What can I do if my GP won't order the required stress test for my lipo?

Question

50yrs old. 5'7 and 211 lbs. My gp has cleared me for surgery but wont put a order in for the required stress test. She said i dont need it...but she read the paperwork from the surgery center stating tht i have to have it or my cosmetic surgey will be cancelled...what can i do

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding the challenges you're facing in obtaining the necessary stress test for your liposuction procedure. It's crucial to prioritize safety, especially when preparing for elective surgery.
Given the stipulation from your plastic surgeon, obtaining a stress test is non-negotiable. If your GP is hesitant or unwilling, consider consulting with your plastic surgeon directly. They might be able to refer you to a trusted cardiologist who can perform the test.
Prioritizing your health and safety is paramount. Always ensure that all necessary precautions are taken before undergoing any surgical procedure.
Best wishes on your journey and upcoming surgery.
Sincerely,
Dr. Katzen

Ryan Rebowe, MD · Answer

In these situations, you may need to go directly to the specialist, in this instance a cardiologist. However, while most insurances will cover your visit to a primary care provider for medical clearance, often visits to specialists and the associated tests will be an additional out of pocket expense. This is why it is important to seek care from a board certified plastic surgeon to ensure that all of the tests being ordered are relevant and necessary.

Ronald J. Edelson, MD · Answer

I wonder why your surgeon wants a stress test. I’ve never heard of such a thing. An electrocardiogram, yes, but never a stress test. You either need to clarify the issue with your surgeon, find somebody else to order the stress test, in which case you may have to pay for it yourself, or maybe you shouldn’t have the surgery. Or your GP can clear you without the stress test if she feels it’s not needed

Camille Cash, MD · Answer

I encourage you to speak to your surgeon about your situation.  Depending on your health history they may accept your GP's findings or ask you to visit a cardiologist for further evaluation.  Either way your surgeon's office will guide you on the next step.

Connie Hiers, MD, FACS · Answer

A stress test should not be required as preop testing unless you have heart issues. An EKG might be required. You might contact your surgeon and ask specifically why you need a stress test. Insurance may not cover this as just a preop workup unless there is heart disease suspected.

Mats Hagstrom, MD (license on probation) · Answer

If your cosmetic surgery is being performed by a legitimate board-certified plastic surgeon then that doctor should be ordering any tests needed before surgery.
Are you traveling for your procedure? Outside the country?
Plastic surgeons typically order their own tests for baseline evaluation‘s when indicated.
I kind of agree with your primary care doctor that a stress test is not indicated.
They are not very accurate in predicting anything.
A baseline EKG should be sufficient
I suggest you consider the source that’s requesting the test.
Delivering consistent quality liposuction results is more difficult than most people believe and this includes fully trained board-certified plastic surgeons.
Be careful when it comes to liposuction. Choosing as surgeon with sufficient skills and experience is paramount in minimizing things going awry and maximizing long-term patient satisfaction.
Something doesn’t seem right with your situation.
Best,
Mats Hagstrom MD

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