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I am not familiar with Kentucky's Medicaid but most I've heard of have a 6 month. That said I just learned recently,were I had to fall back on Ohio, Medicaid instead of my primary Medicare it would be 3 months. My son is on Caresource. Were he seeking bariatric surgery which at this point he's not, they mandate a 9 month track, a different period of time yet.[emoji25] And we're we in Canada or the UK, 2 places with universal health care, the times usually,are a lot longer. That's why many Canadians out of frustration, go to Mexico and the UK goes to Europe because its faster.[emoji7] Sent from my VS880PP using BariatricPal mobile app
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like Ilene says, it does have the rep of being a kind of bariatric mill, and the last two times I've been there I have to wait out in the hall for an hour as there were no seats. that said, the care is excellent. i had my surgical consult with dr. ren this last week, and she was wonderful. i think it may have been the best, most respectful doctor's appointment i've ever had. i almost cried with gratitude at being treated like a human being!
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has anyone else been rejected by Dr. Malley?
JeninCO replied to NoLap-Band4me's topic in Weight Loss Surgeons & Hospitals
Dr. Malley sounds awful. I would run from him. To cut someone open and tell them after that they need to lose 20 pounds to have bariatric surgery? That's monstrous. -
Fee - if you look for a NUT on your own, make sure they know the guidelines for bariatric patients. It's different than any Joe schmo walking in off the street. If you surgeon cannot refer you to one, maybe call a bariatric surgeon around your area & see if they have one there. Explain your situation. Since you're self pay, they may let you get nutritional counseling, independent of anything else they offer. Just a thought
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November 20 Surgery Date And Thanksgiving Irony!
nursemeg89 replied to crickee's topic in PRE-Operation Weight Loss Surgery Q&A
My surgery date is November 19, so I totally understand where you're coming from. I am a nurse and don't usually get to spend Thanksgiving with my family, so I'm actually really excited to be guaranteed to spend this holiday with them (even if I am just relaxing in my PJs). Next Thanksgiving, life will be completely different for us, I can hardly wait to see where I am a year from now. My family is extremely supportative of my decision and they made a vow to stop making every holiday so much about eating. We are going to incorporate a fun physical activity into every holiday from here on out! Although my closest family members (Mom, boyfriend and siblings) don't struggle with their weight, my cousin and Aunt both just had bariatric surgery. I am very fortunate to have them as a support system! good luck <3 -
Can I Vent Again?
traceyinflorida replied to mendymayhem's topic in Tell Your Weight Loss Surgery Story
That is frustrating! My bariatric coordinator gave me a sample letter to give to the doctor. I actually filled in my diet history for my PCP as well as all the other info I knew. They filled in the rest. I was trying to find a way to attach the sample letter but there does not seem to be a way to attach it, so I have copied and pasted it below. Maybe it will help. Good luck getting all together. It took me a few tries and a lot of frustration with the process due to various reasons. My physician's letter did not say "I was medically cleared for surgery"...well duh...if they are saying I should have it, doesn't it make sense that they think I am medically cleared to have it. UGHH. Here is the sample letter: Sample Letter of Medical Necessity: Give to your primary care physician and to mail completed letter to our office. [insert date] RE: [insert patient’s name] To Whom It May Concern: Ms. /Mr. [insert patient’s name] has been a patient of mine for [insert number] years. This patient is [insert height] and weighs [insert weight] lbs. with a BMI of [insert BMI]. This patient has been excessively overweight for [insert number] years now and will benefit from bariatric surgery. In addition to morbid obesity, this patient suffers from the following co-morbid conditions: [insert co morbidities, e.g. diabetes, hypertension, sleep apnea, degenerative joint disease, osteoarthritis, hypercholesterolemia, hyperlipidemia, shortness of breath, exertional dyspnea, urinary incontinence, etc]. Current medical treatment for these co-morbid conditions is . This patient has tried many methods of weight loss including [insert name of program(s), date(s) started and length of time participated] with [insert number of pounds lost and whether they were regained or not]. This patient is limited due to his/her co-morbidities in his/her ability to exercise but has tried [listing all attempts and any successes or regaining of weight]. This patient's family medical history is indicative for [insert medical condition, e.g. obesity, hypertension, diabetes, hypercholesterolemia, etc]. I respectfully request pre-authorization for insurance coverage for this patient to undergo bariatric surgery. Thank you for your kind consideration in this matter. Sincerely, [insert physician's name] -
Who Is The Most Affordable Dr In The U.s.
ShelbiCallie replied to smsmithart's topic in Weight Loss Surgeons & Hospitals
Hi -- I'm from NC and was self-pay. I searched extensively in many states and finally decided to travel to Dr. Kirshenbaum in CO. There's a lengthy thread of information about him by his patients on LBT. Here's his website Lap Band Surgery in Denver Colorado | Lap Band Surgeon in Denver | Gastric Band Surgery Denver | Bariatric Surgery Total cost for me was $9950 and that included fills for 3 months afterwards; fills after 3 months are $15. (These amounts, of course, did not include travel expenses.) I have absolutely no regrets and would go back to him without any reservation. I have the APS band and have had no complications whatsoever. Good luck in your journey! -
Just read some scary stuff, need perspective
kaykay replied to blueskidoo's topic in POST-Operation Weight Loss Surgery Q&A
Well, it can be scary when you look at the risks. I think the reputable bariatric surgeons try to make their patients aware of any risks too prior to the surgery. But, on the other hand, there are associated risks with every surgery. If we focused on it, we would probably not have any type of surgery or take any type of medication. The question that usually has to be weighed though is how large are the risks really and how do they compare to the risk of NOT having the surgery/procedure or taking a certain med. Also regarding some possible long-term effect of "death" or paralysis of the stomach, that was mentioned, let me remind you that it is entirely possible to live without a stomach at all. (Unfortunately, a close friend of mine did when she developed stomach cancer. Not desirable to be sure, but she adapted to eating without it just fine.) _________________________________________ My husband had VSG on 7/28/09 Dr. James Davidson Dallas, Texas -
congratulations on your quitting smoking. The issue with smoking and this surgery has to do with the liability/risk a physician is taking with someone who is getting "elecftive" surgery. Most surgeons prefer not to add an additionalrisk of a smoker to the already risk of being obese. It is the patient who needs to decide that this is one more step towards being healthy. If someone is deciding to address obesity with something as radical as bariatric surgery it doesn't make sense that they would continue to smoke which is an even higher risk for other health problems. (vascular issues, respiratory issues and cancer). This is a big committment and it should be a healthy committment for a healthier lifestyle across the board. Which includes smoking cessation. I was a smoker 35 years ago and it was the best decision I ever made to quit. Congratulations on an excellent choice towards a healthier you.
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My PS had to submit as well & as far as I know, for any surgery the surgeon needs to be the one submitting. However, info from your bariatric dr will be helpful to your PS to get approval. You will need to show weight loss & how long you have kept the weight loss, which is best shown by your bariatric dr that followed you close since surgery. As far as I know, lipo would not be covered by any insurance, bcuz insurance will only pay for what is "medically necessary" ..... I was approved for breast reduction/lift and the panniculectomy (tummy skin removal). Your PS may or may not charge you extra for the "tuck" part of the TT (which is the muscle repair, buck muscle repair is not really medically necessary). I had my port changed to a low profile port at the time of my TT & BR/BL & didn't have to pay for the "tuck" part. Submit for everything you want & see what is approved.....all they can say is no! Good luck!
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This is the information for the Bariatric Advantage Meal Replacement that my Dr reccomends.... Nutrient Amount % DV Calories 150-160 Protein 27 g 54% Carbohydrate 8 g 3% Fiber 5 g 20% Sugars 0.5 g Fat 1.5-2 g 3% Saturated Fat 1 g 5% Vitamin A 50% Vitamin D 50% Vitamin E 50% Vitamin K 50% Vitamin C 50% B1 50% B2 50% B6 50% B12 50% Niacin 50% Biotin 50% Pantothenic Acid 50% Folic Acid 50% Calcium 15% Copper 50% Iodine 50% Iron 35% Magnesium 20% - 24% Phosphorus 15% Zinc 50% Potassium 190-230 mg 7% Sodium 320 mg 13% Selenium 50% Manganese 50% Molybdenum 50%
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Yesterday afternoon, I was just bothered by the whole will they/won't they mind game of insurance approval. Now, I realize I can't even submit for another month. I have one more weigh in for my MSWL program requirement. I called BCBS-TX yesterday and asked her if I had to use one of their Blue Center of Distinction for Bariatric Svc. She put me on hold and came back and said for Bariatric Surgery, no I don't. She told me that it is all up to the policy riders that each employer puts in the coverage. She said our insurance has that requirement for Organ Transplant, but not for Bariatric Surgery. So then I asked her to repeat the requirements so I could make sure I wasn't missing anything. (I'm not. YAY!) I told her that I was stressed out about not being approved and she said that for almost everyone that applies they are approved providing all the requirements are met. She said that 90% of the denials are based on missing paperwork and most of those are approved on the 1st appeal. She was SUPER nice and patient and I realize that she's not the decision maker, but it did help put my mind at ease a little bit. I know I'm doing everything that I'm supposed to.
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Who lives in the bronx ?!?
carvel23 replied to miiszsexy171's topic in Tell Your Weight Loss Surgery Story
I've lost 23 lbs and I got my sleeve done at New York Bariatric -
Take THAT! Christmas!
lsereno replied to Madam Reverie's topic in Weight Loss Surgery Success Stories
Congrats Madam! And great drawing LV! Overweight is a great place to be as far as health is concerned. My bariatric doc had a little chart that showed overweight BMI who exercised were healthier than normal BMI that didn't exercise. Lynda -
jtickle, at my first appointment at the Bariatric clinic I was given my patient manual with both pre and post op instructions. Before surgery I'm to work up to one hour of exercise a day seven days a week. Post-op, by the end of my first week, I'm supposed to be taking several short walks a day, totaling 60 minutes, seven days a week. So, I say,as long as your Dr has no problems with it and you're feeling good, more power to you!
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Uncomfortable in My Skin and newbie questions
Electrawoman replied to Electrawoman's topic in Tell Your Weight Loss Surgery Story
I hadn't heard of that phrase, hummingbird but for those of you who want to know the good and the bad about surgery and aftermath, go to your local bariatric support group meeting and you will hear all about the problems people are facing. I also found a group here for folks having trouble. I find it is good to see what can go wrong and the information in that group is very helpful. I can read them and ask myself what I would do in that situation. That way, if it happens to me, I will be prepared. -
I believe my PCP is NUTTS!
Ballermom replied to chocolate_macchiato's topic in PRE-Operation Weight Loss Surgery Q&A
My Pcp helped me with my first Migraine headache, but from then he has been Useless. Even my Surgeon told me find some one else at their hospital. My doctor has never ran one test on me and my lasted problem is probably gonna cost me time off from work unpaid. It could get awkward being off work if i I need a surgery before my WLS. Don't know how to juggle that? Getting time of for both without seriously delaying the WLS. Fmla? Weight loss surgery looking like elective surgery. If just the WLS I m ok with that. then later have an elective WLS because since now I'm approved waiting on the Approval letter. Yea If my PCP listened to me could had the first problem fixed months ago. Luckily I have a great Bariatric program some where else! -
Where were you sleeved? What are you eating? Perhaps you can order Alex Brecher's new book, "The Big Book on Bariatric Surgery." I am reading it now and it has so much information I really needed. Good luck. I hope we can help you.
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Post op two weeks help.
Numbergurl37 replied to m3go25's topic in POST-Operation Weight Loss Surgery Q&A
If you are able to drink Water I suggest what I use which is Bariatric Choice liquid Protein fruit drink concentrate, its liquid that you pour into water. The berry tastes good and if its too sweet u can add more water. Also u can mix it with mio drops. I couldnt handle the Protein shakes because of the after taste and smell. The liquid reminds me of jolly ranchers or kool aid. Amazon has a few flavors you can choose. Good luck! Sent from my SM-G920P using the BariatricPal App Oh also each liquid packet is 15 grams of protein! Sent from my SM-G920P using the BariatricPal App -
Looking for 7/22/14 surgery buddy
tfowler replied to tfowler's topic in Gastric Sleeve Surgery Forums
@@evanslaura79 I came into work today, too. I'm a little tired, but I think I'm going to be able to do this. My incision sites are sore depending on how I bend and move, but most of my pain (which is dull at most) comes from my left abdominal muscle. I hope it's healing okay. It just feels sore. And...I guess I have some pain at my Lovenox injection sites. That's kinda weird but tolerable. I've been able to sleep pretty well. I'm experimenting with turning onto my sides, and that actually allows for better sleep. It's a slow process, but it works. I have stuck mostly with clear liquids. I went off the calendar I received in the Bariatrics University class, which indicated I could move onto full liquids after the first few days if I managed clear liquids okay. I was managing them alright, so I tried the chocolate Protein shake. However, that didn't go very well for me. I might try again this afternoon and see how that goes. I just get too much air back up after I swallow, which is painful. If all else fails, I'm sure I can manage a few more days of clear liquids. I am sorta hungry but sorta not. It's very strange. When I see a commercial for something that looks good, I acknowledge it. I think to myself that it looks good, but I'm not really hungry for it. I do miss the crunch of food, though. I'll get over it soon. I'm glad everyone is doing so well. I'm excited for you, too, @@Dulce_jtrivera . Don't let your family talk you out of it. I know I'm not even a week past my surgery date and it's too early for me to have regrets, but it's been a pretty simple process so far. It is a process, though, and it can't be rushed. If you're ready for it, then dive in! -
Chewable Multi Vites - thoughts?
dathvick replied to 🅺🅸🅼🅼🅸🅴🅺's topic in Gastric Bypass Surgery Forums
I use Journey Bariatric Chewable Multivitamins that I purchase from the Bariatric Center where I had my surgery done. I am sure I am probably paying more for them, getting them through the surgery center but something as important as my success is worth it. This is the only brand the surgery center sells so it is what they recommend. I pay $25 a month. -
Chewable Multi Vites - thoughts?
Hrsnjs replied to 🅺🅸🅼🅼🅸🅴🅺's topic in Gastric Bypass Surgery Forums
Hey! I'm taking the ProCare Health one a day bariatric vitamins with 18mg iron. I started with Opurity chewables and could not stand them for more than a few weeks. I haven't had my first labs yet (those happen @6 months out for me, I am currently 3mo). Hoping the labs are fine. I also switched from Opurity chewable calcium citrate (too chalky) to the Celebrate chewables and love them. I'm using Bariatric Fusion sublingual B12 also and so far that's it. The Opurity sublingual B12 is decent too. I always find it interesting to see what others have tried. Sent from my Pixel 3 using BariatricPal mobile app -
I have gained 10lbs in a year and im worried I cant get rid of it and ill gain more!
samusaurusrex replied to Nonidarling's topic in Gastric Sleeve Surgery Forums
You can definitely do lower fat and still do keto type diet. if you are on facebook there are some keto groups for women who have had bariatric surgery. I would do turkey sausage, I try and sub turkey for everything pretty much, for bacon, ground meat, etc. I try to not just snack on cheese but maybe eggs every once and awhile, make lower fat deviled eggs as a snack, they're great with everything but the bagel seasoning! I use fairlife skim milk, it's lower carb and high protein. I hope that helps and makes sense lol -
CA - San Diego
PinkPolkadot619 replied to GoTheHealthyWeigh's topic in General Weight Loss Surgery Discussions
I live in Lemon Grove work in Point Loma, and yes I am Kaiser. I also happen to be the founder of the San Diego Kaiser Bariatric WLS support group Face book page. :-) as well as the founder of the San Diego Pacific Bariatric Support group Face Book Page. -
How long from first consult to surg date?
SkinnyDown replied to doyouhear's topic in PRE-Operation Weight Loss Surgery Q&A
I signed up in August of 2014 to have surgery. My first informational meeting was 9/14 after an initial consult with a bariatric nurse, I had to have 6 months worth of visits with a dietician. My last dietary appointment is on March 31st. YAY! I had an hour long consult with surgeon, 2 appointments (long appointments with a psychologist). I've had an endoscopy (yesterday), got the all clear to go ahead for surgery from the surgeon. After my last dietary appt., I have 2 more appointments to fulfil. A pre-op with a nurse who will tell me all I have to do before surgery, and another appt. with a nurse prac. who will go over all the things I do when I get home from hospital. I guess THEN I will get scheduled. Finally. It's been a long long journey.
