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Found 17,501 results
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Lapband revision to Gastric bypass/Bariatric surgery exclusion
I♡BypassedMyPhatAss♡ replied to hollywrites2u's topic in PRE-Operation Weight Loss Surgery Q&A
Yeah it's definitely worth checking into. My bariatric surgeon is Ashley Mooney with TGH. -
Lapband revision to Gastric bypass/Bariatric surgery exclusion
hollywrites2u replied to hollywrites2u's topic in PRE-Operation Weight Loss Surgery Q&A
That's a good idea! Thanks for the suggestion. My insurance should cover a repair that isn't actually bariatric surgery. I wonder if the surgeon could do a bypass and my secondary would pick it up when my primary doesn't. I'll have to research more about it. I have an appt. with a surgeon in a couple weeks. Who is your surgeon? -
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April 2022 Surgery Buddies
Mariann812 replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
I'm doing the same thing - I'm calling it my 'food bucket list' -- favorite foods, favorite restaurants. Here is CIGNA's criteria: Adults Bariatric surgery for the treatment of morbid obesity in an adult (age ≥ 18 years) using a covered procedure outlined below is considered medically necessary when ALL of the following criteria are met: • EITHER of the following: BMI (Body Mass Index) ≥ 40 kg/m2 (BMI ≥ 37.5 kg/m2 in Asians- when ethnicity is confirmed by provider attestation) BMI (Body Mass Index) 35–39.9 kg/m2 (BMI 32.5–37.4 kg/m2 in Asians- when ethnicity is confirmed by provider attestation) with at least one clinically significant obesity-related comorbidity, including but not limited to the following: mechanical arthropathy in a weight-bearing joint (symptomatic degenerative joint disease in a weight bearing joint) diabetes mellitus o poorly controlled hypertension (systolic blood pressure at least 140 mm Hg or diastolic blood pressure 90 mm Hg or greater, despite optimal medical management) hyperlipidemia coronary artery disease lower extremity lymphatic or venous obstruction obstructive sleep apnea pulmonary hypertension evidence of fatty liver disease (i.e., nonalcoholic fatty liver disease [NAFLD] or nonalcoholic steatohepatitis [NASH]) gastroesophageal reflux disease (GERD) refractory to medical therapy • A thorough multidisciplinary evaluation within the previous 12 months which includes ALL of the following: a description of the proposed procedure(s) documentation of failure of weight loss by medical management unequivocal clearance for bariatric surgery by a mental health provider a nutritional evaluation by a physician, physician assistant, nurse practitioner or registered dietician I meet the 40 BMI and at least 3 of the criteria for the lower BMI. Initially I was extremely confident I would be approved, but even with reaching all their milestones, I don't trust them. -
I think I've read that Medicaid (and Medicare, too) cover bariatric surgery.
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Lapband revision to Gastric bypass/Bariatric surgery exclusion
I♡BypassedMyPhatAss♡ replied to hollywrites2u's topic in PRE-Operation Weight Loss Surgery Q&A
If they will cover the hiatal hernia repair, if you get a bariatric surgeon to do it, the surgeon might consider removing the band and doing the revision rny at the same time. Since the insurance is paying for the operating room, and all of the anesthesia fees, sometimes it's an easy way to get services done at the same time. Usually the surgeon charges the patient a flat rate that is much cheaper than having the surgery done by itself. If that makes sense... -
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Lapband revision to Gastric bypass/Bariatric surgery exclusion
liveaboard15 replied to hollywrites2u's topic in PRE-Operation Weight Loss Surgery Q&A
yea i made sure to read all of the fine print in regards to exclusions and sure enough if you end up in the hospital due to a issue from bariatric surgery it wont be covered. so stupid. its why i went with this particular surgeon because they offer complication insurance for the self pay people. -
Lapband revision to Gastric bypass/Bariatric surgery exclusion
liveaboard15 replied to hollywrites2u's topic in PRE-Operation Weight Loss Surgery Q&A
i also have florida blue... they exclude bariatric surgery here in florida. no way around that. i tried. i am doing self pay here in jacksonville, fl. best is to call around and get pricing for your procedures you want. also something to consider if you have issues after surgery, florida blue will not cover any complications that come up due to the surgery. -
February 2022 Surgery Buddies
Shikin.k replied to MeganMyers's topic in PRE-Operation Weight Loss Surgery Q&A
My surgery was on 16/2. It’s been 5 weeks post surgery. My fluid intake has gone up so much and I’m starting to lose weight again now. On the advice of my surgeon and dietician and trial and error, I’ve done these things: 1. Track my water usage using the Waterllama app. it’s cute and easy to use 2. track my food intake using the “see what you eat” app, making note of only the proteins I consume (I don’t count macros otherwise. Just make sure everything is “light” or “Low fat” and mostly “sugar free”) 3. set reminders on my phone to take medications, eat and drink (I don’t feel thirsty or hungry so this has been dangerous for me) 4. use water enhancers and uncaffeinated herbal teas to vary the taste of my fluids I haven’t been hospitalised other than that 1 night post surgery however I’ve been making weekly trips to meet the care team. I’ve lost 25lbs, which isn’t much. I was barely losing any in the previous 2 weeks but according to the body analysis, I was losing muscle and water. I was lethargic all the time but could still move. Once I got the proteins and fluid settled, I’ve been feeling so much better. For movement, I searched for anything “post bariatric surgery” and was doing basic stretches and walking for 15min then moved to 30 min. Now I look for “Low impact/intensity beginners cardio” lasting for about 30min to 45min. Don’t push yourself to the point of pain. Once I feel twinges, I stop. The physiotherapist in the care team suggests that movement be done for 10-15 min, twice a day at a start. For the first 3 weeks, my heart rate doesn’t go beyond 65% of my max heart rate. Now I’m pushing it to about 80%. After week 6 I will incorporate weights again. I enjoy resistance training and can’t weight to get back to it so just do what feels right to you. Find the type of movement that you enjoy. Whilst my body has been changing even without exercise, I am constantly reminding myself this is the same body. WLS is not magic. I have to take care of my body before I can get it to work right. This means eating drinking moving and resting sufficiently. I’ve been on 5 weeks of leave and this has helped me with my new-habit forming as well as allow me to heal gently. I will finally get back to work next Monday. I don’t know how I will be energy and pain wise but we’ll see. -
Lapband revision to Gastric bypass/Bariatric surgery exclusion
I♡BypassedMyPhatAss♡ replied to hollywrites2u's topic in PRE-Operation Weight Loss Surgery Q&A
I had my band removed almost a year ago and I'm in the process of getting a bypass due to GERD. I never had any issues like slippage or erosion. Only the reflux that progressed to GERD. Now my esophagus is permanently altered, so my only choice to fix it is bypass. My surgeon wouldn't do bypass at the same time as band removal because she wanted to give my digestive tract a chance to heal from the GERD. I haven't gained any weight back after it was removed. I've actually lost a bit of weight. I'm weird, I know. 😂 I think it was because I was relying on slider foods because they were easiest to eat due to the acid issues. And now that the band is gone and the acid issues are better, I can eat healthier foods like fruits and veggies that my filled band wouldn't allow. And I have had no issues with insurance. Mine has covered all of my surgeries and will also pay for revision. I'm sorry about your insurance issues. Bariatric surgery should be covered by all insurance just like a heart surgery or knee replacement surgery. Best wishes! -
Lapband revision to Gastric bypass/Bariatric surgery exclusion
hollywrites2u posted a topic in PRE-Operation Weight Loss Surgery Q&A
Hello all, I am having trouble with my band and want to get it removed. I have acid reflux constantly and I'm worried it's ruining my esophagus. I always feel like I have a lump in my throat. I was advised to remove the band and get a gastric bypass in its place so I don't gain all the weight back that I've lost and will continue to lose weight. My presurgery weight was 315 lbs. I got down to 195 over a five-year period but I had some issues. I had a slippage a couple of years after I got it and had to get it repaired. I had an incident where I couldn't get anything down (even water) so they removed all of the fluid. I was afraid to get it filled again. I've gained back quite a lot of weight. I weigh 243 lbs now. I'm 5-6" so I'd like to get down to around 150-160 lbs. My primary insurance, Florida Blue, excludes all bariatric surgery. 😡 I have great secondary insurance, BCBS Michigan, that covered my original band surgery (at almost 100%). I had the office coordinator at one of the doctor's offices that I called about a consultation tell me that my secondary won't cover anything if my primary doesn't cover it because they only pick up costs after a claim is filed. This "coordination of benefits" is pretty crappy for the consumer. I'd love feedback, especially from anyone who had health insurance issues like this or had a revision surgery to a gastric bypass. Was the band removal surgery and gastric bypass done at the same time or did you have two surgeries? I'd like to get it all done at the same time rather than have two but I've read that some doctors will only do the two procedures separately. Lastly, I've also read that the band's "shelf-life" is around ten years due to possible erosion issues. When I originally got it, 20 years ago, I was told that it was for life but could be removed if there were any problems down the road. Sorry this is so long. 🙂 Take care, Holly -
So I have gotten different answers from my doctor's office (nutritionist, doctor, post-surgery team, etc.). I am meal prepping on the weekends and I portion my food into small 1/4 cup portion cups, that are typically used for dressings and condiments (I LOVE THESE THINGS!). Anyway, I noticed that at times, I can eat 2 of these within an hour (making it 1/2 cup), while other times I really can only have one of them before I feel restriction. I am so worried about damaging my stomach or busting a suture. What amounts of food have you guys been able to tolerate at 1 month post op? Also, bear in mind that my doctor's office moved me from liquid to pureed after week 1... then from pureed to soft food on week 3. I am on soft food for another couple of weeks before it's venturing out to regular food. Is there a good rule of thumb in the bariatric world to follow? Like maybe only eat 1/4 cup for each "meal" and have 4-5 "meals" per day? I always get the answer "it's variable and depends on the patient." I think I'd prefer some type of structure to go by. Also, my doctor said I wouldn't have to worry about dumping because I had the sleeve, and it's very uncommon; however, I have noticed that if I eat too fast, or don't wait 45-60 mins to drink after eating, that I get diarrhea. It's short-lived thank God, but it still is hard to prevent (which makes for a pretty uncomfortable environment at work!!) It sounds like dumping, but he said it's common... thoughts?
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What is the best grains to eat as a bariatric patient Sent from my octopus using BariatricPal mobile app
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5 Months out. Just had a whole candy bar.
catwoman7 replied to GodsProperty's topic in Gastric Sleeve Surgery Forums
I think most of us were prescribed ursodiol for the first few months to lessen the chance of gallbladder issues. my surgeon prescribed omeprazole for a year, but I had surgery back before the downside of PPIs were widely known. From what I can tell (by hanging out on bariatric forums), most surgeons just prescribe it for around 3-6 months post-surgery now. -
Did my nuclear stress test yesterday. Its a simple test but takes forever. 4 hours. Worst part of it was the IV lol took 20 minutes to find a vein for the IV. Luckily they did not need to inject me with medication to raise my heart rate, I simply walked on the treadmill. Got results back today. Everything is good. They gave me a pre op cardiac clearance form. Now to call the bariatric office tomorrow and see what the next step is since i am done with all the pre op stuff.
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Psychologists test us to make sure we're mentally prepared to handle bariatric surgery emotionally and mentally. That's not necessary for hip surgery. Psych evaluations are tools that our surgeons use to identify those who may need counseling to work on an issue beforehand so that their weight loss surgeries are successful. It's a good thing! We all want to be successful with our surgeries, right?
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https://www.bariatriceating.com/blogs/bariatric-advice-and-support/does-your-nose-run-when-you-eat
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I find it very interesting that someone with BED or any eating disorder would be approved for bariatric surgery. I was not allowed the surgery unless my eating disorder was under control. I was questioned repeatedly by the psychologist and had to take an exam on my current and past eating habits. They (the team) want to make sure you are in control and have healthy eating habits before surgery to help you be successful after surgery.
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yea they are all different. Other bariatric surgery centers in my area did not require a psyc eval at all. the hospital i am getting it done at requires it.
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I made a server/chat room on Discord if anyone is interested in chatting there. It will be invite only, so it would be exclusively bariatric patients. Let me know if y'all are interested in doing this.
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from what I've heard about a lot of bariatric Facebook groups (other than those sponsored by weight loss surgery clinics, of course), it's probably just as well! I think forums like these are better, to be honest.
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That is bullshit that you have to find a psychologist on your own! My bariatric center has a therapist that they use and he knows how urgent it is to schedule within a short amount of time. I saw him three days after my consultation. I am frustrated for you because this is putting a wrench in your progress.
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It sounds like they need another psychologist in the office to make things move along faster. My psych eval was a waste of time, lol. I literally walked in and we talked a little about the surgery and what brought me to bariatric surgery to begin with and when she found out that it was all due to being on steroids for 7 years due to a disease that I have, she's like... yeah you're clear for surgery. It took 4 hours to do a nuclear stress test?? I hope your heart wasn't going bonkers for 4 hours. It was probably wondering why you decided to run the Boston Marathon. 😂
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Mad at myself
I♡BypassedMyPhatAss♡ replied to newmebithebypass's topic in Gastric Bypass Surgery Forums
What doesn't kill you makes you stronger. I firmly believe that. I've had many hiccups in my bariatric journey and each time I make it through to the otherside and get back on track, I understand myself a little better, and each subsequent hiccup was easier to navigate for me. Because I understood how I responded. So I knew how to prevent beating myself up and how to get through the bump in the road. Beating yourself up only takes you further backwards and away from your goal. Most of my hiccups have been physical issues with injuries at the gym or flare ups of a chronic disease that decides to make life miserable sometimes. But it's the same concept... learn from this hiccup and be more prepared to deal with the next bump in the road. Because honey, life has a way of tossing them our way quite often. Don't be mad at yourself. Only be mad at yourself if you completely give up and throw in the towel. Which you haven't, so you're on the right path and in the right place... here on BP, where you have support from many others that have walked where you're walking now. Best wishes on your journey! -
yea its nuts. The psyc testing is literally in the bariatric office. I did my nuclear stress test today that was a long 4 hours lol. get the results tomorrow.
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Anxiety about calories in pureed food
ShoppGirl replied to fourmonthspreop's topic in Gastric Bypass Surgery Forums
Living in constant fear about food is no way to live and I’m not sure you are going to be able to maintain this lifestyle once your hunger hormones come back. It may be a good idea to speak to a bariatric therapist and find a happy medium between the all Or nothing thinking you seem to be experiencing. I hope you find some peace with all of this soon.
