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Posts posted by DebLPN
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Sorryyyyyyyyyyyy I didn't mean to come across as mean!
It was like a dream coming true for me as well. Everything I ever tried,,I failed. My fear of failure is my biggest character defect and I struggle with it daily. I guess I was trying to spare you the stress of agonizing over things, but I have to remember that we each have our own journey. Just be kind to yourself,,,you have lots of support here. You are not alone.
banded 1/29/07
Dr Kken Cleveland
Jackson, MS - CMMC
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Dear GAWDDDDDDD lol You just got banded 2 days ago! Your body has to recover from surgery. The band has no Fluid in it yet. RELAX! If you start obsessing over things you're gonna drive yourself crazy. Relax,,,recoup,,,do exactly as your physician instructs you and you'll be fine.
I was banded 1/29/07 and felt miserable for a few days,,bloated,,painful,,not wanting to drink anthing. I kept my manual my surgeon gave me handy,,reading all the materials,,keeping my fluids in a Tupeprware measured container. I concentrated on getting well first. My motto is : If I do what I'm supposed to be doing, I'll get the results I'm wanting. It's not easy,,but 65 pounds later,,it's easier today than it was at first. Keep your eye on the prize!! Good luck!!
banded 1/29/07
Dr Ken Cleveland
Jackson, MS CMMC
331/266/150
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I've heard it said that when people lash out with rude, unkind, hurtful comments they're actually turning their self hatred outward. Since you said she was fat,,sounds like a fair assumption to me,,lolol. Force yourself to feel pity for a woman who doesn't recognize her own misery. :-) (I must be in a mellow mood today,,hahahaha)
banded 1/29/07
Dr Ken Cleveland
Jackson MS CMMC
331/266/150
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Hi Gang~~
Just had my gallbladder out 2 weeks ago,,that was awful! I had a severe attack and rushed to hospital. I screamed in pain for 2 hours til they were able to get the pain under control. It took me 4 days to get my voice back,,lolol I go back to work Thursday. Cant get my ticker to work,,sighs.
Banded 1/29/07
Dr Ken Cleveland
CMMC-Jackson, MS
331/266/150
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Hmmmmmmmmm what happened to my ticker? argh
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If I ever see/taste/smell another powdered whey Protein shake I will gag.
I started adding New Whey liquid Protein - fruit Punch to my Crystal Light on the days that I knew I wanst going to make my Protein quota. The "shot" has 42 grams of protein in one 3.1 Fluid ounce,176 calories, 0 fat, 0 sugar, 0 saturated fat, 31 mgs Potassium, 64 mgs Sodium, 2 Total Carbs, 0 cholesterol. I split it into 2 servings and space them apart. Works for me.
Banded 1/29/07
Dr Ken Cleveland - CMMC
Jackson Mississippi
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Hi Ya'll~
Well,,I started a new job around the first of October and almost 2 weeks later,,,had a gallbladder attack and had to have it removed! Luckily, they are holding my job. Dr Cleveland did my surgery,,,both the lap band AND the gall bladder. Other than that,,,,I've lost 66 pounds. Had my lap band Jan 29th, 2007. Feeling good,,,nothing to complain about. :clap2:
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Welllllllllllll I havent posted in ages, BUT,,I had shoulder pain,,never could figure out what it was,,my surgeon poo-poohed the idea it was gallbladder related, blah blah blah,,,,I had a horrific gallbladder attack this past Monday, went to the ER, was admitted and had my gallbladder removed the next morning. I've got an 8 x 10 color glossy of it in a basin and it looks awful! haha
I had my monthly visit with my surgeon the week before the attack,,and told him my upper right back was hurting(this was months after my original complaints) and he palpated my abdomen and once again said, NO,its not your gallbladder. Pffft
He already thinks I'm a smartass,,,but I really want to tell him hey,,,I've lived in this body for 53 years,,i THINK I'm pretty tuned into knowing when something is wrong. I'm a nurse,,I'm educated about anatomy and physiology and by God,,listen to me for a change and stop acting like you're the ultimate authority on MY BODY!!!!!!!!! Now,,,,,I feel better! hahahaha
Ohyeah,,I had started a new job that I'm loving not quite 2 weeks before my surgery,,and once angain,,,didn't have insurance,,so its another whopper of a medical bill in my lap. ohwell,,such is life :-)
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I was banded 1/29/07 and as the scales read today, I've lost 55 pounds. I had lost 62, but screwed up in July and August, ate everything and anything I could get my hands on. Also had stuff going on so I wasnt able to go to Water aerobis for a month. Went to Florida and didnt follow my food plan.Not handling stressful situations well and late night boredom are my downfalls. I've gotten back on track this month and its amazing how after maybe 3 days, I started really feeling good again.
I love coming to this site and reading everyones posts BUT I really try not to compare my weight loss to anyone elses. If I do what I know I'm supposed to do, I KNOW I'll get the results that I want.
(ignore my ticker numbers,,,i'm waiting to catch back up with them,,lol)
banded 1/29/07
Dr Ken Cleveland-CMMC-Jackson MS
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Papain enzyme benefit by Ray Sahelian, M.D.
I'd heard that Adoph's meat Tenderizer helped with that problem,,here's a site that tells how it helps other physical problems as well. Just a thought!
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hi skinnydippn~
i live in jackson and was banded Jan 29th 2007 by Dr Ken Cleveland at CMMC. I was at the CMMC seminar last week and got up and spoke about my lap band experience. Hope things wotk out for you and you're able to be banded. Keep coming to this site and you'll glean some good information and support.
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I had a hard time getting scrubs to fit my arms. There is a lady at the uniform place that laters tehm for me. She takes some of the material she whacks off when she shortens my scrub bottoms(i'm 5'2") and uses it to make a "V" under the arms to allow me more room. Down the road,,I hope to have it surgically removed....and I dont really care what it looks like,,scar-wise,lol. My thinking is,,,surgical scars,,no matter how many or how big,,CAN'T be as grotesque as all that fat I was lugging around! Til then, I'll do the best I can with what resources I have available.
banded 1/29/07
Dr Ken Cleveland-CMMC-Jackson, MS
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Dr Ken Cleveland, Central Mississipi Medica Center, Jackson, Mississippi, USA
banded 1/29/07
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rivekthr6~~~
I've had 3 fills and last week had a tiny bit removed. THE FOLLOWING IS SIMPLY MY EXPERIENCE AND OPINION: My surgeon lays me on an exam table with a small pillow underneath my back, a little abuve my waist. He palpates the area slightly beneath my port incision then asks me to raise my head off the table. He inserts the needle, all the while palpating for the port. The port must offer some resistance, because when he inserts the needle in it, I can feel sort of a 'pop'. He aspirates, to be sure he's actually stuck the port. If he'd drawn back blood or any Fluid other than the clear saline, he'd know not to inject. He then injects the predetermined amount and quickly withdraws the needle. He doesn't deaden the area first,,as the stick is so minimally painful and the whole procedure so quick. I've found that deadening the area (in alot of diff procedures) hurts worse than the actual procedure itself. The whole 'fill' procedure lasts about 3 minutes. A bandaid and a handshake and I'm out of there.
banded 1/29/07
Dr Ken Cleveland-CMMC-Jackson, MS
1.8/4cc band
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HCPCS
Codes
Description
S2083
Adjustment of gastric band diameter via subcutaneous port by injection or
aspiration of saline
ICD-9-CM
Diagnosis
Codes
Description
250.00
Diabetes mellitus without mention of complication, type II or unspecified type, not
stated as uncontrolled
250.02
Diabetes mellitus without mention of complication, type II or unspecified type,
uncontrolled
278.01
Morbid obesity
401.0 – 401.9 Essential hypertension
Page 20
Page 20 of 28
Coverage Position Number: 0051
414.01
Coronary atherosclerosis of native coronary artery
416.0
Primary pulmonary hypertension
416.8
Other chronic pulmonary heart diseases
574.00-
574.91
Cholelithiasis
575.10
Cholecystitis, unspecified
997.4
Digestive system complication
V45.3
Intestinal bypass or anastomosis status
V85.35
Body Mass Index 35.0-35.9, adult
V85.36
Body Mass Index 36.0-36.9, adult
V85.37
Body Mass Index 37.0-37.9, adult
V85.38
Body Mass Index 38.0-38.9, adult
V85.39
Body Mass Index 39.0-39.9, adult
V85.4
Body Mass Index 40 and over, adult
Experimental/Investigational/Unproven/Not Covered:
CPT* Codes
Description
43845
Gastric restrictive procedure, with partial gastrectomy, pylorus-preserving
duodenoileostomy (50 to 100 cm common channel) to limit absorption
(biliopancreatic diversion with duodenal switch)
HCPCS
Codes
Description
No specific codes
ICD-9-CM
Diagnosis
Codes
Description
All codes
*Current Procedural Terminology (CPT
®
)
©
2006 American Medical Association: Chicago, IL.
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34.
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gastric banding: a minimally invasive surgical treatment for morbid obesity: prospective study of
500 consecutive patients. Ann Surg. 2003 Jan;237(1):1-9.
HCPCS
Codes
Description
S2083
Adjustment of gastric band diameter via subcutaneous port by injection or
aspiration of saline
ICD-9-CM
Diagnosis
Codes
Description
250.00
Diabetes mellitus without mention of complication, type II or unspecified type, not
stated as uncontrolled
250.02
Diabetes mellitus without mention of complication, type II or unspecified type,
uncontrolled
278.01
Morbid obesity
401.0 – 401.9 Essential hypertension
Page 20
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Coverage Position Number: 0051
414.01
Coronary atherosclerosis of native coronary artery
416.0
Primary pulmonary hypertension
416.8
Other chronic pulmonary heart diseases
574.00-
574.91
Cholelithiasis
575.10
Cholecystitis, unspecified
997.4
Digestive system complication
V45.3
Intestinal bypass or anastomosis status
V85.35
Body Mass Index 35.0-35.9, adult
V85.36
Body Mass Index 36.0-36.9, adult
V85.37
Body Mass Index 37.0-37.9, adult
V85.38
Body Mass Index 38.0-38.9, adult
V85.39
Body Mass Index 39.0-39.9, adult
V85.4
Body Mass Index 40 and over, adult
Experimental/Investigational/Unproven/Not Covered:
CPT* Codes
Description
43845
Gastric restrictive procedure, with partial gastrectomy, pylorus-preserving
duodenoileostomy (50 to 100 cm common channel) to limit absorption
(biliopancreatic diversion with duodenal switch)
HCPCS
Codes
Description
No specific codes
ICD-9-CM
Diagnosis
Codes
Description
All codes
*Current Procedural Terminology (CPT
®
)
©
2006 American Medical Association: Chicago, IL.
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HCPCS
Codes
Description
S2083
Adjustment of gastric band diameter via subcutaneous port by injection or
aspiration of saline
Go to page 19,,close to the bottom.
The degree of gastric restriction can be adjusted by accessing the reservoir through the skin and adding or removing saline (CPT 90772 or HCPCS S2083). https://www.oxhp.com/secure/policy/gastric_surgery.html
Sorry about the delay,,I've been gone. For teh life of me,,I cant remember the exact site I found it the first time,,but here is a site that says the same thing. My surgeon's office is connected to teh hospital and they don't seem to want to give me a call back. I'll try them again. If I were you tho,,I would contact the part B Medicare carrier in YOUR state and ask them what the correct code is and tell them they obviously need to send a rep out to educate your physician's office insurance coder,,hahahaha. I used to coordinate workshops between our member physicians and Medicare to educate them on changes and new codes.
lyndalafe,,,,,i worked in health insurance for a gazillion years,,we only gave info to the patient who was our subscriber or the physician's office performing the procedure,and then it had to be in writing, stating exactly what they7 wnated to know. Anytime it was a question
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Denise~~
Saw my surgeon about that left arm pain. Mine too was not in my chest or so much the shoulder, but in my bicep and down my arm. He said sometimes teh phrenic nerve in the diaphram can be aggravated by the surgery, but it causes shoulder pain,,not radiating down the arm and numbness,,like I'm having. He said mine sounded more like something cervical related. I AM going to Water aerobics 3 times a week and never had any pain beefore that,,hmmm,,maybe I pinched something. Anyway,,now I have NO pain, but stil some numbness. As long as it doesnt bother my hand or fingers,,I can live with it.
banded 1/29/07
Dr Ken Cleveland-CMMC-Jackson, MS
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Hi ya'll~
Last week I got my 3rd fill and I think its a tad too tight! I was able to swallow Water right afterwards, so I left his office feeling good. Thought perhaps this fill would hit my sweet spot. Before teh fill I had 1.7ccs, I think, in my 4cc band. He pushed me up to 2.0. WELLLLLLLL I got home later and fixed supper and almost died trying to swallow anything. I've never hurt that bad or had that kinda of hurt before. I read some posts,,seeing what others had to say about similar experiences. Lots of folks said after THEY got a fill, it was tight and took a few days to a week or two before it settled down. So,,,I just tried to eat soft things,,no go. Anything with the consistence thicker thatn water sticks in my throat(?) and kills me. It goes down,,,but it hurts like hell. Still,,I was giving it time to 'settle down'. Its now one week after that fill and it hurts as bad today as it did the first bite. I've got an appt in the morning,,wish me luck! hahahaha I was a self-pay, so my fills/office visits for a year are included in my one time fee.
banded 1/29/07
Dr Ken Cleveland-CMMC-Jackson, MS
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ktkt,,,
I don't count calories. My surgeon nor dietician ever mentioned calories to me. I'm comfortable that IF I eat the foods I'm supposed to, in the amounts I'm supposed to, exercise, get all my Water, ,things will fall into place. So far,,it's worked for me. But then,,that's just what I'm doing. I had a fill last week and it's so tight I can't eat anything without having terrible pain. SOoooooo in hte morning I'm going to see my surgeon and see if I'm just a tad too full in my band. Hopefully,,I can find that sweet spot.
banded 1/29/07
Dr Ken Cleveland-CMMC-Jackson, MS
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How great to hear from someone with so much time banded! Glad you shared your anniversary!! I've wondered if there were any different issues with those banded for a long time, but haven't noticed anyone with 10 years behind them before. Thanks for blazing the way!!
banded 1/29/07
Dr Ken Cleveland-CMMC-Jackson, MS
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Bullwinkle,,,I apologize that the tone of my post offended you. I would never intentionally try to shame or finger-wag anyone. Thank you for calling me on the carpet. I will be more careful in how I say things from now on.
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We should be getting 60-80 grams of Protein a day. Looking at what you listed for supper, I hope you made up the other grams at earlier meals.
vegetables- 1/4 cup has 1 g of Protein
low fat yogurt- 1 cup has 7 g of protein
1 ounce of low/no fat cheese has 7 grams of protein
gingersnaps-i'd venture to say has zero
If I ate for supper what you listed, I'd only have gotten 23g of protein. Where did the other 37 minimum grams come from? 57 if you go to the maximum grams?
Hard Proteins will stay with you longer giving you a better sense of fullness. Yogurt is tasty to me,,but as far as staying wth me and making me feel full,,nada. Gingersnaps,,,,nada,,useless carbs. I'd worry more about the protein count than I would about the fat count. That's why my surgeon and dietician stress: Proteins FIRST,,veggies SECOND, carbs,,,only if I have room for them. For ME,,when I was eating the wrong things,,I never felt full. If I eat in the order and amounts I'm supposed to ,,I'm full. That's just my take on it.
banded 1/29/07
Dr Ken Cleveland-CMMC-Jackson, MS
2cc/4cc band
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well,,,today is Sunday and tonight i was able to eat solids for the first time without the pain from my fill Thursday. I guess it just needed time. Heck,,I dunno,,whatever it was,,passed.
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Welllllllllllll I AM post-menopausal and 53. I was banded 1/29/07 and my pre-surg weight was 331 and I'm 5'2". As of last Thursday I've lost 66 pounds. I knew I had to do something or I was going to be miserable the rest of my life or dead. Choosing to have the band is the best thing I've ever done for myself.
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Now ya'll have me worried! I went for my 3rd fill last Thursday and he mashed and poked and hunted for my port. He said he might have to do it under fluro,,which would be a first for me. He hit it tho, whew.
banded 1/29/07
Dr Ken Cleveland-CMMC-Jackson, MS
Humiliation
in Tell Your Weight Loss Surgery Story
Posted
Yep,,,heard that one too,,lolol. Being told that exact thing for a lifetime, now that I've lost 65 pounds and my neck is getting flabby and my face thinner and showing those deflated wrinkles,,when I'm feeling insecure,,it makes me wonder,,,well heck! At least I used to have a pretty face!! Positive thinking,,,positive thinking,,,haha
banded 1/29/07
Dr Ken Cleveland at CMMC-Jackson, MS
331/265/150