EB17

NORTHWESTERN Dr Alex Nagle or Dr Eric Hungness - Chicago, Il

490 posts in this topic

Hi Cheryl, glad you found us. If you've read the whole thread, you saw my waffling a little over a month ago. I was turned off by the interaction I had with the man who schedules people for the information session. Then based on the recommendations for the Northwestern program from members here, I decided to give it a chance and went to the information session.

It was a fiasco. Dr. Nagle spoke and went to find Laurie, and nobody came back to the room. We were supposed to hear from the doctor, the nutritionist, and a patient panel. Instead we were abandoned in a conference room. I gave up after and hour and went home.

I wrote of Northwestern, but then EB17 said something that made me reconsider. I spoke with her on the phone, and after learning more about the program, I decided to give it one more chance.

I faxed in my application, and within hours I had my appointment with Kaitlin. It was a month away. By the time I discovered I could go ahead and schedule the nutritionist consult before completing my intake appointment, the best one I could get was almost a month after my intake appointment. Bummer.

So I called periodically and scored someone else's canceled appointment for two days after my appointment with Kaitlin. Kaitlin was Monday, Holly was Wednesday, and my first pre-op class is scheduled for next Thursday. After a month of waiting, it's like the flood gates broke. EB17 said that it can be rocky getting started, but once you're cleared, things accelerate, and that's been my experience.

And Dr. Nagle stopped by as I was getting started with Kaitlin to apologize for my information session. I thought it was sweet that he was aware that I'd attended that session and that he would seek me out to make sure I was okay despite it. He seems like a really nice guy.

I'm looking forward to learning all about fiber next week and scheduling my second pre-op class for next month. :)

Edited by WendyH

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All:  Did you have to do a sleep study or endoscopy and if so, who asks you to do them?  You're PCP or Dr. Nagle?  I was on a website called BariatricPal and is seems like a lot of folks need to have one/both of those done before surgery.

 

Hello Cheryl, great to have you with us.  Northwestern is a great program although I do know it can be frustrating waiting for them to respond at times.  The are swamped with requests and patients, and while not an excuse does contribute to having to wait.  In my experience, they are well worth the effort, I cannot argue with the results.

 

As for the sleep study and endoscopy, they were both required by the Northwestern program and ordered by Northwestern.  My PCP was asking me to do a sleep but I never did it until it was required by Northwestern, motivation to lose weight was the only thing that motivated me to finally get it done.  Both events were tolerable and pass quickly.  Don't stress about them, they will pass and get you closer to joining the losers bench.

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And Dr. Nagle stopped by as I was getting started with Kaitlin to apologize for my information session. I thought it was sweet that he was aware that I'd attended that session and that he would seek me out to make sure I was okay despite it. He seems like a really nice guy.

 

Not surprised Dr. Nagle stopped in, he is a real standup guy and genuinely cares about his patients.  While I've liked everyone at Northwestern Dr. Nagle is the reason I kept at it, he is a quality surgeon, rare these days.

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Heather:   What insurance do you have?  Did they say June due to insurance reasons or is Dr. Nagle's schedule full until June?   I was hoping for a June surgery and it looks like I'm a month behind you, so am wondering if I'll be pushed to July.

 

 

All:  Did you have to do a sleep study or endoscopy and if so, who asks you to do them?  You're PCP or Dr. Nagle?  I was on a website called BariatricPal and is seems like a lot of folks need to have one/both of those done before surgery.

 

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Heather:   What insurance do you have?  Did they say June due to insurance reasons or is Dr. Nagle's schedule full until June?   I was hoping for a June surgery and it looks like I'm a month behind you, so am wondering if I'll be pushed to July.

 

 

All:  Did you have to do a sleep study or endoscopy and if so, who asks you to do them?  You're PCP or Dr. Nagle?  I was on a website called BariatricPal and is seems like a lot of folks need to have one/both of those done before surgery.

 Cheryl:  I have BCBS.  Dr. Nagle's scheduler, "Q", told me that it takes about a week for Dr. Nagle to get his notes into the system and then it takes about another week for her to gather all of the information and submit all the required information to the insurance.  So, I should expect that it should be submitted to the insurance company in 2 weeks time.  Then, she said it generally takes 3-5 weeks for the approval to come back from the insurance.  I do not believe that is BCBS specific, but just most insurance plans in general.  Once the approval comes back the surgery will be scheduled.  Dr. Nagle does surgery only on Mondays and Tuesdays and is generally scheduling a month out by the time the approvals come in.  So, if all the stars align I could possibly get my surgery in May, but it will all depend.  

 

I was not asked to do a sleep study or endoscopy.  Honestly, I haven't been required to have any additional testing since coming in the program.  But, let me preface that by saying that I came to the program after a physical with a complete blood work up with my PCP and a referral from my PCP.  So all of my labs were sent over.  I do not have any other health issues (no high blood pressure, diabetes, sleep apnea, etc...)  Aside, from being morbidly obese, I am the picture of health.  lol

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Hi Folks - 

 

Thank you so much for the quick responses!

 

Wendy, I did read over your story and am so glad you stuck with it and are also going to Dr. Nagle too.  Looks like we're just a few weeks apart in our timing so it'll be good to track how you're doing and compare notes.

 

Paul, your reassurance that Dr. Nagle is THE guy to go to is so helpful.  It put's my mind at ease!   And am I reading you post right in that you've lost 223lbs in one year?   That's absolutely amazing!   I look forward to reading more of your back posts and seeing how you did that.  What an incredible job you've done!

 

Heather, thank you so much for your response!  Your information was VERY helpful.

 

If its ok with you all, I have a few more questions......

 

Heather:

1.  Did you talk with Q after your first appointment with Dr. Nagle or at a follow up appointment?  

2.  How many appointments will you have with him before having the surgery?  

3.  Was there any follow up work he wanted you to have done after your initial meeting with him?

4.  When you met with him, had you already had all three nutrition classes, or do you have more to do?   The reason I ask is that I will be meeting him two weeks before my 3rd nutrition class.   Will Q the scheduler be able to submit my info to the insurance before I take that third class or will it have to wait until that third class is complete?  Like you, I have BCBS IL PPO.   I have done all my blood work too and have no other health issues.   

 

Paul:

1.  As you've already been through this, can share with us a little more about the timing of how it went for you (or direct me to where you might have posted this already)?  

2.  When in the process did you meet with Dr. Nagle and how long did it take after that to get insurance approval and then how long after did you have the surgery?  

3.  You mentioned that Northwestern required you to have the sleep study and the endoscopy.  Which doctor at Northwestern asked you to do this?

 

I'm so sorry to ask all these questions, but it just hasn't be very clear so far.   I'm sure Laurie with know a lot of these answers, but I still won't meet with her for another two weeks.   

 

I have to tell you that talking with all of you has gotten me really excited about the surgery.   I honestly know no one who's had it and just haven't been able to talk with other in the same boat.  

 

I really appreciate all of your help.   Have a great night!

Cheryl

Edited by Cheryl18
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Cheryl, you asked about preoperative testing. I had a ton of records from testing I'd done prior to deciding to pursue WLS. Upon looking at everything, the only test Kaitlin mentioned they'd want to do is for H Pylori. In looking back at the pathology report from my endoscopy last December, I already tested negative. That finding is buried deep in a report, so I'm hoping that she just missed it and that I don't need a repeat endoscopy to collect another sample for pathology.

Good that you have that list of questions. Take it to your appointment. :)

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Paul, your reassurance that Dr. Nagle is THE guy to go to is so helpful.  It put's my mind at ease!   And am I reading you post right in that you've lost 223lbs in one year?   That's absolutely amazing!   I look forward to reading more of your back posts and seeing how you did that.  What an incredible job you've done!

 

Good morning Cheryl.

 

I've been fortunate to be a fast looser.  I'm not sure why, I don't think I'm any more disciplined or adherent to the diet than anyone else.  Perhaps my body was anxious to get rid of all of the extra weight.  :)  Although, I do believe there is something to be said to being real big at the beginning resulting in more calories being burned because of the work it takes to move all that mass.  Perhaps that was part of it, I'm not sure.

 

I didn't lose all the weight in year as my start weight is from when I started the program at Northwestern (not my lifetime highest by the way).  Below is a quick breakdown of how things played out.

 

Program Start (July, 2013):                402 lbs

Pre-op Diet Start (1/27/14):               396 lbs

Surgery Date (2/10/14):                     374 lbs

2.5 Months Post Op (4/27/14):          297 lbs

Christmas Day (12/25/14):                199 lbs

Ultimate Goal Weight Beat (3/5/15): 184 lbs

 

One caution in reading my progression, and I'm sure you've heard it before so sorry for repeating this.  Everyone loses at different speeds, the important thing is that you lose, it really doesn't matter how quickly.

 

1.  As you've already been through this, can share with us a little more about the timing of how it went for you (or direct me to where you might have posted this already)?

 

 

I think my timing was pretty typical.  I'll try to recap it from memory...

 

- Information seminar in July, 2013.

- Submitted application in August, 2013.

- First appointment with Kaitlyn and Laure (my NUT) in late August, 2013

- Follow-up visit with Kaitlyn and Laurie and first nutrition class in September, 2013.

- Follow-up visit with Kaitlyn and Laurie and second nutrition Class in late October, 2013.  (When I was in the program they wanted about 6 weeks between classes.)

- Follow-up visit with Kaitlyn and Laurie and third nutrition Class in November, 2013.

- After the third visit and class they submitted for insurance approval in late November, 2013.  Due to the holidays it took a while for it to process.  I didn't hear the outcome until January, 2014.

- Insurance approval in January, 2014

- Follow-up visit with Kaitlyn and Laurie and pre-op nutrition class in late January, 2014.

- Called with appointment for surgery mid January, 2014.

- Began pre-op diet January 27, 2014.  (They only required a 2 week diet pre-op.)

- Surgery February 10, 2014.

2.  When in the process did you meet with Dr. Nagle and how long did it take after that to get insurance approval and then how long after did you have the surgery?  

 

I met Dr. Nagle early on, probably at my second visit if memory serves.  It was a good consultation where we discussed procedures and even got to discuss goal weight a bit.  I told him I was leaning toward the sleeve and he agreed that with no comorbidities it would be a good choice for me.  We never discussed RNY after that and I have no regrets regarding my choice.  He will take the time to talk with you be sure to come ready with questions.  However, don't hold all your questions for him.  Kaitlyn and Laurie (my NUT) are very knowledgable and have been a great resource of information and are more accessible than Dr. Nagle.

3.  You mentioned that Northwestern required you to have the sleep study and the endoscopy.  Which doctor at Northwestern asked you to do this?

 

The formal request came from Kaitlyn, it was positioned as a requirement at my BMI, age, etc. by the program.  They didn't say it at the time but the impression was that if I didn't get the test and use the CPAP if prescribed I wouldn't get the surgery.  That was a good motivator for me.  I had the test late in the program, January, 2015 and got my CPAP about a week and a half before surgery.  Yeah, I put it off as long as I could, I knew they would diagnose me with Sleep Apnea and didn't want the CPAP.  The point from Kaitlyn was that I had to use it if prescribed and I had to bring it with me the day of surgery so the card could be validated that I had been using it.  If I hadn't used it as prescribed I might not have the surgery.  All of that was a motivator to comply which I did.  I have not used my CPAP since coming home from the hospital and my snoring and sleep apnea are gone.  My wife now sleeps better as a result.  :)

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As far as testing goes, ask what they do. Will they give you the order, or do they expect you to see a specialist to write the order? If the latter, it would be helpful to know sooner rather than later so you can establish those relationships.

PapaG and I sit in two different camps on sleep apnea and the CPAP. I was very proactive about getting diagnosed. Until she was diagnosed and began CPAP therapy, my grandmother snored so loudly that nobody on the same floor with her could sleep. I knee I snored badly, and seeing what a difference it made for her motivated me to get diagnosed and treated at a young age (29). I *love* CPAP therapy. I started it in 1997, and after cycling through a few masks to find what works, it's been great. I sleep better, and the people around me sleep better too. Kaitlin was pleased to see the usage compliance report in the records I gave her. I don't have to be asked to take my CPAP to the hospital. It WILL be with me, because I fully intend to use it while I'm there. :)

What surprised me a little is that Kaitlin asked about pap smear and mammogram, both of which are out of date. I'm happy to update the pap smear, but I already told Kaitlin I'd like to put off the mammogram until after weight loss. I didn't get a clear read from her on whether that's okay, but I feel pretty strongly about it and hope she will agree. I was pregnant or nursing non-stop from May 2010 through October 2014, so it wasn't practical to update until I was heavy enough to make the test especially uncomfortable. I'm perfectly willing to do it, but if I wait, the test will be less painful, and the images will be easier to read.

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As far as testing goes, ask what they do. Will they give you the order, or do they expect you to see a specialist to write the order? If the latter, it would be helpful to know sooner rather than later so you can establish those relationships.

PapaG and I sit in two different camps on sleep apnea and the CPAP. I was very proactive about getting diagnosed. Until she was diagnosed and began CPAP therapy, my grandmother snored so loudly that nobody on the same floor with her could sleep. I knee I snored badly, and seeing what a difference it made for her motivated me to get diagnosed and treated at a young age (29). I *love* CPAP therapy. I started it in 1997, and after cycling through a few masks to find what works, it's been great. I sleep better, and the people around me sleep better too. Kaitlin was pleased to see the usage compliance report in the records I gave her. I don't have to be asked to take my CPAP to the hospital. It WILL be with me, because I fully intend to use it while I'm there. :)

What surprised me a little is that Kaitlin asked about pap smear and mammogram, both of which are out of date. I'm happy to update the pap smear, but I already told Kaitlin I'd like to put off the mammogram until after weight loss. I didn't get a clear read from her on whether that's okay, but I feel pretty strongly about it and hope she will agree. I was pregnant or nursing non-stop from May 2010 through October 2014, so it wasn't practical to update until I was heavy enough to make the test especially uncomfortable. I'm perfectly willing to do it, but if I wait, the test will be less painful, and the images will be easier to read.

The order was given by Nagle's practice at Northweasterm, no need to go to a specialist for the order. You would need to go to a sleep study clinic, also at Northwestern for the actual study.

I know many people that love their CPAPs, I'm just not one of them. :)

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Hi Paul and Wendy - 

 

Thank you so much for your follow up information!  I see my PCP doc who works with the Northwestern program on Monday again and will ask her if I should proactively do the sleep study or endoscopy.   I'm really good about going for tests, they don't worry me, I just want to get things scheduled as soon as possible so I don't have to wait another 4-8 weeks to get it all in.   

 

I just wish my appointment with Dr. Nagle was sooner rather than later (4/29).   I'm actually very excited about the possibility for surgery and am looking forward to meeting him especially after everything you all have said about him.  

 

So my last questions back to you Paul is...how many times did you meet with Dr. Nagle before surgery?

 

In my dream world, I'd love to have my surgery in early June.  After hearing from all of you about all the steps I still have to take, I think I'm tracking closer to July.   My challenge is that I have a work trip to Borneo scheduled in early August for two weeks.   I would definitely want a good chunk of time before that to have recovered from surgery.  If I don't get scheduled until July, I would then choose to have it at the end of August upon my return.   I'm trying to be chill about and just go with the flow, but there's a part of me that's so anxious to just get going!  :)

 

Again, thank you so much for all of your responses.   I'm so thrilled that I found you all!

 

Have a great weekend!

Cheryl

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Hello Cheryl...

I think I met with Dr. Nagle 3 times the longest and most significant of which was the first visit. When did you start the program? Reason I ask is that generally it takes 6 to 9 months to complete and it is not a process I would rush, the preparation is necessary for success in my experience. Have you started the nutrition classes?

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Hi Paul - 

 

I started in January, but things didn't really get going until the end of February.  Both my therapist and Laurie told me the process is running 4-6 months, so if it is really running 6-9 months, I'm glad you told me.   I'm totally okay with it taking that long....I understand it's for a good reason.....I just wish we could schedule all of the appointments from the beginning and then just follow up.  :)

 

Hope you're enjoying your weekend!

Cheryl

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Hello,

 

It's been awhile, so I thought I would post an update.  It's interesting most everyone posting here has Dr. Nagle.  I too have Dr. Nagle.  I attended the 2d Monthly Open House in October and didn't get in to see anyone until January as Kaitlin went out on FML.  My intake was with Danielle Basinger, NP, and she was great.  My husband attended the First October Open House and had intake in November with Kaitlin and is now about a month ahead of me in the process.  He has Dr. Hungness as his surgeon and thinks he's also terrific.  He said Dr. Hungness was very caring and took lots of time with him to answer his questions and talk about the outcomes. We both saw Dr. Karen Stickler as our PSYCH and she was great. He is now at the point of waiting for insurance to schedule a date for surgery and his 4th class, having finished all other requirements. Neither of us had to have an endoscope. 

 

Since we have an 11 year old, we wanted to stagger our surgeries by a month, so it's worked out just as we hoped it would!  I have loved the program and the people at Northwestern. We live in Evanston, but both work downtown, so we've been able to make it work. Dr. Nagle had a cancellation so I made up some lost time and met with him and Q. My 3rd class is at 9am in a couple of weeks and then I wait to schedule my surgery, which in my head will happen in June sometime. I will do follow-up blood work with my 3rd class in April (I was Vitamin D deficient so had to take a weekly Vitamin D pill). It seems both fast and like the process has taken forever.  I didn't have to do the scope or the sleep study.  My husband has a CPAP machine and uses his without fail.  I only have high blood pressure and aside from being morbidly obese I'm energetic and the picture of health (LOL). 

 

On a related note, my sister had gastric sleeve surgery in Fort Collins, CO on July 29, 2014 and had lost 84 pounds at her 6 month check-in and now feels she's exceeded her 1-year weight loss goal 3 months early!  She has taken the position to only weight herself at the doctor's office and instead focus on exercise (she does kick-boxing at Farrell's xTREME Boby Shaping 6 mornings a week at 5:45am) and then focus on her protein, water and vitamins.  She does intend to weigh herself again as part of maintenance when she finishes losing weight.  But, she has been our pathmaker, so we're fortunate to have her.  Her advice has been - 1) walk as soon as you can in the hospital, 2) prepare for the 2nd day home from the hospital which will be the very worst day (and I've read that echoed by others on TT) but you'll survive, 3) Focus on moving, protein, water, fiber and vitamins and embrace the change in your life and enjoy the benefits.  She said riding her bike this spring after losing 90ish pounds was shockingly enjoyable! and 4) Ignore the negative opinions from others about WLS.  They are about the individual making them and not about you.  

 

Best wishes to everyone!

 

John

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Cheryl....in answer to your questions.   I only met with Dr. Nagle once, and met with Q on the same visit.  He did not require anything additional for me.  I met with him also before my 3rd class, so you should be fine.  I have my 3rd class on April 16.

 

John...I was in the same Class #2 as you.  If you are meeting at 9:00 am in a couple of weeks, it looks like we may be in the same class #3!  If so, I look forward to seeing you again.  It sounds like things are moving right along for you.

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Hi Paul - 

 

I started in January, but things didn't really get going until the end of February.  Both my therapist and Laurie told me the process is running 4-6 months, so if it is really running 6-9 months, I'm glad you told me.   I'm totally okay with it taking that long....I understand it's for a good reason.....I just wish we could schedule all of the appointments from the beginning and then just follow up.   :)

 

Hope you're enjoying your weekend!

Cheryl

 

Hope it goes as fast as possible, as long as you complete the steps that is all the matters.

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Hello,

 

It's been awhile, so I thought I would post an update.  It's interesting most everyone posting here has Dr. Nagle.  I too have Dr. Nagle.  I attended the 2d Monthly Open House in October and didn't get in to see anyone until January as Kaitlin went out on FML.  My intake was with Danielle Basinger, NP, and she was great.  My husband attended the First October Open House and had intake in November with Kaitlin and is now about a month ahead of me in the process.  He has Dr. Hungness as his surgeon and thinks he's also terrific.  He said Dr. Hungness was very caring and took lots of time with him to answer his questions and talk about the outcomes. We both saw Dr. Karen Stickler as our PSYCH and she was great. He is now at the point of waiting for insurance to schedule a date for surgery and his 4th class, having finished all other requirements. Neither of us had to have an endoscope. 

 

Since we have an 11 year old, we wanted to stagger our surgeries by a month, so it's worked out just as we hoped it would!  I have loved the program and the people at Northwestern. We live in Evanston, but both work downtown, so we've been able to make it work. Dr. Nagle had a cancellation so I made up some lost time and met with him and Q. My 3rd class is at 9am in a couple of weeks and then I wait to schedule my surgery, which in my head will happen in June sometime. I will do follow-up blood work with my 3rd class in April (I was Vitamin D deficient so had to take a weekly Vitamin D pill). It seems both fast and like the process has taken forever.  I didn't have to do the scope or the sleep study.  My husband has a CPAP machine and uses his without fail.  I only have high blood pressure and aside from being morbidly obese I'm energetic and the picture of health (LOL). 

 

On a related note, my sister had gastric sleeve surgery in Fort Collins, CO on July 29, 2014 and had lost 84 pounds at her 6 month check-in and now feels she's exceeded her 1-year weight loss goal 3 months early!  She has taken the position to only weight herself at the doctor's office and instead focus on exercise (she does kick-boxing at Farrell's xTREME Boby Shaping 6 mornings a week at 5:45am) and then focus on her protein, water and vitamins.  She does intend to weigh herself again as part of maintenance when she finishes losing weight.  But, she has been our pathmaker, so we're fortunate to have her.  Her advice has been - 1) walk as soon as you can in the hospital, 2) prepare for the 2nd day home from the hospital which will be the very worst day (and I've read that echoed by others on TT) but you'll survive, 3) Focus on moving, protein, water, fiber and vitamins and embrace the change in your life and enjoy the benefits.  She said riding her bike this spring after losing 90ish pounds was shockingly enjoyable! and 4) Ignore the negative opinions from others about WLS.  They are about the individual making them and not about you.  

 

Best wishes to everyone!

 

John

 

Glad things are moving along so well for you both.  Also great to hear about the good example and support you have in your sister.

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Heather and John, sounds like you're both moving along quite nicely.   I'm eager to hear what your next steps are after your third nutrition appointment.   Please keep us in the loop!

 

And Paul, thanks for being out cheerleader and guiding light.   :)

 

I had my second appointment with my PCP today and it went well.  She doesn't feel I need an sleep study or endoscopy, but will leave it to Dr. Nagle to decide.  Only thing I do need to do is have a colonoscopy.   Definitely NOT looking forward to that.  ;)   Otherwise all is looking good on her side.   She wants to meet with me one more time two weeks after my appointment with Dr. Nagle to follow up.   I really like her and am very excited to have her as my long term PCP.

 

Glad to hear everyone is doing well!

Cheryl

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If your PCP wants you to get a colonoscopy, mention that you're getting it to Dr. Nagle and see if he wants to piggyback an endoscopy onto it (you won't know any different). I imagine that even if he wouldn't have ordered the endoscopy anyway, he would welcome having the additional information when planning your gastrointestinal surgery.

And if you've never had a colonoscopy before, don't sweat it. Just make sure you're home during the entire prep for quick and easy bathroom access, and you'll be fine.

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Heather and John, sounds like you're both moving along quite nicely.   I'm eager to hear what your next steps are after your third nutrition appointment.   Please keep us in the loop!

 

And Paul, thanks for being out cheerleader and guiding light.   :)

 

I had my second appointment with my PCP today and it went well.  She doesn't feel I need an sleep study or endoscopy, but will leave it to Dr. Nagle to decide.  Only thing I do need to do is have a colonoscopy.   Definitely NOT looking forward to that.   ;)   Otherwise all is looking good on her side.   She wants to meet with me one more time two weeks after my appointment with Dr. Nagle to follow up.   I really like her and am very excited to have her as my long term PCP.

 

Glad to hear everyone is doing well!

Cheryl

 

Great update Cheryl, please continue to keep us updated on your progress.

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Not to throw a kink into anyone's mental timelines, but Ed (Dr. Hungness) and I (Dr. Nagle) were both called up last week out of the blue to schedule EGD Endoscopy Exams as part of the requirements of the program.  A little frustrating, but we are REALLY trying to remain Zen and say the process takes as long as the process takes.  One is fully sedated for the exam and so someone else must sign you out/drive you home.  Ed goes in May and I go in June.  I have no idea what impact this now has on insurance approval timelines or surgery timelines as nothing was ever discussed until we got the calls out of the blue...and of course the schedulers had NO idea why we were suddenly being required to do it.  Ed originally was scheduled for an August date as "first available" (!!!) and so he called his surgeon and got a June date, then he and I swapped dates so he could go first as we had planned. The funny part - we called 5 minutes apart and I was initially offered an April date and when he called right after me August was the first available date. Again, don't want to upset anyone, but wanted to share our experience...

 

Esophagogastroduodenoscopy (EGD) is a test to examine the lining of the esophagus, stomach, and first part of the small intestine.

Edited by BigSweetJohn

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How is the follow-up? I had my surgery in the burbs and kind of hate my doc. I've had my midwife and GP do my follow-up stuff since 1year out because I don't plan on returning to my surgeon, but it would be nice to see someone who specializes. 

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Not to throw a kink into anyone's mental timelines, but Ed (Dr. Hungness) and I (Dr. Nagle) were both called up last week out of the blue to schedule EGD Endoscopy Exams as part of the requirements of the program.  A little frustrating, but we are REALLY trying to remain Zen and say the process takes as long as the process takes.  One is fully sedated for the exam and so someone else must sign you out/drive you home.  Ed goes in May and I go in June.  I have no idea what impact this now has on insurance approval timelines or surgery timelines as nothing was ever discussed until we got the calls out of the blue...and of course the schedulers had NO idea why we were suddenly being required to do it.  Ed originally was scheduled for an August date as "first available" (!!!) and so he called his surgeon and got a June date, then he and I swapped dates so he could go first as we had planned. The funny part - we called 5 minutes apart and I was initially offered an April date and when he called right after me August was the first available date. Again, don't want to upset anyone, but wanted to share our experience...

 

Esophagogastroduodenoscopy (EGD) is a test to examine the lining of the esophagus, stomach, and first part of the small intestine.

Odd, I had been told all along that I would need an Endoscopy. It was done right before the surgery, a week if I remember correctly. I don't think this would affect the date unless they find something concerning.

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John, thank you so much for letting us know.  I love how you said 'not to put a kink in our mental timeline', because that's exactly it!   I think we're all trying to be zen about it, but I just wish this process was little clearer and that each step was spelled out from the beginning.  

 

Wendy, you mention about getting an endoscopy the same day I get my colonoscopy.  Do you know if they really do this?    I scheduled my colonoscopy and the earliest I could get it was May 1st, two days after my first appointment with Dr. Nagle.   I will definitely ask him about it, but I'm afraid it will be too short notice to also add it in to my colonoscopy. 

 

I do have my second nutrition appointment this Thursday with Laurie and am looking forward to it.   I enjoyed our first meeting and she seems to have a lot of answers so I'm looking forward to checking in with her.

 

Thanks to the rest of you for your EGD advice.  I happy to do it, just want to get it scheduled sooner than later.  :)

 

Have a good night everyone!

Cheryl

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