just starting and already trouble....help

[zimmersdreamer 0]

Well, i had my nut. appointment, she is on board with me getting banded, I finally got my Dr to give me a referal. But the nurse said that most Dr wont take medicaid, and my insurance wont pay for bariatrics. My nut seems to think I can get approved, so she started me on a diet. 45g a day of protien, under 1200 kcals and there was a Fiber restriction that I had too but I forget this early in the morning. The problem is, and has always been... Im not eating enough. I cant seem to get in 1200 kcals a day, I forget to eat. Im not getting enough sleep either. I average 3-5hours a day. I was supposed to write down everything i ate till I see her again tomorrow. I did great writing for a week. did even better making good choices for a few days after that but I forgot to write them down again! :smile2:. Im afraid she is not going to help me get banded (because let me tell you it is like pulling teeth to get my Dr to agree) if i dont have everything written down and it complies with what she wants to see.

any help, remembering, encouragement, ect would be great! I feel like I have failed before I was even really given a chance to start.

[BetsyB 9]

It's really, really hard to pick up the new habits you need. All of us understand that.

That said, you just have to do it. No excuses. Eat what you're supposed to eat, and when you're supposed to eat it. Write it down.

The band will require you to follow rules. Starting to establish the habits now will help ensure your success. Your nutritionist knows this.

But I wonder: is the nutritionist affiliated with the doctor? What makes her think that your insurance contract is not binding?

I would focus on finding the right surgeon. Input from your PCP's nurse is all well and good, but you're putting the cart before the horse. Seeing a nutritionist is great, but only if she promotes what your particular surgeon emphasizes (and all surgeons have their own dietary quirks).

Furthermore, if your insurance excludes bariatric surgery, it's probably inappropriate of her to lead you to believe you will somehow be able to get around what amounts to a contract written in stone.

The VERY first thing to do is get your hands on your policy, and read it for yourself. What does it say about bariatric surgery?

If it excludes it, and you want coverage, the way to make THAT sort of change starts with your employer. That's who has the power to change coverage. The nutritionist does not. And all the journaling and great eating in the world will not change it.

An alternative is to locate surgeons who accept Medicaid. Here is a link that shares some. (Dr. Huse in Carmel--near you--is one of them.)

MEDICAID AND MEDICARE SURGEONS LIST!