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In general, it is the surgeon who would make that determination not the shrink. The cynical part of me thinks they want to push folks into bypass perhaps because there are better margins for their medical practice. They can demand more from your insurance company. I'd hope that is not the case but it does seem strange that the psychologist, not the nutritionist or the surgeon is making that determination. I'd ask for a second opinion.

I am still in the preliminary stages of getting approval but my biggest fear is the ore-op liver shrinking diet. I know how I have been in some of my previous diets. I am likely to rip someone's head off by the end of the first week but perhaps because I know there is an "end game" in sight I'll be able to get through. I'm excited for you, keep up the good work.

The Penny episode should be a reminder that this is not easy and we need to be in the correct frame of mind going into this. She was obviously cheating but the cameras did not show it. Early on we see that was given soda bother husband out of a giant Subway cup. There must of been other instances of cheating while filming. What bothered me the most about her was that she was lying to herself and saying how hard she was working for her son. I feel bad for the son when he watches this episode years from now and realize why he lost his mother (if she didn't change her ways). I have decided to add a shrink to my team for surgery. They have you see a guy once for 20 minutes to confirm you are a good candidate but it couldn't hurt to see one on a regular basis to make sure your entire house is in order, not just your body but also your mind and perhaps for those who believe your spirit.

Oh, BTW, the episode tonight of 600 PL, "Penny's Story" was quite a show. I felt so bad for her husband and kid. I'll wait to share more details after it airs on the west coast.

If you are in the UK the link will just work, and you register with the website. In the US it gets a little more complicated. Step 1: download the web browser Google Crome Step 2: Go to Hola.org to download the Google Crome tool called Hola Step 3: Set your location on Hola (the smiling flame next to the URL bar) to the UK Step 4: Go to the website below and it will ask you to register with the site and it should work http://really.uktv.co.uk/shows/fat-surgeons/watch-online/

SPOILERS It's on the DVR. I'll be watching in a little bit. I've been hooked on "Fat Surgeons", there are like 20 episodes. I've gone through 4 of them at this point and they are pretty graphic during the surgery portion. I think if I watch a few more I could perform a gastric bypass myself.

I figured out a few months ago how to hack my Google Chrome browser to allow me to watch shows and access websites as if I was in the home country of that website. I really like it that I can see stuff on Netflix before they come out here in the U.S. This stuff is always very interesting to watch. The doctor on Fat Surgeons was the surgeon on that episode of "World's Fattest Man" which was something we watched on Netflix last week. Thanks for the links.

I just wanted to check in and say hey. I am still in the middle of my evaluation process with the doctors and shrinks. I passed the physch test pretty well and have gone to the required support group and nutrition evaluation. I have the nutrition class next Saturday then the abdominal ultrasound the week following, still have the pulmonary clearance the last week of January and that should be all I need to get this thing done. What a pain in the ass, no? I'm also getting a little nervous considering I am chopping off two-third of my stomach. I went to costco yesterday and it dawned on me how much my life will change and how I will have to make major adjustments to everything I do. I was asked if I wanted to take an overseas trip next month before my surgery and I am a bit reluctant because at my current size I have found traveling is exhausting and I spend half the time looking forward to the next time I can sit down. I love to travel and I am hoping this coming transformation will help get me back on the road again. I want to end 2014 in Paris walking from the Place de la Concorde up the Champs Elysees to the Arc de Triomphe and take the stares to the top without feeling like I am going to die. Later I want to be on the Champs de Mars in Paris watching the Eiffel Tower explode with fire works ringing in 2015. Not that I am being at all specific.

http://www.nooooooooooooooo.com/

Seriously though, what has your doctors said about weighing yourself at home? Do they tell you to do it everyday, weekly or only when you visit the doctor's office? I feel the scale is enemy number one and as a CPA myself I can relate to the numbers game.

You said "Pooped" *snork*

Really? That's terrible to hear that. I'd love to know more about how that happened. I'll have to try to find that. Do you have a link or something so I can read about it? I have seen folks on "The Biggest Loser" gain the weight back, that's one of the reason I have determined WLS surgery is probably my best option because it's not as easy to fall back into bad habits (dumping syndrome, etc). I have also decided to make a psychologist part of my transformation to make sure I cover both mind and body.

What a story, thank you for sharing what you went through to get where you are today. I'm sorry to hear that you had to self-pay. It makes much more sense for an insurance company to pay for WLS than to treat the dozen other ailments being so heavy brings.