-
Content Count
84 -
Joined
-
Last visited
Content Type
Profiles
Forums
Gallery
Blogs
Store
WLS Magazine
Podcasts
Everything posted by Sandra86says
-
Haven't been on this app since a few weeks after my surgery (4/19/16)! I am officially 100 lbs lighter and off all meds... Forever thankful I had the courage to take care of myself! Take care and let's make 2017 ours! To better health!
-
????Blue Shield of Ca - 6 monthly weigh ins no longer needed!?
Sandra86says posted a topic in Insurance & Financing
HELP! ????I was denied in July for gastric sleeve. I met all the requirements (psych evaluation, BMI 49, HBP, Type 2 diabetes and PCOS) except I didn't have 6 monthly weigh ins which they required at the time. My PCP was floored! He was so upset at my insurance company for requiring the 6 monthly weigh ins, my health is in really bad shape for a 29 year old! However, I've been reading that Blue Shield of Ca just changed their requirement and that they no longer require the 6 months of weigh ins! I'm on month 3 and need advice! Should I call my surgery group and have them submit to insurance?! Has anybody had experience with this!? Thanks so much!!! The sooner I get this the better!!! ???????? -
Cake Tasting! [emoji546][emoji1445]
Sandra86says replied to Sandra86says's topic in POST-Operation Weight Loss Surgery Q&A
I tend to agree with Ann in general, but without knowing you, I can't be sure. What was your arch nemesis that led you to obesity? Your success will depend on slaying that dragon. In my case, I OD'd on the low carb lifestyle. I'd go months without eating as much as a cracker, but order macadamia nuts in 4 lb bags from Hawaii. Now I eat limited carbs and avoid high calorie foods - it works for me. What I'm getting at is, what role did cake or sweets play in your demise. If they were your downfall, avoid them like the plague until you hit your goal and go into maintenance. You'll need that 6-18 month period to develop new habits. Of course if your downfall was nuts, eat some cake! Thanks for your input! I'm def NOT a sweets person! I was a pizza and Pasta kind of gal before VSG! I can have a tiny bite of cake and be done... It's not "crack" to me, LOL. However, pizza I'm afraid I'm def not gonna mess with because that was my addiction. The only sweets I liked was cheesecake. -
Cake Tasting! [emoji546][emoji1445]
Sandra86says posted a topic in POST-Operation Weight Loss Surgery Q&A
Hello! I am 5 weeks post op VSG... Everything is going wonderful! I am having my wedding this September and have made a Cake Tasting appt w Hubby! Would it be absolutely wrong to take a tiny taste of the samples? It's my wedding after all and I wanna ensure the cake is tasty. I was never a sweets person to begin with so it'll be for mere taste. I follow all Dr's orders but need input! Thanks y'all!! -
Cake Tasting! [emoji546][emoji1445]
Sandra86says replied to Sandra86says's topic in POST-Operation Weight Loss Surgery Q&A
I guess I'm more afraid of getting sick etc... I'll take Hubbys word for it lol -
Any tips on what to drink besides water and suger free koolaid?
Sandra86says replied to MBP's topic in POST-Operation Weight Loss Surgery Q&A
Powerade Zero is bomb! -
Too blessed! Officially 1 week POST OP TOMM!
Sandra86says posted a topic in POST-Operation Weight Loss Surgery Q&A
Hey guys! So tomorrow I will be 1 week post op! I am down 13 lbs (23 from my HW). I am so happy with the results of my surgery. My surgeon was amazing! He used the DaVinci Robotic system to perform my sleeve. I have experienced no complications, gas pains, nausea, and all my liquid intake has gone down smoothly! I was kinda worried because I always read HORRIBLE stories on the FB Page with many complications and pain! I mean , I hope I'm not the only one recovering wonderfully! I guess what I'm trying to say is that I'm so thankful to be recovering awesome, I know it's only 1 week post op, but I sure hope it's smooth sailing, and of course, I will keep doing my part to not break any rules! -
Hey y'all! I'm 5 days post op VSG and was wondering when you guys had your first bowel movement. I haven't gone as of yet... It is normal to not go but I just want to get input! I am recovering wonderfully! Thanks in advance!
-
TMI QUESTION️
Sandra86says replied to Sandra86says's topic in POST-Operation Weight Loss Surgery Q&A
LOL I JUST WENT POO!! Woo hoo!!! How funny! It was small but I'll take that! My first poo after VSG! HAHAHA -
Wow! I am officially sleeved!! I cannot believe how amazing my surgery outcome was and recovery is going so far! I thank God for all the amazing staff and of course my surgeon, Dr Ali! Hopefully I'll be released by tommorow!! I'd like to thank these boards for being an amazing source of pre op information!! [emoji173]️
-
Hospital Bag tips?! 4/19, where ya at?
Sandra86says posted a topic in PRE-Operation Weight Loss Surgery Q&A
I can't believe my surgery that I fought so hard for is on Tuesday! I'm more excited than nervous!! What things should I bring w me to the hospital on Tuesday? I'm so ready to change my life! Pray for me, please! Thanks! -
After 3 denials ( July '15, Jan '16 and Feb '16) and countless heartaches, my medical director overturned the decision and finally approved me today!!! The amount of joy I have is epic! PRAISE JESUS! ????
-
9 Days Until Surgery! Advice?
Sandra86says replied to AndreaCanFlyy's topic in PRE-Operation Weight Loss Surgery Q&A
Yay!! Same date as me! Are you guys on a pre op diet yet? -
Yes!!! Please don't give up!! These insurance companies want people to give up so they can get away without paying for surgery! It was hard for me to be patient but at the end of the day, I'm glad I stuck it out! Good luck to you! Your day will be here before you know it! Just wanted to update you. I was denied twice but I just got my approval today after my third attempt!! Thanks for all the hope you gave me Sent from my SAMSUNG-SM-N900A using the BariatricPal App Awww ! I'm glad my words gave you hope! That is AMAZING!! Yay!!! Congrats!!! Do you have a date yet?? Mine is next Tuesday the 19th!
-
Hi all! After 3 denials I finally got approved for VSG! My surgery date is 4/19! It'll be here before I know it! Any other ppl scheduled that day?! My surgeon will be Dr Ali at Fountain Valley Regional Hospital in So Cal! Pray for me! ❤️
-
APRIL 19th SURGERY BUDDIES?
Sandra86says replied to Sandra86says's topic in PRE-Operation Weight Loss Surgery Q&A
First time because I didn't have 6 monthly consecutive weigh ins, 2nd because they weren't happy with my PCPs notes. He has to rewrite them because they were so "basic". The medical group wanted clear and precise notes. The third time, I really don't know why they denied. I went ahead and called my coordinator and medical group telling them I was very upset about the 3rd denial, I clearly need this! 10 mins later I get a APPROVAL call saying that the Medical Director overturned the decision! What a roller coaster of emotions it has Been! -
APRIL 19th SURGERY BUDDIES?
Sandra86says replied to Sandra86says's topic in PRE-Operation Weight Loss Surgery Q&A
How cool! Liquids for 7 days? I meet with my dr on the 6th... I wonder how long my pre op diet will be. It seems like everything is happening so fast! I'm getting nervous too!! We should keep in touch to see how everything goes! I wish you the best! -
APRIL 19th SURGERY BUDDIES?
Sandra86says replied to Sandra86says's topic in PRE-Operation Weight Loss Surgery Q&A
Yay! We can be surgery buddies lol I meet with my dr on the 6th... He's probably going to put me on liquids the day after! Are nerves setting in? ???? -
Anyone else set for 4/20 or there abouts?
Sandra86says replied to Andi07's topic in PRE-Operation Weight Loss Surgery Q&A
APRIL 19th????APRIL19th! ???? -
Any April/May 2016 sleevers?
Sandra86says replied to shellba's topic in PRE-Operation Weight Loss Surgery Q&A
April 19th!???????? -
So I started this process about a year ago. Got denied in July because I didn't have my 6 month Supervised diet. Completed the 6 month last month. Submitted on 1/20 and got denied again... My coordinator will set up a Peer to Peer Review w the Surgeon and my insurance company (Blue Shield of Ca) to put an end to this madness. My question to those who ended up having a peer to peer : 1) About how long did it take to get an approval / denial? 2) How was the experience? I am so overwhelmed and frustrated at this point. I currently have 2 comorbidities and my BMI is 50! I see many people get approved so easily with a BMI way less than me and No comorbidities! I need many prayers!!
-
Yes!!! Please don't give up!! These insurance companies want people to give up so they can get away without paying for surgery! It was hard for me to be patient but at the end of the day, I'm glad I stuck it out! Good luck to you! Your day will be here before you know it! ????
-
DENIED... AGAIN!???? (peer to peer soon)
Sandra86says replied to Sandra86says's topic in Insurance & Financing
Sorry for the late reply! Been so busy taking care of hubby, he got his gallbladder taken out Thursday so I haven't logged on! Anywho... Ok so I got denied in July for the first time because the medical group didn't have 6 months of consecutive weigh ins, finished that in January of this year and resubmitted for the 2nd time, my medical group denied me again, they weren't happy with my PCPs notes, they weren't 'clear' enough. My PCP was nice enough to rewrite the notes for the past 6 months and I hand delivered those notes to my surgeons office and they resubmitted that same day. I found out they denied me for the 3rd time a few weeks ago and immediately called my surgeons office seeking answers. My coordinator, Alicia, bless her heart, was surprised and said she'd take care of this. I went ahead and called my medical group immediately after I called my surgeons office and the med group informed me that the medical director overturned the denial a few mins after my coordinator called! They said they made an error! Damn right they did! I clearly am overqualified (lol) and took the proper steps! Anywho, I was close to giving up after the 3rd denial but I am so glad I didn't! What a roller coaster of emotions that day was! Feel free to message me if you have any more questions! I wish you the best! I start pre op testing on St Pattys day! -
After 3 denials ( July '15, Jan '16 and Feb '16) and countless heartaches, my medical director overturned the decision and finally approved me today!!! The amount of joy I have is epic! PRAISE JESUS! ????
-
DENIED... AGAIN!???? (peer to peer soon)
Sandra86says replied to Sandra86says's topic in Insurance & Financing
Got the call I've been waiting for! I got APPROVED today! Such a happy day for me!!