Convincing the doctor !

[lennonforever 1]

I have an appointment next week to discuss revision of RNY. What do I have to say or do to convince the surgeon I need this revision??!
I had my original surgery in 2014. I lost 100lb in about 8 mo. Since the pandemic I have regained about 50 lb.
I am so miserable. My BP is elevated again, sleep apnea returned , osteoarthritis acting up. Help me please, someone.

[Possum220 230]

Depends on what your current BMI is. That question really is best left to the surgeon though.

[kcuster83 1,504]

Sounds like you just said it. But as mentioned above, your BMI is a HUGE factor, even more so for insurance.

[lennonforever 1]

BMI is important for revision too?? I’m so discouraged.
I calculated my BMI and I am in the “overweight “ category.

is that good enough?
BTW , thank You for your responses. I appreciate them.

does anyone know docs in Pittsburgh willing to do revisions in case mine won’t agree?

[SleeveToBypass2023 2,637]

My doctor and insurance said if you're getting a revision due to weight regain, you have to jump through the same hoops as if you're getting the original surgery. If it's for medical reasons (mine is for that) then there's not much that has to be done besides new labs and a new PCP note signing off on the procedure.

BMI can also play into it if regain is the reason, as well as what you have tried on your own to lose and reset your pouch. Also, if your comorbidities are back and your PCP documents them and they are significant enough to require meds to keep them in check, that works in your favor.

If you gained 50 pounds but you don't require any meds to be stable, they may just put you on a program to get your diet and exercise back on track. You still have your tool, you may just have to relearn how to use it.