cherieinnv

I just wonder if BCBS is stalling because I've almost met my out-of-pocket limit so they will have to pay for all of the surgery and hospital. Call me cynical... so I'm going to see a surgeon this week about having a knee replacement. My knee is bone-on-bone so I don't think they can deny it. I was hoping if I lost enough weight, I wouldn't need knee surgery, but it's probably inevitable either way.

I had this happen years ago because of ruptured disks in my back. Keep after the doctors to act quickly because it may lessen any permanent damage. I had to have surgery for mine. Please don't be embarrassed. You're injured and need assistance and maybe a cool walking stick for awhile! Hang in there.

Someone new from the surgeon's office contacted me this week and said the file was sent to insurance on Monday. I guess if I don't hear back from her next week I'll start checking with BCBS for a status.

I feel like it's too late to request a new advocate and I've learned to go to the woman that assists him when I need help. However, I have another issue now. My paperwork was supposed to be submitted to insurance a week ago but when I called BCBS on Fri. to see if they had received it, they said no. This is so frustrating! So I called my advocate and got voicemail, as always, but didn't bother to leave a message because I don't want to wait the usual 4 days for a reply. So I emailed the assistant, who always answers promptly.

Yes, they can fix it during the same surgery.

I'm glad you had fast turnaround. It sounds like more of an emergency than mine. I have pain at the port site and belching, but I can eat. Let me know how you do!

I'm worried about the lapband compliance issue. After I only lost 25 lbs my 1st year, my surgeon started yelling at me about messing up his metrics so I left and never went back. No one else would adjust the band because they didn't want the liability. I then had to move to TX for my job and again, no one will adjust it. I've managed to lose 80 lbs total since then, but just maintained in the last year. I'm having a lot of pain around my port site and get the dry heaves, once so bad that I went to ER. I'm starting to think my insurance will pay for band but not GBP, which makes me worry about regaining the weight. But I'm seeing a therapist who specializes in ED and went to OA meetings for 2 yrs. I'm now attending SMART Recovery support group, which really helps. If nothing else, the lapband convinced me I have an ED, so it did me some good. Sorry to ramble, but it's nice to have people who understand how sad I'll be if I can't get a GBP. I've gone from a size 26/28 to a 20/22, but don't know if I can get any thinner without help.

Did they require a certaun BMI or comorbidities?

Good to know. Thanks!

I am almost 6 mos after surgery and my hair has improved. It looked thin before surgery so I cut it short when I started to work out again. It is looking fuller now. I try to take my multi daily and use a gentle shampoo. Plenty of protein is key. I also drink lots of water.

I was banded 6/26/08 so I am more than 5 mos out and only 20 lbs lost. I lost 30 before surgery. I just received an email from a friend who was banded the same day and has lost 50 lbs. Oh well, I am exercising and I know it will start coming off again. I am doing 1 day at a time...

Thanks for the encoragement, Michellelei! It wasn't as bad as I thought. I only gained 2 1/2 lbs. Dr. Teng gave me a lecture, though. He said I'm the quarterback of the team and I have to be willing to go for the touchdown/ My 3rd fill was a little bit more intense than the first two. I asked the doctor to be more aggressive, he said no, but then said he put in so much it was squirting back out. For the first time, I could hear gurgling when I drank the water. I was able to drink coffee and a small yogurt later on. I am hopeful that I'll make it through the holidays.