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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.
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I've posted this on every forum where appropriate, and I'm gonna again: I'm always astounded at the lack of consensus these bariatric doctors have. Everything is waaaay all over the map concerning pre-op and post op diet requirements. Some allow this, others ban that...I really wish they'd get together at some symposium and come up with some guidelines they all would use and then maybe things would be less confusing for their patients!
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Ok I had surgery on Jan 27 2020 so I am 3 weeks out and have lost 32 lbs I wish I had this done sooner. Now just trying to figure out different things to eat so I am not eating the same thing over and over. I did order some stuff today from the Bariatric Store and that stuff should be here in time for my next phase. I have a goal of 50 lbs by the first of June hope that is attainable. Good luck to every one on this journey
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Enjoying food is gone?
Sammi_Katt replied to imaginegirl's topic in PRE-Operation Weight Loss Surgery Q&A
So I'm just starting to eat real solid foods again, and honestly, my taste buds have changed a little bit, but I really enjoy food still. Taking the time to eat slowly kinda lets me savor it? I've been experimenting with bariatric and keto recipes and I'm finding some really nice and tasty things that are well within the dietitian's guidelines. You may have a few things that don't taste as good as they used to (I'm kind of sad that fish for me doesn't taste really good), but things you didn't like before might taste good now, too (I like cooked spinach all of a sudden). It's a lot of experimenting and guessing and seeing what your new body reacts well with. -
I was so excited to try these- I know, I know, carbs are still not good, but these are high protein and I can only have a small amount... I found it on a bariatric website, and guys, these are AMAZING. (I didn't include the berries in mine, so the carbs are closer to about 5 for what I made, and I used 1/2cup of liquid egg whites instead of 3/4cup, so it tasted closer to real pancakes rather than eggy.) https://www.froedtert.com/bariatric-surgery/recipes/peanut-butter-jelly-pancakes Peanut Butter and Jelly Pancakes Weight Management & Bariatrics SERVINGS: 4 INGREDIENTS ½ cup low-fat cottage cheese ½ cup instant oatmeal 2 tablespoons powdered peanuts 4 large egg whites 1 cup frozen mixed berry blend DIRECTIONS Put Items in a blender in this order: cottage cheese, oatmeal, powdered peanuts and egg whites. Turn on blender and blend until smooth like pancake batter. Pour into a bowl and fold in berry fruit mix. Use cooking spray in skillet. Makes 4 to 7 pancakes depending on size. NUTRITIONAL VALUES Serving size: 1 pancake Calories: 90 Fat: 1.5 grams Cholesterol: 1 milligrams Sodium: 195 milligrams Carbohydrates: 9 grams Dietary Fiber: 1.5 grams Sugar: 1 grams Protein: 10 grams
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My insurance requires a minimum of 6 consecutive months of physical or non physical weight loss program. See excerpt from my instance policy below. Does anyone know if I could use My Fitness Pal to show 6+ mo the of weight loss? I have 6 consecutive months from about a year ago and lost about 20 pounds but have gained it back. I am 5’2 BMI 40. I would like to do the surgery in early July but just started with my practice on February 3 and that puts 6 months at aug 3. I have a major work event in September and the timing doesn’t allow for surgery before the event. If I cannot do surgery in July I will have to wait till early October. :( The document must include that the patient participated in a structured, professionally supervised (physician or non-physician) weight-loss program for a minimum of six consecutive months within the last four years prior to the recommendation for bariatric surgery.
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Seeking Best Self-Pay Doctors in Orlando
VIN_IN_AL replied to Doing.this.for.me.'s topic in Weight Loss Surgeons & Hospitals
If your going to make the self-investment and go the self-pay rout for bariatric surgery I would not let any geographical restrictions get in my way. The surgeon and facility you feel the most comfortable with may be within driving distance. I am going self-pay myself and currently I am favoring a facility that is about a 5-hour drive away. You would be surprised on how many bariatric offices have resources for out of area patients. -
Dr. Ortiz or Dr. Cueva
Bethy1234 replied to Bethy1234's topic in Mexico & Self-Pay Weight Loss Surgery
Thank you for responding! Yes, I was looking into dr Ariel Ortiz at occ. happy you had a positive experience. he has great reviews. a friend had it done with dr cueva at renewal bariatrics. Had a very good experience. When I called them the person I spoke to was much clearer than the person I spoke to at occ. also dr cueva is $2500 less. I would pay if necessary more money, but if I don’t need to why should I the only reviews I found about him were all positive but they were on renewal bariatrics Facebook page. I’m having a hard time making a decision. -
Oatmeal and Cream of Wheat as a breakfast food
Healthy_life2 replied to Ginanatucci's topic in Post-op Diets and Questions
@Ginanatucci Glad you enjoyed your time in Italy. You are almost two years out. Do you need to work off just the 8 pounds? Or do you need to lose more than that? Five year out, All I can offer is what works for me. If you need to lose more than 8 pounds - Go back to bariatric basics. Eat the food on your dietitians plan, hydrate, log food in an app and exercise If you are maintaining and need to work off an 8 pound gain - Log and stay with in your dieticians weight loss calories and macros My carbs are around 55 to 66 grams. Yes, I have a half a cup of of whole grain oats. I make sure my carbs hit my range for the day. google bariatric friendly recipes. It may help if you are in a food rut. -
Fast track gastric sleeve
Sammi_Katt replied to ttrout870's topic in Mexico & Self-Pay Weight Loss Surgery
Blossom Bariatrics. I paid 15,000 for my surgery, but if you have insurance, it's usually about $6,500-ish. Look up their fast track program. They provide drivers, hotel, testing, surgery, and iv therapy. There is other stuff, too, but I can't remember off the top of my head, but they're all fantastic and great to work with. -
Dr.Beltre, Altamonte Springs, FL
Doing.this.for.me. replied to cuedles's topic in Weight Loss Surgeons & Hospitals
Please let me know how it goes too. I have an appointment with Dr. Beltre on 2/25/20. My insurance doesn’t cover Bariatric surgery. -
See what kind of insurance you have. If you have PPO go directly to to the Bariatric surgeon. That will start your first weight check in and they know the exact process. I skipped my primary.
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I’ve never admitted these things to anyone, let alone on a public forum. You are not alone though. I’ve struggled almost all my life with chronic illness (immunodeficiency) starting in childhood, developing many medical conditions and symptoms over the years, disability, metabolic disorders, always fighting my weight, my self image, being on the autism spectrum, adhd, ocd and so on. But through it all, through a rough childhood. My own health challenges, my mother having spine surgeries and needing my help and support. I never had a life. I just have, I guess ... survived. I fought to lose weight alone - I guess it’s going on twelve years ago now if I had to guess. But never could hang on to it. I found myself losing ground. It was either fight for Bariatric surgery as a tool to finally help me or totally give up. But will it fix the rest of me? Those deep rooted insecurities? My separation from the rest of the world due to chronic illness? I honestly cannot say that weight loss will fix these things. Especially not my chronic illness or disability. It’s like my doctor expecting miraculous changes when I just wanted to ease the burden on my body and at least be a healthy weight to better navigate. it’s easy enough for people to say get out of your comfort zone. Been there done that, it’s gotten me nowhere but disaster and my chronic illness deeper into a decline. Of course this is just from my perspective. I’m not in a situation where I meet people. I can’t put myself out there. It’s not that simple. Nor is it Even for healthy people to do so. I’ve never discussed it and I won’t even flat out say my own situation in detail either since this is a public forum because people can be condescending in their response to something like this. I remember someone once telling me that she thought I liked being stuck. As if I haven’t spent my whole life fighting every step of the way. sometimes you need to just step back from yourself and take an objective look at the why of it all, what your hopes and expectations are, and where to go from there. Decide that you are worth it and take the leap forward and maybe you will find where you want to be.
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Suggestions for Bariatric Cookbooks
lisafrommassachusetts posted a topic in POST-Operation Weight Loss Surgery Q&A
Still on all liquids, but I am thinking I'd like to get a really good bariatric cookbook for when I get on solid foods. Suggestions for ones that are good, or warnings for ones that are "don't waste your time". I am a pretty good cook. -
WHERE DO I EVEN START?!
Mom_of_Chaos replied to MommaKat's topic in PRE-Operation Weight Loss Surgery Q&A
I was able to jump that step and go right to a consult with a bariatric surgeon, they checked all my coverages for me and handled Everything. -
WHERE DO I EVEN START?!
catwoman7 replied to MommaKat's topic in PRE-Operation Weight Loss Surgery Q&A
yes. Start with your primary care physician. As the above person said, he or she will have to do a referral to a bariatric surgeon. As far as insurance coverage, call your insurance company and ask if they cover it (actually, I'd probably do that first...) -
Anxious to get approved.
TheAngryMeow replied to droose's topic in PRE-Operation Weight Loss Surgery Q&A
My whole entire process from start to finish was 5 months. It only required 3 months of visits and consultations but the last two were from getting insurance approval and scheduling (it was kinda a cluster-you-know-what). But I finally have my surgery date of February 25th. Insurance approved it right away, but I also have a BMI of 54. So it's almost life or death for me. I also have gerd and a hiatal hernia. My bariatric surgeon said he would just fix it while he was in there doing the bypass. Anyways, I have Medicaid from NC and it was very short and sweet. But it's entirely up to your provider being vigilant enough to fight for you with the insurance company. I would be on top of everything. It sounds like you have a good case though, and I genuinely hope you get approved!
