Question:
Just wondering what you think?

I had my surgery over 3 months ago. I must admit I have had no complications to speak of, other then some migraines recently. But the one thing that bothers me is this, and I would like some imput. I had another surgery prior to having my open RNY,and after I was home, I got numerous calls from not only the hospital but the doctors office to see how I was doing, and If I had any questions. Now the surgery before my WLS was not as major, or at least I wouldnt have considered. After my WLS, I NEVER once got any calls, nor have I been back to see my surgeon or his staff. I have done all my follow up with my PCP. The one time I called my surgeons office, no one even bothered to call me back after surgery and I thought, Geez after having such a major surgery you would think there would be follow up calls. I realize they are very busy, but then they need to add more staff if that is the treatment your going to recieve after you have went through this major surgery. Dont get me wrong, my PCP has done a wonderful job, keeping up with me, and taking care of all my immediate needs, but I think after spending that much money, the surgeons office should have at least called. Not to mention I live hours away from them, and they dont even know If I got home. Sorry to vent, but I just think it is not a very good practice to do that. Its been something that has been bothering me now for 3 months, and I was wondering if I could get some input on this. DO you think they should have at least called. Or maybe called me back???    — [Anonymous] (posted on October 2, 2001)


October 1, 2001
You have every right to be bothered. They provided a service to you (not a cheap one either). They need to contact you as an extension of that service. Write a letter directly to the surgeon (put personal and confidential on the envelope so only s/he reads it). Give him/her the benefit of the doubt and assume that perhaps they tried to call you or something or that your records were lost -- you owe them that much. But tell them if that isn't the case then you are bothered. Indicate in your letter that you are copying the head of Patient relations and the Head of the Hospital (you can call hospital info for a name and address) and that you wish to hear a response by such and such date. Good luck and God Bless. (Incidentally, I had my surgery at one of the best known hospitals in my area -- Cleveland Clinic) and no one called me either. I called them and wrote them. And now (I don't know if its because of me) they are starting a support group and the surgeon is requesting to followup more with his patients.
   — Kimberly L.

October 1, 2001
I'm surprised. There definitely should have been more follow-up with your surgeon. I had an ope rny and my surgeon removed the stitches on the day I waa discharged. I saw him again two weeks after discharge. I had another appointment with him a month after that. All of my follow-up in the first year was with my surgeon. Every three months for a year, he did blood work and we discussed my progress. Now I see him every other year for follow-up and blood work and he encourges me to call with any questions or concerns. It's been three years since my rny. This summer I was very bussy and since I had a complete physical with my pcp, I cancelled my yearly with my surgeon. His office called me last week to "remind" me about my yearly and we scheduled an appointment. I have friends who have had wls by other surgeons and they seem to follow the same protocol.
   — [Anonymous]

October 1, 2001
This is a very good concern, I would have liked a follow up call also, yet my surgeon said, IF YOU HAVE ANY PROBLEMS, QUESTIONS OR CONCERNS, CALL ME, so she had made it clear to me that she would be available to me whenever or whatever my question would be. That has worked out well also. Yet, I agree, I would have appreciated a call at 2 days, 1 week, 1 month and so on. I also travled 4+ hours to and from the hospital. More staffing could be the answer, also equals more money we would most likely be paying too. I would also like more education between my PCP and my surgeon for aftercare and diet. thanks, this was a good question.
   — Debbie H.

October 1, 2001
I guess I am more blase about this type of thing. My surgeon's office did not call, but I can't see that there was a reason for them to do so. I called them and made my own appointment for a 3 week follow-up visit, and then made an appointment for a 6 week visit, a 3 month visit, etc. When my husband had surgery with the same dr., the office did call him the day after he went home. If you want to follow-up with them, call them and make an appointment! For those of you considering surgery, if aftercare is an important issue, be sure you select a surgeon with an established program or set of protocols. -Kate-
   — kateseidel

October 2, 2001
I agree that it seems very unprofessional that you would not be contacted after surgery. It was explained to me that follow up visits would be scheduled 1 week after surgery, then 30 days, 6 mo's and 1 year.
   — [Anonymous]

October 2, 2001
I would definately be calling the surgeon and be getting some after care check-ups,My surgeon sees you at 3wks,3mths,6mths 9mths,12mths 18mths and yearly for the rest of your life,you can call anytime for questions,she also has a support group that you are required to attend both pre&post-op.This is part of the reason that I chose her was the aftercare program,she also saw me everyday I was in the hosp. and escorted me to surgery which made me feel more confident.Hope this helps
   — Jennie D.

October 3, 2001
I just wanted to take the chance to thank everyone for their input on this issue. I posted anonymously because I didnt want any backlash as far as my particular surgeon. In one post I was asked what did I want from them. Well first of all I would have liked to have known that they care for their patients, I also think they would be curious to know what progress they make. I had placed a call about a month out from surgery,because I was having bad migraines and wasnt sure If I should take my medicine for them, after having surgery. No one called me back. So I went to see my PCP. I must admit I should have made more of a effort to see what kinda of protocol this particular surgeon had as far as after care, and I have spoken to a few of his other patients from here, and they also say the same thing. After you have surgery it was like well we are all done. So I know im not the only one that felt that way. I really do appreciate all the input, I plan on following up with my PCP and a local support group in my area with another surgeon who does the same procedure. I do not plan on returning to my orgianl surgeon after all this, But am considering writing him a letter as one post suggested. I think they should be more aware of how we feel. Thanks again for all the input.
   — [Anonymous]

October 3, 2001
Obviously this surgeon is doing this only for the money. Lack of follow-up care can be dangerous and can lead to poor results. Since you are posting anonymously, why don't you give the name of this surgeon. Any in your area who is contemplating surgery should steer clear of this "money hound". Doctor's like that give wls a bad name.
   — [Anonymous]

October 24, 2001
The treatment center that I had my surgery at was supportive at first... called and checked up, but I think they've gotten awfully busy. I was told that I'd be seen every year for the rest of my life, so went for my 2 year check up that left a VERY bad taste in my mouth. The waiting room was Filled with consults, and a few irate patients waiting to be seen. We had to wait for 2 1/2 hours. My surgeon could be seen meandering the halls occassionally, stopping to talk to staff, not the least bit in a hurry. My husband and I had both taken a vacation day from work, driven 3 1/2 hours to get there and hoped to get a little shopping in before going home. When we finally DID get in to the apt. he answered all questions and was very kind, but wasn't concerned that my iron was a little low, said take a supplement if you want, AND that he really didn't need to see me anymore unless I had problems. Thanks and have a good day. My husband and I went home (without shopping, kids to get home to), and there was a message on my answering machine from my local PCP that she was concerned about my iron level, take such and such vitamins and have blood re-tested in 3 months and make an apt. to see her! Why am I posting anonomously? I've written a letter to the center and plan to deal with them directly, The doctor and the place could have been having a bad day... they really did treat me well at the beginning. I don't expect to be coddled and babied the rest of my life, but I picked this place specifically because of the follow up care and want to make sure they understand what my expectations were,... and when I've had questions they've answered them in a knowledgable fashion. The bottom line is it's up to US to be in charge of our health. To ask questions when necessary, and understand everything that we need to know. If we aren't happy with our care, we need to speak up. We are patients, but we are also CONSUMERS and as such can pick and choose our providers. I will and HAVE recommended this place to others because of the support staff, and hope that others won't be afraid to speak up if they are feeling that their health is in jeopardy.
   — [Anonymous]

November 16, 2001
I don't think your surgeon is being responsible. I have not had my surgery yet but it makes sense that a surgeon should have a post op appt and see his patients once and a while. What did he do take the money and run
   — Theresa B.

April 23, 2002
My Dr gave me an appointment before leaving the hospital for 3 days after . I am now post op 3 weeks and I have seen him once a week for the last 3 weeks. I would be upset if he did not see me . Emotionally I feel better knowing that he is keeping up with me and how i am doing .
   — sallie P.

May 6, 2002
I will be driving over 6 hours to have my surgery and I would rather drive back to see my surgeon, my pcp is good but my surgeon has more knowlegde of WLS.
   — Lisa W.

July 7, 2002
I had a similar problem with my surgeon..I was sent home from the hospital and he never told me how or when to start back on my hormone replacement or my allergy medicine. I called his office the day after I was released and his nurse told me that he didn't have anything to do with that. I needed to see my family Dr. for that information.. I was shocked to say the least..It was like..."Sorry, don't have time for you, I'm to busy spending your money to bother with talking to you!" I was told that his job was doing the surgery, not caring for me for the rest of my life. I guess I kind of understand. He is a surgeon, not a family doctor. My family doctor is very familiar with this surgery and now I actually trust his opinion more than my surgeons.
   — Regina F.

October 4, 2002
I can't imagine not seeing my surgeon for follow ups. He saw me at 2 weeks, 1 month, 3 months and I will see him again at 6 months, and then at 1 year. He said I would continue to see him every year for the rest of my life or until I get tired of coming. He said he likes to follow his patients process. At least your pcp is doing a good job.
   — lisab07

November 22, 2002
I think that is terrible that your surgeon does not do follow up! I am still in the pre-op phase but the surgeon I plan on using not only does follow up but doesn't even charge a copay for the first 6mths and 1 year for self-pays. I think that is truly compassionate of him. I'm glad your pcp has done a good job at following you.
   — CarmelCandy777

February 2, 2003
I am scheduled for surgery on 2-28-03, my best frend who has post-poned her surgery because she says everyone on this site "seems to be so perfect"" she's afraid to have surgery because no one on this site has her problems, or they are not admiting them , she has been my friend for 20 years and has never seemed to be afraid of any thing but this surgery!!!She has sleep apnea, high blood pressure(under control),she has had 14 tia's in the past, she is on blood thinners, she has asthma,she smoke's at least 2packs of cigarettes a day(which she is willing to cut back on) she drinks alcohol on ocassion, which she can comsume a lot and never get a buzz, I guess this is because of her weight.We have the same surgeon and he has approved her surgery as well as mine. She says she told our surgeon every thing about her that was true>>she says he told her that he did not have a problen with the things mentioned above>>only her smoking, if she could stop smoking he would gladly do the surgery on her!! She does not have the use of the internet and wanted me to post this question for her>>>After reading and scanning the profiles on this site she says that everyone on this site is not honest,someone on this site has entered surgery as a smoker and alcohol user and has had some complications because of this, I am posting this question for honest answers and any feed back on this issue that is true and honest !!
   — FREIDA P.

February 4, 2003
YES!! I THINK THAT IS TOTALLY UNPROFESSIONAL NOT TO CHECK IN WITH YOU. AND THIS WOULD BOTHER ME TOO. BUT IF YOUR FINE NOW, I WOULD PUT IT OUT OF YOUR MIND. STRESS CAUSES MIGRAINE HEAD ACHES. THIS IS JUST ONE MORE THING TO RIDE YOUR NERVES. WE NEED TO NOT SWEAT THE SMALL STUFF. OR IT WILL KILL US.
   — ELIZABETH K.

February 18, 2003
My surgeon requires you to come back once a week the 1st month, then once a month for a year. He tells you from the beginning that he will see you for life. The fee he charges at the time of surgery is all you ever pay. I have will also say that when I call they usally have the answer to my question before I hang up the phone. Everyone I talk to who has used this pratice for surgery have been very satisfied.
   — MARIA H.

March 2, 2003
I would like to thank you for posting your concern. I am still trying to decide which doctor to go to in my town. I didn't realize there were doctors out there that did not do follow up appointments with you. I figured they all handled your aftercare. You have made me aware of another important question I need to ask when I go in for my consultation. Thanks!!!!
   — Maria S

May 5, 2003
i think i'm lucky...the dr i have...i will see him for the rest of my life once the surgery is done..thats how he is... in the begining i go every 2 weeks till the 3 month, then once a month for the them 3 month and then once every 6 month for the rest of my life or his...which ever comes 1st.. and i will see him once a month for support group also..so i guess there are still some dr. out there...
   — sheri G.

November 11, 2003
My surgeon and his staff were great, went every couple of weeks for several months and then once every 3 months I think. Just went in for my one year anniversary and am almost @ goal, have lost 145 lbs. I had my surgery @ the Bariatric Treatment Center in Wylie TX....the best doc in the world....Dr. Capps!
   — Peggy B

February 16, 2004
My surgeon was wonderful and has a great before and after care program. Saw him every 2 weeks for the first month after surgery, now every month for the first year to 1 1/2 years. I am only 2 1/2 months post-op. Any surgeon doing this type of surgery, or any surgery as a matter of fact, should follow up with their patient.
   — Glenna S.

April 23, 2004
Hello :) I had surgery 16 months ago. This is a great example of why we need to educate ourselves. There are surgeons out there doing this surgery after only taking a 2 day course!!! I work at the hospital that performs this surgery, we have 2 great doctors that care. Everyone out there looking into this surgery need to educate your self, and ask questions! This is your life! The doctor I went to has an extensive pre-op teaching course which includes screening, a pre-op educational seminar, then you meet with the coordinator of the program,which is a RN for 2 hours,you recieve a huge binder that explains step by step what you need to do post op. You then meet with a psychologist for 4 hours and the surgeon for another 2 hours. During your hospital stay the doctor sees you twice a day plus the RN comes and sees you every day. When discharged from the hospital you go to the bariatric clinic 1 week,1 month, 3months, 6 months, 1 year, then yearly for the rest of your life. The hospital also has support groups twice a month. Please make sure your bariatric surgeon offers all of this or more. You need it to be successful and safe!!!!!!
   — Skye P.

July 15, 2004
They probaly was tied and ready to good home don't let that get you down keep your head up you been though so much!
   — Monique R.




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