agreed to see me the following week.  I thought GREAT!  I'll get it done sooner than originally planned.  But that doesn't seem to be happening. 

Worst of all is that I had to pay $390 out of pocket to see the local doctor, and happily did that thinking I would be moving along more quickly.  Had I kept my appt in Duluth, the cost would have been covered by OHIP and I would have had the test done in the morning and the results that same afternoon!!!!  So I did nothing by seeing Dr. Bosma except cost myself almost $400. 

I guess on the positive side, I didn't have to take a day off work, and I didn't have to travel 4 hours and stay in a hotel.  But I'm still thinking that would have been better.  Just typing this out is making me feel like crying.  Why can't people just work with me!  UGH. 

Please send lots of positve vibes my way that Dr. Bosma calls me today or tomorrow and that the report will be ready for me to pick up. 
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January 11, 2010

Jan 11, 2010

I still haven't received the report from Dr. Bosma.  He told me that it would take 7 to 10 days, but still nothing.  (I did get his bill already though....) So my plans to have my surgery in the beginning of February seem to have fallen through.  Even if I got the report this week, it wouldn't be reviewed by the surgery team until the middle of next week.  And assuming the surgery would be done approximately a month from then...I'd be looking at the end of February.  And that's only if I get the report this week, but who knows if that will happen.

The kids have their Spring break from school March 15 - 19, and although I don't want to wait that long, I'm beginning to think that it might be a better idea to have the surgery during that week.  That way I won't have to worry about having someone get them to school every day when I am out of town. 

Oh well, I'm not going to put too much thought into it at this point.  I will wait until I get the psych report submitted to my surgery team, and then I will be able to start making more concrete plans.

I think about this surgery all the time, day and night.  I am so anxious to get it done and over with.  I want to begin my "new life".  I keep day dreaming about the future and how good I will feel when this weight is gone.  It feels like it is taking forever!  But I know it will happen one day soon.  I just have to have patience. 
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December 23, 2009

Dec 23, 2009

In about 1/2 hour I will be visiting Dr. Bosma to have my MMPI psych eval done.  I am quite excited about this since my other option was to travel back to Duluth Jan 19 to have it done.  Dr. Bosma tells me that the report for the surgery team will be ready in 7 - 10 days.  My hope (and it may be unrealistic...but it is my hope anyway) is that the surgery team in Duluth will receive the report by January 4 or 5, and then will review my file for surgery on their meeting date of January 6.  If this happens, there is a good chance that I may be having surgery by the first week of February!  That would be so cool!
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December 18, 2009

Dec 17, 2009

I returned from Duluth last night.  I attended the information session Wednesday evening and then saw the dietitian, nurse and surgeon yesterday morning.  Everything went really well and everyone was very thorough in their explanations about the whole process.  I got some very good new information, and heard some stuff that I already knew, but overall I thought the process was great.  The people there are all very kind and are open to any questions.  They are also very knowledgeable about weight loss surgery and I felt extremely comfortable with them. 

The only person I was not able to see was the psychiatrist so I did not have my MMPI completed during this trip.  That was a bit of a bummer, but they scheduled me to go back January 19th.  They did say however that I could have the test done in Thunder Bay and have the Dr. here send the report to the Duluth Clinic.  So I called Dr. Bosma today, and he was able to fit me in for the MMPI next week!  There is a charge involved, but our health insurance will cover that.  So I will be able to have this done earlier and not have to travel back to Duluth for it.  I am very happy about that!  This also means that I may be able to have my surgery a little bit sooner as well.  Maybe within the first 2 weeks of February?  That would be great!

The one thing I learned that I was surprised about was that I will have to be in Duluth for a week for the surgery.  Dr. Pitt says he usually keeps people in hospital for 2 - 3 days but then wants them to stay in town for another 4 - 5 days after that in case there are any complications.  He then sees the patient before they leave to head back to Thunder Bay.  So now I have to figure out what to do with my kids for that week since my husband will be coming to Duluth with me.  Hmmm....that will require some thinking and lots of planning!

But overall it was a good trip with lots of good news and as I pass each stage I get more and more excited!
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About Me
Thunder Bay, ON
Location
25.8
BMI
RNY
Surgery
03/17/2010
Surgery Date
Jul 13, 2009
Member Since

Friends 37

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