MaddieJ 82 Posted June 3, 2013 I'm sure the OP didn't mean to hurt anyone but for some people' date=' when they feel hurt, they in turn hurt others subconsciously.[/quote'] I would agree with that! Share this post Link to post Share on other sites
No game 14,437 Posted June 3, 2013 There has been a pizza trend' date=' huh?[/quote'] Most definitely ! pizza is the new cheeseburger! I guess we are getting old! Oh and the OP? Yes we have, all of us, talked before thinking at one time or another here! 1 Ms.AntiBand reacted to this Share this post Link to post Share on other sites
TES 858 Posted June 3, 2013 Just wondering with having a disorder that causes you to gain weight and not food... How does the surgery then help? If you could eat very little like all salad and gain... Won't you gain with the sleeve still? It's been demonstrated in evidence-based studies that bariatric surgery changes the way that beta cells function and helps people who have insulin-based disorders such as diabetes or PCOS. Some people even have some resolution to their issues (like going off diabetes meds) while they are still in the hospital--which of course is too quick for weight loss to have caused this. This is an emerging field and research is still being done, but I find it very, very interesting. So hopefully the person who posted about her PCOS making it difficult to lose weight (which is also based on scientific studies) will see some biochemical and physiological changes that will help her lose weight. Share this post Link to post Share on other sites
Stef 264 Posted June 3, 2013 my point exactly. your saying they are out for themselves, but they took care of you - hence hypocritical statement. You really don't get it, do you? The insurance company didn't take care of me, MY EMPLOYER took care of me when they negotiated our plan coverage. 2 Ms.AntiBand and Rox reacted to this Share this post Link to post Share on other sites
mistysj 1,940 Posted June 3, 2013 It's been demonstrated in evidence-based studies that bariatric surgery changes the way that beta cells function and helps people who have insulin-based disorders such as diabetes or PCOS. Some people even have some resolution to their issues (like going off diabetes meds) while they are still in the hospital--which of course is too quick for weight loss to have caused this. This is an emerging field and research is still being done' date=' but I find it very, very interesting. So hopefully the person who posted about her PCOS making it difficult to lose weight (which is also based on scientific studies) will see some biochemical and physiological changes that will help her lose weight.[/quote'] This happened to me in the hospital. No more metformin and I have not seen a single blood glucose reading over 5 mmol/l (90 mg/dl for the Americans) since surgery. Diabetes in remission way before the weight loss started. 3 TES, brandnewbie and Molly3 reacted to this Share this post Link to post Share on other sites
MaddieJ 82 Posted June 3, 2013 Insurance companies are crazy! When I had my upper GI I got billed twice for the anesthesia for the same procedure. I didn't understand because I only had one person doing the anesthesia during the procedure. I called the ins co and they said that my employers contract with the insurance co allowed for them to bill twice if a CRNA (nurse anesthetist) did the procedure. They billed $1200 for the MD that was in the building "in case the CRNA had any problems" and $1160 for the CRNA. I was so angry I refused to pay my 20% copay for the MD... insurance companies are really ridiculous sometimes! 2 Rox and Ms.AntiBand reacted to this Share this post Link to post Share on other sites
gmanbat 5,889 Posted June 3, 2013 Three times the insurance approved three separate operations, 2 wls for me and wife and a gall bladder removal for me. All three times they reneged on paying for the anesthetic, over $3,000 each. As if they wanted us to get cut open biting on a stick. We called and called and called and finally got someone who wasn't a screwball and got them paid. 2 Rox and Ms.AntiBand reacted to this Share this post Link to post Share on other sites
Alyjourneys 117 Posted June 3, 2013 Quite the opposite is true. Insurance is based on risk. The risk being' date=' you never know if you will get sick or hurt in the future...the insurance companies' model is to collect premiums from hundreds of thousands of people hoping that they won't all or only few will have have a claim. That's also the reason why they wont just automatically cover everyone. If a person gets sick often hence having a lot of claims then that person is high risk and could be dropped or rejected from a policy.[/quote'] I understand the process as I have worked in the insurance industry for over 20 yrs. I saw how much they covered my late husband who battled Colon cancer for over 5 yrs. I couldn't have ever paid that. Some never really use it but its there if need it. Ultimately most of us would have a rough time making it financially without health insurance. Not all of course, but most of us are covered under group insurance where you can't be dropped. I'm just appreciative for health insurance and that is basically I was trying to say. 4 SamIAm3791, TES, Rox and 1 other reacted to this Share this post Link to post Share on other sites
Alyjourneys 117 Posted June 3, 2013 I pay 700 a month in premiums and so does our employer torwards our insurance coverage. No way in heck they don't make money. They didnt cover any of my weight loss surgeries or the 100' date='000 I racked up in complications. Even though I was dying from complications they refused to agree with the surgeons that it was an emergency medical necessity. my husband maybe sees a dr every few years. Trust me.. They're making money on most everyone or they wouldn't continue the business.[/quote'] I never said they didn't make money. It would defeat the purpose of being a company. I was just sharing my opinion. Some have good experiences and others have bad. Clearly I was just stating my opinion on my experience. I'm thankful for mine. 3 TES, Ms.AntiBand and SamIAm3791 reacted to this Share this post Link to post Share on other sites
TES 858 Posted June 3, 2013 This happened to me in the hospital. No more metformin and I have not seen a single blood glucose reading over 5 mmol/l (90 mg/dl for the Americans) since surgery. Diabetes in remission way before the weight loss started. Wonderful!! Congratulations, Misty! 1 mistysj reacted to this Share this post Link to post Share on other sites
SamIAm3791 22 Posted June 3, 2013 You really don't get it, do you? The insurance company didn't take care of me, MY EMPLOYER took care of me when they negotiated our plan coverage. OH! i get it now! your EMPLOYER paid for your surgery not the insurance company your employer contracted with! MAKES TOTAL SENSE NOW! my question is why would your EMPLOYER even contract with an insurance company if they are paying everyones hospital bills? so do you have monthly premiums? do those premiums get paid to the insurance company or your EMPLOYER? just wondering because i want to start an insurance company where people pay me the premiums to me but their EMPLOYER pays all hospital bills. IM GONNA BE RICH! i understand what you are saying about your company negotiating a contract with said insuarance company. your employer is not paving the road and breaking down barriers by doing that, everyones employer has done the same thing. you keep believing that the insurance company didnt pay for things and that your EMPLOYER took care of everything if that makes you feel better about things. Share this post Link to post Share on other sites
LI Gemini NY 607 Posted June 3, 2013 Not all of course' date=' but most of us are covered under group insurance where you can't be dropped. I'm just appreciative for health insurance and that is basically I was trying to say.[/quote'] A person can't be dropped from a group plan but they can be dropped from the job. It's messed up but I've seen it over and over and over again. I've even been told to keep health insurance cost in mind when hiring (of course I ignored that because I know it's illegal and unfair and I knew it was targeted discrimination)...also in the great USA I'm sure some of you have seen situations where an older person was forced to retire.... :-( Share this post Link to post Share on other sites
Stef 264 Posted June 3, 2013 OH! i get it now! Sadly, it appears as though you'll never get it. Share this post Link to post Share on other sites
AmyRN09 28 Posted June 3, 2013 bsbcMI' date=' the only way to get rewarded with a very fast surgery date is to eat yourself up to 50 and over bmiand it doesn't matter what or how many co-morbidities you have, you can never get a quicker surgery date, the only thing that matters is exactly how fat you are[/quote'] If all that matters to you is the time period of waiting I think you may want to ask yourself are you having surgery as a quick fix or are you having surgery as a lifestyle change?? Most people in the process enjoy the 6 months to make many of the changes required. I hope not, but it sounds to me like you are continuing to eat and just "wait for surgery to fix everything" I hope you have the right mentality for all of this if this small setback of waiting upsets you.. Good luck 1 LI Gemini NY reacted to this Share this post Link to post Share on other sites