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Hi everyone, I'm a newbie and this is my first post. Was just wondering if anybody on here has Aetna so-cal H. M. O. and if so could they share their stories on the journey to approval. I have my primary care physician on board, met with my NUT and she approved, had my psych evaluation and she approved, had my sleep study and was told I didn't need the cpap machine but when I hit REM sleep in the early morning hours, I stop breathing 8x's an hour and so my oxygen decreases during this time and to solve this issue I will need to lose weight. I am 36, 5'5 and weigh 225 (at my heaviest I was 245). I am pre-diabetic, and have high cholesterol (but not on meds at this time, but have been in the past). I am on meds for asthma. I am waiting to meet with the surgeon and to find out of they will approve the surgery. So my question is this, for anybody who has a similar situation as mine, how hard was it to gain approval? Is there anybody who has the same insurance that can shed some light on how difficult or easy it may be to get approval? Just trying to gain some knowledge and advice during the waiting game so any feedback would be very much appreciated.
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Congratulations on the new sleeve and welcome to the loser's bench! When I started working out again, it was more of just getting into the habit of walking and just going to the gym. The goal is not to be sore or winded after every workout. Get into the habit of going first. I started with walking for about 10 minutes in the morning and going to the gym for about 20 minutes four times a week. I started by just doing 20 minutes of cardio at the lower levels and no weights. As I got in the habit of going and started seeing results, I enjoyed working out longer and pushed myself a bit more every month and added weights. But I also did not overdo it because I didn't want to burn out. Now I go 4-5 days a week and do cardio + weights for about one hour total three times a week and cardio only for 45-60 minutes on the days, depending on how I feel. I gave myself a cap of 60 minutes because I'll burn out if I go more than that. Best of luck to you and continued success!
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Looking Like November :(
SusieSunshine replied to jesbowne's topic in PRE-Operation Weight Loss Surgery Q&A
I don't blame you. I have felt like I've been in a bubble since this whole process started. I CANNOT wait for it to be over. Not only for the weight to come off but so I can stop thinking about it. My surgery is on the 14th and I cannot wait to start the liquid diet. Sooner it starts sooner it's over. -
Low Heart Rate after surgery
MarciaN replied to lachellove's topic in POST-Operation Weight Loss Surgery Q&A
I haven't had my surgery yet but have lost almost 50 pounds pre-op. My resting heart beat is always in the 60's now. (started in the 80s) I was told that my heart didn't have to work as hard now that I am losing weight. But...it is always good to monitor it and share info with your doctor. (I have the fitbit Charge HR so I can check it whenever I want.) -
So for the past 2 months.. the scale have been stubborn. my weight was fluctuating between 170 and 173.. It was frustrating but I just deal with it. I was exercising, My clothes were fitting better. So Feb 1, I got on the scale (eventhough i just had breastimplant surgery a week before, which added a couple of pounds and about to start my period).. the scale read 169!!!!! I was so happy eventhough it was just a pound. for 3 days i kept weighing myself, not wanting to believe i no longer in the 170's range and it steadily read 169.. Cant wait to weigh after my cycle is over.
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I was banded 4/12 too! Relax Follow what you were told to eat. After surgery your body panics and tries to hold on to fat stores at all cost, so the weight doesn't drop off immediately. Also, you probably gained 5-10 pounds of fluids in the hospital during the surgery. Keep doing what you were told and the weight WILL start coming off. (and in case your wondering, my ticker includes my pre-band weight loss, it's not all in the past 6 days!)
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To Anybody Who Has Been Banded
DollyRose replied to MELANIE's topic in Tell Your Weight Loss Surgery Story
oooohhh... as with any weight loss program, including banding, you are bound to experience times where the weight just doesn't move, period. You might not be eating enough calories or too many, you might be eating the wrong calories, and you might have to add 10 or 15 more minutes to your exercise plan, or you may be increasing muscle mass AND losing weight. You did not say if you have gained weight, so I am going to assume you haven't, and that is something to be proud of! Don't get down in the dumps! Nothing is wrong with you, just step back and take a close look at what your current eating plan is as well as your current exercise plan. It has taken 20 years for me to pack on 120+ pounds, I expect it to take at least 2 and perhaps 3 years to take it off. It didn't go on overnight, it won't come off overnight. DollyRose -
To Anybody Who Has Been Banded
Wheetsin replied to MELANIE's topic in Tell Your Weight Loss Surgery Story
What's a typical day's menu? What are you doing to lose the weight? Etc... -
To Anybody Who Has Been Banded
MELANIE replied to MELANIE's topic in Tell Your Weight Loss Surgery Story
235/207/135 i have been stuck at 207 since january i havent lost or gained any weight in 2 month it stinks. i had 2 fills for a total of 2ccs in my 4cc band im trying to do the right thing, everything gets stuck all my protin but all tha fatting foods i can eat no problem. i really need help guys please help me some one :help: :(i also started curves . calorie in take about 1100 __________________ -
Surprising after effect of weight loss!
christiemon posted a topic in POST-Operation Weight Loss Surgery Q&A
The automatic toilet flushers at the movie theater flush quickly! I guess my butt has gotten smaller - I'm used to the delay and it scared the crap outta me! = ) -
I Can't Believe It's Been 5 Weeks
JustJenn replied to bekki03's topic in Tell Your Weight Loss Surgery Story
I find myself also in a moment where I have to remind myself I already had my surgery. I had all of these goals and I have to realize even though I don't go to the gym (not a member) like I said I would do, I still don't sit on the couch, drink soda, eat fries, and do nothing to lose weight. And I have bad food intake days and days when I am really proud of myself because old me would not have said no endless Pasta bowls at olive garden lol and venti Starbucks... Don't forget to high 5 yourself for all the good choices you do too. Surgery 7/25/12 -
Karen - congratulations on losing an amazing amount of weight! Way to go! I am excited for you that you have become a Christian - I can't imagine how hard this was (losing weight, having surgery) without HIM to draw strength from. I have prayed many times for the wisdom to know the right choice to make, and the strength to carry out those choices once I know them. He is a well that never runs dry. I see you are also a patient of Dr. Nick. I am so impressed by him and his staff.
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Congrats on your weight loss and I feel so happy that you Accepted Christ in your life. You are doing awesome all around!
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YAY! Congrats on your weight loss but most of all your decision to put your faith in Jesus Christ. Much love to you!
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So I have my surgery scheduled for dec. 11.. . But im still having doubts! I'm 23 yrs. 5'4" weigh 205 lbs I had gone to a plastic surgeon wanting to have some liposculpting done on me and basically he told that me I was too fat to have it done, not in those exact words but that's what he ment. He said that maybe it was better for me to go talk to gastric Sleeve doctor and that maybe when I lost weight I wouldn't even want anything done to my body. So I went to a confrence where they talk about all the options they have to reduce your food intake and got supper excited! I chose the sleeve because they said it helps with diabetes also and since both my parents side hav e diabetes and high cho llesterol I imagined that would be the best way to go. So then my mom went to another plastic surgeon and e plained everything that happened and he says that he doesnt recommend the sleeve for me because I am too young and because its not reversable and that he has seen patients that are fatter than and he was worked on them and had pretty good results. He said he has known patients that have had the sleeve and that are sick and need Vitamins and are too skinny. I JUST WANT TO GET YOUR OPPINION... WHAT TO DO?
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karely007 12/11/12 WLS - experienceing doubts ???? i feel you should go with your first wise decision/thought you have your younger age in your favor - most "older" sleevers (30+ ) say how they wish they had done WLS years earlier i was an old fart of 58 when i had my WLS best thing i ever did - but wish i had been 23 years young when i had the procedure need to be very committed, determined to have this procedure - if you think you'll go in to the hospital on a friday and go home on monday 100 lbs lighter??? think again!!!!{my mom thought that was what would happen to me] the sleeve is here to help you lose the weight - you have to work with it for the rest of your life, but you have a lot to gain - and lose you have to change your food habits, small portions, drinking et al - but it will change the rest of your life for the better you will become healthier during this process - i took diabetes meds/insulin - High blood pressure meds - wore CPAP - no longer IMO plastic surgery shouldn't be done until AFTER you've had WLS "they" say that your body will "settle" over the next couple of years exercising during your weight loss period and after will help firm things up a bit, - then if you still need/want PS - great!!! plastic surgeon who told you you weren't fat enough for the WLS - and he's worked on "fatter" people with good results??? not fat enough - left handed compliment OMG if you have tried to lose weight a few times only gaining it back + , and if you have co-morbities that would qualify you for surgery - IMO go for it good luck
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Fantastic!!! Gotta love that sleeve :-) My partner and I were talking about the holidays last night. He was saying that he is already eating too much junk (Halloween candy) and how its only going to get worse through the end of the year. I chuckled to myself because I will probably lose a little weight through the holidays. I have had 2 bites of candy and I am not interesed in any more of it. We bought a pumpkin pie because it was on sale - I took one bite and almost gagged because it was too sweet. No more pie for me. Could it be that this will be a season when I am actually in control of myself? Now THAT'S something to Celebrate. Congrats!
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Advice Needed During Wait
BettyG replied to tracybshaw's topic in General Weight Loss Surgery Discussions
My insurance does require 6-months of medically-supervised weight loss, but I had the same worry -- that I would lose too much and disqualify myself. My nutritionist assured me that if I got close to that, she would put me on a maintenance diet. Do you have access to a nutritionist? They can help you maintain your weight without eating crap. Sent from my iPad using the BariatricPal App -
Advice Needed During Wait
pr737 replied to tracybshaw's topic in General Weight Loss Surgery Discussions
I'm in a similar position. My insurance requires a six month medically supervised diet. I'm exactly at a BMI of 35 with high blood pressure. I can't lose or gain weight. Sent from my iPhone using the BariatricPal App -
Hi Everybody! My name is Kati and I am in Eureka, Ca. I am pre-op gastric bypass, and will be having my surgery done at UCSF with Dr. Carter (has anyone else had him???) My pre-op appt is June 7, and I have a tentative surgery date of June 26, which will be finalized at the pre-op appointment. I have yet to have my info sent to insurance, but the medical assistant at the surgeon's office has reviewed my file and has determined that I have met all of the insurance requirements, fingers crossed! I have to travel 5 hours for my surgery, and then home after, and am a bit nervous about that. Has anyone else had experience with this? I have been overweight since my teenage years, but my dysfunctional relationship with my body and food began long before. I remember thinking I was fat at age 4. My highest weight ever was 330. I am currently vacillating between 315 and 321. I am scared most right now about insurance covering it, I have Anthem Blue Cross/Blue Shield in CA. Anyone else have experience with them? I look forward to learning from and getting to know ya'll!
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Hi, I was recently banded April 7th, 2011. Before the surgery I had to do a semi liquid diet and now post-op I am doing a completely liquid diet of Clear liquids and Protein shakes. Since January 24th, 2011 I have been starting to get back into a diet I managed to lose 24 pounds with a few ups and downs before my surgery.... Now I have lost a total of 41 pounds since surgery and am going through hell trying to stick with liquids. I haven't cheated or anything but I literally dream of pizza every night! I have a few questions with the mushy stage to come: 1. Will I gain all the weight back I have worked my butt off to lose? 2. Will I start to feel better? Because right now I feel like I just had surgery... 3. What type of foods did you guys eat in order to keep the weight off? Thanks so much.Looking forward to the tips !
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Hi guys!!! I was on a losing streak for a while and made my thanksgiving day goal early! Now I am stalled! I went up 2 lbs and have been losing a few oz.'s at time. I wanted to hit onderland by christmas, but, looks like I may have to move it to new years!!! But, I am so thankful for my sleeve. I am able to eat everything and more than I thought I was gonna be able to. which I am kinda greatful for too, because one of my biggest fears was that I wouldnt be able to eat at all. Anywho! People are starting too notice the weight coming off (74 since I started my pre op diet) and I feel good about myself. I am 4 months out and still have a long way to go, but, I am so happy. I wish I had done this sooner!!! No regrets!!! except for the hair loss! LOL!, but, I'm dealing! But, I discovered Joan rivers hair powder. It works awesome. I have thinning hair at my part and crown, this powder stuff hides my shiny scalp and boosts my confidence!!! Yay!
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Ya it feels like its pulling on my stomach starting weight 287.6 current weight 257.4
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I Drank Alot Of Broth.... Help Please!
smileen replied to Magsnlucy's topic in POST-Operation Weight Loss Surgery Q&A
I was told by my nut. to have no more than 1/3C at each meal until my 3rd month then 1/2C. so I measured it out in a bowl and eat slowly then I don't have to worry about overdoing. It was explained to me why it seems we can eat more when on liquids is that the stomach is like a funnel the fluid goes in and drains out quickly as you begin eating thicker food they will take longer to funnel out thats one of reasons not to drink with meals so it will not pass through quickly and we stay fuller longer! Good weight loss! -
Hi everyone i am new to this board i was banded dec 22 2003 i started at 230 and am down to 183 my weight loss has been slow i am have not lost any weight in 3 weeks am going in for adjustment next monday i have 2.6cc in my band right now but everytime i go for adjustment some is gone out of it Heather
