kyleebean

255

Last Friday I was supposed to have a follow up apt. with the nurse practitioner, only to have the program manager call me to cancel it. Obviously prior to my surgery the surgery was submitted for approval and after an appeal it was approved (well, one of them were approved, I have to self pay to have the band removed). However, Humana is stating they have a 25,000 cap per life time for Bariatric care. and they paid the hospital their 25,000. Unfortunately, this 25,000 cap was never communicated to me nor to the program manager who submitted the claim for approval. Needless to say this leaves me with a $130,000 bill. My surgery had complications and I was in the hospital for 4 days. I'm so frustrated. I am going to appeal but I don't think it's going to make a difference. I cannot afford this....Had I known this was the case, I would have opted for different treatment and possibly somewhere else. Anyone else ever experience this?

Yes I had the band removed and was sleeved on 11/27/13.

I am doing really well but am having a horrible time controlling "head hunger". I feel like I get the munchies and get frustrated because they don't go away. I know I have been under some stress and that has always been a trigger for me to eat comfort foods. I find myself staring in the fridge or pantry looking for something to eat. Thankfully, I don't have any crap food in the house, but I can see myself grabbing a Protein bar, or a pudding or whatever else looks good and eating it. Any helpful advice would be welcomed.

bea I know somewhere in this massive thread is your spread sheet, can you post it again because I can't find it. I don't remember what my weight was at the start of the challenge.

bea I know somewhere in this massive thread is your spread sheet, can you post it again because I can't find it. I don't remember what my weight was at the start of the challenge.

258

I received my EOB today from Humana for my surgery in November. Mind you I was in the hospital 4 days and had some serious complications. My part of the bill is 124,950. That's right kids over a hundred thousand dollars. I had a preauthorization, I did everything by the book and now I am stuck with a bill that will bankrupt me. Advice?

I will definitely talk with the hospital..... Unbelievable. I haven't received a bill yet from the hospital and this is just of the EOB sent from Humana.

I have humana. I just had revision from lap band to sleeve on 11/27. Humana paid for the lap band in 2005 and then denied revision and then reversed part of their decision after an appeal. I had to pay for the removal of the band and Humana paid for the sleeve..... At least that's what the prior authorization said but I haven't received a bill yet.

I am super impressed with you and you are my new (s)hero..... I have been contemplating c25k and honestly it seems daunting. I'm still really overweight. Although, I can walk a couple miles with no problem, I worry my joints will rebel! But you have given me some motivation.

I read your question and kinda wanted to laugh and say "hell, no." BUT I am new into my journey. I'm only 9 weeks out from revision from lapband to sleeve. With the lapband I lost 100 pounds and then gained it back when I started having serious problems with it. The sleeve has been what I hoped it would be. That said, I too, wish my weight loss would hurry up and i'd be at or close to my goal. I think you hit the proverbial nail on the head when you we need to try to live in the present. I guess my take on it is that I cannot wait 6 months or a year to enjoy myself and my family; I need to do that now while still losing weight. But man, I wish I could blink and the 100 pounds I need to lose would just be gone...If it were that easy, I wouldn't have needed surgery!

259~ losing so slowly is frustrating.

I was sleeved 11/27. My calories average about 800/day. Sometimes a little more if I've worked out hard and sometimes a little less. My NUT said to try to stay under 800/day.

I'm 8 weeks out and I felt like that initially~ I was sleeved the day before Thanksgiving......What a cruel joke for this fat girl! It was super hard for me over the holidays but it probably would have been hard regardless of when it was. I was MAD at the world.... I knew it was my choice to opt for the surgery but it just didn't seem fair that my DOG is able to eat more than I do!! The anger passed.... I think a lot of it was surge in hormones and loss of my best friend, food. You are feeling completely normal, although it probably doesn't feel like it.

I had revision from band to sleeve 11/27 and am down 51 pounds!

Honey, I am right there with ya. I'm 8 weeks out today and have lost quite a bit but its sporadic. I wont lose anything for a week and then the scale goes down 5 pounds. Sometimes it's just plan ass hard to stay on track.... but I do, for the most part. I hate that I can't lose as fast as I want. However, I also know it wont take as long as I think!

My goodness, I agree with many of you, as I was angry at Penny too. BUT... I was angrier at her husband for enabling her. What others have mentioned needs to be kept in mind; Penny is seriously mentally ill. I question how she passed a psych evaluation for bariatric surgery. As a mental health professional, I see Penny as delusional, an addict and suffering from blatant body dismorphia. In addition, she receives attention for being ill and immobile which is a form of munchausen. Meanwhile, I am going to use my visceral reaction to this show as motivation. I may not always follow my plan 100% (but I do 90%) but I will always be accountable for my choices. Over the holidays, my daughter (she's 24 so clearly she knows everything) kept saying, "you can't have that". I kept responding to her by saying, " I can choose whether or not to have this". Most of the time I chose not to. But when I do chose to have something that isn't the best choice, I record it in my food log and it counts toward my calories for the day. Thankfully, most of us do not have her mental health make up. While I am not religious at all, the thought that goes through my mind is: "But for the grace of god go I." How many of us could have gone down this unhealthy road? I am sure many of us are thankful we were able to receive the wake up call that each of us needed to regain our health and control over our eating.

I use the EAS carb control and I haven't had any problems with them. I can't drink milk based anything.....

I finally fit into my leather jacket (it's been about 5 years) and my very favorite pair of Jeans~ both in the same week. I finally feel "pretty" and am enjoying putting on makeup, picking out my clothes and am no longer just throwing something on and running out the door.

sorry, Jan 10th I was 264

currently 260

I can't stand that man. What an emotionally abusive relationship. I want to shake her and yell "you deserve soooo much better than his sorry ass"

I'm entering my 7th week post op and I am stuck at 264 pounds. I realize I have lost a lot of weight but on the other hand, I don't understand why I haven't lost any this week. I am averaging 665 calories a day. I am getting about 70 gms of Protein and I an hitting the 64 ounces of Water. I am working out three to four times a week and burn an average of 400 calories each time. How can I not lose weight? It makes no sense to me. I am aware of stalls and I did have one a few weeks ago but it didn't last more than a few days. It's hard to keep motivated when the scale doesn't move.

how do I find her blog?