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LAP-BAND Patients
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Posts posted by Cancel


  1. They require Psychiatric Consult, and I think a letter of medical necessity from your primary also. I included the link to Cigna's policy on Baritric surgery. I do know they require it be done at a "Bariatric Center of Excellence". I am lucky to work next door to the only center of excellence in my area. Hope this helps. My process went really smoothly. The hoops that everyone says you have to jump through really aren't that bad. Plus I would rather know if I have conditions that put me at greater risk of complications ahead of time.

    Good luck to you on your journey.

    Tracey

    http://www.cigna.com/customer_care/healthcare_professional/coverage_positions/medical/mm_0051_coveragepositioncriteria_bariatric_surgery.pdf


  2. Ok I have sleep apnea, and am a respiratory therapist. The issues with sleep apnea and any Bariatric Surgery is bigger than it will go away after we lose weight.

    Yes most people's sleep apnea is atributed to weight but a great deal of people who are thin have it too.

    When you are sedated and have pain medications this also induces sleep which can be hazardous to your post op recovery if your sleep apnea is not treated. It can cause increased abdominal pressure and put you at greater risk for leaks. Sleep apnea often causes your oxygen levels to decrease to dangerous levels, this prevents your tissues from getting the much needed oxygen to heal.

    Yes, many people go through surgery without a CPAP and do fine, but many do not.

    I know I am not willing to risk it. My machine will go with me to the hospital and I will gladly wear it until the weight comes off. I sleep great with or without the machine, never had a complaint about being tired all day or stopping breathing or anything else. Mine was found accidentaly 3 years ago when we where testing new equipment at work and I was 60 lbs less then than I am now.

    Not meaning to scare or preach, just wanted you to know it's more important than people often realize.

    Good luck on your journey and much success.

    Tracey


  3. I was told three hours also but it was more like an hour and a half for me.

    The main points they went over was whether or not you can follow the required post op plan and that you din't have any undiagnosed issues. Like night eating or any alcohol or drug abuse issues. She gave me some information on a book to read about setting Boundaries, in all aspects on my life. Which hey, can't hurt. I am one who does not like conflict and will just go with the flow but I know thats not always the best answer either.

    Overall, don't worry.

    Tracey


  4. WOOHOO it's September.

    Just wanted to post a general Good Luck to September sleevers.

    I know for me it makes surgery so much more of a reality that it's September now. I go for my last pre-op testing, Nutritional consult and metabolic testing tomorrow then 2 week liquid pre-op. All the long wait and hoop jumping has been so worth it to this point.

    Again GOOD LUCK to everyone, see you on the losers bench.

    Tracey


  5. Silvia, Don't worry about being fit in. Most surgeons I know of here, even general surgeons pad their schedule with extra time for every case so you shouldn't feel like they are squeezing you in. You will do great and just think it's one less week of waiting. I wish my surgeon could move my surgery up but with a two week preop diet being mandatory I don't foresee that happening. Keep us posted.

    Tracey

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