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Complications....so broken and sadden
swimbikerun replied to boojak2003's topic in Gastric Sleeve Surgery Forums
Nanna it sounds like you had a really hard time. How are you doing, both physically and mentally? You have been thru a lot. What could we do to help you? We can talk about what to eat and the like but I think the issue is more that you were depressed, feeling deprived and then ate the emotions you had. Did the doctor at any point suggest helping you? That's what I don't understand - unless they're like my bariatric surgeon. -
My Surgery is On May 11th-Anyone Else? In Boca Raton, Florida
LifeChangerBand replied to Merrill1955's topic in Tell Your Weight Loss Surgery Story
Hi!!! So glad to hear that you're doing well. I went online and did some research, then I found this site and saw that a lot of people have gone to mexico for the surgery. My insurance doesn't cover bariatric surgeries, so I thought I should go to Mexico after 4yrs of thorough research. I'm going to follow up here with my primary care physician. -
Anyone ever thought:"I can do this on my own, I don't need the sugery"
MissMac replied to Killian's topic in PRE-Operation Weight Loss Surgery Q&A
I am 64 and have been on one or another diet and exercise plan since my second daughter was born in 1978. My weight yo-yo'd between 160 and 200 for years, and then finally by the time I made my decision in August of 2013, my weight was 235. What convinced me to get bariatric surgery?????? I had a stroke caused by high blood pressure caused by obesity. My spine started collapsing because it could not bear that weight any longer while I fooled around with yet another diet. My choice was do something on buy a wheelchair. -
Just to add on to this thread here. I have encountered many more waiters and waitresses than I can remember. Some of them are not the brightest, but just about all of them are motivated to provide good service. There have been a few, though, who have received my ire... Mrs. LittleBill is extremely sensitive to gluten. All it takes is a few milligrams to make her sick for days. And it isn't like she is feigning it. It's the kind of thing where she will become ill, and then we have do to some forensic work to figure out what she ate that caused it. We've had waitresses ask if she wants white bread since she is allergic to wheat. We have had them theorize that the heat from the deep fryer will kill the gluten, rendering it harmless. We get all kinds of cockamamie stuff. Fast forward to bariatric surgery. I can't drink and eat at the same time. I can't eat most of what is on my plate at any restaurant. I can't even try to 'splain it to the server, because it is a lost cause, and it really isn't any of their business. So here is what I do. First, I order Water for my drink. I can even sip some of it depending on how long it is going to take them to produce the food. Second, I order something that is bariatric friendly - i.e. Protein rich and very little, if any bad carbs. And I plan to take at least half of it home. Finally, I deflect any questions by saying that my satisfaction will be reflected in my tip. I am a generous tipper. These people work hard, for very little pay, and often for people who have an entitlement attitude. It costs me very little to give them a few extra dollars, and they remember me the next time I come in. And, servers share information about customers. In the diners we frequent, even the noob waitresses treat us well. Part of that comes from being nice to them, but part comes from the veterans saying, "These are good people". Word really does get around, on both sides.
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Aetna POS 90 day exercise requirement
youngs2twins replied to Louie'sMom's topic in Insurance & Financing
I have the same insurance and just finished the 90 days. That exercise part was very confusing at first. When I called Aetna they were very vague. My bariatric coordinator was even confused about how the Aetna policy was worded. "Exercise regimen (unless contraindicated) to improve pulmonary reserve prior to surgery, supervised by exercise therapist or other qualified professional;" I called around and finally spoke to a physical therapy place and they said they were not familiar with what an "exercise therapist" was. However, they said they would be glad to work with me. It just so happens that their office is inside of our local YMCA. So, I called Aetna to make sure they the physical therapist that was working with me on my exercise regime was acceptable, and they said that was fine. I've even heard of people that were successful with this requirement by hiring professional trainers. My paperwork was submitted this week. We shall see........ -
I agree with @GreenTealael 100%. Your bariatric team is in the best position to help. We here on the forums really know nothing about you. To start with, your profile isn't filled out, so we don't even have basic info. Beyond the basics like starting weight, goals weight, current weight, age, gender, and height, I'd ideally need to see your food log, and would have your percentages of body fat and lean mass. Finally, I'd want to understand what you mean by "I work out 6 times a week for over 50 mins". Exercise type and intensity make a ton of difference here. Even those things might not be enough though and that's where your bariatric team can help. There is one universal truth if you're not losing weight: You are eating about the same number of calories as you're burning. Without some potential metabolic and endocrinological testing that your doctor can do, it would be hard to know if this is due to Eating more than you think Burning less that you think in exercise A slow metabolism due to the loss of lean body mass Maybe even a hormone imbalance As pointed out, the simplest place to start is making sure your are logging your food accurately. It's really easy to be off by several hundred calories and this can easily be enough to make a huge difference in how much you lose.
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Congratulations,!!! You should really be proud of your accomplishment. I'm still waiting for my primary physician's referral to a surgeon and the bariatric clinic. I think that it's going to be a long journey. Stories like your's inspire me. Keep up the great work!:thumbup:
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Hello All, Just wanted to introduce myself. My name is Jodi and I will be having the lapband Aug 31st (tomorrow). My doctor is Dr Steven Clark from the St Francis Bariatric Center/St Francis Hospital Beech Grove Indiana. I'm looking forward to meeting follow bandsters and anticipate my "new" life to begin soon. I have declared September as my offical End of Summer Clearance Weight Month.
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Leaving dieting behind
jess9395 replied to bellabloom's topic in Tell Your Weight Loss Surgery Story
Bella's situation is very different from many on here, in fact I would say her situation is very unique among Bariatric patients in general. I fully believe that this is what she needs for her new normal. I just as fully believe it is not what most newbies need. For those of us in long term maintenance, I think it's a case by case thing. Saying being restrictive long term won't work is the same thing as saying intuitive eating/educated eating won't work. We all are different people with different histories and different strengths and weaknesses. I had my surgery the same time Bella did. What works for me long term is very different than what works for her. I'm more of a 90/10 or 80/20 person. Some things I just do not eat--bread, rice, soda, sugar drinks, pasta--I just don't so you might label me as too restrictive. Other things I eat in moderation--fruit, fats. Other things are once a week--a cookie or a donut or a glass of wine. Some things once in a blue moon--potatoes for example. That is what works for me in maintenance. And I will say, my loss and maintenance has been way more uneventful than Bella's. I haven't had the medical issues nor have I had the mental struggles or needed post op inpatient treatment for anorexia. So she may need intuitive eating to be happy and live a balanced life. I do not. I need to keep myself in check and know when I have a cookie out of stress or anger and know when I have a cookie out of joy or just plain because it tastes good. I think we all need to come to what we need for both our physical and mental health. But I do not think the first year post op is the best time to do that. During that year we need to learn new habits and listen to people who perhaps know more about healthful post op nutrition than we do. -
Calling All January 13, 2010 Bandsters!
rday205 replied to Just-Ice's topic in PRE-Operation Weight Loss Surgery Q&A
My surgery date is Jan 21st, so I started my 2 week ALL liquid diet today. 6 bariatric advantage shakes a day, plus all the non caloric, non caffeinated drinks I want. 2 down and 88 to go. Got to admit the shakes are not going down very easily (alot of gagging and the last couple swallows coming up)-I think its more of a texture thing rather than the taste, although the taste is not good!! My dietician has rcommended that I blend them with ice as opposed to water and see if that helps, I am about to try that!! Any suggestions, what are the rest of you doing to get them down?? -
We got something similar....I still refer to it some times. I call it my 'Bariatric Bible'
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My doctor, dr. Lara here in El Paso Texas is $10,500. It is a bariatric center of excellence. Del Sol bariatric center if you want to Google him. I'm self pay and get my surgery date on Wednesday. You can email me at dilligaf1983@gmail.com if you want.
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I feel your pain. I just got my denial today. I have BCBS of IL. I got a lap band in 2010 and was self pay. The band IS NOT for me. I should have gotten RNY from the start, but I was looking at the monetary bottom line, and the band was cheaper. I now have BCBS with bariatric benefits, yet they told me there isn't significant failure of the band to warrant a revision. I had an upper GI that shows the acid reflux is burning my esophagus, plus I have a dilated pouch with constant vomiting. HOW DO WE BEAT THE INSURANCE??????????????????
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I'm back! Just an update-- i appealed and as I suspected, I was denied my appeal despite a very convincing, well written letter. I did my best to readjust my attitude about the situation. I used it as a life learning experience. I knew in my heart this wasn't over, so I was going to apply what I learned to my life and channel my disappointment into eating better and starting a workout program. And... Great news! I changed insurance starting January 1st and this coverage allows bariatric surgery!! Since I already finished the approval process with my surgeon, all the have to do is resubmit my paperwork. They either did it this last week or hopefully this upcoming week. I should know soon. I'm hopeful that I'll be on the losers bench in about 30 days or so!
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If ever I do not plan to eat but accompany say my daughter, we always ask first if there is a sit charge for me (I usually will show my bariatric card if I do not plan to eat). I never ask to split her meal, but if I did I too would also check what the split fee will be. Sometimes it is very high. I've used my bariatric card twice at a Chinese buffet. One charged me kids price and the other charged me senior price but I left the tip at the regular rate had I paid full price.. Yes, your doctor usually can give you a card. I travel to Europe a lot, they charge a sit fee for anyone who sits. I know this isn't Europe, but restaurants are looking at all venues and how they operate.
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Dr. Umbach at Blossom Bariatrics. The staff is wonderful! My Surgery is set for the 16th.
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W8loser, Does your insurance company have a Bariatric Program -- are you assigned to a Bariatric Nurse? If so, I agree with the other poster that you should contact notify your nurse. If you are not a part of a Bariatric Program, then I'm not sure that contacting your insurance company would be worthwhile at this point. But you might have a couple of options. Definitely try to establish with another PCP quickly.... but this is easier said than done right? Take a look at your insurance company's medical policy regarding the GS. Most will allow solid documentation from Weight Watchers or Jenny Craig in addition to clinician (MD/DO, ARPN, RD) documentation. For example, United Healthcare will accept Weight Watchers or Jenny Craig documentation in conjunction with documentation of at least two physician visits. So you could use Weight Watchers as an alternative this month if you are unable to see your physician. Hope everything works out for you.
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I try not to take too much offense at folks who make these kinds of flippant remarks. What I think a lot of them don't realize are the very real physiological reasons why many of us aren't/weren't successful with traditional diet & exercise means as a way to lose weight. Unless we're very open about ourselves, (which I'm not) it's probably not public knowledge if you suffer from diabetes, sleep apnea, food addictions, or any number of other things that stand in the way of losing weight through diet and exercise alone. That's not anyone's fault. What is important is that we realized we needed help, we realized that bariatric surgery could be a tool that can help us reach our goal along with the diet & exercise. Easy way out? Please. This is the hardest thing I've ever done.
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Preparing for gastric bypass surgery
Baconville replied to ronitownsend's topic in Gastric Bypass Surgery Forums
Hi Roni, First, congratulation on making the choice to improve your health! This is NOT an easy journey, but it is one that is SO worth taking. I had RNY on 6/25/2013. I was 48 years old, 5’2” tall and weighed 331 pounds when I first met with the doctors at my Bariatric Clinic. I am now 51 year old and this morning I weighed in at 127 pounds! Now I am working to maintain a loss of over 200 Pounds! This can be done! When I met with my Bariatric team back in January of 2013, I was told that I needed to weigh under 300 pounds in order for my surgeon to perform a laparoscopic procedure – and I REALLY didn’t want to have an open procedure. It was a MAJOR incentive for change. I mapped out changes that I knew I needed to make – and decided that I would make one change every week. This way I wouldn’t feel like I had to change EVERYTHING at once. I think my first change was replacing orange juice at Breakfast with a Protein shake. I am a member of the YMCA and I found a recumbent elliptical machine that I could use for exercise – for 20 minutes 3 times a week! I had SO MUCH knee pain that it was hard for me to walk. Eventually, I gave up my Diet Coke, began using MyFitnessPal.com to document what I eat and drink, stopped drinking with my meals, and increased my Water intake. All of these things (and more) were done slowly, over several months. Did it work? YOU BET!! By time I had surgery I was down 45 pounds. I had a VERY success laparoscopic procedure with no complications. Because I was exercising daily by the time I had surgery, my recovery was quicker and easier than many. I set myself up for success before I ever entered the operating room. YOU CAN TOO! Take it one small step at a time. Those steps really add up. This journey is a marathon, not a sprint! Remember that. As long as you keep moving forward, you are moving! That will get you to your goal. Feel free to write to me if you would like a friend/mentor. Best wishes! Carol -
I started at 135.5 kgs and I am 174cm. I also have had no issues and her follow up care is fantastic. I have also realise a female bariatric surgeon is a rarity, for me it was a bonus.
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wellcare of ga approval of sleeve, now what?
allycatt98 replied to mommychuchii_'s topic in Insurance & Financing
Lol. Just be sure to pursue using your benefits as much as possible to avoid out-of-pocket fees. The Psych eval is covered. However, sometimes the Psychologists you are referred to by the surgeon are out-of-network and you end up paying out of pocket. I would call member services in order to maximize your benefits as much as possible. I worked in the WC PreAuth dept for six years and reviewed Bariatric surgeries so I'm used to the shuffle. -
What was your moment?
Briswife15 replied to TattooedSeaStar's topic in Tell Your Weight Loss Surgery Story
My "moment " came in May of 2018 with a series of events. I was 246 pounds, and didn't want to hit 250. I was wearing a 3x in clothes and they were getting tight, and I didn't know where I'd find clothes. I was out of breath and sweatty just walking to my car from work, and I had diabetes type 2. High blood pressure. I was literally a hot mess, and I said to myself "that's it!" I went to the informational session with my husband at my bariatric surgeon's office on May of 2018, completed Anthem's 6 months of requirements, and had my gastric bypass on March 27, 2019. Although I've had complications Im thrilled that I had the surgery! Sent from my SM-N960U using BariatricPal mobile app -
I was Sexually Assaulted at the Obesity Good Bye Clinic
Threetimesacharm replied to a topic in Mexico & Self-Pay Weight Loss Surgery
I am truly sorry to hear of your trials while in Mexico. I do however feel that you should have let the hospital/co-ordinators respond to you first with what they will do about this situation before you brought this to us. You can't let one terrible persons actions in Mexico affect all travels to Mexico. Unfortunately, considering your state after surgery, you really can't be sure what was done to you and by whom. You first mentioned you booked with Bariatric Mexico and then you mention Bariatric Pal; these are two different co-ordinating groups. I have travelled alone to Mexico 3 times and have had the utmost of care, professionalism and comfort all three times. -
Post op would be done by the surgeon, but what I meant above was long term continued primary care. My primary care doctor should be aware of how to treat a patient that has undergone bariatric surgery (i.e. certain medications to avoid long term post-op, what Vitamin supplements are taken, etc.).
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Hi all, My insurance does not require referrals, so I didn't talk to my primary care doctor about weight loss surgery prior to having a consult with the bariatric surgeon's office. At the initial consult with the bariatric surgeon's office though they indicated I would need to complete 6 months of medically supervised dieting with my primary care. Today I had an appointment with my primary care to start the 6 months of medically supervised dieting required by insurance. When I was explaining the insurance and surgeon office requirements it seemed like she had never dealt with weight loss surgery, and she seemed a bit unsure of what her role was in this whole thing. I tried my best to explain... and showed all the papers I had received from the surgeon's office. The surgeon's office also gave me forms for my primary care to fill out during each visit, and I'm worried not enough details was provided by my primary care (when she filled out the first of six forms today) to help my case for insurance to approve my surgery. Has anyone experienced anything like this? It is very unlikely that insurance will approve my surgery anyways, so I'm almost considering skipping the 6 months of dieting with my primary care and paying myself... But then I also worry my primary care doctor won't be able to provide care post-op if needed, since my impression is that they weren't familiar with the process for bariatric surgery and insurance requirements. My primary care doctor seemed supportive of my decision to pursue weight loss surgery, just not informed of the process... Any thoughts?
