Question:
what post op labs are needed
— Gwen H. (posted on January 22, 2006)
January 22, 2006
Some post op labs depend on your insurance and your surgeon. But in general
you will need to have blood work (I had to have arterial blood work as
well), EKG, ultrasound, Pulminary function test, XRays, and Upper GI. You
may need more or less depending on what your surgeon wants and your prior
medical issues.
— kristine76
January 22, 2006
Post-op labs - ususually your surgeon will do lab work at 3, 6 and 1 year;
after that its 1 year - your lab work CAN be done and monitored by your PCP
its not necessary for your surgeon to order it espeically after one year.
A general one (can differ if you have issues or a DS ) but for an RNY -
CBC, Iron, B12, protein. Also have a DEXscan (bones) yearly.
— star .
January 23, 2006
I get blood work periodically. My surgeon gave me a card with a schedule
on it. AAt six weeks, three months, a year, a year and a half, and then
yearly: CBC, Iron, B12, Folate, Parathyroid hormone level, calcium,
magnesium
— Novashannon
January 23, 2006
This is off the Grads board and there are amazing resources there from
people who are several years out and know the long term implications of
having this surgery. Here's what is recommended from the Grads Files
section:
LAB TESTS
-Not to be construed as medical advice-
-This list includes labs suggested regularly for gastric bypass patients-
Regularly (every 3-6 months depending on your previous results)
Keep track of any levels that are declining from one set of tests to the
next, even if not yet in the low range. Make any corrections necessary in
your diet and vitamin regimen before the levels get too low.
*10231 - COMPREHENSIVE METABOLIC PROFILE (sodium, potassium, chloride,
glucose, BUN, creatinine, calcium, total protein, albumin, total
bilirubin,alkaline phosphatase, aspartate aminotransferase)
(Nc,K,C1,CO2,Glu,BUN,Cr,Ca,TP,Alb,Tbili,AP,AST,ALT)
*84134 - PRE-ALBUMIN
*7600 - LIPID PROFILE (cholesterol, HDL, LDL, triglycerides, chol/HDL
ratio)
((Fasting specimen) , Tchol,Trig,HDL,Calc,LDL)
*10256 - Hep panel - ALT (SPGT) & GGT
*593 - LDH
*718 - PHOSPHORUS - INORGANIC
*905 - URIC ACID
*1759 - CBC (HEMOGRAM/PLT/DIFF)
*7065 - B-12 & FOLATE
*7573 - IRON, TIBC, % SAT (Transferrin)
*31789 - HOMOCYSTEINE, CARDIO
*457 - FERRITIN
*4052 - Vitamin B-1 (Thiamin)
*84207 - VITAMIN B-6 (Pyradoxine)
*921 - VITAMIN A
*680 - VITAMIN D (25-hydroxy)
*7444 - THYROID PANEL (T3U, T4, FTI, TSH)
*945 - ZINC
*83735 - MAGNESIUM
*83970 - SERUM INTACT PTH
*367 - CORTISOL
*496 - HEMOGLOBIN A1C
SUGGESTED YEARLY - DEXA SCAN for bone density.
ICD codes for diagnosis
DIAGNOSIS:
268 vitamin D deficiency
269.2 hypovitaminosis
268.2 metabolic bone disease
244.9 hypothyroidism
250.0 diabetes
579.3 short bowel syndrome
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
281.1 other B-12 deficiency anemia
285.9 anemia, unspecified
Blessings! Anita
— ALF
January 23, 2006
Maybe this link will make it easier to read:
http://f2.grp.yahoofs.com/v1/kAvVQ9qXlhHZgNx3Xnx05rNN_vvpEO41slGoIiQqsuj44EDx-KRi2JsKYA2p2Oc8cbYdXc6tIf6sppt6l3TnRDSiYA0oOQ/Labs/LAB%20TESTS-updated%202-2005.doc
— ALF
January 24, 2006
Or I could post the list, but I can't get the formatting right. I think we
might have added more tests to the list you have. Every time I attend the
conference, I find more things that should be watched. Not all things need
constant hovering, more of a periodic peak. But if you email me privately,
I think the list will come out neater. If your insurance does not cover
WLS, I would not use the "surgical malabsorption" code. There
are many more that are valid, accurate ones you can use. For example, I was
anemic as a teen, young adult and middle aged adult, so that is a valid,
honest dx code to use today.
— vitalady
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