Guest guest Posted May 19, 2002 Report Share Posted May 19, 2002 Immediately after surgery your surgeon must dictate an operative report (its a requirement). He will have included all the details in that note. Go to the medical records department at the hospital and request a copy. You have the legal right to a copy. The hospital will have you sign a release. Most hospitals will not charge you for these records if they are told it is for a doctors appointment, otherwise they may charge $1.00 per page (operative reports are generally 2 pages long). If the hospital is " out of town " from where you are, call them. Most of the time they can fax you a medical records release and you can fax it back with your signature. Your psychiatrist can also request a copy of the operative report. He will need a release of information consent from you, he should have a form. Good luck. Cindy Doctors that Listen > > I had my 3-month appointment with my psychiatrist Friday and I found a couple of things he said to be very interesting. First, he really encouraged me to get this surgery. He encouraged my husband also, and at his appointment last week changed his Wellbutrin slow release to regular Wellbutrin. At my visit, he asked me how the surgery changed my life and took notes! I told him it wasn't a fix-all and though I was on a high for several months, the " honeymoon " is over and I still have the same depression/anxiety problems. However, we both noted that my self-confidence has increased a hundred fold. Next, he told me he did not want to change anything about my meds (Prozac, Wellbutrin SR and Klonopin) until he knows how much of my intestine was bypassed. He said if more than 50% of my " guts " (as he called them) were removed then he will have to adjust my medicine to accommodate for the absorption issue. In the meantime, he wants me to open my Prozac capsule and empty it into my protein drink rather than swallow it whole. I told him I'm having trouble getting info from my surgeon about my surgery and he said " tell him I HAVE to know as your doctor. " He said there is much to be learned about this surgery and how to treat post-ops medically. It's not that he told me stuff I didn't know that surprised me, it's that he's been doing his homework because he does have patients who have had it or are contemplating it. He was happy to hear of all the vitamin supplements I take and was happy I was taking calcium citrate rather than carbonate. I feel very fortunate, because my PCP has taken a very active interest in the treatment of post-ops. She has several post-op patients, plus her best friend, and OB/GYN just had the lap RNY so she's right on top of things. Now if only I could get my surgeon to be as well educated. He is still insisting on carbonate and now I see that he is recommending ephedrine-based supplements. He tells his patients that coffee and colas are fine, but stay away from tea and kale because of oxolates. I have requested my lab results and info on the amount bypassed three times. I guess I'll call again tomorrow. > > in Akron > 12/21/00 > > > > > > --------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2002 Report Share Posted May 19, 2002 Thanks, Cindy, I'll get right on it. I'm sick of dealing with the doctor and his staff. Cindy Westbrook west8@...> wrote: Immediately after surgery your surgeon must dictate an operative report (its a requirement). He will have included all the details in that note. Go to the medical records department at the hospital and request a copy. You have the legal right to a copy. The hospital will have you sign a release. Most hospitals will not charge you for these records if they are told it is for a doctors appointment, otherwise they may charge $1.00 per page (operative reports are generally 2 pages long). If the hospital is " out of town " from where you are, call them. Most of the time they can fax you a medical records release and you can fax it back with your signature. Your psychiatrist can also request a copy of the operative report. He will need a release of information consent from you, he should have a form. Good luck. Cindy Doctors that Listen > > I had my 3-month appointment with my psychiatrist Friday and I found a couple of things he said to be very interesting. First, he really encouraged me to get this surgery. He encouraged my husband also, and at his appointment last week changed his Wellbutrin slow release to regular Wellbutrin. At my visit, he asked me how the surgery changed my life and took notes! I told him it wasn't a fix-all and though I was on a high for several months, the " honeymoon " is over and I still have the same depression/anxiety problems. However, we both noted that my self-confidence has increased a hundred fold. Next, he told me he did not want to change anything about my meds (Prozac, Wellbutrin SR and Klonopin) until he knows how much of my intestine was bypassed. He said if more than 50% of my " guts " (as he called them) were removed then he will have to adjust my medicine to accommodate for the absorption issue. In the meantime, he wants me to open my Prozac capsule and empty it into my protein drink rather than swallow it whole. I told him I'm having trouble getting info from my surgeon about my surgery and he said " tell him I HAVE to know as your doctor. " He said there is much to be learned about this surgery and how to treat post-ops medically. It's not that he told me stuff I didn't know that surprised me, it's that he's been doing his homework because he does have patients who have had it or are contemplating it. He was happy to hear of all the vitamin supplements I take and was happy I was taking calcium citrate rather than carbonate. I feel very fortunate, because my PCP has taken a very active interest in the treatment of post-ops. She has several post-op patients, plus her best friend, and OB/GYN just had the lap RNY so she's right on top of things. Now if only I could get my surgeon to be as well educated. He is still insisting on carbonate and now I see that he is recommending ephedrine-based supplements. He tells his patients that coffee and colas are fine, but stay away from tea and kale because of oxolates. I have requested my lab results and info on the amount bypassed three times. I guess I'll call again tomorrow. > > in Akron > 12/21/00 > > > > > > --------------------------------- > Quote Link to comment Share on other sites More sharing options...
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