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every insurance company AND surgeon are different, and each may require certain pre-op things including: -apt with family doctor and written letter from them In full support of surgery -supervised nutritionist classes and on-on-one nutritional counseling that requires you to keep food logs, count calories, Protein, fat, etc. plus Fluid intake, Vitamins, supplements... - psych consult (my surgeon required more than one apt) and sometimes ongoing psych appts for counseling - multiple appts with the surgeon themselves -cardiac clearance, usually including a stress test - Upper endoscopy or EGD or barium swallow - Pulmonary Function testing and apt with Pulmonologist - MAJOR amounts of bloodwork including thyroid, liver, kidney function, lipids (cholesterol), diabetes screen including fasting blood sugar, A1C, blood insulin levels, various hormone levels, complete metabolic panel, CBC, pregnancy test, and more... - sleep Study and if positive, a 30 day compliance with CPAP machine (the machines have an SD card that stores the data of compliance and it is downloaded)... - Some require proof of ongoing weight loss efforts either through gym, trainer, formal programs like Weight Watchers, etc, and I have seen some require that proof for a 6-12 month timeframe - Required attendance to a bariatric support group for a period of time At the time of surgery, the hospital may also require a chest x-ray, urinalysis and pre-op blood work and EKG and more. These were my requirements. Luckily, I breezed through most of this within a couple of months and just wrapping up my nutrition appts! Like I said, they are all different. Then, there are also some insurance companies that barely require anything at all other than a BMI of 40!
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Insure Nutritions works! Not a scam, as long as your insurance covers protein supplements. They also send you a cream for scars and bariatric vitamins, only thing I paid was the shipping. I had to stay on the doctors office and Insure Nutritions people about faxing, signing and sending prescriptions.
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Help!! I need information on Bariatric surgeon's with Bon Secours in Richmond, VA. I am currently with a different doctor, at a different hospital and have lost confidence in his staff. There's been some staffing changes, and I'm really struggling with the new person/people. I have 4 months left in a year long program, have done everything on my checklist with the exception of my PCP sign-off and that's getting dropped off tomorrow for his signature. Because i'm over 1/2 way there, and these first 9 months flew, I'm now straight up panicking even considering switching surgeons. Does anyone have any experience with the surgeons and staff at Bon Secours - either St. Mary's or St. Francis (Bautista, Carmody, Lee, Karch). I spoke with the coordinator this afternoon (Hilarie) and I felt better after talking to her...I just have spent so many years knowing which doctor I would use at which hospital, I don't know ANYTHING about these guys. HELP!! Thanks in advance!!
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I decided against a sleeve revision as the sleeve wasn't addressing the actual problem. After a few years of trial and error I worked it out and solved my life long problem. I will be shortly launching My Simple Steps to Health as I have managed to lose 65 kgs by myself eating loads of food and feeling happy, calm and it's changed my life. Should be launching in April and I am more than happy to help everyone who signs up from Bariatric Pal for a heavily discounted amount. Thanks and look forward to helping you. Emma
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http://www.jaoa.org/content/109/11/601.full.pdf+html Nutritional deficiences after gastric bypass surgery http://www.eje-online.org/content/165/2/171.full.pdf+html The Endocrine Society’s Clinical Practice Guideline on endocrine and nutritional management of the post-bariatric surgery patient: Commentary from a European Perspective http://pen.sagepub.com/content/35/5_suppl/52S.full.pdf+html Nutrition and Metabolic Complications After Bariatric Surgery and Their Treatment http://spectrum.diabetesjournals.org/content/25/4/222.full.pdf+html Standardizing the Evolution of the Postoperative Bariatric Diet
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Are all calcium citrates really gross?
TristanNicole replied to Klolojadie's topic in POST-Operation Weight Loss Surgery Q&A
Thank you so much for this! She said because they don't absorb the same way as the crunchy ones, BUT your levels are good so that must not always be the case! From what everyone is saying ..and knowing myself..I need some of the bariatric advantage chews. I'm much more likely to take them all day if I'm not having a hard time getting them down. Thank you so much!That's what I was worried about with chews, that the absorption wouldn't be that great, I started with the bariatric advantage tablet chewable a and multivitamins but I only made it two weeks with them, I couldn't hardly get them down and it made me not want to take them. Today I went to costco and got the Vitafusion women's Multivitamin gummy 220 gummies for 8.99 and the Vitafusion Calcium 2 bottles of 100 gummies for 10.99. Costco does have a version of the bariatric calcium chews, they are Kirkland brand and are chocolate or caramel sugar free chews, 180 for 11.99. Hope this helps! Also after I can get to the 8 week post op and I can take caps and tabs I'll switch to those. -
October Surgery Dates
Tammy1975 replied to RhondaWilliams's topic in POST-Operation Weight Loss Surgery Q&A
I am done 80 pounds, I need to beef up the proiten a bit more...Next Friday I get to go to my very first bariatric dance. I got my dress bought, gonna get my hair done...so excited....I will meet people in my area that have gone through the same things as me so it should be really fun! -
Ok, my head is spinning, but the main thing I have gotten out of this is I am back on track with Calcium. I am only taking 500 mg of calcium citrate but i am doing some of the chews AND my premier Protein has 50% of the RDA of calcium - I assume also calcium carbonate but I figure that combo is better then nothing. I am going to order some bariatric Vitamins because I have been doing the kiddo gummys, vit B complex sublingual drops and calcium/Vit D. I think I need to upgrade. Can I ask a huge favor - as someone who really is fairly clueless but always has good bloodwork but gets ill from most vitamins (ie sick to tummy feeling) what should I order? I need a good bariatric multi that won't make me hurl and a better way of getting more calcium citrate since the pills kill my appetite for like 6 hours. I am post menopause and have good Iron stores (even after plastic surgery blood loss!) so don't need iron. My main issue right now is my appetite is poor. I am feeling so excited to weigh 140, but these last 10# came off on their own not according to my plan... a little scary actually. I am okay getting down to 135 but absolutely do not want to get smaller so I need vitamins that don't kill my desire to eat even further.
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Anyone go through Tricare Prime?
ar1kah12 replied to Sarahcarrasquillo's topic in PRE-Operation Weight Loss Surgery Q&A
I am at fort Gordon, have tricare prime and we have a surgeon that does sleeve and they(nutrition, psyc bariatric nurse, and surgeon) have more so favored the sleeve and have coaxed us in our group sessions to choose the sleeve. I can't remember how they described it, but basically being the new age wls. Anyways I went to PCM asked them to refer me due failed documented attempts at weight loss. They set me up for the "super Tuesday" 8 hour day of knocking appts and support group out. I've been on the journey with appts through nutrition classes and one psyc appt. Was just approved to go ahead and schedule my pre-op with the surgeon. Now if I could just get the bariatric nurse to return my phone call I'll be good to go. Lol Eisenhower also have surgeons on staff to do sleeve RNY and band. -
Official November Bypass thread
retzlpa replied to Dream4tc's topic in PRE-Operation Weight Loss Surgery Q&A
I was banded 2010, lost 20 pounds, had problems, my Dr. left and wasn't replaced. January thought I was having heart attack, my band slid up. Finally was sent to decent Bariatric Dr. start 2 week preop diet Monday and surgery for removal and roux en y revision. -
I just came from my pre-op appointment with the surgeon. I sat around in the waiting room for an hour after the appointment to try and get a surgery date but ended up leaving and got a call just now with a date of 10/18/16! Further out than I wanted BUT I'll take it - and it actually works better for work and gives me time to get my shit together. I found out that I actually need to do a 2 week liquid pre-op diet so that was something I didn't know about (thought I was one of the lucky ones). Pre-op liquid diet starts October 4th - 5 Meal Replacement shakes (Bariatric Fusion) and 3 Snacks (broth, sf popsicle, watermelon, sf jello). Yikes - I hope I can stay with it like I've been encouraging others to do! See if I can practice what I preach! October 6th is the 2 hour pre-op teaching class (recommend bringing my main support person with me). The surgeon did tell me that he doesn't usually do a Leak Test in the hospital (THANK YOU!!!) - which actually was one of the things I dreaded the most. He'll only do it if there appear to be issues. He recommended I come off my birth control pills just to reduce the risk of clots - even though we do 1 week of blood thinners post-op (stopped those today). We went over all of the risks, possible complications and signed the consent form. Looks like I'm almost ready... So excited to finally have a date!!!! Thank you all for putting up with me for the last 6 months!
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i believe it means that the insurance does cover bariatric surgery but you have to meet all the requirements for you to get coverage.
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Hi everyone, I just wanted to give you guys an update. I was sleeved on 6/18 and my weight was 246. My average before that was 255. First few days where very hard! By the end of the week was feeling great. Second week my head hunger was getting the best of me. I even cheated and ate 4 fries. I felt no restrictions and it did not make me sick. I was more ashamed of losing control than anything else. I have started WLS Group and I am hoping to start therapy to help with my food addiction. My incisions are hardly visible! They don't even have scabs on them anymore :s I never got nausea or vomited and have been able to eat whatever I put in my mouth. Well, 3 oz of it at least. Now am on pureed foods and that is going great. My favorite thing to eat is chicken breast from a can pureed with my husbands awesome salsa. For the 4th my family made me ribs in a crock pot so that the meat was tender. That was so good and satisfying. I continue to take all my Vitamins (Calcium 1500 mg a day, a multi, Iron, and b12 sub (all from Bariatric Advantage)) every day. I also take Carafate 4xs a day. I drink between 50-70 oz of Water every day. I know I am not dehydrated because my pee is light. Oh I also take something for acid reflex but not sure the name. I have no symptoms of acid rflx. I do not drink Protein drinks because my nut/case manger/surgeon said that it is not necessary but I am thinking I want to try some.. I have read a lot about Premier from costco, I think I will try those. SV (or scale victory): I now weigh 225 lbs NSV: I had to retire one ring finger because it fell off. My clothes are fitting too big My face is thinner and I no longer get sun glass imprints on my cheeks I don't think about food all day a lot energy My hubby cannot keep his hands off me... hehe! No longer take meds for diabetes, high blood pressure and cholesterol I can cross my legs when I sit My knees don't hurt when I sit down to use the bathroom (btw bm's are normal) My fears: tearing my sleeve not being successful at weight loss my food addiction What I am looking forward to: riding my bike... I want to do this so bad but I have not been cleared yet a new wardrobe running a marathon living longer going on a cruise and wearing short shorts! What I do to feel normal: I go to mc donalds every morning and order a decaf coffee I got to restaurants and stick to Soups If you guys have any questions, please ask! Thanks for reading. Veronica
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My evening treat is two Bariatric Advantage Calcium chews. They are caramel -- delish! I take calcium and magnesium in the evenings because they help with sleep.
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Are all calcium citrates really gross?
Klolojadie replied to Klolojadie's topic in POST-Operation Weight Loss Surgery Q&A
Thank you! Are the bariatric advantage chews chewy or crunchy? My Nutritionist said only take crunchy vitamins. How are your calcium levels now? -
Married, have you tried seeing a nutritionist? My doctor has one on staff so there isn't any charge other than my copay. She was very helpful in coming up with a plan. And she was very specifically trained and experienced in dealing with people who have had wls. I guess I was really lucky having my doctor be head of a bariatric clinic at a teaching hospital.
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Starving and full at the same time?
melissa130 commented on Pammers Johnson's blog entry in Pammers Johnson's Blog
Carbs make you hungry. Lose the sugar. You shouldn't be having sugar anyway. I never feel hungry. Never have tummy rumblings. I did read before in a bariatric book that people should have a large glass of water when they feel hungry and they shouldn't be- cuz they had food not to long ago. Often it is your body's way of telling you that you need water and you need hydration. But many people think it means they need food. Try it. It amazes me how that works. Good luck. Proccessed food isn't a great choice- like braunschweiger. Just sayin. Good luck. And please- I am not preaching or judging - just having conversation. -
First PCP visit after surgery in Mexico
HoosierGirl posted a topic in Mexico & Self-Pay Weight Loss Surgery
At last year’s annual physical, I asked my primary care physician (PCP) if I would benefit from weight loss surgery. She said, “Yes, weight loss surgery would benefit you. But, not something as drastic as the by-pass due to absorption issues.” Great – that is all I needed to hear. Last summer, I completed the program at my local bariatric center – even though I met insurance criteria, I was immediately denied – both insurance appeals were denied – I got determined – started researching all options - then chose my surgeon in Mexico. (My BMI was 36 and I had a co-morbidity and met the insurance requirement for surgery, but was denied because my hypertension was controlled with two medications.) It never occurred to me to ask my doctor for her “permission” to go to Mexico for surgery nor did I check to see if she would treat me after surgery. She said I would benefit from weight loss surgery, so I was doing it! After surgery in Mexico, I faxed her the surgery notes and she helped me get off all my blood pressure medication. Fast forward to today and this year’s annual exam. This was my first visit to the doctor since surgery in February. Of course my weight is down, my resting heart rate was great, and my blood pressure NORMAL with a normal sized cuff. YES! The appointment started out like normal, she was asking how I was feeling, etc. Told her I felt great, was eating well, exercising, and losing weight after bariatric surgery in February. She said, “Oh yes! I got the surgical notes you sent me…did you REALLY go to Tijuana and have surgery?! I thought you might have been kidding!” It was sort of comical. As I started with the story – here eyes were huge! But, once she understood my surgeon’s credentials, facility certification, what procedure I had, post-surgery follow up, she had a big smile. My PCP said, “You did good! Our medical system is such a mess and everyone watches the doctors & hospitals, but who is watching the insurance companies? Oh, and I would be really interested in talking to your surgeon about how to practice out of the country. We love the Caribbean and I would love to take care of the ex-patriots living there.” She looks at my incisions and said they looked great. For anyone considering Mexico and concerned about what your doctor might think, don’t be. If your doc is on board with weight loss surgery for you, they might be really interested in learning more about medical care outside the US too. -
Follow-Up Care after surgery in Mexico
huberm replied to gastricsleever's topic in Mexico & Self-Pay Weight Loss Surgery
Be careful; I contacted a local bariatric department to see if they would do the aftercare and they told me they would not do it for anyone having surgery abroad. I have since heard that this is common. -
8 months out and need help!
meggiep replied to lilchappy1980's topic in POST-Operation Weight Loss Surgery Q&A
I agree- knowing how much you need to lose, etc. will help. I know that I have to renew my commitment every single day as the carb monster beckons to me constantly. I suggest returning to basics- Protein first, lots of Water, and counting carbs. Of course the carb part is hard but it can kick start your loss again. Do you exercise? At six months out next week I am upping my workouts- I already do an hour of walking and an hour of water aerobics every day but I will be adding another hour in the water in the next few weeks to keep e losing as I struggle to get to goal. Finally- here is a hug! I feel you! Though I am still losing it is so so slowed down and I am sometimes disheartened. -
Insurance approval
healthier&happier4life replied to kingsmommy14's topic in PRE-Operation Weight Loss Surgery Q&A
It was just a couple of weeks for my approval. I have BCBS insurance and I went to a BCBS Bariatric Center of Excellence. -
Vitacraves And Other Gummy Vitamins
mwrarr replied to aprilcarrie's topic in Protein, Vitamins, and Supplements
My surgeon & NUT told me no gummies, for various reasons but the main one being that they are inferior. They recommended anything chewable/dissolvable, including flintstones chewables (just have to double the dose). I know I've seen the gummy Vitamins at walmart/target, our drug store, GNC & just about anywhere else that has vitamins. Thanks for the tip on the bariatric advantage! Guess I won't waste my money on those. 347*294/285/135 (*347HW/294SSW) | @Mwrarr | mwrarr.wordpress.com -
Did You Have Complications After Weight Loss Surgery?
Alex Brecher posted a topic in General Weight Loss Surgery Discussions
One of the biggest barriers to getting weight loss surgery is the fear of complications. From mild ones like nausea and constipation to more serious ones like obstructions and leaks, complications are common among bariatric surgery patients. Did you have complications after Weight Loss Surgery? Nope, aside from a little soreness during the recovery, things went great! Yes, but nothing serious. I just had some stomach issues. Yes, somehow I developed some nutrient deficiencies. See below for which ones I had and how I fixed them or whether I’m still dealing with them. Yes, I ended up back in the hospital. See why in the conversation below. I haven’t had weight loss surgery yet, but I’m crossing my fingers that nothing serious happens to me. Other. Read my answer in the discussion below. Mark your answer and give us the details in the conversation below. Sharing your experience can help other members who are making their own decisions about weight loss surgery. -
Finally after months of tests, medical appointments, paperwork and hours of explaining to my good friends why I have finally come to this place in my life, my surgery is tomorrow. Check in for 5.30am and surgery at 7.30am. After fighting cancer 14 years ago, complications of the surgery, chemo and radiation caused significant side effects and damage that left me with health effects and took away ability to exercise and my love of trail running. My weight increased significantly. Failed diets made my weight yo-yo upwards. I started to withdraw, didn't want to go out socially. I've struggled to keep up a professional career, fit in plane seats, turned down job opportunities and put up with derogatory comments from business colleagues. I have everything planned, Protein drinks, non caffeine tea (this will he hard), vitamins/calcium supplements and chicken broth..... I have lists of the to-do's and not-to do's from the folks in my Bariatric support group..... Today this has been the first time I have nerves and second thoughts. I so want this to be successful, I am tired of being overweight for so many years, of it ruining my life and my health. I want to throw my BiPAP in the trashcan! My journey starts now - I am scared but oddly excited. Have others felt the same way?
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Now the Doctor Thinks a Sleeve Would be Better Then a Bypass.
Hope to Resolve posted a topic in Gastric Sleeve Surgery Forums
Below is an edited version from 3 weeks ago when I was conceivably talking about getting a bypass with the medical group. Now the Doctor Thinks a Sleeve Would be Better Then a Bypass. With battling weight most of my life 10 years ago I got a lap band put in. I am now 57 years old, 15 years ago I was diagnosed with type two diabetes At the time my Lap Band was put in my weight was 230 pounds. That might not sound like a lot of weight but for a male 5’8 it was a lot for me. In addition to having type two diabetes I have also had two neck surgeries and three back surgeries over the years. The Lap Band gave me significant weight loss. I got down from 230 to 160-165. I also lowered my Metformin from 1000 mg to 500 mg. I lost approximately 70 pounds of weight and maintained this weight for about nine years. To say that it was an easy road for me would be lying, I was constantly having the band loosened tightened loose and tightened like being on a roller coaster. I had problems with the Lap Band being so tight that I was having major acid reflux problems. In addition to that I had some small ulcers around my esophagus next to my Lap Band. Last year I decided I had enough of this and had a lot of Fluid taken out of my band. The major acid reflex went away immediately however, I still have some ongoing small minor heartburn and a small cough because the Lap Band is still in place but a lot of the fluid has been taken out. Because of that removal of fluid I have gained back for the first time in 10 years 35 pounds. Now I am back up to taking the same amount of diabetic medicine Metformin 1000 mg because of the 35 pound weight gain. The bariatric center in Los Angeles is now recommending that I conceivably switch to a Sleeve. This decision is not completely final yet and the acid reflex problems I’ve had for so many years which only really developed soon after getting the Lap Band 10 years ago. As in all surgeries there are risk concerns for changing the body anatomy, any advice or opinions from anyone that has been down this same kind of road would be much appreciated. Thank you for your time and concern. Hopefully one day I can help someone else.
