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Got referral from my PCP
catwoman7 replied to GrungeGrownUp's topic in Tell Your Weight Loss Surgery Story
duodenal switch seems like overkill given that you only have 100 lbs to lose, but see what the bariatric surgeon says. Some will do it when you're that weight. -
It depends, is your surgeon an IOQ with Aetna? If so they will have the three month program. Aetna is very specific about IOQ’s and some policies will not cover at all if you use one that is not an IOQ. The 3 month is the fastest way. It typically comes out to 4 months. Your first meeting with the Bariatric team and then your first nutrition appt is typically scheduled after that.
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there are about a billion different policies - all different - some are provided by your employer, or if your employer is small enough and doesn't legally have to provide it, then you can buy your own. costs are all across the board. Deductibles are all across the board. What you have to pay once you've met the deductible is all across the board. This is what makes US health care such a nightmare. as for mine, I have a $500 deductible. Once I meet my deductible, I pay 10% of whatever the cost is. There IS an out-of-pocket limit meaning whenever you get to that point, everything is paid 100%, but I almost never get that high (I think one of the few times I did was the year I had bariatric surgery) I don't think there's a "typical" health insurance policy, though, so there's not really an "average". as far as bariatric surgery goes, some policies cover it, some don't. oh - and most people have to pay a monthly amount, even if the insurance comes with their job. I think ours is around $250 a month. We didn't have to pay anything per month originally, just the deductible, but that was YEARS ago. for example, if my surgery was $30,000, I would pay the first $500, plus 10% of whatever is over $500. I can't remember what our out-of-pocket limit is, but let's say $5,000. So once I've paid $5000 of my own money, then insurance pays 100% of anything over that.
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Hi everyone. I had an appointment with my primary doctor today, and she agreed that bariatric surgery is something I should pursue, especially since insurance will cover almost all of it. She said that she wants me to talk to the doctor about the duodenal switch surgery, as she feels it would benefit me the most. The surgeon's office at my hospital said I have to either go to their seminar or watch their video and do their quizzes online before I can make an appointment. I finished those today and now they are supposed to call within 48 hours to schedule the appointment. I'm excited by nervous at the same time. Vicky
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Mix collagen into protein shakes?
BigViffer replied to fiddlinjellybean's topic in POST-Operation Weight Loss Surgery Q&A
Collagen should not be counted as a protein at all in our macros. If your nutritionist is saying that it is a bio-available protein, she is going against the FDA and known science. I would not recommend sticking with them. I've not met a nutritionist yet that was much more than a smoothie recipe repository and supplement salesperson, so I have a low opinion of them in general though. If anyone - bariatric patient or not - eats complete proteins, the body makes its own collagen. -
Awaiting approval
stricksleeved replied to stricksleeved's topic in General Weight Loss Surgery Discussions
I have NO comorbidities. I am VERY healthy. And, let's be clear, I am very happy to find this out. I am blessed. And so, this means I have: No high blood pressure; No sleep apnea; No diabetes; No high cholesterol; and No fatty liver. I am 40.11 BMI as my last weigh-in. But all for the weigh-ins before the last one (since August), my BMI was between 35 progressing to 39. I was told that IF after the peer-to-peer, I am denied and I decide to go for an appeal, the bariatric clinic has encouraged past clients to "do a couple more [monthly] weigh - ins". But, here is the thing; I am not trying to STAY this heavy weight to satisfy some insurance threshold. It just goes against my personality. Thanks for the encouraging words. Tristi -
Suggestions for Bariatric Cookbooks
Sammi_Katt replied to lisafrommassachusetts's topic in POST-Operation Weight Loss Surgery Q&A
I actually just searched things online... if I'm craving something in particular, I'll google bariatric recipe for blah blah blah and print out the ones I find. I have a 3 ring binder FULL of stuff that I love that is super healthy and high in protein made specifically for bariatric people. And I also have the cookbook above- it's got pretty good stuff in it, too. I've tried a few of the recipes and they turned out great! -
I was told the shortest possible time would be about three months (I did my six-month supervised diet before I was formally admitted to the bariatric program, though. Although that was a requirement of my insurance company, not the bariatric clinic). I had my surgery about six months after starting in the bariatric program.
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We concentrate so much on weight ! Sometimes it's the inches lost that really shows up in your success! As one our bariatric veterans has once posted. " It's called Weight loss surgery but it should be called Fat loss Surgery" I'm ok with the inches lost ..
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Throwing up
momof3_angels replied to momof3_angels's topic in POST-Operation Weight Loss Surgery Q&A
New food intolerance is what I am thinking so far. All three times have been with chicken. Not ready to think gallbladder yet... but maybe. Got my routine blood work drawn today, will see what is up with that in a couple days. I see the bariatric nurse practitioner in a few weeks. And nope... no other life changes. No real dietary changes either. -
Philly Let's Talk!
Slimmy-mommeee replied to Slimmy-mommeee's topic in General Weight Loss Surgery Discussions
I'm in Delco too...Drexel Hill! but originally from Philly. I went with them because my primary is with Jeff which made it easy for the bariatric center to access my records and send them to the insurance company. Also all of my preop appts were with Jeff doctors and scheduled by the center. It was like a one stop shop. Where is Mercy Fitzgerald...is that the hospital off lansdowne ave. I've only been in the area a little over 2 yrs. Sent from my SM-G950U1 using Tapatalk -
Hey yall! I am scheduled for my VSG surgery on March 2nd and I was hoping to find people in the area to connect with and encourage each other on this journey to better ourselves. Also to swap stories and answer questions about the local health insurance requirements and surgeons. I had a really hard time finding others with Independence BCBS insurance and there weren't any online reviews of my surgeon. So I figured there may be others out there like myself who are looking for answers and support. I am going through Jefferson Hospital Bariatric Surgery Center, and the process has been pretty smooth. My last preop appt is tomorrow and I am excited but not loving this all liquid diet. Anyone else going through Jefferson? If not who is your surgeon and what has the process been like for you? Sent from my SM-G950U1 using Tapatalk
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Hi! I just had a successful meeting with my Doctor and was given a referral to the Bariatric program in my area. Even though I have a PPO insurance, I still needed this step. I am going to do 6 months of nutrition appointments required by my insurance and I call tomorrow to set it up. I also started blood pressure medication today. My BMI is right at 40 so I am nervous about being disqualified but hoping the BP meds help my case. Wishing everyone a successful day on their journey and wanted to share. Got the ball rolling and feeling good!
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Liquid diet struggles
VIN_IN_AL replied to TheAngryMeow's topic in PRE-Operation Weight Loss Surgery Q&A
Assuming your bariatric surgeon’s office has a dietitian, I would bounce that question off them first. I had all kinds of issues with the liquid pre-op diet last year, it was one of the reasons why I opted out at the last minute, 2 days before surgery last year. I am not looking forward to doing it again, but health matters dictate I must get past it this time around. I kept in contact with three others who were in my pre-op support group who went through the sleeve surgery in 2019. All three are now reaching a year post-op and the feedback I am getting is encouraging, but cautious. One of them has not been as successful as the others but she knows what she is doing wrong. From what she tells me, she “grazes” and eats small amounts of food constantly during the day and evening. She has gained back about 35% of the weight she initially lost and is now considering revision surgery and moving to full bypass. She says her biggest mistake was not reaching out for help. I plan to be active in this support group, I know I am going to need help and I want to make myself available to help others. -
Surgery Approved!
stricksleeved replied to Tiredmimi's topic in PRE-Operation Weight Loss Surgery Q&A
When I went in, I found out that my bariatric center’s scale is off by three quarters of one pound. I guess if you are on the other side, that is good. My new BMI IS 40.11, and this new BMI is what the doctor will use to argue his case for me. He is out this week on vacation, and so I’m not sure if he or someone else in the group will do the peer-to-peer. Wanting this step to be done already. -
January 2020 Surgery Folks
sarahSingh91 replied to TattooedSeaStar's topic in POST-Operation Weight Loss Surgery Q&A
Avocado BLT Avocado, turkey bacon, lettuce and tomato- dash of salt and drizzle of ranch- They made them in the actually avocado cup but I put in a bowl cause I can only eat 1.5oz. Sometimes only 1oz depends on the day. The actual recipe pic and then my modified bariatric version lol -
Last summer when I started thinking seriously about bariatric surgery, I had trouble finding info on the timeline for Kaiser patients in the DC/MD/VA area. So for anyone who's interested, here's the process (and my timeline): Got a referral from my primary care provider (9/3/19) 1/2 WLS class with a nutritionist (9/19/19) 1/4 appt with a nutritionist (10/23/19) 1/2 Surgeon-led bariatric info session @ Holy Cross (11/12/19) 2/4 appt with a nutritionist (11/22/19) 2/2 Surgeon-led bariatric info session @ Holy Cross (11/27/19) 2/2 WLS class with a nutritionist (12/20/19) 3/4 appt with a nutritionist (1/16/20) 4/4 appt with a nutritionist (2/12/20) Got approved for surgery (2/14/20) Appt with surgeon @ Holy Cross to schedule surgery (3/3/20) It's designed to be a six-month program starting with your referral and ending with the appt with your surgeon to schedule surgery (with variety of mandatory classes and one-on-one sessions spread out over the course of those six months). Here are some of the other requirements you have to take care of before a board will review your medical record and approve you for surgery: Ideally, you lose some weight, but there aren't a set number of pounds you have to lose. Behavioral health evaluation H-Pylori antibody stool test Sleep apnea screening Write a letter to the surgeon about why you want to have surgery Although my nutritionist is at South Baltimore County Medical Center, the only two bariatric surgeons currently available for Kaiser patients in the DMV are at Holy Cross in Silver Springs. My surgery will likely be at Largo Medical Center, and once it's scheduled, I'll update this post but I've been told to expect a six to eight week wait. I hope this helps!
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January 2020 Surgery Folks
BadWolfGirl replied to TattooedSeaStar's topic in POST-Operation Weight Loss Surgery Q&A
And my doctor cleared me for the weight machines at the gym (provided I can get in 500 cals a day) at my two week post op appt. There literally is no standard in bariatric surgery. I also believe every person may have different recommendations. For instance I was fairly young and fit before surgery and had no pain, incision or otherwise within a few days after surgery. But there may be an older person who has been sedentary and unfit. We may get two very different recommendations from our doctor's. Sent from my Pixel 3 using Tapatalk -
Vitamin & iron deficiencies after DS
Losingit2018 replied to grannyweezie's topic in Duodenal Switch Surgery Forum
Many vitamins can not be absorbed through the skin. I would not personally use patches. You may want to start using chewables. I chew two Bariatric fusions twice per day. there is something that they call a “banana bag” to infuse vitamins and minerals. My sister passed away a few years back. Before she passed they had her on the banana bags in the hospital. So I know it exists. -
Did anyone go crazy before pre op diet started?
NovaLuna replied to kg2519's topic in Gastric Sleeve Surgery Forums
I know myself very well so during the eight months it took from when I first saw the bariatric doc up until my two week pre-op diet I started eliminating the things I wouldn't be able to eat after my surgery one by one. The first month I ate smaller portions with no seconds. The second month I cut out soda. The third month I cut out rice. The fourth month I cut out pasta. Fifth month I cut out bread. Sixth month I cut out potatoes and beans. And the following two months I just kept to the diet. On the day of my surgery I had lost 64 pounds. My doctor said my liver looked great. He said my surgery was remarkably easy because of my dedication to my pre-diet that I hadn't even been asked to do so that made me feel like it was totally worth it. I'm not even a month post-surgery yet and I'm in the second week of my soft foods diet and I'm really glad I did that pre-diet or else I'd be struggling. I do miss the oddest things though... I'm dying for a salad lol and I can't have that for another two months! I also miss peanuts! T.T Honestly though, if you have good self control and eating your favorite foods before you can't anymore will make you happy then go for it! I, myself, have self-control issues which was the reason for my pre-diet. It helped me with those issues. Now I can find the will power to watch my family eat cake or donuts or Chinese food and not want to cheat. -
Dr. Cahill Dyer, Indiana
brwneyedgrl96 replied to brwneyedgrl96's topic in PRE-Operation Weight Loss Surgery Q&A
Really still took 6 months? I was hoping it wouldn’t be as long since I had that knocked out. Im working on my patience lol. So exciting for you tho!! I’m about 40 minutes from Dyer. I had to go to him because my insurance wanted me to go to a Bariatric center of excellence. My first appointment is March 18 with him. I have my psych evaluation this Wednesday! -
Surgery this month, wife threatening divorce
VIN_IN_AL replied to Xx1jpt5xx's topic in Gastric Sleeve Surgery Forums
Open and equal channels of communication with your Spouse is the foundation of a successful relationship. If you did not keep her “in the loop” during your decision process, then I can’t blame her for being upset. I would think that with the pregnancy in the picture she may be upset and/or worried that there may be complications and she is worried about what would happen if a worst-case scenario comes into play. My Spouse has been involved in all decisions I make concerning my health and I am involved in all her health related decisions. In 2016 I had full right hip replacement surgery, a week before my schedule hospital stay I sat down with her and outlined exactly what she needs to do “IF” a worst-case scenario came into play. This pre-surgery discussion included location of financial paperwork, insurance documentation and a checklist of what she needs to do if something unexpected happens. The mortality rate for bariatric surgery is VERY low yet I plan on having the same conversation with the wife whenever I have a confirmed surgery date. -
YouTube or podcast search: Dr Robert Cywes. He’s a Bariatric surgeon that understands overeating has nothing to do with hunger. He says overeating and snacking are emotional not physical. And to lose the weight you have to address any issues and have a plan for “cravings”. Like others, he reiterates the sleeve is a tool not a cure
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Mix collagen into protein shakes?
jlb8080 replied to fiddlinjellybean's topic in POST-Operation Weight Loss Surgery Q&A
I’m taking biotin and collagen in my shakes. And biotin is in my bariatric vitamin. -
they sound fine to me. Plus they're from Froedtert - they have an excellent bariatric program.
