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topgun

LAP-BAND Patients
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    topgun reacted to ShapeShifter for a blog entry, Researching The Sleeve And Signs From The Universe   
    About 15 years ago, the insurance my (then) company offered started covering Gastric Bypass Surgery, and multiple co-workers made that choice with hope to improve their lives. I was envious, and curious, and admit that it did cross my mind. But at that time, for whatever reason, I was not ready to make such a life-altering decision. As I learned more about the procedure and the results, I worried about the issues with malabsorption. And years later, when Ann Wilson (from Heart) was open about Lap Band Surgery, I studied up on that process and the results, and found myself turned off by the need to make frequent return visits to the doctor for checks and fills, and the possible complications scared me.
     
    Recently, maybe early February, I was checking in on a friend in another state who had Gastric Bypass in December. During our conversation, she told me about a woman she met in her WLS support group who had VSG four days earlier... and she was upright, energetic and feeling great. She told me a little about the difference in this 'new' procedure, and I made a note of what it was called. That night, I started my research. I LOVE THE INTERNET, don't you? Can you imagine how difficult it might have been to find such detailed information and great support 20 years ago? Over the weeks that followed, I spent all of my evenings after work online searching for more. Honestly, I was searching for the horror stories. There is great affirmation out there about this procedure, but very little about complications and regrets. I watched many hours of video logs on YouTube, and worried about the people who stopped recording after a few check-ins. What happened to them? Are they okay? Did something horrible happen to them as a result of the surgery?
     
    But then, there were people like AmySDMom, who has kept an incredibly honest video log, almost weekly, for the entire two years of her journey. She is very thoughtful and thorough in the details she chooses to share, and I've learned a great deal from her about what life looks like post-surgery. If you've not spent any time with Amy, and are pre-op OR post-op... I highly recommend looking her up on YouTube. And on this site, I found the link to Holly's blog at 300 Pounds Down, and find her so wonderfully inspirational that I now check in daily to see if she has checked in. Her writing is powerful, honest, painful, witty, and as I said, inspiring.
     
    From the women I've been following, I have written down tips and preferences, and ordered protein powders that I've added into my diet. On one of the sites I read that a woman my size should be consuming 90 grams of protein and 1600 calories. I thought, I am likely not consuming half that much protein now. So I decided to go ahead and add that to my already low calorie, low carb diet. Did it help me lose weight? No. I continue to gain and lose the same two pounds each week, with great discouragement. I thought that maybe this would be the answer to why I couldn't lose weight. I just need more protein! Maybe I don't need surgery after all! Ha! Not so, said the Universe.
     
    And so, I decided that I would continue my research, step-by-step, and watch and listen for signs from the Universe to decide if I am on the right path. A local friend, who had surgery last year at Celebration Health in Orlando, held my hand and went with me to the information session that is held each week at this bariatric center of excellence. I wondered if I would sit through the session and hear something that frightened me, or meet someone with a real horror story, or have a gut feeling that this was the wrong place or time. But none of that happened. I left feeling like this was the place and this is the time. And so, I decided to complete the paperwork, and wait to take the next step. I received an email a couple of days later which requested my medical and weight history. I completed the form, and waited for the call from the hospital about my insurance coverage and out-of-pocket expenses... waiting to see what the Universe had to say about that. Well, the hospital did call, and said that my insurance only covered lap-band and gastric bypass... and I didn't cry, but with a lump in my throat told her to go no further... because those were not an option for me.
     
    I did not let that stop me, though. My company is self-insured and works with United Health Care and UMR. I knew that United Health Care was covering VSG, and so I called UMR to see why they denied the request. They said that my company did not have it on the list of approved procedures. I did not let that stop me, either. I sent an email to the SVP of Benefits and told her the story, and she responded with an explanation that our plan is outdated, and when something like this comes up, they take it to a committee and decide if they will add it to the policy, allowing UMR to approve the procedure. She checked in with me today, and shared her progress and next steps. With all of the changes in the world of Health Care, we aren't really sure what will happen next year, or what options will be offered - there is a chance our options will be even better than they are now. But I did remind her that I am eager to improve my life, that I am suffering with quite a bit of pain NOW, and that if I could have the procedure completed this year, with the insurance I am sure of... considering there could be a 6 month dr. assisted weight loss period... having the committee decide one way or another would be better for me, sooner rather than later. She understood and is moving forward. As am I. One step at a time... the Universe has not yet given me a sign to quit.
     
    And so, I am here with each of you... yearning for your success, longing for success of my own, and wishing all of us a future that is free of shame, suffering, illness, and pain. Here's to our future! May we learn to shine in new and wonderful ways.

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