bkc951
LAP-BAND Patients-
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Everything posted by bkc951
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So I had my 1st consult w/suregon 2 weeks ago. He said there was nothing they could for me and that tricare would deny lapband for me because my bmi is 36/37ish. At that time I did not have any comorbids that I knew of. Sooo.... I made an appt with my pcp and asked her to run some labwork on me so I could make sure I didnt have any issues we did not know about. Well...total cholestrol is good but here are the abnorms: triglycerides is High 348(norm is 0-149) HDL cholestrol is low 34 VLDL cholesterol is High at 70 Im also doing a sleep apnea test tonight.... I also called to make another appt w/surgeon &Im waiting for that...can anyone tell me if this bloodwork will qualify me now? If not, theres the sleep apnea test, which they say the results will be ready in 3 days... I need this procedure, so I can be healthy , Im so unhealthy. Im 29, married&3 kiddos and I want to be around to see them grow up. Im so young to have these issues! Sorry- this is a little vent but I know u all understand how Im feeling. Any advice?? Thank You!
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So I got my sleep results back...A dx of mild form of Obstructive Sleep Apnea, at this point I do not need cpap unless it gets worse. I still have the high cholestrol/lipid panels as well. My BMI is 37/38. I meet with the suregon tomorrow. We will not know my insurances decision for about a month. Even before the suregons office will submit auth for lapband theres a few appts through suregon I have to attend (Psychiatric appt x1, Nutrition class x1, and also a lab band seminar x1) after all these appts are done, they will then ask for auth from tricare for procedure. So, of course Im nervous, I will go through all these appts with hope for a good outcome. Anyone know if mild form of OSA counts as a comorbid? My insurance just states sleep apnea for a comorbid- doesnt specify
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Well I did see the suregon again...I drank a tons of Water before appt and got my BMI to 38. 4 i think it was? Well the suregon is willing to try on my behalf and submit my case to tricare for the surgery. He says there a 50/50 chance since I do not meet bmi requirments and he is not sure that mild sleep apnea&super high cholestrol is enough for my insurance. So I will not know if I will be approved until mid-late October. My Docs office wont submit authorization until I have had my 1appt w/pschologist&1 appt w/dietican(which soonest I can get in for those appts is Oct19th)...so I have a little wait! Fingers Crossed!
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The Sleep Center said I dont qualify for cpap machine at this point,,,, weight loss/behavioral therapy was best and very well could fix most of the problems?
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Hello to All! I'm new to this site and I just saw my primary Doctor today&we are now awaiting approval from my insurance(tricare). According to my insurance I need a BMI of 40(which I don't quite meet) for them to cover procedure. I do have a few other health issues I hope they will consider, and approve me! I'm told I should hopefully have a decision within a week. Fingers Crossed! Congrats to those of you who have started your new journey!