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About GingersnapMI
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Advanced Member
About Me
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Female
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MI
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newsam1154 reacted to a post in a topic: Payment denied AFTER surgery... should I be worried??
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GreenTealael reacted to a post in a topic: Six Months out, 113lbs down overall, 75 since surgery, a few questions:
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GingersnapMI started following Did I really do the right thing??, Thinking about Gastric Bypass, Eating around others who aren’t privy (Social Eating) and and 2 others
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Thinking about Gastric Bypass
GingersnapMI replied to CarolMcca's topic in Gastric Sleeve Surgery Forums
Ditto! I chose RNY bypass over sleeve due to: 1) RNY gives slightly better results, statistically, and seems to be more commonly recommended for my age group (I'm 58). 2) I'm a twenty-year GERD sufferer, even when at lower weights. The sleeve can cause/increase GERD symptoms (you will find a fair amount of people here who had revision surgeries from sleeve to bypass due to GERD). I also had an older sibling who was a long-time GERD sufferer and ended up dying at age 61 of esophageal cancer. I decided to take no chances. 3) Bypass is reversible, sleeve is not. (Though there are very few instances when a reversal would actually be needed/done.) 4) I actually wanted the possibility of dumping as a "reminder" to stay on course with proper eating over the years to come. 5) RNY procedure bypasses some of the small intestine which causes mild malabsorption of nutrients/calories. This means that lifetime vitamin use is absolutely necessary (which is also recommended for sleeve recipients) but it also means that occasional digressions from proper eating won't be as detrimental to overall results. -
Eating around others who aren’t privy (Social Eating)
GingersnapMI replied to successboundNP's topic in POST-Operation Weight Loss Surgery Q&A
I, too, am a healthcare worker. For me, I didn't feel a need not to share my choice to have bariatric surgery... just like I wouldn't mind sharing if I had my appendix out. It is what it is, I am not ashamed nor embarrassed. I have a treatable medical condition and I chose a common and approved method of treatment: surgery. My co-workers were interested and supportive... and then the matter was soon almost forgotten. I do get occasional interested inquires such as, "How much have you lost now?" (And I proudly give the answer!) But I do understand that others may feel differently. Good luck, I'm sure you'll do well! -
Six Months out, 113lbs down overall, 75 since surgery, a few questions:
GingersnapMI replied to FINFAN3DP's topic in Gastric Sleeve Surgery Forums
WOW, congrats on your fantastic success! 1) Yes! But they never last more that a minute or two for me. 2) Your center of gravity has probably changed and I'd think that you will naturally adjust over time to a smoother stride. 3) When something becomes so big that others say I'm "swimming in it", I will buy one or two items in the new size. Luckily, I wear scrubs to work and they're pretty forgiving when it comes to fit... they're expected to be loose/boxy. But for non-work wear, I'll buy one new pair of jeans now and then when I really need to until I reach my goal weight. The tops I wear are pretty forgiving, too. -
Payment denied AFTER surgery... should I be worried??
GingersnapMI replied to GingersnapMI's topic in Insurance & Financing
UPDATE: I called the number on the $900+ bill I had by now received from the nurse anesthetist's office. They told me to call my insurance. I called my insurance and the wonderful lady on the phone stated that since I had my surgery in a participating hospital with a participating surgeon, all other bills should have been processed as in-network, even if the particular surgical team member (the nurse anesthetist, in my case) isn't actually in-network. She stated that it looked like several different people at the insurance company had handled the charges related to my surgery and the person who handled the nurse anesthetist charge had not "realized" that the charge was related to an approved procedure in an approved hospital. (Someone wasn't being thorough in the performance of his/her duties!) The proper pre-authorization had been obtained and all charges will be, hopefully, processed/re-processed correctly and paid as expected. I'm so glad that I know just enough about medical billing and insurance to be able to tell when something doesn't look right, and sometimes even be able to figure out why and therefore be able to argue it effectively. I pity the people who simply pay any bill they receive. I don't think a year goes by without me having to straighten something out concerning medical billing... and I've had several different insurances over the years so it's not just one or two particular insurance companies that are the problem. -
JaysWife reacted to a post in a topic: Did I really do the right thing??
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GingersnapMI reacted to a post in a topic: Payment denied AFTER surgery... should I be worried??
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GingersnapMI reacted to a post in a topic: Payment denied AFTER surgery... should I be worried??
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Payment denied AFTER surgery... should I be worried??
GingersnapMI replied to GingersnapMI's topic in Insurance & Financing
Thanks, I've called my surgeon's office again and was again routed to a voicemail line. His $3000+ bill to my insurance was also denied due to no prior authorization obtained. -
Payment denied AFTER surgery... should I be worried??
GingersnapMI replied to GingersnapMI's topic in Insurance & Financing
It says it's good on the original surgery date. That's it. -
Did I really do the right thing??
GingersnapMI replied to JaysWife's topic in POST-Operation Weight Loss Surgery Q&A
I actually weighed MORE the first week after surgery than I did before the surgery! They give you A LOT of fluids in your IV to keep you hydrated and this often shows up as pounds gained. But the weight DID start to come off eventually, don't lose heart! -
Payment denied AFTER surgery... should I be worried??
GingersnapMI posted a topic in Insurance & Financing
I have not yet received any bills for the two issues I'm about to discuss, just the EOBs (Explanation of Benefits). For non-US readers, this is a notice that an insurance company must send the patient whenever the insurance has received a bill. It explains to the patient about the bill: the medical provider, the service rendered to the patient, the charge from the medical provider, how much of that charge will be covered by insurance, and how much the patient can expect to self-pay. My original surgery date was delayed/changed due to the hospital's COVID-related closure to elective procedures. I therefore ended up having surgery about 6 weeks after my original date. I just received the EOB relating to the hospital's $55,000 charge. The EOB states the charge has been denied due to "preauthorization was not obtained". I went through all the paperwork I've collected since my journey began and found the preauthorization approval notice for the original date of surgery... but it seems I never got a preauthorization approval notice for the new surgery date. Naturally, the surgeon's office has several people whose job it is to get insurance approvals/preauthorizations prior to surgery... I'm worried that the person handling my case dropped the ball... The second billing issue concerns an EOB that shows I will owe $900 for the nurse anesthetist's bill ($500 deductible plus 50% copay). The anesthesiologist's bill was covered at 100%, but the issue is that his assistant (the nurse anesthetist) apparently doesn't participate with my insurance so I'd be responsible for the high out-of-network charges! Naturally, I as the patient only get to pick my surgeon... I don't get to pick the anesthesiologist or the nurse anesthetist or any of the nurses, for that matter. Again, the team used for my procedure is something that my surgeon's office and the hospital should have put together properly. I called my surgeon's office a week ago and was transferred to the insurance specialist's voicemail. I've not received a call back. I'll try again tomorrow (Monday) but I'm worried... should I be? I know a lot of people here have had their surgery dates moved around due to COVID, so this can't be the first time this issue has come up...? I'd appreciate advice and opinions. Thank you! -
I "spontaneously" dumped (at least I think that's what it was) once about 4 weeks after surgery. It's now about 10 weeks after surgery and it's not happened again. I say "spontaneously" because I have no idea what triggered it. I'd been eating a sugar-free popsicle every day since surgery, it was my daily treat. That morning, I'd had a few blueberries with low-fat low-sugar Greek yoghurt (something I'd eaten successfully before). About 3 hours later, I had my usual popsicle and within about 15 minutes... WOW. Chest pain and pressure, nausea, the sweats, drooling... it was awful. (But no diarrhea.) It went on for about 90 minutes and I was pacing my house, trying to lie down, getting back up, hanging over the toilet, etc, until suddenly -BLEH- the popsicle came back up in one swoop. I immediately felt 100% better! I told my surgeon about the experience when I had a follow-up visit a week later and all he said was that he didn't know why that would have happened. If it ever happens again, my finger is going down my throat and I'm getting it over with quickly. Anyway, my surgeon's info booklet warns to stay under 5g of sugar to avoid dumping. It doesn't mention carbs or fats.
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Maribelle76 reacted to a post in a topic: Struggle
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KeKe82 started following GingersnapMI
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I'm not-quite-8-weeks post-op and have a long way to go yet. Thank you for an encouraging glimpse into the future!
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Hang in there! I became food-obsessed immediately post-op. The liquid diet was torture... but it was all head hunger and I knew it. I felt sad about the loss of my old lifestyle. I did ask my doctor if I could begin puree at ten days instead of 14 and he agreed. That helped decrease the sudden obsession with cooking videos tremendously. I'm nearly 8 weeks post-op now and I feel great. My only regret is that I didn't do this sooner!
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5 weeks post-op slow weight loss
GingersnapMI replied to fitgal2021's topic in Gastric Sleeve Surgery Forums
I'm calling my issue "the six-week stall". I'm 7.5 weeks post-op and have lost 27 pounds since surgery on May 11... most of that loss was during the first 5 weeks. In that last two weeks, I've only lost two pounds. 😞 But I shall persevere! -
Sounds similar to my story. Pre-surgical weigh-in on May 11 was 246.0. (Taken at the hospital, I forgot to weight myself at home prior to leaving.) Home weigh-in on May 14 was 249.2. (Due to IV fluids and/or a discrepancy between the hospital's scale and mine?) Today's weigh-in, May 22, is 240.2. I've decided to count my weight-loss pounds from my post-surgical weight of 249.2... so at 240.2, that means 9 pounds lost in 8 days. 😊 (It's much more encouraging than 6 pounds lost in 11 days.)
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One month tomorrow and haven’t lost a pound in three weeks
GingersnapMI replied to ramirezchana's topic in Food and Nutrition
My RNY was May 11. Today is May 22 and I've "only" lost 6 lb since pre-surgical weigh-in at the hospital. That said, the day after I came home from the hospital, May 14, I weighed 3 lb more than the pre-surgical weigh-in! (I attribute that to all the fluids that were pumped into me and the possibility of a difference between scales. So, I've "only" lost 9 lb in the last eight days. I should be satisfied with that but I keep reading stories of people losing 20+ lb in the first two weeks! It's disconcerting. The runny nose thing... I've had a slight runny nose (unusual for me) for the first 8 days after surgery, it was so odd and I couldn't imagine why! I, too, don't feel "full". I've just started purees and my surgeon asked me if I feel full with a meal and he seemed surprised when I said no. I figure my body just has to work this all out. -
May Surgeries - check in!
GingersnapMI replied to ChunkyCali's topic in Gastric Sleeve Surgery Forums
I had an RNY on the same date and am only 5lb down. 😞 I'm actually craving pureed foods and can't wait! I need variation from everything being either milky or chemically sweet (the thought of broth turns my pouch, LOL.)