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I got the call yesterday that surgery was approved!! I officially started my process on August 5 -- my 13th wedding anniversary -- when I completed my Weight Loss Surgery Seminar online and met for a face-to-face with the surgeon. At 267 at 5'7", my BMI was around 41, so I was an "automatic" approval, even with no weight-related comorbidities.

My insurance, Cigna, still required the 3-month monitored diet (along with a few other minor hoops), which is 4 total nutrition visits. I saw the NUT about a week after I saw the surgeon, then about every three to four weeks, so not 30 days apart, but at least once per calendar month (so mid-August, early September, October, and November).

Because we were on such a controlled time-frame, and because I (and everyone else on Earth!) was working to get in before the end of the year, the NUT told me in October that she would have the Insurance Coordinator prepare my packet for insurance submission. All of my other appointments had been done and reports were on hand, so all that was missing was the final NUT notes. She would attach those after my visit on 11/05/13 and submit to insurance same day.

After that class, she looked at a sticky note on my folder, and told me my packet was submitted to insurance on 10/31, nearly a week before my final NUT class. She said my notes would go over as an attachment. I was super concerned that the submission to insurance before meeting the minimum requirements would cause a denial and delay, particularly after I returned home to a letter from Cigna requesting more information. There was a little back-and-forth with the Insurance Coordinator on 11/06 as she got to the bottom of the letter (standard auto-generated form letter, as it turns out). Then yesterday, she called to tell me I'd been approved, and scheduled surgery for 12/03/13. Hooray!! So, that was one week from early packet submission, or one day from packet completion. Very, very quick either way!

My pre-op NUT meeting and nurse visit are 11/14, and I start my pre-op diet 11/19. I know it's not all liquid, but I'm not sure what it is. My doctor's office seems to be big on getting back to real food ASAP post-op, so I imagine pre-op is just some kind of very low carb diet.

This process has been shockingly easy. So easy, I can hardly bring myself to believe it's truly happening! I've been looking at bariatric surgery for over 14 years, and the sleeve in particular over two. I am honestly blown away that my day is coming -- that it's an actual date in my planner, and no longer some kind-of far off, abstract idea.

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I got the call yesterday that surgery was approved!! I officially started my process on August 5 -- my 13th wedding anniversary -- when I completed my Weight Loss Surgery Seminar online and met for a face-to-face with the surgeon. At 267 at 5'7", my BMI was around 41, so I was an "automatic" approval, even with no weight-related comorbidities. My insurance, Cigna, still required the 3-month monitored diet (along with a few other minor hoops), which is 4 total nutrition visits. I saw the NUT about a week after I saw the surgeon, then about every three to four weeks, so not 30 days apart, but at least once per calendar month (so mid-August, early September, October, and November). Because we were on such a controlled time-frame, and because I (and everyone else on Earth!) was working to get in before the end of the year, the NUT told me in October that she would have the Insurance Coordinator prepare my packet for insurance submission. All of my other appointments had been done and reports were on hand, so all that was missing was the final NUT notes. She would attach those after my visit on 11/05/13 and submit to insurance same day. After that class, she looked at a sticky note on my folder, and told me my packet was submitted to insurance on 10/31, nearly a week before my final NUT class. She said my notes would go over as an attachment. I was super concerned that the submission to insurance before meeting the minimum requirements would cause a denial and delay, particularly after I returned home to a letter from Cigna requesting more information. There was a little back-and-forth with the Insurance Coordinator on 11/06 as she got to the bottom of the letter (standard auto-generated form letter, as it turns out). Then yesterday, she called to tell me I'd been approved, and scheduled surgery for 12/03/13. Hooray!! So, that was one week from early packet submission, or one day from packet completion. Very, very quick either way! My pre-op NUT meeting and nurse visit are 11/14, and I start my pre-op diet 11/19. I know it's not all liquid, but I'm not sure what it is. My doctor's office seems to be big on getting back to real food ASAP post-op, so I imagine pre-op is just some kind of very low carb diet. This process has been shockingly easy. So easy, I can hardly bring myself to believe it's truly happening! I've been looking at bariatric surgery for over 14 years, and the sleeve in particular over two. I am honestly blown away that my day is coming -- that it's an actual date in my planner, and no longer some kind-of far off, abstract idea.

Congratulations, my surgery is the same day as well. Tuesday, 12/3/13

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    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
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