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23 Weeks Post-Op: More Mountains and the Assumption of Lazy.
EdmontonGal posted a blog entry in Jen's Jabbers
Weigh in day: 187lbs. The scale has not moved. So I am back into the swing of things for 3 more days until I hit the road to go camping again this weekend. This weekend will be purely a social event without ANY work included or even thought about! The weekend in Jasper was Amazing! We met 50 New Canadians from all over the world and provided them with thier first camping experience. I truly have had a renewal of love for my job. I forget sometimes when I am stuck behind my desk under mountains of paperwork. The real ones are much much more amazing! In bandland, things are at a steady pace. I have been lacking in my exercise routine with work being so busy. My food choices were terrible this weekend travelling in a van with 3 young adults for 800km. I was easily influenced and all to quickly made the foolish excuses in my mind that all of the junk that we packed was really for them. Pffft, I'm not kidding anyone! I got home later Sunday evening and had a grilled chicken breast with salad for dinner. Monday, grilled shrimp and pineapple skewers with some brown rice. Tonight, stuffed peppers and Turkey sausage. I also got back on the workout wagon lastnight too so I can't complain. I am course correcting! I learnt that at my fancy staff summit earlier this year. Last week, Sparms bestie and I were talking about the dating world for people our age and people our weight. The matter of assumption about fat people being lazy came up in conversation and it pissed me off, so I thought I would share. Really, a person like me who has been active and healthy (besides being 250+ lbs)for most of their life is automatically pegged for being lazy. I am and have always been anything but LAZY. I personally, can't stand a lazy person. It is one of my pet peeves and maybe that's why this whole topic makes me angry. I am just curious about how many of you out there have been pigeon-holed into the bon bon eating, soap watching, couch surfing fat girl? And what do I plan to do about it? Nothing! Continue to workout my frustrations! Cheers all! -
Approved or Not Approved CIGNA
MrsRoboto replied to lat72's topic in PRE-Operation Weight Loss Surgery Q&A
Have you been weighing in? You need to have 3 recorded monthly weigh-ins over 89 days or more. I did mine at my Bariatric clinic. My clinic required me to lose weight, Cigna didn't care if I lost or gained. Cigna also requires a letter from your PCP recommending Bariatric surgery and a psych eval. Aside from the BMI requirements, I think that's all Cigna needs. -
Upset by inital insurance company response
Phoenix79 replied to Phoenix79's topic in PRE-Operation Weight Loss Surgery Q&A
Apparently not according to the rep my husband talked to. Nothing has changed about our bariatric coverage since last year and my husband didn't have to do it! We'll get more clarification on Monday- figures this would happen on a Friday afternoon! -
My advice...or at least what I was advised - As far as Vitamins, I was told to stick with the chewables for life, since the solid pills may pass through your sleeve before being fully absorbed. I was using the Centrum chewables based on the recommendation of my surgeon...he said this one was the most complete. As far as calcium, I was told to stay away from any calcium carbonate, and find only the calcium citrate. The Bariatric Advantage chewables worked really well for me until I started using the Nascobal Nasal spray for my B12. This is a mail order Rx, and it comes with a multivitamin, Iron, and calcium - all chewable - and it's nice and convenient.
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That was basically the sensation I recall experiencing when I was first diagnosed with acid reflux...though that was a number of years prior to having my band placed. I'm not certain what a bariatric surgeon would advise. My doctors have advised me to continue to take Prevacid daily as I've done for years.
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Just got approved by my insurance for this and wondering if the liquid Vitamins that Insure sends are all-encompassing or if you have to take additional Calcium, B-12 ,D, etc. I currently use Bariatric fusion chewables (2 in am, 2 in pm) that I buy from my surgeon, and I don't need any addiitonal calcium or other pills with those. Just wondering as there isn't much info about the liquid vitamins on Insure's site.
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I just received my welcome/patient questionaire in the mail today I go for my very first appointment of Bariatric Orientation class on June 26th did some more research and now it's all becoming real for me and I've gotten a little scared and almost want to back out because of it!
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With surgery approaching am I really ready?
Daisee68 replied to HopeandAgony's topic in Gastric Sleeve Surgery Forums
Completely normal! I even questioned it AFTER the surgery for a while. Like everyone else said though, it is the best decision I ever made. You just have to get through the first few weeks and then you will see. If you aren't seeing a therapist already, consider doing so - at least once before surgery (though I recommend seeing them continually after surgery). They can help you work through these feelings. PS Make sure it is someone that works with bariatric patients. The last thing you need is talking to someone who isn't a fan of WLS confusing you! -
I have CareFirst BCBS (BluePreferred PPO, DC plan), and I have met all the requirements for my insurance. (I called back when I started this process, and my employer's plan does cover bariatric surgery, so no worries there.) I am over 18. I had a successful psychiatric evaluation for bariatric surgery. I did a structured diet (WW) for six consecutive months, going at least once a month. My BMI is over 35 and I have severe sleep apnea. My submitted all my stuff to my surgeon's office, and they submitted it all to my insurance. Well, my surgeon's office called me back to today and left a message that my insurance plan doesn't do preapprovals for bariatric surgery, and the insurance company said that they will pay for my surgery after the fact. The nurse isn't in tomorrow, and I will call her back on Monday morning for clarification, but now I am curious/worried about this. Is this a common occurrence? It seems weird that I have to have the surgery first before they will make the final decision on whether they will pay for it or not. Any experiences you can share with this would be very, very appreciated! Thanks!
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The Atkins frozen meals are good for our goals in any post-op bariatric way.
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My surgical weight loss center sucked! The girl that handled insurance couldn't even get the right documents faxed to the insurance company. I eventually just faxed the missing documents to the insurance company myself. Then after surgery I never saw my surgeon for follow ups - I always got stuck with some fill in doctor. In truth unfortunately most businesses today have zero customer service and suck. Bariatric surgery is a business and they are there to take your money. Don't let a crappy doctors office make you feel like giving up. Be strong and fight for your health! You got this!
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Attended: Obesity Help Regional Event in MI 6/4/05
NancySmiles posted a topic in LAP-BAND Surgery Forums
Hi everyone: Just wanted to let you know that I attended the "Making the Journey Together 2005" event which was held in Troy, Michigan yesterday, June 4th, 2005, at the Embassy Suites Troy. It was sponsored by ObesityHelp.com; with speakers in all bariatric surgery areas such as Dietitian, Psychologist, Plastic Surgeon, Bariatric Medicine, Bariatric Surgeons, Motivational Patient Speakers, Authors, Counselors/Therapists, and so much more!!! What an AWESOME event!!! Motivational, Inspiring, Informative...and loads of information, tips, vendors, ideas, etc.; and even prizes! I would HIGHLY recommend this event to ANYONE interested in keeping up with news in the bariatric surgery spectrum! I will report on this event at our Support Group Meeting on June 15th! Still pumped up and motivated after yesterday!!! Here is the link in case you are interested to see what you missed! Shocked banana -
I've always done Centrum (or the generic equivalent) and haven't had any issues. Lots of WLS patients take them. As long as a vitamin meets the ASBMS (American Society of Bariatric & Metabolic Surgeons) requirements, it should be fine. for calcium citrate, I have three ways I take it --- Upcal D (a powder which I mix into things like yogurt), generic calcium citrate tablets from Walgreens or CVS, and Bariatric Advantage calcium chews which are great for traveling or for when you're out and about and not near your regular calcium stash (I always keep a few of them in my purse for that reason).
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Hello everyone! I've had the gastric sleeve. Since having the surgery and losing weight, I've decided to focus my Health Coaching practice on Bariatric Patients. I know how hard it can be dealing with all the changes and all the emotions that come with it. I'm giving away free 30min consultations for a limited time to those who feel like they could use some guidance. Please reach out to me if you'd like to schedule a free consultation! Lisagoberlmt@gmail.com thank you! Lisa (leelu) 🙏🏻❤️🌸
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Starting Up! Help With All Areas Of Lapband Surgery
Jean McMillan replied to tjeep34's topic in Tell Your Weight Loss Surgery Story
Researching, identifying, and selecting an insurance carrier that covers WLS, will accept you as a subscriber at a premium you can afford to pay, and will eventually approve you for surgery sounds to me like an enormous task for an individual patient to undertake. Doing all that could add years to your journey. I suggest that instead, you research bariatric surgery clinics in your area, attend an educational seminar, and hook up with a clinic's insurance coordinator to get suggestions for how to deal with the insurance issue. If you eventually decide to self-pay as 2muchfun suggested, I wouldn't recommend the band. Don't get me wrong, I love my band, but the band requires a LOT more aftercare than the other procedures because it usually doesn't work without fills, and those fills (and unfills) can get to be expensive both in terms of cash and in terms of your time and energy. You'd also need to consider the possible expense of revisional or corrective surgery if something went wrong. For example, my port flipped over so I needed surgery to reposition it. My insurance company was billed a total of $34,628.70 for the repair surgery, and paid the providers a total of $4850.11. I don't know about you, but I don't usually have an extra $5000 stuffed under my mattress! Jean -
Not sure who my surgeon is yet. It will be one of the two docs that are affiliated with the Baptist Hospital Bariatric department. I have my first seminar this Tuesday. I am just hoping that my insurance will approve the surgery = )
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It's kinda crazy but true. Many insurances require either a BMI of 40+ or a BMI of 35+ and two or more Co-Morbidities. Every insurance is a bit different, so make sure you check out your own to get the details of how to qualify. The Insurance companies get very very picky when it comes to paying for bariatric surgery.
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@@ambrosia916, I think you might want to see what is required by your insurance. Your dietician may have a point. There's a reason why you need bariatric surgery, just like the rest of us. Maybe gaining 8 lbs will put you where you need to be in order to qualify for the surgery. Check your insurance qualifications for surgery.
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Last week I attended a seminar about LAP-BAND® hosted by one of our local weight loss institutes. I was very exciting. They provided a lot of information including just a quick blurb about cost and that at the first visit the financial counselor would review your insurance one-on-one. That makes sense, everyone has different insurance. They did include that there would be: $500 – program enrollment (includes pre-authorization testing), $400 – psychiatric eval, and $1,000 for the three year nutritional/exercise program. That all seemed reasonable to me. I also knew that my insurance had a $1,000 access for bariatric surgery. When I got the appointment today they said it would be slightly over $8,000. In addition to the costs listed above they use a second surgeon who is out of network (out of everyone’s network) which is about $5,000 and some miscellaneous fees. My husband has been active duty military for over 20 years and I have not seen a “civilian” doctor in a long time. I knew it would not be cheap but I was really surprised at the cost. Is this similar to what your fees were? I know each insurance is different but I had serious culture shock! :scared2:I was going to use my insurance through work but now need to look into TriCare referrals.
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Why not insurance approval prior?
Maddysgram replied to oklafarmgal's topic in PRE-Operation Weight Loss Surgery Q&A
That's where you talk with the bariatric surgeons office and let them tell you if you qualify. My ppl told me, no problem. Best Wishes! -
Thank you for your comments. I have another post op appointment this week and I'm going to discuss some things with them. My daily goal is 80g of Protein and 60oz of h2o. I have a hard time hitting both goals on a daily basis. I need to be better about logging my food to monitor my intake. I am always very conscious of what I eat. Limit carbs to a minimum, Proteins first, and add veggies. The sleeve forces you to be a meal planner and some days it's tough to get it all in. My gym does offer sessions with a personal trainer but all I hear it eat, eat, eat. Although eating is the key, it's hard because 8 hours a day I am on the go in a fast paced work environment. I usually grab a snack mid morning and mid afternoon and it's usually in the form of a Protein Bar. It's quick and easy. I will definitely ask my Bariatric team if they know of trainers in the area that works or has worked with WLS patients. Someone a little more familiar with the procedure may help. Kyle
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I need help with Pre -op diet
MarcyLoo replied to jennielee82's topic in PRE-Operation Weight Loss Surgery Q&A
Just to touch on the liver... Back in 2005 I had laparoscopic surgery to rmeove my gallbladder. The surgeon noted I had fatty liver, and because of the size/condition of my liver it caused some extra bleeding that left me in the hospital a day longer than anticipated. So it really is important. Actually that whole surgery led to me doing the lap band today (surgeon recommended bariatric surgery way back then) -
ok PREbandsters, what's for breakfast!
dFaults replied to dFaults's topic in PRE-Operation Weight Loss Surgery Q&A
Could it be the acid from the OJ? Can you have a banana instead? I ask only cause I want to know what other options I or others may have when we get to your stage of the "renewal" -
Protein shakes and vitamins
EmmyJ replied to JayStuk91's topic in POST-Operation Weight Loss Surgery Q&A
I've used the Bariatric Advantage chocolate Protein shake too and while I'm sick of it at this point, I found it very palatable. I'm also a fan of the "unjury" chicken Soup flavor and the unflavored that I can mix into premade Soups, because I need savory as much as possible now. I don't have any specific Vitamin recommendations as I wanted to save money and just used the gummy Vitamins I already had (don't copy me ) -
My bariatric coach gave me a great idea: She said if you take the money you WOULD BE spending on eating out and fast food every week and deposit it into a jar, at one year you would have enough money to buy you a completely new wardrobe or go on a nice vacation! I'm taking her advice!
