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Ladies, CHTRC's policy is that for TR surgery your BMI must be under 35. If you are within the 34-36 range at the time of scheduling, you will have to have a physician verify you height and weight. This should be done within 24 hours of scheduling and your BMI needs to be at least under 36 to be scheduled. A final BMI verification will have to be repeated three weeks before surgery. At this time you will need a BMI under 35 or you will be rescheduled for a later date. When you come for surgery we will check your height and weight again. Please use the BMI calculator on the website to evaluate your progress and where your comfort zone is for where you will be when you arrive. Good Luck to you all. Your doing great! Fran, RN
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hey, Bonnie that a good question never thought about that one and thinking aobut it now has me LOL.I truly love the message board, we all have so much in common.
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Hi, ladies I was just reading over the conversation about the BMI. I understand that your BMI needs to be below 35, I was just wondering with me being 5'7" and 200lbs.When I done the BMI calculator I think if I still remember that it said my BMI was in the overweight or obese catergory. I do know that I was under 35, should I attempt tp make my BMI atleast 29? Know I'm worried as previously stated early I would be very disappointed if surgery was cancelled.
I would definitely lose more. I would hate to get there and be a couple pounds off where I couldn't get the TR done. I have my weight to lose too and when I weigh myself I weigh myself around 3:00p.m. with all my clothes and shoes on just so I can be safe when I get there. I am going to be going there from Houston. So the trip expenses would be waisted to if I got there and I could not do it. Not to mention the reschedule fee.
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I would lose a little more. I know when I went in November, I was 3 pounds heavier than what MY scale said I was. So I wouldn't cut it too close. Amy H
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Hello, I was told by a nurse at the CHTRC that I would have to lose 70 pounds before I could have my TR because I am 5'5 and 276 pounds, I know I am overweight and my BMI is bad, but is this what I should lose or should I lose more or what? Please help.
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I just got the best news today.. Like I said before that my doctor that done my tubal is no longer in practice so I could not call her to get my report, and the Hospital were I had it done lost all records of me being there not only from the surgery, but also me giving birth to my daughter. Anyway something told me not to give up. I can't belive that I found the doctor that took over my old doctors practice and she said that she would have to look in their archives to see if was still there, but she couldn't promise since they only have to hold the files for 7 years and it has been over 10. I found out today they have them, now I can go ahead when I get them and give them to Dr. B. Now I don't have to worry about the laparoscopy.
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Hope-Faith-Love, In cases where the records are not available and the condition and amount of tube remaining is questionable, the screening laparoscopy package is advisable. The patients BMI needs to be less than 30. You will not need to undergo anesthesia and surgery twice if it is done just prior to the TR. A significant portion of the total surgery fee is refunded should they stop the procedure following the screening laparoscopy. Please call us if you have any further questions. Martha
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Is the Laparoscopy what you have to do if you don't know what kind of surgery you had? And at that point your BMI has to be under 30? The hospital where I had my daughter and the tubal lost all the records of me being there.
Studies have shown that obesity causes increased risks for surgical patients, including anesthesia and wound healing complications. A BMI greater than 30 is considered obesity and extreme obesity is defined as a BMI of greater than 34.9.
A study by The National Institute of Health (NIH) determined that there was a 10% increase in the risk of surgical complications when a patient was extremely obese or morbidly obese. These included wound infection, deep vein thrombosis, and pulmonary problems. I know we sometimes seem like the "bad guys" when we have to cancel or postpone surgery for a patient, but as you can see it is definitely a patient safety issue and not one of convenience or prejudice from our perspective.
Additionally, there are many other important reasons for women who are trying to conceive to lose weight since the risk of complications of pregnancy increase in obese women. Obesity during pregnancy is associated with increased risk of death in both the baby and the mother and increases the risk of maternal high blood pressure by 10 times. In addition to many other complications, women who are obese during pregnancy are more likely to have gestational diabetes and problems with labor and delivery. Infants born to women who are obese during pregnancy are more likely to be high birthweight and, therefore, may face a higher rate of Cesarean section delivery and low blood sugar (which can be associated with brain damage and seizures). Obesity in premenopausal women is associated with irregular menstrual cycles and infertility.
I hope this helps.
[ January 01, 2005, 03:47 PM: Message edited by: Gary S Berger MD ]