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Frustrated with insurance denial
Starwarsandcupcakes replied to Starwarsandcupcakes's topic in Revision Weight Loss Surgery Forums (NEW!)
His words to me were “you need a revision to get rid of the GERD. I’m sending over a request for insurance approval.” This was July 1st. He wanted to have me in for revision before August. My surgeon is definitely a non-nonsense kind of person so I’m positive that he’ll be sending over an appeal as well. -
Frustrated with insurance denial
New&Improved replied to Starwarsandcupcakes's topic in Revision Weight Loss Surgery Forums (NEW!)
The surgeon should stress how serious it is that you need the revision -
Frustrated with insurance denial
Starwarsandcupcakes posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I called my surgeon’s office today because he submitted for a VSG to RYGB and was told it was denied because they want me to do 6months of supervised weight loss. I just had my VSG in December 2019! plus, their reason isn’t even listed under the revision surgery section in the handbook. Since then I’ve developed a new hiatal hernia, GERD to my mid esophagus and esophagitis. Of course I’ll file an appeal but I’m just frustrated. I’m sick of only getting 4-5hrs of sleep a night because the chest pain from the GERD is so bad it wakes me up. Im sick of taking the max allowed PPIs on top of 8-12 tums a day, and Thorazine for the hiccups causes by the GERD. I sent my surgeon a message asking for another prescription because I can’t take it anymore. I'm jus so frustrated. I just don’t want to be in pain anymore. -
August 2020 Surgery Date
PerezL84 replied to sarahredwood's topic in PRE-Operation Weight Loss Surgery Q&A
My office submitted paperwork to my insurance for approval. Now is a waiting game. My doctor said that my surgery will be most likely done mid August or end. This will be a revision since the sleeve only helped me for 2 years a my stomach pouches dilated throughout those years. Now I'm getting the bypass. Best of luck to all. Sent from my SM-N975U using BariatricPal mobile app -
4 yr post-GS =pneumonia, steroids & weight gain
1AnnieOkie posted a topic in POST-Operation Weight Loss Surgery Q&A
Post GS I went from 208 to 125lbs. I bounced between 125 to 128 was rarely hungry, could eat pretty much whatever I wanted. Three months ago I was diagnosed with pneumonia and prescribed prednisone and antibiotics. After 2 weeks was hospitalized for iv antibiotics and iv Solu-medrol followed by 3 more weeks of prednisone. I ballooned up to 147lbs and it’s been about 3 weeks since I stopped steroids. I am now hungry almost all of the time! I have cut down my caloric intake to a fraction of what I ate “pre-steroids.” Currently I weigh 139, it’s been a constant struggle, it’s like preGSV Did the steroids permanently screw up my system? Will I get my “system back” as it was before the steroids; if so how long will it take? Any suggestions? Or should I start saving $$$ for a revision? What scares and confuses me is I am actually eating LESS than I was before getting ill. The steroids slowed my metabolic rate. -
I am so sorry your surgery had complications. I had a sleeve to bypass revision for GERD on 6/29. I was unable to stand up to begin walking without becoming tachycardic and dizzy on 7/1. My hemoglobin was 7.1 and I got 2 units of packed red cells. I felt much better afterward. My drain was left in for 10 days as I continued to produce a lot of blood from the chest. My surgeon suspects I bled from several areas as I had more than one procedure done. I feel much better now. I hope you feel better soon, you have been through a lot.
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Hi All, I am new to this group. I had lap band surgery in 2009, I was lucky and had the realize band. When I started this journey I was up to 280. I had got to 240 on my own and then I had surgery, well it didn't go as planned my port was up high and got infected and I had to have the port removed then put back in several months later. When I finally started getting fills I was 208 and did well for a while. I got down to my lowest 140 but after starting to run was about 165. Now I am dealing with Menopause and having a hard time. In October they decided to drain my fluid due to vomiting and not keeping food down. I had a upper GI no issues so they slowly and I mean slowly started to fill my band. Well COVID hit and I only had 1.5 cc in my band and I was not able to go in for a fill for 5 months. I went in earlier this week and I qualify for revision to a sleeve due to my BMI. The thing is I can't lose 5 lbs or I will no longer be considered. I started doing more protein this week and now I have lost 5lbs. I am kind of scared they wont approve me now. I am excited to be doing this. Honestly I am sick of being poked by people who hardly do this anymore. Anyone else have the band to sleeve after 10 years? Was it successful? I would love to hear your story.
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Sleeve to Bypass due to GERD
Starwarsandcupcakes replied to beaker27's topic in Revision Weight Loss Surgery Forums (NEW!)
My sleeve didn’t cause my GERD, the tearing of a new hiatal hernia did. I had one repaired when I had my sleeve done in December 2019 (264lbs) I ended up developing a new hiatal hernia mid March (232lbs). My surgeon sent me for a barium swallow. So along with the GERD to mid esophagus and the hiatal hernia I also have esophagitis from it. I'm just waiting on insurance approval for my revision. I honestly loved my sleeve but since the hernia happened I have only lost 10lbs in the last 4 months and am currently sitting at 222lbs. Some days I find it hard to eat because I feel so nauseous all the time and developed intractable hiccups because of the GERD. If I could do it again, I’d still have a sleeve. -
Reflux & revision op. after gastric sleeve
catwoman7 replied to Ozzy79's topic in Gastric Sleeve Surgery Forums
no. It has to do with the shape of the sleeve - it causes a high pressure system, or something like that. If you're one of the unfortunate ones this happens to and it's severe, prescription meds may help - or some go for a revision to RNY. -
People around & what I have been reading keep suggesting that reflux and sometimes a revision op is the almost inevitable outcome of gastric sleeve ops. I am terribly anxious about this, is it really the case?
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July 2020 Surgery anyone?
Ozzy79 replied to IWantTheDream's topic in PRE-Operation Weight Loss Surgery Q&A
I have been reading about gastric sleeve and the high probability of reflux in the future, which concerns me a lot. In such a case, a revision op is needed, this is what they say, a more complex operation. Any ideas? -
VSG to MGB?? Was your revision a success?
Camella posted a topic in Mini Gastric Bypass Surgery Forum
Hi Everyone I am scheduled to have a revision from a VSG to a Mini Gastric Bypass in 8 weeks. I have weight regain and issues with reflux. I am extremely nervous about the surgery - way more nervous than when I had my sleeve. I would love to know if anyone else has had this conversion and know if the surgery was a success or if you have any regrets. Thanks 🙂 -
Almost 6 weeks post op revision surgery
New me version 2.0 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Help!!! I'm almost 6 weeks post op. I stalled for about a week and when I weighed this morning, I had gained 3 lbs... is this normal? Also having trouble getting enough calories in. Any food suggestions? I have no protein restrictions now. Thanks! -
That's rough did you have any gerd symptoms before surgery? If it keeps causing you trouble you may need a revision surgery
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Myotomy and sleeve to bypass revision due to GERD
Foxbins replied to Foxbins's topic in Revision Weight Loss Surgery Forums (NEW!)
I had my revision done on 6/29. There were a few little hiccups--after surgery I couldn't pee, so I needed a catheter, and I lost quite a lot of blood and needed 2 units of packed red blood cells transfused, which upped my hemoglobin level enough to where I'm anemic now but not fainting when I stand up. It was a long surgery, as I had three procedures done--a myotomy to fix the esophageal stricture I got from GERD, a hernia repair, and the RNY. I was originally supposed to come home on July 1, but my drain was still bloody and filling quickly, so I stayed until this afternoon, 7/3. I still have the drain, it's supposed to come out Monday. I have had two episodes of "heartburn" but neither were in my new stomach, but in the intestine, because the burning is above my bellybutton but below my rib cage. My stomach is much higher up and has not hurt at all. I cannot tell you how happy I am that I am not regurgitating everything I swallow and that I can sleep through the night without acid crawling up into my mouth. My nurse was quite concerned when I finished an 11 oz. protein shake in fifteen minutes, but the surgeon told her it was fine as long as I could tolerate swallowing things that fast. Because I'm at goal and don't want to lose any more weight, he also said for the next two weeks I could eat anything I could pour, but to be careful of sugar and fat content in case I dump. This brought back memories of a Saturday Night Live sketch called "Bass-O-Matic" (it's on YouTube, it's a hoot) but blending a whole fish is not on the menu. I have not had much pain, mostly gas because he had to operate so high up in the chest he put a lot of gas in. I came out of surgery with both eyes swollen shut because the gas seeped into my face, but it is mostly gone now. Now it looks like I have bags under my eyes. I loved my sleeve and tried everything to keep it but the GERD was just too bad. Hoping I come to love the bypass too. -
Please help me figure out surgeries!
rjan replied to Jessa4140's topic in General Weight Loss Surgery Discussions
Yeah, it's kind of hard to tell since most people never get the chance to compare how the different surgeries feel. For people who get revisions, the fact that they had a 2nd surgery may make how they feel different than someone who just had 1 bypass surgery originally. More scar tissue, less elasticity, lots of things could depend on how many surgeries you've had. Physically, though, sleevers still have their pyloric sphincter working to control when the stomach empties into the intestines, while for bypassers the rate of stomach emptying depends mainly on the size of the bypass outlet. So it at least makes sense that you'd feel full longer with a sleeve. Google found this surgeon who offers a version of DS that preserves the pyloric sphincter. They say they do it to prevent long term regain in bypass patients whose stomach can empty too fast if the outlet gets bigger over time. https://nwhsurgicalweightloss.org/learn-about-your-condition-and-treatment/pyloric-preservation -
According to his profile he had the Bypass in Oct 2019 as his first surgery. No one can understand this revision stuff unless they have been through it. Wishing you all the best
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Hate bypass
Old profile replied to DesperateEC's topic in Revision Weight Loss Surgery Forums (NEW!)
@MIKEYY84 I’ve read all you me comments. My question is have you had a revision? I understand you have the bypass but did you ever have the sleeve first then the bypass? If not trust me it’s much different. -
Sleeve to Bypass due to GERD
dorkyfaerie replied to beaker27's topic in Revision Weight Loss Surgery Forums (NEW!)
I am in the last stages of scheduling a revision from sleeve to bypass due to severe GERD. I was sleeved in August 2018, I only lost about 35 with sleeve because the reflux is worse when I have nothing in my stomach, so I pretty much have to eat something every hour. I’ve been on 40 mg pantoprazole twice a day (80mg total), famotidine twice a day, and carafate up to four times a day. It sucks. I am hoping bypass will at least let me knock off a few of the meds. I’d love to get down to two or fewer per day, preferably none. -
Please help me figure out surgeries!
catwoman7 replied to Jessa4140's topic in General Weight Loss Surgery Discussions
I've heard some people say this about revisions, but to be honest, I'm not sure if it's something specific to revision, or if there really is less of a restrictive feeling with bypass. I felt quite a bit of restriction early on (well, I still do at five years out if I overeat), but then, I've never had the sleeve so I have nothing to compare it to. So I honestly don't know if there's less restriction with the bypass, or if it's just something unique to revisions. -
Please help me figure out surgeries!
rjan replied to Jessa4140's topic in General Weight Loss Surgery Discussions
Yeah, I don't think the surgeries differ much in terms of average weight loss. Otherwise most people would probably just choose the one that works best. (Probably one reason why no one likes the lap band anymore - it definitely doesn't work as well.) Since you said you're a grazer, perhaps you'd prefer a bypass or DS. With the sleeve, you feel much more of a restriction - I feel absolutely stuffed for an hour or two or three after a meal that would have been an appetizer before. It's that drastic reduction in the amount you can eat that does the work with a sleeve. In contrast, I've read comments from people who revise from a sleeve to a bypass, and they often say that they feel less restriction afterwards than they did with the sleeve. With the bypass, things slide through your system faster so you don't feel full for long, but you absorb less calories. I like the restriction, and I feel like it works really, really well for me. But I've never been a snacker - I like my 2-3 meals and that's it. I think people who like to eat often can make up for the reduced volume by increasing meal frequency if they try. I didn't really know that when I was deciding though. I decided on the sleeve because I prefer a less invasive procedure (all other things being equal), and didn't want to have to worry about malsorbtion, and I didn't have much of a reflux problem. -
Please help me figure out surgeries!
Jessa4140 posted a topic in General Weight Loss Surgery Discussions
Hello all! I am new to this community! I had my first appointment with my surgeon today, and I love him, he's really great. We talked a lot about different surgeries but I'm still really undecided and I'm finding myself obsessing about it even though I have several months to decide. So if anyone wants to weigh in (haha, no pun untended) please do. I'm in my early 30's, female, BMI of 44. SW is 255, GW is 125-135. I'm 5'4. I think that's all the applicable information. Anyways, I have a good friend who has similar stats but is slightly older then me. She had the sleeve and stalled out at 6 months after only a 30lb loss and started regaining. She ended up getting the Duodenal switch which has since worked fabulously for her. She has met her goal and is maintaining. My surgeon has never performed a DS but is not against it. I do not mind being a pioneer patient and I definitely trust his experience. He is not really swaying me in either direction because he wants me to make my own decision. He says the majority of his patients get the sleeve and tend to do really well with it, and the weight loss center has a really nice aftercare program. It is pretty important to me to hit my goal. I have another friend who counted calories to lose about 100lbs and has now regained it all plus some. Over being skinny, I want to be healthy, but I also want to feel comfortable in my own body, have the self-confidence to be seen in public again, etc. I'm sure a lot of you know where I'm coming from here. I also really don't want to have to come back and pay for a revision. I have kids and I have a lot of things I could be spending those thousands on instead of a second surgery. So I'm sitting here bouncing back and forth between not losing all the weight I need to with the sleeve and being worried about the harsh side effects of the switch as well as having concern for the severe malabsorption as I age into my twilight years. But then again I won't live to see old age if I don't get a minimum of 100lbs off. Help. Please. And yes I Know the surgery is a tool and should work if I use it well, and I plan to, but..I don't know. Just help please. -
That's a great point about changing course and avoiding future medical issues. I got a revision to SADI DS in May. At the beginning of the year I had to get a MRI for hip problems. I also had serious high blood pressure. My family has a history of diabetes and with my morbid obesity I'm sure I would have developed diabetes if I made no changes. So far this year I've lost 82 lbs. I have almost no issues with my hip now. I've reduced my blood pressure medicine from 20 mg to 2.5 mg. My last two weeks' readings have been perfect.
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Hi all, So I've decided to have gastric bypass after lap band removal, but now the question is do I get the Mini or the RNY? I already regret getting the lapband in the first place and feel that I could have saved myself money and another surgery had I just bit the bullet the first time. I don't want o go half way again? Has anyone regretted the MGB and revised to RNY? Reflux was a major issue with my lapband. Also, I am presently between 195-200 lbs (lost 60 with lapband and regained 30) what kind on weigh loss would I expect with MGB and RNY? Any advice, thoughts, would help.
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MAY-JUNE-JULY 2020 BYPASSERS UNITE!! Veterans Welcome too!
Round2newme replied to MaybeMeow's topic in PRE-Operation Weight Loss Surgery Q&A
Hello guys I am back home and post surgery! I had my a lap band revision to gastric bypass on June 29. No visitors allowed but at least my surgery did not get cancelled. The first night was a drugged haze. I don’t remember much. The second day was awful. I could not take any pills or keep any water down. I kept throwing up or dry heaving. So, the doc kept me in the hospital a second night. The third day was good very little throwing up and i was really able to walk around the hospital floor a lot. I even did some work on the computer in the lounge which was awesome. The pain was pretty bad the first day post surgery. But by second day it was very mild. Today is my third post surgery and I feel no pain just a little discomfort when I bend down, twist or cough. Once home yesterday I started having some sore throat and coughing I remember feeling that in other surgeries so I think it is just from the anesthesia but if it does not improve I’ll contact my doctor. My only issue now is managing my type 1 diabetes. I have an insulin pump and all of my doses need to change and now I am having a few lows. But I keep my glucose tablets near and take one when I get below 70. I still have not had a bowel movement but I am hoping today will be the day.
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