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Having VSG instead of Lapband.



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I had been considering the Lap Band for a long time. I did alot of research and finally attended a Weight Loss Seminar. After going to the Seminar, I completely changed my mind. I am now going to have the Vertical Sleeve Gastrectomy. Several reasons have actually contributed to this decision. The VSG is MUCH more appealing to me. I do not want to have to worry about slippage, erosion, fills, etc. Nor do I want to have the foreign objects in my body. But what also affected my decision was my insurance company's lack of willingness to pay AND the Surgery Center's lack of compassion. My first choice for WLS (for the Lap Band) was Southwest Medical Center in Lafayette, LA. When I went up to the desk to register, I was asked for my ID and insurance card. When I showed them a Louisiana Medicaid card, they asked if I also had Medicare, and I said no. So she handed my card back to me and very rudely announced that Medicaid will not cover any weight loss procedures alone, and that I would have to be on medicare as well. Problem is, I am not old enough to have medicare, nor am I disabled. So I told her that I would consider cash pay if the price was right, and I walked over to the scales to begin my sign in. After attending the Seminar, I got a feel that these people do not have very much compassion. There was a lady in there that must have weighed about 500 Ibs and had a trachea tube in her throat. She was VERY sick and had a hard time even speaking. She struggled to ask questions, and the answers to her were just so blunt, no compassion behind it. I felt so sorry for this lady. She was informed that the waiting list for Medicare / Medicaid patients to even have their first initial consultation is about 10 months. I was flabbergasted! So she asked if there were any way that she would be able to be put on the top of the list due to her condition. She was told no, Medicaid has a list and you are put on the list in the same order that you apply. Nobody is given priority. So this poor lady could die between now and then, and Medicare / Medicaid couldn't care less. The next day, I received a phone call from a patient specialist asking if I'd made a decision about the type of surgery I was interested in. When I said that I had gone in to find out about Lap Band, she cut me off and said that I could not get that surgery because I only had Medicaid. So I stated that I would be willing to be a cash pay patient, so long as I just have the surgery. She said that I could not be a cash pay patient! My mind was blown! I asked her again... please repeat that? Are you saying that I CANNOT pay you cash for surgery? Like you will not take cash? Since when? She told me that Louisiana law prohibits Medicaid patients from having procedures that are medicaid approved, and paying out of pocket. In other words, Medicaid INSISTS on paying for the surgery if it is a covered procedure. Needless to say, I do not give up THAT easily. I made more phone calls, spoke to someone at the hospital itself and she explained the VSG to me in more detail. She also explained to me that the procedure is not covered by ANY insurance, so I will not have to fight with Medicaid to pay for my surgery. Needless to say, with all of the positives taken into consideration, I am 100% sold. I went yesterday and had my initial consultation with my surgeon and he has already scheduled my surgery! I don't have to worry about a 2 week liquid diet because I carry the majority of my weight in my legs and not my abdomen. I will only have to be on liquids for 24 hours, including Magnesium Citrate, and I'm IN! I'm SO excited. My surgery is scheduled for February 25, 2009. I would definitely recommend the VSG over the Lap Band any day!

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I heard Medicaid is starting to pay for VSG so it's good you are getting in before they do... what a weird system!

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Yes, I heard that VSG will soon be approved by Medicaid and other insurances as well. I'm certainly glad that I'm getting it done now instead of having to battle Medicaid. Another thing I meant to mention is that the Surgeon that I'm going to is Dr. Thomas Borland, and his price is only $9,300.00! SWMC was charging $13,665. And also, SWMC never even bothered to call me back after I requested that someone call me back to schedule the VSG. I'm glad they didn't call me though. Blessings do come in disguise.:blushing:

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Thank you. I went for my pre-admit / testing yesterday and got the "all clear". And funny thing... I got a phone call TODAY from SWMC asking if I was still interested in having a procedure and paying cash. I said "Wow, I was supposed to get this call weeks ago. I've found another surgeon in the mean time. Perhaps if someone had bothered to call me sooner, I would have gone with you guys". LOL:tongue2:

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Good luck on your surgery. Check this site out often, I have received such great advice and support here. I just had the sleeve done on Feb 18 in Slidell. I had a rough few days with nausea and vomiting but I am past that now and feeling great. I have lost 10#'s since the surgery. I will eventually try to get that little ticker thing once I figure out how. Keep us posted on your recovery.

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