Surgeon or PCP?
on 2/4/22 5:32 am
I saw my surgeon the first year, I can see him as needed from now on; I use my PCP and I just tell her what labs i want. She's never questioned what I ask for but has added a few that she needed, lol.
I've decided this will be a litmus test for any future GPS, if they are not willing to let me be my own advocate and to follow my asks on labs, they are not the practice for me.
HW: 306 SW: 282 GW: 145 (reached 2/6/19) CW:150
Jen
We still see our surgeon (it's done virtually as he is 400 miles away) but I think that it is less critical for me with my VSG than it is for her with her DS (or an RNY if she had that) as there can be more subtleties involved in evaluating the labs for the malabsorbing procedures. Our surgeon sometimes has different preferences for the reference ranges for the labs, like he may prefer the vit D levels to be on the higher side of the usual "normal" range than what the lab specifies, and that's his experience with his patient population talking.
I like think in terms that it is like keeping him on retainer in the event something odd happens (again, more likely with the malabsorbing procedures than with a VSG), the PCP can consult with him (is this a common thing with your patients, is this related to the WLS or just incidental, etc.)
Another thing to watch for, particularly if one is using their PCP for monitoring, is that the surgeons' lab sheet may change over time as they find new things that should be monitored.
1st support group/seminar - 8/03 (has it been that long?)
Wife's DS - 5/05 w Dr. Robert Rabkin VSG on 5/9/11 by Dr. John Rabkin