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Pennsylvania highmark bcbs revision
Donna415 replied to Stacylynn1982's topic in Revision Weight Loss Surgery Forums (NEW!)
I work for insurance and also have Highmark pa, it all depends on your benefits and if your employer chose to cover revisions. If they didn't choose yes or no either way, it would come down to medical necessity and medical policy. If you call your insurance, they will send you the medical policy just for reference. Sent from my iPhone using the BariatricPal App -
I have failed my band - SUPPORT GROUP
HilaryInRC replied to Tabithan's topic in LAP-BAND Surgery Forums
I had my lap band done in 2008. Since then I have lost weight, gained it back, lost weight again, and then gained it all back again. I believe the weight loss that I have experienced has been due to me starving myself, not to the band. Starving myself is not sustainable and as soon as I start to eat regularly again, I gain about 30 pounds. I am currently at my highest weight (even pre-band. I was banded at 202 lbs) 206 lbs. I have had some trouble with my band. I can only be filled about half-way before I have trouble getting food down. My band doesn't have much liquid in it and it causes me to vomit/pb frequently. Right now I still vomit a few times a week even though my band isn't filled much. Food gets stuck daily for me. I used to have terrible guilt feeling that I had failed my band. Everyone knew I had the band done, so why hadn't I been able to lose a substaintial amount of weight and keep it off? Why was I such a failure? Well, after doing some research, I have come to the conclusion that I haven't failed the band, THE BAND HAS FAILED ME!!! Surgeons are starting to find that the band isn't as successful as they thought it would be. Many people are having their bands revised to the gastric sleeve and some RNY gastric bypass. My surgeon is at the top of the field, a famous weight loss surgeon. His staff is nice to me, but they make me feel guily when I go in. I need to eat less and less, they say. My surgeon recommends for me to eat 900 calories a day. 900 calories! This is madness!!! I am now in the process of contancting a different surgeon about gastric bypass and gastric sleeve. I have severe obstructive sleep apnea, high LDL cholesterol, and have stopped menstruating (I'm only 32). I believe my weight is a contributing factor in these issues. Ladies, I know that some of you feel you could have done better. You feel you could have followed more of the rules, eaten less, snacked less, starved yourself, whatever. But, I want you to seriously consider this idea that maybe the band isn't all it is cracked up to be. Maybe it works for some and not for others. Maybe, the band has failed you! -
Anyone have Kaiser and had a revision?
stacielynntate replied to SadieJosMom's topic in Revision Weight Loss Surgery Forums (NEW!)
HI there I go to South San Fran Kaiser and I'm having my revision surgery on 6/18 to the sleeve. I only have to pay my $20 copay for my surgery as well. I was banded in 2008, had a baby in 2011 and since then nothing but issues any time we try to fill my band. It has taken me 3 years to say yes to revision based on my own worries but after putting back on most of my weight I know it's time. We did document everything we did, new upper GI, fill/unfill band, went on the pre op diet and still had issues and I believe because of the issues I was able to get approved so quickly (decided on 4/29/14 and got my date that same day for surgery). -
Anyone have Kaiser and had a revision?
Leyanna replied to SadieJosMom's topic in Revision Weight Loss Surgery Forums (NEW!)
I should add that per the terms of my insurance, I paid $500 for the band to sleeve revision through Kaiser. -
Congratulations on the 12 pounds! That's excellent!! I can't wait to have my surgery. I recently, since the holidays have gone back on the myfitness pal app and I am really trying to stick to a healthier diet and more mindful eating. Ever since losing the band it opened up a new world again of eating for me and i could eat everything again.. ( very bad) You should be happy you didn't have to experience that with a 1 step revision surgery. :-)
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Kaiser Richmond/kaiser South San Francisco Gastric Sleeve Brothers And Sisters!
Vicki0618 replied to chrissysodapop's topic in Weight Loss Surgeons & Hospitals
Hi There...at this point I'm looking for information and seems like this is the place. I had a lap band from 2008 (placed by a Sutter Dr) until December 2010 when it slipped and blocked my stomach completely. Dr. Fischer at Kaiser Richmond removed my band. Fast forward a year and I have regained all my weight and it brought some friends. So here's the question...I have heard that Kaiser doesn't do revisions. However, since my band wasn't through Kaiser what are the chances of getting a sleeve now? I've done alot of lurking and reading and it seems like the sleeve is a good way to go. Although I did lose weight with the Band I was pretty miserable the whole 2 years, so second question is for anyone who has gone from a band to the sleeve...how is it different?? Thanks in advance to anyone who responds! Vicki -
Kaiser Richmond/kaiser South San Francisco Gastric Sleeve Brothers And Sisters!
Lee replied to chrissysodapop's topic in Weight Loss Surgeons & Hospitals
Hello, I'm sorry your band didn't work out for you. I don't have any personal experience with revision, but lots of people on Obesity Help have revised to Sleeve and been very happy with it. The only way to know if you can get a Sleeve now is to make an appt with the bariatric dept at Richmond and see what they say. Good luck! I'm two years out next week and love my Sleevie! -
Sleeve to Bypass due to GERD
SpecialK92 replied to beaker27's topic in Revision Weight Loss Surgery Forums (NEW!)
@Phoenix20 I feel the exact way. I am now torn between a sleeve or bypass. My final weigh-in is Monday before submitting to insurance. The rate of revisions I'm seeing is not comforting, but I had my heart set on a sleeve. Acid Reflux terrifies me because I'm a singer. UGH. Good luck to you and your decision. -
ANY APRIL SURGERIES?....
birdie1 replied to mmlucas77's topic in Tell Your Weight Loss Surgery Story
April 18 for me. Leaving for San Diego in a few hours for revision from lap band to sleeve. In mexico with Dr. ortiz...Soooooo nervous -
March 2014 Surgery!
WantHealthyLife replied to Blue614's topic in PRE-Operation Weight Loss Surgery Q&A
Just got my date for revision, March 27th. My biggest fear is failing again. I'm not telling my family until after the surgery, the one person I told I was considering revision said,"oh, the other worked so well". Which blew all my confidence, so to keep positive, only people that are positive know before surgery. My doctor doesn't have me on Pre-op diet? -
"Everyone here must agree with me and validate my feelings or I may get sulky." If you took offense, it wasn't my intention to imply that you were actively seeking validation. To revise, it simply appears that posting your position here in R&R has resulted in several responses that are in accordance with what you've put forth. Whether or not you sought or benefited from that is irrelevant. Clearly, you've told us that you were able to convert your frustration into a healthy lifestyle choice (the marathon). The ability to do that is a great asset for any lapbander. "Psychobabble," however you are defining it, obviously isn't for everybody. I myself believe that mental and physical health should be actively sought after simultaneously. If you are of the position that mental disorders and therapy which addresses past trauma do not impact weight problems (or lifestyles that cause them), then I'd suggest saving yourself future frustration and not visiting that thread anymore. Unless of course you do want to read things that rub you the wrong way, then use that to go out and exercise. That seems productive as well!
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I just had my revision from lap band to sleeve on October 29th and I live in Cloquet, or 30 minutes south of Duluth.
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Pennsylvania highmark bcbs revision
Donna415 replied to Stacylynn1982's topic in Revision Weight Loss Surgery Forums (NEW!)
I sent it to you but here is the part about revisions. A conversion from an adjustable band to a sleeve gastrectomy, RYGB or BPD/DS for individuals who have been compliant with a prescribed nutrition and exercise program following the band procedure, and there are complications that cannot be corrected with band manipulation, adjustments or replacement. Inadequate weight loss due to individual noncompliance with postoperative nutrition and exercise recommendations is considered not medically necessary for revision or conversion surgery and is non-covered. Repeat procedures for repair, revision, or conversion to another surgical procedure following a gastric bypass or gastric restrictive procedure are considered not medically necessary when the criteria listed above are not met. Sent from my iPhone using the BariatricPal App -
Kaiser Richmond/kaiser South San Francisco Gastric Sleeve Brothers And Sisters!
chrissysodapop replied to chrissysodapop's topic in Weight Loss Surgeons & Hospitals
Stacy Yeah Liz is a B*tch just to warn you. I was warned so I kept my mouth shut. She is way ruse. Made a lady almost cry at my orientation! She screamed at some ol;der woman for having gum. Just ignore her-that is what I did and that was very hard for me. lol! Robin I like her she is our dietician. I have DR. IM and LOVE LOVE LOVE him. Wear your heaviest jeans, t-shirt, sweatshirt, shoes heaviest everything to the first weigh in!!!! lol..a little trick. hee hee. anyways. Dr. Baggs I have heard great things about him. I have heard not so nice things about Dr. Fisher but he is older and old school and WAY strict of weight. Dr. Bags is really easy on weight from everyone I ever met. I had to loose 222 pounds but Dr. Im made everyone else I met in the program only loose 10!! I was like wtf?? hah ha I have not ONE complaint with Dr. Im. I loved him and think he is wonderful. I wanted him or Baggs. The other two park (a woman) and Fisher is the STRICT ONE. He gave a bander 80 something pounds to loose! CRAZY. DONT be late they will close the doors it is a little silly how strict they are. NO JOKE! Just stay there for your break too. She locked 2 people out cause they were late from break but there was a long line in the restroom! My husband was there with me and he had some not so nice words to say. ha ha. Tina I am all for you whatever you decide! This surgery seems so simple and too good to be true dosent it? Ash says she now can eat what she wants and be completely satisfied, john too just smaller amounts! Seems like a dream! I would do EVERYTHING it takes to get that revision! I know what you mean. A LOT of people on the board would switch but just don't say anything. I proll have already rocked the boat over there enough but ohh well! It is just super duper scary about all the things that can happen. And most of these people that are saying this lived through it and had the band! Check out that chick Tiffykins-her story is nuts. -
Yes, unfortunately, I know those comments and looks all too well. Sometimes I wish I had just not told ANYONE that I had the surgery! It is so embarrassing! I haven't set any goals yet...I suppose that would be a good start! lol! Since I'm having my port revision surgery tomorrow, can you tell me what the "norm" for a port revision post-op diet is? My revision surgery last month involved moving the band, so it was like the first surgery, I had to be on liquids for a week, softs for a week and then progress into solids. I cannot lose that way...potato Soup likes me too much! I know they'll give me guidelines when I leave the surgery center, but I was wondering what your rules were. I'm not sure how to set realistic goals when I don't know what I'll be able to eat. I'll start with this goal...I promise myself that I will not eat unless I am really hungry. I'm such an emotional eater and I didn't even realize it until I started reading this book called "Breaking Free From Emotional Eating" by Geneen Roth, which is so far very inspirational. Elizabeth
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I have failed my band - SUPPORT GROUP
HilaryInRC replied to Tabithan's topic in LAP-BAND Surgery Forums
Amy, do you ever consider revision to the sleeve because of the lack of restriction with the band? What are your thoughts? -
Brigham and Women/Faulker Hospital
singingintherain replied to nomadem's topic in LAP-BAND Surgery Forums
I had my psych and nutritionist visits plus a follow-up dr's visit when I got my date for Banding about a month ago. I was under the assumption that we went in for a final visit BEFORE the procedure when we were officially weighed, put on the pre-op program for 2 weeks and then BOOM-the Banding Day. I did hear from the office yeterday and the message was..'wait'. It seems like I was scheduled for an ekg and anesthesiologist visit this week, but the Faulkner people never got back to the secretary to confirm it. She sent another 'nudge' and is still waiting to hear from them. Still in the waiting game. As for "official' to-the-letter pre op diet, I am beginning that tomorrow which will be exactly 2 weeks before . It's Chinese tonight!!!! I guess I have to revise my ticker below since I had pizza last night also. One final fling! But while I was on that mini- weight loss since my last visit, what a difference I notice in my sleeping. I feel well rested in the a.m. because of not having to digest all that food.(I am tired today LOL) ~That's all she wrote.~ -
Sleeve to Bypass revision weight loss success?
Tmusselman posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I can't get my old username to work so I had to create a new account but I used to post on here a lot. A little background on me. I had the gastric sleeve in July 2014. I never felt I had the restriction I was supposed to from this surgery. When everyone else was posting they couldn't eat a whole egg or yogurt, I was thinking are they nuts. I could eat that and not feel any fullness at all. My starting weight was 290 and through tracking and monitoring everything I ate, my lowest I got down to was 210 and it took over a year to get there. And then I stopped and got stuck there for months and months. Nothing worked, decreasing calories, increasing calories, changing exercise, nothing. Every time I visited my doctor's office I mentioned my lack of restriction and their advise was "just keep eating your protein and tracking your food". Honestly, I felt like I was doing a weight watchers program again because the lack of restriction I had. Fast forward to now and I have regained 40 of the pounds I lost. For the most part, I'm still watching what I eat, but when you have the ability to consume almost a full entree when you go out to eat, it makes it hard to stay on the program. In the fall of 2016, I finally got my surgeon to check the size of my pouch and he stated it's enlarged and I now have a hernia too. After going through everything in 2016 for a revision, i found out my insurance had a one bariatric surgery per lifetime benefit and would't budge on approving it. At this point it was too late for me to switch to my husbands insurance for 2017. I now have finally switched to his insurance and hoping the revision can finally happen. My surgeon is stating he can either do a resleeve or switch me to a gastric bypass. I choose the sleeve because I didn't like the idea of all the vitamins that are required with the bypass surgery and some of the negative long-term effects I heard about. I'm now considering the bypass because I don't want to get resleeved and be back in the same situation a couple years from now. Has anyone had the sleeve to bypass revision for weight loss? I realize weight loss will be slower with a revision. Can you advise what kind of success you had after the revision or any issues you are having afterward? Thanks for all that reply. On another note, I'm not looking for "this is just a tool and just because you can eat a full entree doesn't mean you should" replies. If I had a sleeve that worked like it was supposed to, I probably wouldn't be posting this. -
Confessional - Lets post our cheats/confessions/etc so others can see that we are all human
claricey replied to Matt Z's topic in General Weight Loss Surgery Discussions
5 weeks out from sleeve to RNY revision and I ate a mini chocolate chip muffin. I didn’t burst into flames or dump or have any side effects. Kind of wish I did. But that muffin tasted wonderful. -
Hi everyone! Well...I had my port revision on Tuesday the 30th and I'm back at work today. The surgeon gave me a 1cc fill during the revision and I'm aggravated because I STILL do not have restriction! It feels like I don't even have a band! Arrrggggg!!!! I'm at 6cc in a 10cc band. I'm calling this morning to set my appointment for my next fill. I want to get on with this weight loss thing! lol! Just wanted everyone to know the revision surgery went well and I'm having very little pain. I haven't been writing my food down since I'm still on soft foods through this weekend, but I'm planning to start writing EVERYTHING down on Monday. Happy New Year! Let's make 2009 the time to shine!!! Elizabeth
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I have failed my band - SUPPORT GROUP
Iwantthis replied to Tabithan's topic in LAP-BAND Surgery Forums
I also have these issues....no metabolism, ugh! Banded in 07 245pds, current 215pds. I have a spinal cord injury and can't exercise with meaning!! If i eat 800/900 cals a day, I store and do not lose. If I up to 1200+/- I lose at a rate of about 1 pound every couple months. I stall for 6-8 month intervals. How is the revision? Sent from my SM-G900R4 using the BariatricPal App -
You are not alone, Happy. I lurk here, but don't post much. I'll lose a few pounds right after a fill, and then spend a couple of weeks gaining and losing those same few pounds. I, too, have never PB'd, slimed or got stuck. (not that I really WANT to, LOL) I can eat whatever. Last week I ate 3 slices of pizza with absolutely no trouble. :cool: My net loss is about .5 lb per week avg. I know, a loss is a loss. I AM happy that I have lost some, but I know I could/should be doing way better. I have a heck of a lot to lose - at least 150 lbs. I thought because I am starting at such a high BMI the weight loss would be easy at first, THEN slow. Ugh. I'm behind in my fills, which I know is part of it. I may be looking at port revision soon - my port is at a funny angle and I have to have all my fills under flouro. My surgeon does not typically do the flouro, and he is not happy about it. I'm afraid my ins will not cover it. Anyway, I don't mean to be too negative. I do have hope and faith that this will work for me eventually.
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Josiebies TT and Breast Lift 5/11/09
JosieK replied to JosieK's topic in Plastic & Reconstructive Surgery
hi sue, my pre-op was very similar to yours. the only difference i'm not going into hospital. he has his own surgery center. i didnt meet with the doctor this time. it was the surgical nurse and i felt so comfortable after our meeting. she had a TT 10 years ago and said she would do it in a heart beat again. she went over the good, bad and ugly and didnt sugar coat it. i was glad because i think i have a clear pic of what to expect. they showed terrible pics of what happens if you smoke after surgery. i've never smoked so it isnt a problem but the pics were pretty scary. i'm getting excited too....i actually wished they would have knocked me out then and there and did the surgery....wouldnt have to worry. altho' right now i'm not. but closer to it i may be i have one potential issue but dont think it will occur. i had to have a biopsy because my pap came back a little funny. the gyn doesnt think it's anything but if it was (i find out thursday) then of course i would have to revise this surgery. anyway when i was a kid, when we jumped into a deep pool...my friends and i would hold hands and jump in. so we can jump into this surgery together. oh one last thing...my doctor likes you to sleep in a recliner for the first days. it helps the blood flow which in turn helps healing in the belly area. i tried to rent one to no avail...so i bought one online last night. hope it comes in time. anyway take care josie -
Lower-end BMI Sleeve Surgery. Any others?
Zane's Mom replied to Kevineastwest's topic in POST-Operation Weight Loss Surgery Q&A
Superslim I am super confused. Have you gained 22 pounds since the revision? Or did you gain 22 pounds during the slipped period. And if you are hungry and still on fluids then it will get better when you start a normal diet. I'm 5 & 1/2 months and I can really get hungry. Starving like the old me, but a few bites later full like the new me. You really are going to have to cut out the bad habits. I don't go to any fast food any longer. I can stop and get a shake at a convenience store or a P3 lunchable at a grocery or many other things. I try to have stuff with me or make sure I'm home during meal times. I hope the sleeve will give you the permanent tool to get back to your goal and maintain !!!! -
Consult run down- my 1st consults I am grouping as one - those were the Mexico ones, which are basically just virtual. Price for both surgeries was between 8-9.5K. Fam begged me not to go to Mexico then my cardiologist said I would come back in a box so they got nixed Right away. FYI, Idid get a quote from Bariatric Pal MX for all those curious. You never "converse" with the surgeon during the process (which is different from the other Mexico consults) and they didn't have any openings until September. My second consult was probably the worst. Surgeon said with the amount of sag I have the implant would have to be done in a separate surgery- which was hard to hear. What was harder to hear was that I would end up part of the itty-bitty titty comittee. He said I would end up possibly a B cup. That is a no go, even for the 4 months in between surgeries. Plus how the hell are you gonna turn a 36DDD into a B. What type of hack job is that? Quote for that 19K. On to today's consults (#3 & #4) first doctor was super personable. He said he'd have no issues doing the implant and lift at the same time. But it would need to be a small implant - with out the implant I would end up a large C but would not have that full round look on top. With implant, rounder, perkier. Arm lift, great candidate, easy-peasy. Scars with be long and knarly, with take a year to lighten. He said I would have drains in the arms for a week, no drains on the breasts. Cost for that 17,513. Second consult of the day(#4 consult) was a bit more dicey. First off Doctor was a little surly (but f*cking handsome) and he had a similar take as the first of the American surgeons. Lift and implants at the same time were not a good idea. Why? Chance of revision would be high, symmetry would suffer, chance of necrosis of the nipple high. What I did like about him was the fact that he crinkled his nose when I said the other doc said I'd be a B. Worst case scenario, large C, probably a D. If they ended up a D, frankly I wouldn't go back for the implant. I might loose feeling in my nipples, yikes. Again, arms no biggy, great candidate. Cost 15,400. He said if I wanted the implant later for fullness on top, he would give me a steep discount. Still two consults to go on January 28 and then I make my decision. Oh, and no one today said anything about it being too soon. So if you want plastics now, go!
