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Though you may both have plans through the same insurance,it's true that benefits are based on the amount of coverage the employer wants to pay for. Unfortunately, if there is no coverage in the policy for bariatric surgery, even an appeal for medical necessity is not going to get it reconsidered. She should check with her employer or read her benefits book to make sure it is truly not a covered benefit. Many times an insurance will give incorrect information over the phone until you question them or can prove them wrong. Good Luck!
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Thinking about ordering the unflavored and the peanut butter cup. Looked for reviews on line but couldn't find any, so I'm here for Bariatric Pal input. Anyone put it to the taste test?
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You need to call your surgeon's office and see what they say (and let them know that you took it and how much). As a general rule, ibuprofen is not allowed after bariatric surgery.
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United health care
Boldilocks replied to lifeasfaith's topic in PRE-Operation Weight Loss Surgery Q&A
https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/bariatric-surgery.pdf I have UHC too. -
Mussels and other seafood with a Lapband
JerseyMom29 replied to UpperWestSide's topic in LAP-BAND Surgery Forums
Just saw this recipe at Bariatric Eating website., Maybe it will help, Most italian restaurants will usually have this or variation of this on their menu. Seafood in Tomato - Fra Diavola When we traveled to San Francisco for the bariatric surgeons’ convention, we sampled lots of fresh local seafood served simmered in traditional tomato based sauces such as this one. You can use mussels and shrimp as I have chosen for this version, or create your own favorite, using scallops, crab, or even a whole fish filet or cubes of a firm fish such as swordfish or mahi. I serve this delectable seafood and sauce in a deep bowl with a sprinkle of flat leaf parsley and plenty of crusty sourdough for the family. 12 garlic cloves, chopped (about 1/3 cup) 1 teaspoon crushed red pepper flakes 1/4 cup olive oil One 28-ounce can whole tomatoes in purée 2 tablespoons tomato paste ½ teaspoon dried oregano 2 teaspoons dried basil 1 cup white wine or chicken broth Kosher salt and freshly ground black pepper 1 pound mussels 1 pound large shrimp, peeled and cleaned Cook garlic and red pepper flakes in oil in a deep covered heavy skillet over medium heat, stirring, until fragrant but not browned, about 2 minutes. Add tomatoes with purée, tomato paste, oregano, basil, and wine. Simmer uncovered, stirring occasionally and breaking up tomatoes for 15 to 20 minutes, until sauce is thickened. Season with salt and pepper. Just before serving, increase heat under sauce to medium high, add shrimp and mussels, cover and cook until mussels are open wide, checking frequently after 3 minutes. (Discard any mussels that remain unopened after 6 minutes.)Serve immediately. Per serving: Calories 310, fat 16gr, carbs 8.5gr, Protein 28gr Serves 4 http://www.bariatriceating.com/BErecipes/recipefiles/fish--seafood/seafood-in-tomato--fra-diavola/163/index.html -
My surgery cost $10,600 in Mexico with Dr. Roberto Rumbaut. That money covers EVERYTHING but airfare and food while you're in Monterrey. It even includes all aftercare including fills and band removal if for some reason you can't tolerate the band. If you're self pay, (even if you're not) I highly recommend him. For more info go to www.gastricband.com Dr. Rumbaut is world renowned with excellent results and statistics so check him out. In the U.S. (I'm in Texas) the best rate I found was around $20,000. Some people have said they refinanced their house and used the equity to pay for their surgery. Some people get bank loans. There are bariatric centers that will do financing as well. Good luck on your weight loss journey. If you want to chat further you can PM me anytime.
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You need to find a way to get unfilled. For one, you're begging for a slip with it being too tight for months. The fact you're using alcohol as a way to eat is downright dangerous. It's not horribly uncommon for people to have transfer addiction, or essentially trade addictions, after bariatric surgery. By drinking as a way to eat you're putting yourself at high risk for alcoholism. More than just your band is at risk, your overall health is at great risk. Find a way to get an unfill before you do serious damage. Best wishes.
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Weight gain after 3 years of 13pounds...should I go back on weight loss shakes?
VSGAnn2014 replied to lemonpoppyseed2013's topic in POST-Operation Weight Loss Surgery Q&A
One therapy session isn't how therapy works. Therapy's sort of like "eating well," in that one healthy meal doesn't make you healthy. It's a process. I've been seeing a therapist for the last 21 months (mostly once a month) -- started two months pre-op. I've found a great one -- he works with bariatric patients (although not exclusively), so he knows the WLS and obesity territory. I don't know that a therapist without that kind of experience would be all that helpful to someone in our situations. Oh ... and my surgeon told me pre-op when I asked him what does he think distinguishes best between those patients who lose all their weight and keep it off from those who don't, "Bottom line, those who don't lose touch with us, who always keep all their appointments, are the ones who do the best." Very best to you! Your future is in YOUR hands. -
got my insurance approval today!
dragonflylover replied to dragonflylover's topic in PRE-Operation Weight Loss Surgery Q&A
I checked online everyday for about 2 weeks for approval. it kept saying pending. but i think it was because my surgeons office was waiting on a clearance report.. but once they have the report.. my insurance was approved the next day. depending on your insurance company and what they require.. usually it doesn't take too long. i did not have to do any pre-op diet. i just have to do all liquids the day before surgery. hang in there.. your approval will come. did check out the medical guidelines to bariatric surgery for your insurance policy? that helped me a lot.. i read the requirements and qualified.. good luck! -
iBariatric.com - AchievONE Protein drinks - Post Bariatric Surgery Diet - Post Gastric Bypass Surgery Diet is giving away a free sample of Kay's Naturals Protein Cereal. It is located on the right side of the front page under "Todays Super Deal" 100% Free Product! No Credit Card or billing info Required! Check it out iBariatric.com - AchievONE Protein Drinks - Post Bariatric Surgery Diet - Post Gastric Bypass Surgery Diet *Limited to the first 500 people, and only 1 sample per customer. They will go quick!
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What Are You Thankful For?
dhrguru replied to Alex Brecher's topic in General Weight Loss Surgery Discussions
I'm thankful for my family. There was a time when I'd put friends before family, but for me, family is the one that has weathered every storm with me. Friends have never been a constant in my life. Though, I've made a multitude of 'virtual' friends thanks to boards like Bariatric Pal and a few other forums I'm a part of. I'm thankful for for my career and job. Its flexible so I never have to worry about taking time off for me or for family, and it covered my surgery, and follow up care an minimal costs to me. I'm thankful for discernment-- it allowed me to make the best decision for me at the best time for my life. I'm thankful that, though I carried more than 300# for more than half of my life, my joints are in good shape and I can run, walk, exercise, whatever without issue. I'm thankful I never developed diabetes and have lessened my chances of doing so. -
Tampa, Fl Surgery Doctors **please Help**
Lap_dancer replied to SalOdyssey's topic in Weight Loss Surgeons & Hospitals
I am in your area. Here is who I know of so far: Dr. Michael Murr, Tampa General Hospital/University of South Florida Town and Country Weight Loss bariatric., Tampa, 33601 - (813) 329-6098 Palms of Pasadena, 1501 Pasadena Ave St. Petersburg, FL 33707 Surgical Weight Loss Institute 3659 S. Miami Ave. Suite 5002 Miami, FL 33133 -
To sleeve or Not to sleeve. That is the question.
MinnesotaDreaming52 replied to MinnesotaDreaming52's topic in Tell Your Weight Loss Surgery Story
I am going to Fairview Southdale Hospital. I need to complete 3mo of visits. and lose 5lbs. Also there is another issue, I have a H.hernia and they said it is no big deal the surgeon can address this at a later appt. The problem is it is a huge area. I have talked with a surgeon before and I shared this with the PA. I was told by then surgeon this was not an easy fix that I needed to lose 30lbs before they could do surgery. This is why I am confused, it is like they discarded what I said, my records are all in the system form the U of M . The PA said well if you want to speak to a surgeon you will need to contact one of them and make an appt. this will be outside of your care with the Bariatric center even though these are the surgeons that will perform the surgery. I am wondering do they talk to each other or are they independent of each other. This visit may not be a covered benefit. I should call my insurance to make sure. I would think something like this should require a surgeon attention and then we make plans as to which way to proceed. 5lbs vs 30lbs who is right? I don't want them decide while I'm on the table that I haven't lost enough weight. It sounds like I should look around. -
Pre-Op Lab Work
BeanieandRosie'smom replied to Territravel's topic in PRE-Operation Weight Loss Surgery Q&A
TerriTravel, As I said, I did my band in Mexico (and will do the same with the sleeve). I actually contacted a bariatric surgery center in my area and they accept business from people who have surgery elsewhere. My doctor told me that they'd be stupid not to because of the number of people who go to Mexico or wherever to do their surgeries. They have a fabulous psychiatrist there who has had weight loss surgery. My insurance covers 80% of my visits with her (so odd since I have that specific weight loss clause!) It also covers consults with a nurse at the weight loss center. I would check into it---the counseling has been the best thing I ever did in relation to the band. (HATE the band!) Best of luck to you! Erika -
Are kids vitamin supplements good enough?
shedo82773 replied to Biddy zz 🏳️🌈's topic in Protein, Vitamins, and Supplements
Myself I have always taken vitamins made for WL people. I know after I fired my Surgeon and went to another Bariatric Surgeon and was told that FLINTSTONE Vitamins if doubled, would be enough. But they were horrible!! After my RNY I was told to use chewable Centrum, way too sweet for me. I couldn't wait to get something else. In comes CELEBRATE capsules. If you wanted to (told by my DR) you can open them and sprinkle them on applesauce or other food. I had no problems swallowing them. I do feel it is very important to use Bariatric Vitamins but each to their own. I hope you can get this worked out. -
Not Much Weight Lost And Hi Yall
DELETE THIS ACCOUNT! replied to Whitney Cunningham's topic in Tell Your Weight Loss Surgery Story
First, I'd start tracking calories for at least a couple weeks. Most who don't track calories are shocked at how much they're actually consuming when they do start tracking them. Keep in mind the band isn't supposed to make you feel full. It supposed to make you feel satisfied, or no longer physically hungry, on less food for longer time periods. Don't expect that same full feeling we had before surgery- that is not what you're supposed to strive for. Have you been to a nutritionist? If not, that would be another smart step to take. A nutritionist who deals with bariatric patients can help you set up realistic food guidelines for optimal weight loss. It's possible you don't have adequate Fluid in your band yet, but if you want to lose weight I'd still stick to a cup or less of food per meal and count calories in the meantime. -
Surgery At The Mi Hospital
Liznewman replied to vcrezee's topic in Mexico & Self-Pay Weight Loss Surgery
Keep us updated, alot of people are chosing to do this, I would ask for a referral for your after care to a bariatric dr close to you cause your gonna need follow ups, and your gonna have questions. Im my self is saving up $ so I can get mine! Not to sound bitter but it just kills me the people that have multiple wls and complain, and their ins pays for all! So judging here but let me know about the place! Good luck! -
Hello, I was sleeved June 25th but am dying for some Bariatric friends in Shanghai! Are there anyone living shanghai aswell? Saf
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My October band-anniversary challenge
Joy Joy commented on Joy Joy's blog entry in Joy Joy's Journal
Band_Groupie, you are so right. I guess I got a little excited renewing my commitment to the band. I like the idea of taking it one month at a time, and not just targeting a certain number! Thank you again I really needed that! -
Be prepared for many, many steps even if self-pay. It takes months.
MT1000 posted a topic in PRE-Operation Weight Loss Surgery Q&A
I am writing this to help others plan for their surgery. It's August 12 and I started on my journey in mid-May. I am a self pay patient. I have chosen Puget Sound Bariatric Center. The clinic is over an hour away from my house, but has an excellent reputation. I was worried about commute times, but thought I would only have a few pre-op appointments at the clinic per my discussions on the phone with their rep. I have to plan that every appointment will include 3 hours of drive time round trip. When I first called them, I was told if I completed my tests soon, I would be scheduled for surgery within a month. The initial representative misspoke. Therefore, I wasn't fully prepared for the amount of time it would take to qualify for surgery even though I was self-paying. It takes several months. Unfortunately, I canceled all of my summer plans and now regret that. I wish that clinics would be more accurate in setting expectations. In June, I met with a Dr. and got my lab orders. The first meeting lasts a few hours because you meet the rest of the team, fill out paperwork, etc. Next, got all of my labs done and returned to office. Then spent nearly a day at the office meeting with all of the specialists. I had a lab request for a sleep study, ultimately, this required 5 trips to the pulmonologist and an overnight stay. My advice to people who are self-paying is to plan for this to take 4 months and estimate about 18-24 hours of appointments (including the sleep study). You will also need to chase everything down. People don't follow up like they are supposed to, results don't get faxed to the right place, you think things are being processed but they are languishing in someone's in box. I still don't have a surgery date. Maybe some time in September? In the end, my hope is that it is all worth it. But had I known how much time this process would take, I would have taken a 2 week summer vacation to relax. This is all very stressful. I still feel good about the Dr. and clinic, but they are not nearly as organized as they believe. I've communicated my concerns to them and they are working hard to correct things. Some of this is out of their control due to errors made by a sleep center. I hope this information is useful to others.- 9 replies
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10 days after surgery and having port bulging and painful?
Melissannde replied to marinag555's topic in POST-Operation Weight Loss Surgery Q&A
I was still sore at 6 weeks out when I had my first fill!! If it's hot to the touch, if you're running any kind of temperature, if the area is red, there might be a problem. Swelling could also possibly be a indication of something not quite right. Best thing would be to call your bariatric surgeons office and talk to one of the nurses. They know you and your history better than we do. ::smile:: More than likely you're just taking a while to heal, but call to make sure. Hope it resolves for you soon. -
Question about Tri Care Standard and WLS
minpinmom replied to mel_smiddy's topic in Insurance & Financing
Here are a couple of thing that may help you find a Dr. in your area. First, if you look in the upper right corner of your screen (on the blue bar) use the quick search bar and put in Kentucky Dr.s or Kentucky banders, anything having to do with your area or dr.s in your area. It will search Lapband Talk for you. I did a search for Kentucky Dr.s and here were the first 4 threads, they mention Drs in your area. http://www.lapbandtalk.com/f11/does-anyone-know-anything-about-dr-kaza-kentucky-50474/ http://www.lapbandtalk.com/f38/ohio-some-parts-kentucky-27091/ http://www.lapbandtalk.com/f18/lap-band-kentucky-49740/ http://www.lapbandtalk.com/f11/dr-argotee-paducah-kentucky-20706/ http://www.lapbandtalk.com/f38/just-saying-hi-ky-46661/ Then, write down the Dr.s names and search them on Tricare's online physician finder to see if they are in network. I would also, check the forum for local Kentucky people - they may be able to tell you. Your other option (scary one) is call Tricare and have them give you a list of Bariatric surgeons within 400 miles or so, they aren't much help, but you can try. Hopefully this will help narrow down your search. Like I said, you could fly to Houston, have the surgery with My Dr. for a 12 copay, stay the night in the hospital, then the surgeon will pay for your Hotel (not sure how many days) I am pretty sure this is pretty common practice, so it probably wouldn't matter who you went to as long as it was a Tricare surgeon, they would probably provide you with a Hotel. (I AM NOT PUSHING MY DR.) I can't stand when people do that on here, but you can look up his website and see how many days they pay for and such. Texas Laparoscopy Center -
I haven't been on in a while and just see this post regarding surgeons in South Florida. My surgeon is Dr. De La Cruz with University of Miami. I had my surgery Feb. 2014 and have lost 218 lbs! Words will not describe how amazing he and his team truly are. I went to see all, and I mean ALL of the main bariatric surgeons in Miami before I chose Dr. De la Cruz! They have taken EXCELLENT care of me! The hospital staff and nurses are top notch! Please do yourself a favor and schedule a consult and go to their seminar!
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So - just a random post. I was sleeved by Dr. Ponce 9/30/2015. I will be honest; I was very, very apprehensive about having surgery outside the US. I have to say - so far - it has been an amazing experience! The Bariatric Pal staff were very supportive and helpful. The nurses were excellent! (Loved Mari!) And last but not least, Dr. Ponce!!! What a wonderful physician. We had pre-surgery consultations. Spoke to me for 45 minutes on the phone. No sense of rush or impatience. Very knowledgeable. Once in Mexico, he came and saw me everyday. Sat down. Took his time. Answered all of my questions. Provided me with a video of my surgery and my leak test. And has consulted with me electronically since I got back. Very responsive. AWESOME DR.! WOULD HIGHLY RECOMMEND. <3
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This video has nothing to do with any bariatric surgery. I loved this clip so much that I had to share it with everyone I know. Have you ever seen TRUE ART? This video clip shows the act of creating TRUE ART. The performance of life is emotional, lovely, breathtaking, and original. It is only a few minutes long so please take a tiny amount of time out of your day to watch this masterpieces come together. https://www.facebook.com/photo.php?v=513762012004599
