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getting worried... anyone to talk with?



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I'm totally getting worried that my insurance won't approve my surgery in march... hopeing to have it in april. I am doing everything my insurance needs and I'm just scared its not good enough. I've never been so scared that insurance wouldn't approve because since the start I've had it all planned out in my head. I have my 6th and final weighin on feb 1 and then doing an extra month so that's march 1. Then having all my cardiology and pulminology stuff done in feb and then my psych eval around march 5. Then hopeing to submit to insurance by no later than march 20! And if all goes well and they approve (takes 7-10 days) then hopeing for surgery by no later than april 30! All my insurance requires is 6month weigh ins with pcp, 1educational class, seminar, letter of med necessity from pcp, cardiology,pulminology, psych eval and I believe that's all, I did have slep study and get results for that tomorrow but that was my surgeon requirment. Now that things are getting closer and closer I'm even more excited but so scared to be let down. I also changed from RNY to Duodenal Switch. Just looking for people to talk to about getting WLS since I have noone else really. Sure I've annoyed my hubby and mom about it lol anyways my stats are

CW: 319LBS

HW: 346LBS

I'm 5 ft 5in and 21 yrs old female.

When I started this process my weight was 332lbs. And when I had my reconsult with new surgeon it was 322lbs there. I have high blood presure due to my weight (but since starting this my bp has been pretty decent which is funny) anyways please anyone who can just talk with me would be AWESOME!

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hi there It sounds like you are doing everything right....I know it is hard to wait but now that you have most of the requirements done, hopefully things will go smoothly for you. when is your doc submitting to the insurance? may i ask why you decided to switch? just curious.

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Well after my psych eval in march is when my doc will submit to my insurance. And yes waiting is the hard part, but I'm going to stay positive because I have been doing what I'm supposed to. I decided to switch to the DS firstly because my doc brought it up, and I didn't know insurance would cover it till I talked to him so I didn't do my research to begin with, and then decided to do my research and there's a lot to the DS that I feel would be a bit better for me. Such as keeping the valve unlike in the RNY also because with RNY you only lose about 60% of excess body weight and with the DS you actually lose about 85% excess body weight, and with the RNY people usually gain some weight back, and with the DS weight gain is almost never seen. So that's definitely a plus for me. because if I'm going to get surgery and do everything right I don't want to stable out with some weight gain from my lowest weight which usually happens with RNY paitients (not all but some) so I've done a lot of research and I feel the DS is for me. There are some things though that are negative such as body odor is stronger but fixes itself within the first 6 months and having to take in MORE Protein and Vitamins but that's ok for me. He said the DS isn't for everyone but I do believe its for me. And I've done A LOT of research on it.

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I am glad to hear you did research too. we all have to make the choice that best fits our bodies. I chose rny because i have lupus and need to get the weight off for pain reduction. i felt it was the best choice for me as well. my surgeon offers a silastic ring that goes on the pouch and helps people not stretch out their pouch. he will not do the DS surgery, but he does conversions from that to RNY. his weight regain % is very low,but he is aso very strict with Vitamins and food. nothing but lean Protein for the first 75% of weight loss. when you reach that you get to add vegetables back and when you get to maintenance weight you get most fruits back. i like his plan, he has a high success rate if you stick to it. I am excited but nervous. what kind of insurance do you have? i am on SSI so i have Molina Direct. do you have a good support system through your doc and family? that helps with success too.

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That's great. Its always good to have a strict surgeon in my opinion. I'm on state insurance to be honest because I cannot afford other insurance. I have APIPA which i'm in Arizona so don't know if other states have this same plan or what not. Yes I need to lose my weight because i'm too young to be unhealthy and having a BMI of 53 at 319 lbs 5ft5in 21 years old is no good. Have high blood pressure due to weight

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That's great. Its always good to have a strict surgeon in my opinion. I'm on state insurance to be honest because I cannot afford other insurance. I have APIPA which i'm in Arizona so don't know if other states have this same plan or what not. Yes I need to lose my weight because i'm too young to be unhealthy and having a BMI of 53 at 319 lbs 5ft5in 21 years old is no good. Have high blood pressure due to weight

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im sorry to hear you have high blood pressure at 21....hopefully this will get that under control. I am 35, was 5'10'' but lost 2 inches because of my degenerative disc disease so im 5'8 now. my highest weight was 324 and i am now 272.8 i have to be at 268 for surgery pre-opp appt. on jan31. im on two shakes and one meal of lean Protein and veggies a day until surgery. he already has me off dairy, no carbs except for berries. so im already started but he will take away fruit and veg after surgery

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