Muted_Tummy

At the time of this posting, I am pre-pre op.  I decided on WLS after years and years of yo-yo dieting. In prior, lighter than this years, I had explored options. At that time, Lap-Band was new and my sister had had  RNY with success.  I decided for lots of reasons neither was for me and "this time" I was going to lose and maintain.
 
So about 10 years and another 70 lbs later, here I am.  Last fall, a good work friend was sleeved and I started looking into this.  This seemed really viable for me so I talked to my PCP who I've been with for about 8 years and he agreed this was a good option for me to explore. I then signed up for therapy.  I had already read those with WLS benefit from post op therapy and I thought "why  wait?".  It also helped me come to the conclusion that this was the right decision for me, now. She also helped me to more effectively talk to my spouse about why I came to the decision and the they support I need.
 
I then met with a surgeon in early November and received the to do list. I had already recently had extensive bloodwork and got the psych clearance.  I made my endoscopy apt through them and insurance denied it.  This caused delays and reschedule. It became more and more clear that there were issues with my PCP, insurance made more complex because spouse works in health care so we have special rules, and the surgeon working together seamlessly. 
 
A surgeon from a Steward approved hospital then started a once a week come down to my area practice. You could have everything "in house" easy peasy - except for the surgery. For that, I had to go to the hospital she was affliated with up in Boston. (the other surgeon, same deal, diff hospital in a Boston suburb and all post op care in his office 45 min away from me).  So, this seemed better.  I made the switch. Things being as they are, she couldn't get me in for a month. No worries.
 
Day of appointment, I got a cancellation. She was stuck in Boston and couldn't make it. We had to reschedule. This aligned with the second appointment with the FI for him to write the referral for ENDO that the first season required (following along? yeah I know)
 
This was all very frustrating and felt like a sign to not do the surgery.
 
Then, in a parallel aspect of life, there was a job change which changed insurance. There would be a two week gap from end of coverage (Feb 20) to new coverage (March 7). The insurance also was a "no" for the surgeon and hospital group I had been established with. It was also a "no" for my PCP.
 
So, I had to pick a new PCP and a new WLS Center and Surgeon. I have made appointments with both the minute I have coverage.  I explained all this to WLS center and they get it and will help me not "start over". I am hopeful the new PCP will just go with it and write the new referral asap.
 
The new insurance and WLS will probably have their own requirements I need to meet. I won't know until the 17th. I am hoping they accept at least the psych eval.  They probably want "fresher" blood work at this point as it was done in early Fall.
 
All of this has increased my resolve that this is the right thing for me.  I am immersed in research of science, websites and people's experiences.  Trying to learn as much as I can so I make the most of this new tool.  I keep an active blog over at gastricsleeve.com under same name.