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AmeliaBanded

Pre Op Appointment

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Hi All,

I have my psychologist appt next week. Im a little nervous. Did anyone find it hard at all?

What happened? What do they ask?

Same questions for the dietitian and nurse.

Please let me know,

AmeliaBanded

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Hi Amelia

I was a little unsure about the psychologist appointment but it turned out he was a bandit. The session was great, I didn't find it hard and was pleased I had it. Dietitian was great too. She had loads of good info and tips on the whys and hows of their pre and post op plan which was good. There wasn't a nurse appointment for me so not sure there.

I went in armed with questions...came back with answers to all!

S

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Hi Amelia

I actually got alot out of the phsychology consult. I went expecting to tell the doc what she wanted to hear to proove that I was mentally ready for this journey. Instead I managed to address some real issues that I wasn't really aware that I had.

For the most part to consult will be about what to expect after the band, talking about your support systems, personal relationship that may effect your success etc.

It's nothing to be worried about.

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Hi Amelia,

How bizarre that you posted this today. I have literally just got back from my pysch appointment and was going to post about it.... OMG, i was sooooo nervous this morning, i wasnt sure why exactly... i even had nervous belly (sorry too much info?) but was really really worked up about it... and then couldnt find the bloody office and was 5 mins late arriving... grrrrrrrrrrrr. i was all flustered and sweaty, my hair was a mess... god knows what she thought of me!

But when i eventually went in, the lady i saw was lovely. To be honest, i didnt really get anything out of it myself, we didnt uncover anything i didnt already know... yes, i eat when im emotional, bored, hormonal, upset. She suggested some ways of dealing with that.. She asked lots of questions about how ive been feeliing and if ive ever felt depressed, anxious, nervous (told her i was very nervous coming to see her! ha ha) She asked about my family and if they are supprting me with this. She asked about my strengths and what i will do to get thru the not so easy times...she asked if i understood the procedure and whats expected before and after.

In the end she said "So kylie, is there anything you want to ask me?".... to which i replied "Do i pass?".....

ha ha ha ha..... she had a little laugh and said yes i passed.

It then struck me why i was feeling so freaked out... i was terrified that i wouldnt "pass" and not be able to go ahead with surgery. I realised that if something stopped me being able to go through with this it would absolutley devestate me.

So there you go.... it wasn't so scary after all... one more ticked box for me, $140 lighter in the pocket, but thats ok.

Dont be scared, they just want to make sure you havent got any issues that would make banding an unrealistic solution for you.

50 sleeps to go, bring it on!

Kylie :)

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thats soooo interesting thankyou!!!!

you sound like me. when are you booked in for Kylie?

You are all so informative thanks!!!!!

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I had my pre-op physcologist appointment today and found it, well not all that scary and not like anyother phsycologists I have ever seen. He only spent 25 minuets with me (including paying the wacky bill!) and it was basicly to make sure I knew that it was for life and to see what support I have and what food interventions I have in place. Very boring.

My dietican who is slightly quirky (not the only patient of hers to say this according to my GP) I get much more from. Her appointments are informative and have better statergy control.

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Hey Amelia,

I'm booked in for May 20th, how about you?

Kylie :)

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Hi,

Oh... there is no 'psychologist' in my post-op or pre-op plan. Is this normal?

V.

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Hi Von,

No idea what's normal or not, do you see a regular shrink whom your surgeon has consulted with?

I failed the psychologist consult. It was a little like when I was put in remedial English at the very fancy private girls school I went to and then some years later was a published writer...

Anyway, that's just me being a smart arse.

So, like some people prefer white chocolate to milk, I prefer to see my psychiatrist for mental matters, so after I failed the psyc test I talked to my surgeon who called me shrink who said I'd be fine. I wasn't really. But I said the right things at the right time.

The dietitian was boring as bat shit, to the point where I nearly said, look, I'm morbidly fat because I eat too much and don't move enough, the band will help with that.

Like most fat people I know what is good for my body and what is not, but my brain and my body weren't talking back in those days. And I guess the psyc could see this, luckily my shrink saw that perhaps I could be saved.

biggrin.gif

Thus endeth the rant about psychologists...

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I was not required to see a psychologist as any part of my lapband journey. Only a dietician who I only had to see twice. It depends on your surgeon.

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The lap band clinic psych was my psych that I'd been seeing for years.

Basically they help you determine of you are mentally ready for this, my psych said she tries to determine if someone is a paranoid schizophrenic or someone with more serious mental health issues.

She did say she has occasionally advised the surgeons that in her opinion someone wasn't ready for surgery (i.e. they think its a magic bullet, they'll lose 257 kgs in 3 weeks and otherwise have unrealistic expectations)

It really is painless and look at it as another means to get it right into your head that this IS the right decision for you and you are ready for it now.

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My op is June 20th.

I find it interesting about how some people dont have to go to the psychologist. I thought it was like australian law to be approved. Now im wondering whether its a bit of a money making thing. I understand why they want you to see the psych but i dont see how seeing them once can determine if im ready or not- they wont really know me. sorry thats why im finding a bit hard i guess.

I can not wait for the band. Did you all go on a diet before the operation? Cause mum was making cake for work and i had one cupcake and she was like you shouldnt be eating that you should be getting used to what you can/not eat like after the operation. the problem without having the operation is that i have the room for the cake whereas im guessing id feel full if i ate my meal and then not need the cake. My question is- when you eat do you feel full and cant eat another mouthful or could you fit the extra bit in but dont? Im just worried that its my brain that has the problem. i dont know- maybe im not ready for the lapband. Im getting a little worried about what my eating habits are now and what they'll be like after the op. I will eat my healthy lunch/dinner/breakfast but will i feel the need for snacks? is the lap band a lot of overpowering the temptations?

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My op is June 20th.

I find it interesting about how some people dont have to go to the psychologist. I thought it was like australian law to be approved. Now im wondering whether its a bit of a money making thing. I understand why they want you to see the psych but i dont see how seeing them once can determine if im ready or not- they wont really know me. sorry thats why im finding a bit hard i guess.

I can not wait for the band. Did you all go on a diet before the operation? Cause mum was making cake for work and i had one cupcake and she was like you shouldnt be eating that you should be getting used to what you can/not eat like after the operation. the problem without having the operation is that i have the room for the cake whereas im guessing id feel full if i ate my meal and then not need the cake. My question is- when you eat do you feel full and cant eat another mouthful or could you fit the extra bit in but dont? Im just worried that its my brain that has the problem. i dont know- maybe im not ready for the lapband. Im getting a little worried about what my eating habits are now and what they'll be like after the op. I will eat my healthy lunch/dinner/breakfast but will i feel the need for snacks? is the lap band a lot of overpowering the temptations?

I guess the referral to see a psych pre op varies from dr to dr. It wasn't compulsory for me at my clinic, it just so happened that my psych was their psych!

as for your mum's comments, I just want to say dry.gif this is where non-banders just don't 'get it'. It's NOT about you getting 'used to' eating less pre-op, if you tried to eat the portion sizes that bandits eat, you'd drive yourself insane! BUT it is 'good' to get used to eating well balanced, nutritious food (if you don't already) as when you are banded the quality of food is paramount. A portion plate is divided in half protein, then the other half mostly veges and a small proportion of carb. Perhaps you could try similar proportions on your current dinner plate?

As for fullness feelings - it's a tricky one and perhaps you could try this now....eat a mouthful, swallow and wait 30 seconds before taking the next mouthful. After 20 minutes STOP eating and walk away. It takes 20 minutes for the brain to register that food has been eaten and you are no longer hungry. As a self confessed food inhaler, this was so HARD to do, but I'm getting better at it...plus it makes my meals 'last longer' if that makes sense. When I'm HUNGRY I still tend to gobble (but then pay the price)

For me, I find that educating myself and my brain to recognise that I'm not hungry anymore (as opposed to so stuffed full I can't move) is an ongoing exercise...after all I've had a lifetimes experience of over-riding my physiological responses to food and hunger!

I've always been a demon for ordering desserts when I eat out...these days, I order my dinner and I look at the desserts and even mentally pick some out that I'd like! but by the time I've eaten dinner, I seriously have no desire for desserts, even if I had the room! I will, on occasion, have a small ice cream much later if I feel like it. And I mean SMALL! I just don't have the constitution for the sweet stuff any more!

I did go on a bit of a 'last supper' binge pre surgery as I kept telling myself "I'll never be able to enjoy a cake and coffee after dinner/enjoy a steak and chips/enormous bowl of pasta/pie and chips/Big Mac/etc, etc" and I'm sure I'm not alone! and I did get quite defensive about it at the time when my loved ones commented on my last suppering :)

I'm all for saying 'you want that cake? then you HAVE that cake!' but that's just me :) the optifast stage is pretty tough but the longer you can do it, the better! actually, it wasn't THAT bad, just a bit monotonous....after 2 days I wasn't terribly hungry STARVING, just hungry all the time which sucked :(

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Thanks so much im glad you all helped me with that.

I guess i will be in touch with everybody next week after my psych app.

And then after that my surgery!!!!

Can not wait. i look at peoples before/after pics and they all look soooo amazing. i cant wait to have a before and after photo!!!

Amelia

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No psychologist appointment required here, my surgeon asked a series of question and was more than happy for me to have the surgery but she did say to see a dietitian which I saw on Friday the 15th April and I started tye Optifast stage the next day. I'm now to see the dietitian a further 5 timesto follow through with the nutrition and exercise program.

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HI All,

I went to my psych app yesterday and there was nothing to worry about. all i did was answer a few questions on a form and then she went through the form with me. like asking about my support about what im going to expect- i guess its to see if i have unrealistic ideas and that im not going to turn anorexic and be a gym junkie afterwards.

The lady was very nice. Cant wait for the op!!! only 8 weeks to go!

Amelia

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Hello all

I am not required to see a Psych before surgery but I feel alot differently about it. As a nurse, patients often talked about their experiences with addictions. In some, but not all cases, I feel people have an addiction to food, they eat it to feel better or fulfill a missing need. I had to go to an overeaters anonymous meeting with my cousing because she is bulemic. She spoke about her relationship with food and I can now look back at that meeting with her and related it to all of this I am going through. Different cultures and different reasons people are overweight. I have always had food in my life as very important. We always had food, junk food and all the baking and cooking we did was so unhealthy. Now, my relationship with food has to change and itis going to be hard. We are very close, food and I. Our relationship is up and down, but usually it is always on top. So seeing a psychologist to change all this behavior I have I think Is important. I am glad your appt went well and now you are looking forward to a new life. I am too,

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I went to overeaters anonymous for a while.

Yes, food is a complex and fickle thing! I would love to have the same attitude as my partner does - that it's there to fuel your body and that's it, I am getting there though!

I've been seeing a shrink who specialises in eating disorders for a few years now and my attitude to food and eating is remarkably different now than it was back then! I sure have come a loooooooooong way from being an obsessive-compulsive over eater

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Hello Amelia,

I didnt have a psychologist appointment I guess because my Psychiatrist will support me through this journey. I only saw Dietician only once and I also saw a Physician to discuss my health history in detail

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