kshallow

I "fired" my pcp when she withheld letter of med necessity b/c of her personal opinion of WLS. We are all entitled to an opinion but when it comes down to making an informed medical condition for yourself, your opinion trumps. I ended up scheduling a meeting w/the head doc in that practice after repeated requests and appointments to get a letter of med necessity. A different doc in the practice ended up giving me the letter. One of the first things I asked about when seeking a new pcp was their take on bariatric patients/ procedures. Through awful complications with the lapband and then conversion to the sleeve, it was important for me to have a dr that would support me.

Fit in the protein when and where you can but probably wouldn't "force" anything at this point. You're right out of surgery so it may be important to listen to your nut and your own body equally right now. Sounds like you're doing great!

One procedure:my surgeon doesn't make the determination until he g ets in there and gets a good look at the condition of the stomach and extent of damage from the band. Although he nor I wanted my health put at risk in any way, I was relieved to get the surgery part and move on with my life minus the demon-band.

It may make a difference in regards to insurance if there is a problem with your band that can be medically diagnosed ( slip, prolapse, erosion,etc.) If they will cover the revision. I was very sick with a slipped band, a "mechanical failure" See what your endo test comes back with. If there isn't a clear problem with the band itself, start contacting your insurance company, plead your case complete with documentec doctors visits, fills, UGI'S, ER visits, testing, etc. Any substantiated way you can document that a covered revision will save them money in the long run could help. As far as low BMI, mine was 27 at time of revision.I made my case to ins co. this wasn't about me losing a tremendous amount of weight, it was about lifelong weight maintenance (again, cost effective for them if I avoid any weight-related medical issues) good luck

Many of us ex-banders can relate to all of your post. If you start to read through the band to sleeve forum, you'll see (unfortunately) very similar stories to your own. There does seem to be an initial honeymoon band period but eventually, the story continues with inability to eat much beyond sliders and sugar. Dilitation, pain, chronic vomitting, prolapse, etc, etc, etc. It's proved NOT to be a long term weight loss solutio . If you do revise, you'll find the sleeve is what the band was supposed to be. No more stuck food, no more vomitting, no more inability to eat in the morning, no more slider foods only. The sleeve allows you to lose weight AND eat healthy dense foods without fear. Hope all works out with revising

Curious to know what your surgeon says...I also had some mega bruising similar to your pic. I was told in the hospital it was definately more severe bruising than what is typical but just my own body's reaction to surgery (I also had the band removed, too) as well as the blood thinner meds

I understand your immediate concern. I have 4 kids (ages 13, 12, 9, and 6) I stayed in the hospital 6 nights due to some complications and it turned out to be a blessind cuz all my energy was used for rest and healing vs. at home, that would have been tough. The added bonus: hubs and kids gained an appreciation for how I manage the house and 4 busy kids schedules. Take advantage of all rest time you get. You'll heal that much quicker:)

I'm 2 weeks out post revision. I ended up spending extra days in the hospital due to extra swelling where the band had been and trouble getting liquids down due to this swelling. Things felt tight and liquid was pooling where the upper band pouch had previously been. So my progression from liquids to full liquids to purees etc. has been slow and not without pain. I've been reassured things are ok and the slow progression is a result of the slipped band damage. I haven't seen other posts discussing this. Wondering if others have dealt with tbis?

Kari...thanks so much for sharing your experience...hoping everything continues to progress and eating actually becomes just a normal part of life again. I think so many of us that have been through crappy band experiences and then revised to the sleeve are just wanting to feel like normal human beings again who eat normally as just part of a normal day!! We have been through so much! Sleeveconvert...thanks for posting! I'm so glad to know I'm not in this boat alone and I need to be patient with introducing foods slowly and to step back if I'm not exactly there yet. Please keep me posted everybody!

Thanks for the responses everyone...Contrygurl, what did they do during your second surgery? and Kari...how are things going now? I also had the same issue with my next day UGI, the barium was not draining at an acceptable rate. And as you've gone from liquids to soft foods at a slow rate, was the issue that they were not going down or was there too much pain? Glad to know I'm not the only one going through this. My UGI was positive in that the anatomy looked good, no leaks, the suture line looked clean and solid, the issue seems to be my body's reaction to the surgery is just extra swollen tissue.

My revision was 3/5/13 and it was projected I would spend two nights in the hospital. I ended up staying 6 nights. Where the band had been around my stomach was still creating a tight ring near the top of the stomach. The result was even small sips of water would "pool" in the very top of the stomach and create a very painful feeling before it would trickle through the rest of the stomach. I had 2 separate UGI's and both showed the contrast just sitting in a pool for minutes before it would actually start draining. I'm told it will just take extra time for the stomach to settle down from the band swelling. I can't tolerate much more than clear watered down liquids and protein powder mixes. Also came home with a jp drain to be removec in the office next week. I know the healing is slow especially because what that f*$%" band did to my body ( my surgeon told me he had to carefully separate my liver from the band because they were basically sguck togethed...yuck!) Anhone else have a similar experience?

This is the letter which was submitted to BC (in addition to my med records and other supporting documentation) I did win the appeal and my band to VSG surgery is scheduled for April 5th. This is also my account of life with the band for those who are seeking experiences from all sides Hello, I had the lapband procedure three years ago (2010). Initially, everything seemed fine but only a few months after having this procedure, problems began including the inability to swallow solid food, acid reflux, night cough, vomiting, and constant pain and pressure in my upper back and chest. For the next two and a half years, my life was a series of doctors appointments having the band filled and unfilled as well as upper GI's (the current count is 6) to view the band placement and swallowing ability, and try to determine the source of all the problems. Despite these chronic issues, I followed all the nutritional recommendations of the band "lifestyle" and was successful in losing over 80 pounds during this timeframe. In the past year, the physical problems persisted to the point that even when I was able to eat healthy solid food, I was living in a constant state of pain and discomfort and frequently vomiting. I recently had another upper GI test done at St. Joe Hospital Tuesday 1/15/13 with a follow up appointment the next day with my surgeon. The band has indeed slipped down my stomach and the films clearly show a portion of my stomach protruding over the band way out of placement. After meeting with my surgeon following this last upper GI, it is his recommendation the band be removed. He, as well as the surgeon's insurance coordinator advised me that insurance will cover the removal and/or placement of a new lapband. It is the opinion of both myself and my surgeon that placing another lapband and/or repositioning the current lapband is not a smart decision given the history of chronic pain and problems associated with my body and the lapband. It is my surgeon's recommendation that upon removal of the lapband, he perform a vertical sleeve gastrectomy (VSG) procedure at the same time. This is a covered bariatric procedure which involves no foreign article in the body as does the lapband. It is my desire to have the lapband removed and have the VSG procedure done. I have been informed that to qualify for the VSG procedure, I would need to meet the initial qualifications for bariatric surgery (a BMI of at least 35 with co-morbities). If this were the case, the last three years of my life working hard to lose 80 pounds in spite of living in chronic discomfort and often inability to eat for days or weeks on end would be in vain. I do not want the ineffectiveness of the lapband to be a factor in my desire to remain healthy, maintain a low BMI, and to be able to eat solid healthy foods. To suggest I need to GAIN weight in order to qualify for a bariatric procedure that works for me goes against the entire idea of getting the surgery in the first place. I am writing requesting the removal of my current lapband and VSG procedure being done at the same time be covered by insurance. Currently, I am only able to drink liquids, eat very few soft foods, and know that even with these things, swallowing often brings pain and vomiting. I am tired of living in pain due to the mechanical failure of the lapband. There have been nights when I have not even been able to swallow my own saliva. Currently, there is no Fluid in the band at all. It is wide open and still feels like a vice around my chest when I swallow food. I started this journey with the goal to get healthy and be at a healthy BMI. That remains my goal today. I followed the protocols for qualifying for initial bariatric surgery in 2010. I met the requirements, I attended the seminar, I did all the reading. I learned all the nutritional guidelines and stuck to them as the band allowed (resulting in a large weight loss) I followed my doctor's directions, dutifully had the band filled and unfilled as directed. I went on liquids when directed, ate when directed, and refrained from eating when directed. I went through 6 UGI's complete with barium swallows as directed. I did everything I was supposed to do in order to make my life with the lapband successful. As my doctors will attest, the mechanical failure of this lapband is not due to any lack of efforts on my part. I had been unable to sustain weight loss before bariatric surgery and now with a slipped band and the need for its removal, I am facing the same situation as I was in 2010. I have worked very hard for the weight loss I have achieved and it is very likely I will be unable to maintain my weight loss without further surgical intervention. Blue Cross was supportive in my initial request for approval for lapband surgery and I am hoping Blue Cross will be supportive in covering the lapband to Vertical Sleeve Gastrectomy revision surgery. I have done everything on my part at my doctor’s direction and now I am appealing to you to help me move on with my life with VSG. I will also appeal from a monetary standpoint. Following this letter, please find an itemized list of the BCBS money that has already been spent due to my lapband complications. I am displaying this because VSG is a one time surgery with very little follow up necessary. There is no need for ongoing check ups, UGI’s, or lapband adjustments. This revision surgery makes sense from a physical quality of life standpoint as well as monetary one. My surgeon is recommending this revision surgery and will be forwarding my medical records, UGI results, and his recommendations to you as well. Dr. Jacob Roberts, DO is my surgeon and has graciously offered to meet with a medical review team or director in order to directly discuss the need for this revision surgery (please find his contact info attached) Also, please feel free to contact my surgeon’s office as well as the insurance coordinator for any additional records or information you may need. Thank you for taking the time to review my case. This is the letter which was submitted to BC (in addition to my med records and other supporting documentation) I did win the appeal and my band to VSG surgery is scheduled for April 5th. This is also my account of life with the band for those who are seeking experiences from all sides

ISleevedlt: Trust me! The far nastier version was being written mentally!! (with mannnnyyyy choice words) about my first surgeon and his "BANDAID" approach to band problems. So glad to be actually looking forward to this surgery and moving on while leaving that damn lapband in the dust!!!

Read good calories/bad calories -or- why we get fat both by Gary Taubes. The 2nd one is a condensed version of the first. He goes through all processes surrounding metabolism and common misconceptions that are unfounded.

Such a cute pic Rachel...you're doing fantastic!!

Woohoo!! Jump around on your bed for a couple minutes yelling "woohoo"

I am exactly a year out and have lost exactly 85 lbs. You can do it!

Rachel: I love your responses.... The wonky boobs made me laugh.... You share a nice mix of "sweet honesty"

Hi Brie..... I think we ALL wondered the exact same thing early on. It probably will happen at some point as you slowly return to a "real food" diet. Like above posters, it is pain that can be downright horrible but. My advice would be just to always go real slow when "introducing" a new food to your band especially something real dense/solid. It really varies across the board as far as which foods give which people trouble. Unfortunately, sometimes it comes down to trial and error with some foods. Just take it slow with small bites and lots of chewing as you move back into a solid diet. Best of luck wheelchair..I'm not a moderator but could you direct future comments about LBT's "search" function to the "LBT suggestion" thread.... That way we can streamline the unnecessary ridiculous info...

Omg..... This whole thing got me laughing! It made me try to remember back a year ago on surgery day to my own he-hem "status"

These are the exact symptoms I've experienced when there has been swelling. All three times, a slight unfill has immediately relieved the symptoms.

I was never given a number, he just told me it was a large one. He also said it's more common than not for band patients to have one and have it repaired during band surgery. Maybe a second opinion or ask for clarification about why the size of the hernia affects whether or not he suggests surgery or not? I've just not heard of this as being a reason not to get the surgery.

Coco; my dr is out of Huron Valley... Good luck!

I had a large hiatal hernia repaired at time of surgery. It's very common! Did your surgeon say he will repair it at time of lapband surgery? It's pretty standard to do this.

I would get a belt that had the holes all the way around b/c I kept running into that same problem, still kind of a fun problem to have