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April 2022 Surgery Buddies
Mariann812 replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
I'm doing the same thing - I'm calling it my 'food bucket list' -- favorite foods, favorite restaurants. Here is CIGNA's criteria: Adults Bariatric surgery for the treatment of morbid obesity in an adult (age ≥ 18 years) using a covered procedure outlined below is considered medically necessary when ALL of the following criteria are met: • EITHER of the following: BMI (Body Mass Index) ≥ 40 kg/m2 (BMI ≥ 37.5 kg/m2 in Asians- when ethnicity is confirmed by provider attestation) BMI (Body Mass Index) 35–39.9 kg/m2 (BMI 32.5–37.4 kg/m2 in Asians- when ethnicity is confirmed by provider attestation) with at least one clinically significant obesity-related comorbidity, including but not limited to the following: mechanical arthropathy in a weight-bearing joint (symptomatic degenerative joint disease in a weight bearing joint) diabetes mellitus o poorly controlled hypertension (systolic blood pressure at least 140 mm Hg or diastolic blood pressure 90 mm Hg or greater, despite optimal medical management) hyperlipidemia coronary artery disease lower extremity lymphatic or venous obstruction obstructive sleep apnea pulmonary hypertension evidence of fatty liver disease (i.e., nonalcoholic fatty liver disease [NAFLD] or nonalcoholic steatohepatitis [NASH]) gastroesophageal reflux disease (GERD) refractory to medical therapy • A thorough multidisciplinary evaluation within the previous 12 months which includes ALL of the following: a description of the proposed procedure(s) documentation of failure of weight loss by medical management unequivocal clearance for bariatric surgery by a mental health provider a nutritional evaluation by a physician, physician assistant, nurse practitioner or registered dietician I meet the 40 BMI and at least 3 of the criteria for the lower BMI. Initially I was extremely confident I would be approved, but even with reaching all their milestones, I don't trust them. -
April 2022 Surgery Buddies
Flab-U-Less Forever replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
Not gonna lie...I had a food funeral that lasted a few weeks (ok maybe more like a month) so I actually put on weight right before my pre op diet started. On the day of surgery, I was exactly 40. My doctor said my moderate sleep apnea was a co-morbidity (sleep apnea was discovered during sleep study required in my pre op testing) so I could actually be 35. I worried that since I was not doing anything to prevent the sleep apnea (i.e., CPAP), they could still deny me at 35. The hoops insurance puts us through is ridiculous! -
April 2022 Surgery Buddies
carpeediem replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
It always amazes me how different insurance companies can be on their requirements! My BMI was 37, and I had to be over 35 with a preexisting condition(mild sleep apnea). Also, everyone's programs and length of phases are so different. I was in full liquids for two weeks, and now I'm on purred foods for a month!! Such a long time. -
In Ct with United Healthcare as insurance?
kristiemarie617 posted a topic in General Weight Loss Surgery Discussions
Hello! Trying to find anyone in Connecticut who has United Healthcare. I am in the process of researching the sleeve as an option for me, however United Healthcare has a requirement that the hospital used for the procedure is Yale/New Haven. When I looked into the cost for Yale, it was 3 times as much as getting the surgery done, say, at Hartford Hospital. Does anyone have experience with this insurance or facility? If so, what did you end up paying out of pocket after the insurance paid their portion? -
Post op day 4 complications
gabbykittyvsg replied to gabbykittyvsg's topic in Gastric Bypass Surgery Forums
I'm now 3.5 weeks post op and am feeling great! I can do soft foods in tiny amounts. 2 ounces of deli meat leaves me satisfied, any more than that and I'm absolutely miserable Sent from my Z5157V using BariatricPal mobile app -
18 years ago, I had a RNY. I lost 124 lbs. I kept most of it off until the last 3 years when I gained about 45 pounds. I have been successful in losing weight that additional weight and am back with 5 pounds of my lowest weight! I did not have plastic surgery 18 years ago and it's my biggest regret. Now that I am stable in weight, I'm looking at plastic surgery. I've talked to 2 Docs. And I'm confused and torn. Doc#1 says Fleur. He says that I don't have much back skin/fat. He can pull the skin forward and tighten it. I have a pronounced belly that hangs quite low and I get heat rashes/yeast infections frequently. Doc#1 says that Fleur should be a great solution. He said it will also take care of my sagging mons. (Which I really want gone!) He will also tighten my abs after nearly 50 years of weight gain and loss. Doc#2 says to do a panniculectomy and lipo around the sides. She feels this is the best option as my frame is not necessarily curvy and she could not be sure of getting a flatter tummy. Let's assume, this is all out of pocket cost. I like both Docs. Which would you choose and why? I could use some insight and advice! Thanks
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March 2022 Surgery Buddies
gabbykittyvsg replied to LilaNicole20's topic in PRE-Operation Weight Loss Surgery Q&A
3.5 weeks post op revision to bypass for severe GERD, down 14 pounds, which I'm super thrilled about! In the past couple of days I've started to feel fairly normal physically. The biggest mind trip is getting full on 2 oz of deli meat. If I eat any more than that I feel miserable. No problems getting my fluids in. I went back to work last week and felt good but this week I can tell I'm back to full strength. I even started walking on the track at the adults only community center I joined (and health insurance pays for). The Y has a track too but it's always sooooo loud and busy. Sent from my Z5157V using BariatricPal mobile app -
March 2022 Surgery Buddies
KeishaMarie replied to LilaNicole20's topic in PRE-Operation Weight Loss Surgery Q&A
Hi! Had a gastric sleeve on the 22nd. Currently 3 days post op. It seems every time I get up, there is like a tightness in the stomach after I sipped on a shake. It feels like air, like gas almost. I walk around waiting for it to come up and it is usually more of a hiccup that hurts a lot compared to an actual burp. Is this normal? -
April 2022 Surgery Buddies
Goldengirl321 replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
I would definitely wait. I totally get your concerns and I know that most doctors have the 2 week liquid diet but in reality I know many people who they “pushed thru” with just a few days liquid prior. So yea I would not loose. Insurance can be a b***h! -
April 2022 Surgery Buddies
Mariann812 replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
Thank you --- this is extremely helpful. I am 67 so that explains the stress test. My dh is 56 and is having hernia surgery in 2 weeks and no stress test for him. I know that the cardiologist told me if I can't complete the regular treadmill stress test, he will do a thallium stress test ( which I've had in the past with the IV etc). Is a chemical stress test the same as a thallium stress test -- with the IV and all? Thanks again. -
April 2022 Surgery Buddies
Mariann812 replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
THIS ⬆️ Exactly my concern. Should I wait and not do the pre-op diet till insurance approves? I am trying to do the surgery April 11 or pretty much any day that week as it is spring break and i do not want to take time off from school. My surgeon and his admin know this. -
April 2022 Surgery Buddies
Mariann812 replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
This was going to be the topic of my next question. I intended to quote 3 posts but I may have double-quoted one of them by mistake. anyway, my question has to do with the marker BMI and losing weight. I hover between 39.1 and 40 BMI. CIGNA is a stickler about BMI with 35 being a cut off for benefits. I know that I will lose weight when I start the liver reduction diet next week. A good friend who was sleeved in October told me emphatically 'Do not lose any weight.' After the insurance company gives their blessing, is it okay then for me to stop worrying about losing weight. (Such an odd concept) -
April 2022 Surgery Buddies
Flab-U-Less Forever replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
I agree with @Goldengirl321... I also needed to maintain my BMI prior to the 2 week pre op diet as it was exactly 40. Afraid if I lost weight I would be denied insurance coverage. I lost just over 12 lbs in my pre op diet. You WILL lose weight during it! -
April 2022 Surgery Buddies
Goldengirl321 replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
Hey there! I am just at a 40 bmi with no co morbidities so my dr actually told me to maintain my weight until surgery. Although I do still have to do the 2 week diet prior and I’m sure I will he said at that point the weight won’t matter. My journey was a little different I did all my pre op testing cardio, pulmonary, nutrition, psych, sleep study and my 12 office visits (per my insurance, Aetna) then I was approved at the end of January. I asked to be scheduled mid April due to some work things I had going on. I now have to do more testing at the hospital on 4/15 an EKG, chest X-ray, Covid test and blood work, I’ll see my primary Mon 4/18 for final clearance and then hospital 4/19. But back to your original question don’t worry too much you will loose in the 2 weeks and be a rockstar! -
April 2022 Surgery Buddies
Nurse2u replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
Golden girl since we are scheduled the same day, I have questions. My preop mtg with dietary snd surgeon is scheduled the first week in April. I finished all my required visits in Oct last year but have been waiting for surgery due to Covid. I am nervous because I haven’t really lost much weight since then. I know I will need to go strict diet for 2 weeks prior to surgery but anyone else who has not lost a lot of weight preop in their own??? I feel like I should’ve done better. -
April 2022 Surgery Buddies
Mariann812 replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
I’m using the App for this question so if it ends up in the wrong place, I’ll do it over in a bit. Odd question…but…I am probably having RNY (or sleeve) with Dr Pilati in Cary NC. Here’s the question…it’s convoluted and long. Sorry. The pre-procedure testing is extensive and I have only have the stress test to do on 3/29. I have a large hiatal hernia diagnosed a week ago. Half of my stomach is in my chest which explains the worsening shortness of breath I’ve been experiencing. EKG normal. I have all the markers for CIGNA to approve my surgery: BMI, HBP, high A1C, high cholesterol, high triglycerides, obstructive sleep apnea. We know the hernia will be repaired during surgery. We KNOW there will be a surgery at least to repair the hernia. WHY the stress test is my question? Does the diagnosis of the hernia preclude the need for a stress test? I will not be able to do 7 minutes on the treadmill at an increasing speed and incline because I cannot breathe enough with the hernia. I’ve done 2 stress tests about 20 and 15 years ago when I was 100 lbs lighter (I was a long distance runner). THEY were Duffy in top shape. I want to ask my surgeon we have to do it but don’t want him to think I’m being a pain in the butt. Opinions/experience on need for stress test in this scenario? Thanks in advance. -
Amounts/quantities of foods?
Guest replied to kasanya's topic in POST-Operation Weight Loss Surgery Q&A
Remember it will take weeks (6-8 for me) for your stomach's nerves to heal enough to send you the signals from down there. The restriction will probably be more noticeable later. -
February 2022 Surgery Buddies
Shikin.k replied to MeganMyers's topic in PRE-Operation Weight Loss Surgery Q&A
Oh yes. The constipation. I was crying when I finally had to go in weeks 2 and 3. Stool softeners helped. -
Amounts/quantities of foods?
Arabesque replied to kasanya's topic in POST-Operation Weight Loss Surgery Q&A
There’s so much conflicting information about it is confusing. I was advised 1/4 - 1/3 cup but this did depend on what the food was (still does almost three years out). I could always eat more soup but less if it was a less liquidy, more solid food like mince or a sausage. Some people can eat larger portions. Others can’t. Generally, tread slowly especially while you’re still healing & listen to your body. It is more challenging at first because the cut & damaged nerves from the surgery mean your old messages of being full etc. don’t work as well & you often find they’re not the same as they were either. Try not to eat until you feel full but until you’ve had enough. That full feeling is actually telling you you’ve eaten too much. -
Negative comments from family members
fourmonthspreop replied to fourmonthspreop's topic in Gastric Bypass Surgery Forums
Trigger Warning: ..............................Yes. My dad is a food pusher. We have a very strained relationship now but growing up he would make 3 different dinners at once and have me eat a bit of all of it and then call me fat and bully me. He use to buy packs and packs of ramen noodles and hide them in my things like my desk/book bag/purse as I started becoming overweight as a child. I still can't eat ramen to this day because it brings me back to those moments. Hed tell me how ugly and fat I was but then push huge amounts of food on me. He's from a country where food is unstable and grew up incredibly poor so when he came to the US and saw how abundant food was he constantly buys food and cooks. He's a big reason why I had a bad relationship to food for so long/why im still working through it and why I still have self esteem issues. He's thin and in shape but has a serious problem with alcohol. I didn't tell him about my surgery because a) he wouldn't understand given a language barrier and he's treated me horribly over the years because I'm fat and the last thing I want is to hear those words but about my surgery. He's picked up on the fact that I had a weight loss procedure done. He tries to mend our relationship but still offers food because he doesn't know how else to show love. He offers me healthy stuff now but I simply just decline because I'm not ready to explain anything to him or become closer. Sent from my SM-G975U using BariatricPal mobile app -
Small selection of carefully picked items of clothing that can be mixed & matched to create many more outfits. Often includes those classic separates like well cut trousers, a white shirt, a straight or slightly flared skirt, a blazer, a whit t- shirt, etc. They sometimes say you can include one or two pieces of trend or fad clothing but they still has to work with many of the other items. I’m not a great capsular wardrobe person because I prefer to buy a complete outfit. I find when I do a capsular wardrobe I often can’t wear the piece I want to wear. Like the shirt I want is in the wash as I wore it the day before. Also I get bored easily wearing the same shirts or pants, etc. every week. I could never wear a uniform.
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April 2022 Surgery Buddies
Kimmy Kaye replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
My sleeve surgery is also on the 6th but liquid phase is only 3 days before surgery for my surgeon's patients. I do start 1000 calorie diet on Monday though. How goes the liquid diet so far? Sent from my Lenovo YT-X705F using BariatricPal mobile app -
Chi Franciscan - Tacoma, WA thoughts?
Personal Information replied to Codedsub's topic in Weight Loss Surgeons & Hospitals
I had the duodenal switch by Srikanth in 12/2019. By 7/2021 I was dying of malnutrition. I was taking all my vitamins and drinking my protein shakes - not the pre made ones but the ones you make yourself. I was blacking out, collapsing in parking lots, I couldn’t drive because I was blacking out while I was driving, it got so bad my husband had to bath me. I couldn’t be left alone. I had called Srikanth’s office to schedule an appointment to talk about the symptoms when they first started but was told that I needed to call my PCP so I scheduled an appointment with her. I was put on various medications because my BP was typically around 67/52, I had ear problems in addition to blacking out, collapsing, throwing up any food I could get down IF I could get food down. I eventually ended up in the ER and was admitted for a little over 2 months for malnutrition. Sometimes when you have the duodenal switch your stomach doesn’t absorb enough nutrients and your body will start shutting down. It was awful. Now I’m on TPN and have my vitamins, proteins, carbohydrates, and electrolytes pumped through my blood stream 12 hours a day. I’ve had sepsis 3 times in 2 months. I’m not saying it happens to everyone but the nurses in the hospital said they see this all the time. No one mentioned this before surgery. No one helped me after surgery. Srikanth’s office told me to go see my PCP who is not a specialist in weight loss surgery. I’m so dissatisfied with Srikanth’s office with the exception of Karli. She is wonderful but my issues came on before she started working there but now I have a resentment against there office and don’t ever want to go back. It MAY not happen to you BUT watch out for those symptoms. -
What NEW things did you eat AFTER the soft diet?
FutureSylph replied to Teeva's topic in Post-op Diets and Questions
Can you tolerate raw veggies to the point of salads yet? I'm craving a big crisp salad, but it will be weeks before I can attempt that. I was going to suggest tempeh, but WhispersOfAngel already did. Here's a salad that sounds delicious to me: https://www.bonappetit.com/recipe/warm-chestnut-and-apple-salad -
+it sounds like you hit a plateau? .I lost 33 pounds in 6 weeks then stalled for just over 2 weeks and it literally broke as of yesterday. I'm sure the clinic is going to know whats up and help you over come it.
