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Try the public, and state hospitals in your state. Chances are that they have a Bariatrics Unit that takes Medicaid. In NYC, the City Hospitals have fantastic G/BS Units. Some are in the nations Top 50 Hospitals. Also, there are several Bariatrics Groups (which is a specialty based practice, that focuses ONLY on Bariatrics), That have a couple doctors on their roster that will take Medicaid Managed Care.
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when did you start...
cricketcree replied to linda305's topic in PRE-Operation Weight Loss Surgery Q&A
I had to do 6 months also. I started march 22nd and my surgery date is Sept 10th!! Have you picked a bariatric surgeon yet?? If not, go ahead and schedule that. There will be a list of things he will want you to do like nutrition and exercises classes, going to a pycholigist, maybe even a sleep apnea test. It's better to start now to where when u have met tour 6months criteria, you will be ready to schedule!! Good luck!! -
My menu for today, at 4 weeks out: Breakfast: Premier shake 160 cals, 30 protein Snack: Chobani Greek "hint of Strawberry" yogurt 120 cals. 12 protein Lunch: 1/5 of a hormel prepared meal with 20 g of protein 200 Cals, 10 protein Snack: Turkey/cheese roll up 142 cals 5 protein Dinner: 1/2 serving of bariatric cookbook "Egg Roll in a bowl" 134 cals, 10 protein Snack: 1/2 Premier shake 80 cals, 15 protein I try to get between 800 and 100 cals per day, but some days I don;t make it. I ALWAYS make my 75 or more of protein. Today looks like about 830 cals, 82 protein, 42 net carbs, 8 fiber, 27 fat. I am losing about .65 pounds per day according to my app. I have not yet stalled, although I'm sure I will.
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Thanks everyone. I started with 30 minutes walk starting today. Hopefully can be strict with myself to follow the regime. I realize that I also need to be tuned to the forum to be in touch with all you wonderful people who are so supportive and help me stay motivated. I was always into fad diets before the VSG and I think that my BMR is all messed up! So am happy so far to have lost this much as long as it does not come back again with vengeance. Will have to be patient with the last leg progress, I guess @feedyoureye - Am taking 1 tab of Bariatric Advantage daily and a monthly shot of Vit B12 injection. Else diet intake is under control...though caffeine (with splenda) intake should be reduced and Water intake increased instead !
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Psychological Issues
Ms skinniness replied to Sansa's topic in POST-Operation Weight Loss Surgery Q&A
In a psych eval, they're looking for issues that can cause the person to fail. Some people get these WLS thinking that this is going to cure his/her eating problems forever where as we all know, it's just a tool to help us achieve a healthier life style. Some people, and a lot of us have done this, is to eat to self soothe. It's the same as self medicating with drugs. food helps us feel numb. The psych evaluation tells you where the person is and if he/she has the ability to process and/or learn new coping skills. Here is what I found on the web: WHY DO I NEED A PSYCHOLOGICAL EVALUATION FOR WEIGHT LOSS SURGERY? There are actually two reasons for the evaluation. The first is that it is a requirement based on guidelines established by the National Institute of Health for all patients before bariatric surgery can be offered. The second reason is that surgeons as well as the insurance companies also require it to ensure your health and safety. Weight Loss Surgery is a life altering procedure. As with any major surgery, weight loss surgery can have complications including death, and in the case of the gastric bypass procedure, it is irreversible. For these reasons, the decision to go forward with surgery should not be taken lightly. An evaluation ensures that you are: 1. able to make such a decision 2. understand the consequences of your decision 3. have no underlying psychological conditions that would prohibit you from adhering to the life changes that are required following surgery. -
I have an addiction to food. HELP!
Dairymary replied to startingyoung's topic in Gastric Sleeve Surgery Forums
Of course professional psychiatric therapy would be my first suggestion. You may check with your insurance to see if it is covered. If not, there are self help books out there, free support groups through local bariatric programs, etc. Look for books or programs that deal with addiction and cognitive behavior therapy. Do whatever you have to to find the help you need. You need to uncover the reasons you turn to food and work to develop new outlets for your emotions. Another addiction recovery program mentioned in my support group was Smart Recovery. It appealed to people who weren't comfortable with the 12 step process of OA. They offer online, personal and group support. Food addiction is hard. I know I would not have been successful postop without the psychological support. 1/2 dozen books, 3+ years of personal therapy (which was more valuable than surgery itself), 5+ years of group therapy (free) and now free online forum support. -
Ordering off the kid's menu is a great idea, but most placed I have been say you must be a kid and put an age limit on it. Has anyone ever told the restaurant that they had bariatric surgery and needed to order the smaller portion?
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Newbie with lots of insurance related questions!
hotmamma1979 replied to lisamarie8308's topic in Insurance & Financing
I can answer the last question, the Bariatric program is usually very helpful as this is all they do! They check exactly what needs to be done and they'll tell you. It's a win win for everyone involved so they are good about checking on it. -
Jumped through the last hoop!
highdesertblue replied to highdesertblue's topic in Tell Your Weight Loss Surgery Story
Della Street, When is your surgery? If you haven't had your psych eval, or nutrition consult, I really liked the psychologist, Dr. Olin, and the nutritionist Michelle Berman. They regularly work with bariatric patients.Dr. Olin is in Tempe, and Michelle is in Mesa. -
I have bcbs of mn they said they cover Lap Band but I need the 6 month diet. So I am doing it with my reg. dr because she is in my town. My bariatric center is almost 2 hrs away so I am not using there nutritionist. So I am on my 4th month of the diet and my patient advocate is saying that my dr is not taking the notes right and I should drive to see the nutritionist also for 6 months. Even the nutritionist says thats ridiculous. So this is what I am getting to I am so worried that by only seeing my reg dr for the diet that I wont get approved. But I am doing what the insurance asked the 6 month diet. Does anyone have experience with bcbs of mn? I am so excited about this surgery and so worried they will deny me. I guess I just need to hear some experience from others with my insurance :cry_smile: Help ease my mind pls
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Congrats.I have surgery on the 15th.My preop appt with surgeon is the 8th.I will also meet with the bariatric nurse that day to.She will go over my post op diet.
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Hello, I've been on her for a few months but haven't really posted much but have read a whole lot. My surgery date is this Thursday May 20th. I'll be getting the gastric sleeve revision. I got banded October 2012 & had little success. Lost about 25#'s initially & then nothing more. I struggled with the band & never truly was able find the 'green spot'. I ended up getting to tight & had a good portion of the saline taken out. My surgeon's 'bedside manner' was horrible & I did not want to go back but I did. I ended up talking to a new younger surgeon & he told me I HAD to stay with the other asshat surgeon. I refused. I continued to struggle with what I believe is port pain or possibly where I'm banded & decided to pursue the sleeve with another Bariatric center. I'm so dang glad I did!!! My insurance denied me TWICE & the waiting game SUCKS but I know it will be worth it in the end. I just got notified last week that I'm APPROVED... Stoked but a ball of nerves!!! Excited for the journey ahead
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Now would be a great time to try the chewables you will need post op. I use Twin Labs Calcium Citrate with Magnesium and D (60 wafer bottle--4 a day dose) available at Vitacost.com for $7.67 each, $4.99 shipping for any size order. I order about 5 bottles (plus Twin Labs liquid Fish Oil for my Omega 3s) so I only have to order every 2 months and it all comes for $4.99. I actually paid $17.99 for it in a Healthy Options store, so this is a great price. You can also try Bariatric Advantage (bariatricadvantage.com) for their Calcium Citrate. I am pretty sure it comes with D. Citrate is the better form of calcium (absorbs better than carbonate) and the Vitamin D should be D3 or cholocalciferol.
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You did better than I did!!!! Today was my first day and I'm scheduled for 12/16. I did great while at work before lunch, but after lunch I didn't get to get anything in every 2 hrs bcuz we were so busy. So when I got home I was starving. I made a Bariatric Advantage shake but that was sooooo nasty. I ended up eating 3 chicken nuggets. Now I feel like I'm going to be punished for it. But tomorrow is a new day and I will be sticking to my liquid diet. those shakes are so NASTY!!! I started off with those but i had to change....
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Maybe this info will be helpful to someone: So I was stuck at a plateau weight for a couple of weeks, and I was okay with it b/c I know it happens. But then I actually GAINED weight. In fact, I was feeling overall lousy, bloated and sluggish, with headaches and stomach discomfort. Frustrated, I called my bariatric team and they asked me to give them a run-down of what I was eating. I was drinking a protein shake every day for breakfast, sometimes another protein shake for lunch, and sugar-free pudding was my go-to snack. Long story short, turns out I am lactose intolerant, and the protein shakes I was drinking are made with milk protein, a/k/a lactose. What I thought was helping was actually sabotaging my efforts! I stopped drinking the shakes, cut out milk-based products and BOOM started losing weight immediately! I'm told that it is very common to develop a lactose intolerance after VGS surgery. Had no clue.
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Banded the 25th hoping I'm normal
trish151 replied to shanrich96's topic in POST-Operation Weight Loss Surgery Q&A
You know, the mind is powerful. I don't know what your religious affiliation is, but I too had some of the same worries cross my mind. I say cross, because I chose to only let them be brief. We are told to be transformed by the renewing of our minds. We may have little control over what come across our minds but we can use them to pray for the opposite if the thought is of something such as a blood clot that could harm us, and then meditate on the fact that we prayed for help on our weight loss journies and we received it. At the end of the day, when you have done all you can do, just thank God that you are on your way and have his protection to see you through. I had several friends and family members who were a little concerned for me to have this surgery but I feel that God moved a lot of things around to make it happen. It was also the help that I have been praying for all of these years. I know the inability to lose on my own was a stronghold in my mind that I couldn't get past. Each day I have been telling my body thank you for it's ability to renew itself and heal. If you really think about it, someone put holes in your stomache just a few days ago and already your body is healing and changing into the new you that you have accepted. Regardless if you have to take an extra day off from work. Help me celebrate today that we did this. Take a nap, turn on the radio and walk a few steps in place and just allow yourself to giggle and be happy that you took such an important step towards your goal. It can all be down hill from now. -
Hi Noosh, I did have my surgery on 12-29-08. It went well, and although the incision where the port is was a little more painful that I expected, it hasn't been bad at all. I've lost about 15 pounds (not surprising, since there's not a whole lot that i can eat!), so I've got about 60 more to go. The first week was a little rough, between some pain (though not bad) and wanting to eat. Since then, it's been easier. I will be getting my first fill on 2-11, and I am looking forward to being able to eat real food again soon. As far as the process went with Aetna, it was really painless! The insurance guru at my surgeon's office did basically everything, and the fact that I had been seeing my primary care physician for about 6 months (and had 3 consecutive monthly visits...make sure you get those done) and had tried other way to lose (Meridia, Pfen-Fen, Weight Watchers, etc.) really helped. My out of pocket expenses were about $2000, including my co-pay and the classes that I took through the Bariatric Program that works with my surgeon. I've submitted the fees for the program to Aetna to see if I can get reimbursed, so we'll see how that goes! Good luck to you, and if I can do anything to help, please let me know!
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my story band to hopefully sleeve
mila1013 replied to mila1013's topic in Gastric Sleeve Surgery Forums
Carrin, picking wls is and always will be difficult, mobid obesity via surgery has proven more difficult for surgeons than originally thought with subsequent failures in all wls types. no surgery type is perfect and they all have wls failures due to regain. I am currently waiting for my sleeve denial through my insurance co, that was submitted last week, it should come in by next week, they will deny via investigational, I will appeal. "30 percent of patients who undergo LSG will experience weight regain and require a second step approach, I still believe that we prevented that 70 percent of our patients from having a RYGB or DS, which I consider highly efficacious but at the same time a procedure that has a high incidence of morbidity. In these cases, I do not see the LSG as a failure but more as a ?first step? to a second long-term final approach" bariatric times july 2010. for me I have to do what is best for me at this time, the band is gone and since I did well with it, I am sticking to a restrictive procedure. I think the band is great, but I think it should be used short term only, before injury happens-removed and another wls used. It actually is concerning to me that the band is now being heavily advertised in commercials, etc, a time when so many reports are coming in and europe and australia are starting to abandon the band. this will bring a disaster to the US in the next 5 years or so. be very careful going to a surgeon that only does the band, or rny or any one specific surgery as they tend to sway in that direction. also realize that when getting experiences here or anywhere the first few years (<5) really are the honeymoon, you need to know beyond 5 to get a good grasp of reality. it is a difficult road we travel, and always will be.....good luck to all and peace and success with the choice that has been made...:svengo: Mila -
Happy 4th!!.. I'm So F**king Over Broth!!!
BrooklynSleeved replied to BrooklynSleeved's topic in Gastric Sleeve Surgery Forums
@libbyleeb Wow hello fellow Brooklynite! And congrats on your new surgery. Its sucks that broth is not only our enemy, but it's also our best friend lol[emoji17][emoji17] @BrooklynSleeved (all Bariatric forums, IG, Snapchat, and YT) VSG 6/28/18.. HW 265lbs, SW 257lbs, CW 243lbs !!!! -
You have all kinds of support here. Even though I had tons of family support it was me who was telling myself I would fail this time because I had in the past. I second guessed myself right up until the second they sedated me on the way to surgery. But guess what, I didn't fail and you won't either, because this time there will be something different to help you succeed, and that is your bariatric surgery. This will provide you with a powerful tool to succeed. You will have built-in portion control, which is something no other weightloss program has been able to give you. You will start to see that weight coming off which in turn will inspire you to continue to follow your program and keep succeeding. You will start to have that self image and confidence improve, and soon you will be able to do anything you set your mind to. Have confidence in yourself because you will succeed. The first step is showing up for surgery despite how scared you are you may fail. We are here to back you up. Good luck!!!
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Stricture or not, you need to either find a local bariatric surgeon (or maybe a gi specialist) and have a thorough check, or go back to your Mexico surgeon and be evaluated. You can't go on this way. You won't survive. Gallbladder issues, internal blood clots, pancreatitis, etc. can all cause nausea, so you really need a doctor that can give you a complete workup to figure out what is going on.
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Hi Shauna. How exciting! You’re Bariatric Adventure started in January and it’s getting more thrilling. I was on cloud nine for awhile after my surgery. Welcome...and I hope it all goes great for you. 🌺
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I don't know who needs to hear this but...
Frustr8 replied to JanJan19's topic in Gastric Sleeve Surgery Forums
And although you and I don't always agree, YOU ARE AN ASSET TO BARIATRIC PAL, and your advice tends to Be Spot On. Sometimes it pinches but , hey you're a Truth Teller, and it just maybe was WHAT I needed to👂 Hear! -
Dr. Kelly - Complications
brazcan replied to Tina293's topic in PRE-Operation Weight Loss Surgery Q&A
When I was there I met a lady who had to go to OR again to have a few staples loosened as it seems they were too tight at the entrance of the stomach. It was not a complication but something that could make her transition to solids a bit more uncomfortable. Dr. Kelly had it done without any additional costs and she was very happy with his professionalism, honesty and care. What I was told was that if the complication relates to the surgery they will take care of you at no additional cost. You can give them a call and ask these questions, put some case scenarios and see what they say. In my experience, they honor their words and it does not even have to be in writing. As for checking complications, I think there is no registry for this. What you can do is to check his credentials as a certified bariatric surgeon both in Mexico and USA. I did that and was satisfied with the results. I do not have the links here now but I got them from wasabubblebutt blog. You can do a search for her name here and go from there. I am sure you will be very satisfied. -
Great surgeon in new mexico or arizona
silvap replied to lorraine77's topic in Weight Loss Surgeons & Hospitals
Hello, The go to surgeon in the Tucson AZ area is Dr. Jeffory Monash. He is Board Certified in general surgery and specializes in Laproscopic bariatric lab band, VSG, and RNY. All the best.
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