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Texie

Gastric Sleeve Patients
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Everything posted by Texie

  1. Texie

    Frustrated

    I am new to the forum! I have been reading over so many of your posts and everyone is so informative! Thanks so much! I have been looking into getting the lap band for a while now and my insurance would not cover it or any WLS. Now, I know that it was a blessing in disguise because I likely would have regretted the lap band with all the complications. Anyway, this year our insurance began covering WLS (Aetna)! I was so excited and finally got the nerve up to schedule an appointment a couple of weeks ago and went in with full intentions of the lap band. My Doctor pretty much talked me out of it! He is all for the sleeve. After much research, I am very sure that the sleeve is right for me. Now, for my frustration... I am at a 36 BMI and aetna requires a comorbidity with anything below a 40. I was sure that I had sleep apnea, as was the rest of my family. They have even recorded me sleeping to prove to me my problems. So... sleep study it was. I went to have a sleep study and could NOT sleep. I slept for a grand total of 170 minutes all night long. Not all at once, but in increments. The longest I slept at one time was 45 minutes! I get the call yesterday with my results and they said I do NOT have sleep apnea. I questioned this because I knew I had not slept well and they said that I had stopped breathing an average of 4 times per hour (required for sleep apnea is 5)! I asked that they request another sleep study because there was no way that this was conclusive because I did not even enter into REM sleep. They are checking with my insurance to see if they will pay for it again. I am angry because the center should not have even had conclusive results! Has anyone else had this problem or does anyone have any advice on what to do now? I do not have heart problems or high blood pressure, so this is my only chance. Not that I WANT sleep apnea, but I just know I have it. I have 4 out of the 5 symptoms that they asked me about and I have heard myself snore and stop breathing! Thanks in advance for any help!
  2. Texie

    Frustrated

    Tiffy~ I have PCOS, however, my insurance only considers the top 3 as a comorbidity (heart problems, high blood pressure or slep apnea). I did get a call back after my post and they scheduled me for a new sleep study. I did it last night and slept very well. Sooo... I am hoping that they were able to get good data! I will keep ya'll updated. Trinity~ My goal is to loose about 80 pounds. That would put me right in the middle of what the tables show as my healthy weight. With a BMI of 36, yes I am overweight and even considered to be morbidly obese. Thanks for the replies! Cross your fingers that I am able to get this surgery. I have tried so many things, only to lose the weight and come back even heavier than before!
  3. I am new to the forum! I have been reading over so many of your posts and everyone is so informative! Thanks so much! I also posted this in the Insurance forum. I have been looking into getting the lap band for a while now and my insurance would not cover it or any WLS. Now, I know that it was a blessing in disguise because I likely would have regretted the lap band with all the complications. Anyway, this year our insurance began covering WLS (Aetna)! I was so excited and finally got the nerve up to schedule an appointment a couple of weeks ago and went in with full intentions of the lap band. My Doctor pretty much talked me out of it! He is all for the sleeve. After much research, I am very sure that the sleeve is right for me. Now, for my frustration... I am at a 36 BMI and aetna requires a comorbidity with anything below a 40. I was sure that I had sleep apnea, as was the rest of my family. They have even recorded me sleeping to prove to me my problems. So... sleep study it was. I went to have a sleep study and could NOT sleep. I slept for a grand total of 170 minutes all night long. Not all at once, but in increments. The longest I slept at one time was 45 minutes! I get the call yesterday with my results and they said I do NOT have sleep apnea. I questioned this because I knew I had not slept well and they said that I had stopped breathing an average of 4 times per hour (required for sleep apnea is 5)! I asked that they request another sleep study because there was no way that this was conclusive because I did not even enter into REM sleep. They are checking with my insurance to see if they will pay for it again. I am angry because the center should not have even had conclusive results! Has anyone else had this problem or does anyone have any advice on what to do now? I do not have heart problems or high blood pressure, so this is my only chance. Not that I WANT sleep apnea, but I just know I have it. I have 4 out of the 5 symptoms that they asked me about and I have heard myself snore and stop breathing! Thanks in advance for any help! LapBandTalk Click to visit the largest Lap-Band community online!

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