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Everything posted by TxDumplin
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So sad...bcbs of Illinois denied me. Surgeons office is going to resubmit it with more information showing my medical conditions. Apparently being on medication for high blood pressure and high cholesterol is not enough :/...They want to see numbers showing that it is not controlled with meds. This may just be the end of my journey
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My insurance is through my husbands employer and the corporate office is in illinois.
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Thanks ya'll....i'm just so in the dumps today :/....My hopes were so high on getting approved. I just don't know what to think. The surgeons office is going to submit it again after she gets my medical info from my primary doctor.
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Had my psychological evaluation done today and it was nothing what i thought it would be. I thought it would be just to make sure i was "sane" enough to have surgery ... Turns out...the first half was a one on one with the Dr. He asked me to explain in detail what would happen in surgery...I had to explain in detail what phase 1 of the post op diet would be and explain in detail what phase 2 of the diet would be. I had to explain to him what would happen if I didn't follow the diet exactly. I also had to explain what my portion sizes would be for the rest of my life to keep from gaining the weight back. I think i "passed" the test...he seemed pleased with my answers on the verbal part. The next half of my visit was 360 questions that required a yes or no answer. I did that test out in the waiting area. This all took about 2 hours. After that was done...I was free to go. He said he would call me tomorrow with "results" and send them to my surgeon. I already seen the nutritionist last week. I have all insurance requirements done. I'll wait a few days and call my surgeons office to see if they have submitted to my insurance yet....or to see how long it will take until they do. So far, it has been smooth sailing (knock on wood)...just hoping i passed the psych test! Has anybody on here ever "failed" the psych test?
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Psychological Evaluation Done!
TxDumplin replied to TxDumplin's topic in PRE-Operation Weight Loss Surgery Q&A
Psych Dr. just called and said i passed! yipppeee...He said he already faxed it over to Surgeons office. Now the waiting game begins -
Psychological Evaluation Done!
TxDumplin replied to TxDumplin's topic in PRE-Operation Weight Loss Surgery Q&A
Wow, that is pretty much what i thought it would be for me also! I was dying in there trying to remember portion sizes, time frames and what intestines would be attached to my pouch and why...LOL -
Best of Luck tomorrow!...will be waiting to hear back from you when you get back home.
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update: I have bcbs of Illinois ppo...They only require me to see a dietitian and psycho exam. I already seen the dietitian and see the psychologist Monday. After that is done it will be submitted for approval. My first visit with the Dr. was Jan. 30th. That was to just talk to the doctor and to make sure i was within the bmi range for the surgery..then we discussed the best surgery for me. It's going pretty fast . Keeping fingers crossed i get approved. The nurse said surgery could be late March early April
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Thanks for posting the above link DLove41. This will help so many. I just download my form and going to take it to my next surgeon appt.
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Can any bariatric patient request this...or do you have to be low income or no insurance?
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Got my surgery date!
TxDumplin replied to sndlackey's topic in PRE-Operation Weight Loss Surgery Q&A
I started posting as soon as i knew i wanted to have surgery...a bit pre-mature I know I just had so many questions and who else better to ask then the people who are going through it. So many articles on the web that tell you different things. I needed answers to specific questions and found this is the place. Keep posting and keep us updated on your progress. -
Got my surgery date!
TxDumplin replied to sndlackey's topic in PRE-Operation Weight Loss Surgery Q&A
Congratulations!...When i need a lift me up...i come read the positive post also. -
I had a catheter once and it felt like bad menstrual cramps...I could not wait for them to take it out!...these drain tube stories have me worried though :/
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That is so amazing!
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How are you doing now that you are a few weeks post op?
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Oh wow copmom....I'll have to ask my dr. next visit also.
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what tests did you have to have done prior to surgery
TxDumplin replied to Amanda R's topic in PRE-Operation Weight Loss Surgery Q&A
What insurance do you all have? I have bcbs of Illinois ppo. -
What size are you now?
TxDumplin replied to michelecaples's topic in POST-Operation Weight Loss Surgery Q&A
You all are doing so great! This right here is why i love visiting this forum. -
I don't want to be scared!
TxDumplin replied to TxDumplin's topic in PRE-Operation Weight Loss Surgery Q&A
Thanks ya'll...i know some fear is normal but i have been consumed with fear. Today is much better though. I already had my first visit with my surgeon. The next two weeks i will have the psychological evaluation and visit with the dietitian Then it will be submitted to insurance for approval. The nurse said surgery could be late March or April. I don't have to do the 3 or 6 month diet. Trying my best to stay positive -
Last few days all i been able to think about is all the things that can go wrong during and after surgery. I came across a forum that was talking about the risk and it really put some fear in me. From this day on....I refuse to read anymore horror stories and try to focus on the good that will come from having this surgery. My mind has been all over the place :/
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Well...i'm 49 so i might as well follow this group ....I had my first surgeon visit this past Wednesday and have the dietitian and psychological evaluation coming up in the next two weeks. I was so exicted....now i'm getting really scared. I came across a forum last night that was nothing but horror stories from people who had gasric bypass. I should of stopped reading it.but for some reason i didn't :/....I've been watching youtube videos and reading this board today to try to ease my fears. Anybody else pre- op having second thoughts about the surgery?
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I have a hard enough time getting to sleep in my own bed :/....I wonder if they will give you ambien to knock you out. That will work
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First Consultation with Surgeon Jan. 24th
TxDumplin replied to TxDumplin's topic in PRE-Operation Weight Loss Surgery Q&A
Hi There...i was going to PM you but can't find the button to do it. How did your first Dr. Appt. go today...Would love to hear all the details ...and what was accomplished this first visit. -
First Consultation with Surgeon Jan. 24th
TxDumplin posted a topic in PRE-Operation Weight Loss Surgery Q&A
I go for my first consultation with the surgeon the 30th. My BMI barely qualifies me for surgery but i have high blood pressure and high cholesterol also...plus low thyroid. Would love to hear what your first consultation with your surgeon was like? Silly that i'm so nervous about it -
If you already have two of the required comorbidities to qualify for surgery with a bmi of 35...Would you still be required to get a sleep study done? So many questions