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MelissaAnd

LAP-BAND Patients
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Posts posted by MelissaAnd


  1. I, too have been told not to lose too much weight. For my insurance the sleeve is only covered at a high BMI so I have to be sure to stay above that. It seems so counterintuitive! Luckily I don't have to gain anything but I'm not going at it (losing) hardcore either. Since I'm still down about 40 pounds from last fall I tend to justify my lack of "diet" now with that loss.

    Good luck!

    It is pretty ironic to have to put on weight or maintain an adequate weight in order to qualify for weight loss surgery. All of the doctors that I see, who supported my decision 100% and wrote letters in support of my choice, were all surprised that the insurance company didn't accept my sleep apnea as a comorbid condition for the lower BMI, even though it is clearly listed in the policy as an acceptable condition. Their response was that it was not severe enough! My sleep doctor said, "How much worse do you have to be? You are already using a CPAP machine with a moderate pressure to maintain an open airway during sleep!" He, too, is fighting the same insurance company on different issues.

    Now, I just have to sit and wait until my surgery, which is not too long, and hope that I don't loose much weight in the meantime! I know that it will be so worth it in the end. So, I continue to stay positive and focus on my outcome! Thank you for the support and for sharing your struggles, as well!

    The best of luck to you, as well:)!


  2. Congrats to you! The naysayers really do get in the way of the entire process, in my opinion! My surgery hasn't happened yet, but my surgeon did tell me he didn't want me to lose too much weight beforehand. That's a FIRST from a doctor! Hilarious. A sense of humor will save your life. Keep us posted.

    It is so easy for others to criticize when they are not in the same shoes as one of us! I have gotten to the point where I don't say a whole lot to anyone about what is going on, other than my friends who do support me as well as the few family members that show support. People who are ignorant to what this surgery provides, which is a weight-loss tool, are too quick to say that it is an easy way out. HA! I am fully aware of the commitment that is takes to have this done and that it will entail my entire life to use the tool successfully to get to the healthy weight that I need to be. It is not an easy fix and it definetly is not the easy way out!

    My doctor was great about the whole thing! He also has a good bedside manner and was open with me from the beginning. He predicted that the insurance company would hassle me as this particular company tries to get out of anything that they can. He also told me that now until surgery to follow the liquid diet beginning next Friday, but to be careful not to loose a large amount of weight. In other words, he was telling me to cheat a little so it won't be so obvious! I love a great sense of humor!


  3. I am so glad you are going to be able to have your surgery. And am very sorry you had to go to such measures to get your insurance company (that you pay) to finally work for you.

    I couldn't agree with you more about the insurance company! We have been with the same insurance for over 10 years. You would think that they know we are loyal customers of their coverage and that we are not going to skip out on their policy after the surgery! They are all about making money off of their policyholders that their quality of customer care is really going down the drain! We pay a large amount each month, of which some is reimbursed by my husband's employer, but it still leaves us a considerable payment.

    It was a struggle, but at least it wasn't too long. I have friends that have fought the same company, Anthem Blue Cross for months or even over a year! I feel lucky and fortunate to have been able to "tweak" their system to get the surgery that I do need! Thank you for your support:)!


  4. I had to jump through a few hoops because my insurance company did not want to accept my condition of sleep apnea as a comorbitiy. My BMI was only 38. That was in December. First denial came 12/14/2010.

    The doctor told me I could just add 10 pounds and then I should have no problems. So, I enjoyed my holidays thoroughly and ate whatever I wanted and as much as I wanted. I started eat all the things that I know are not good for me in hopes that I would gain those extra pounds.

    It sounds silly to gain weight to have weight loss surgery and I have been criticized tremendously by family, friends and strangers! However, they do not have to sleep with a CPAP every night so that they won't stop breathing, they are able to enjoy all the activities that I miss out on due to my asthma and weight, and they are all so quick to say, "You don't look 100 pounds over-weight. You aren't big enough for surgery. You should just go on a diet!" HA! I have tried every diet out there and I do loose on them, but only about 25 pounds and then nothing for months!

    I went to my doctor this week and weighed in after drinking about 3/4 of a gallon of Water and wearing my heaviest clothes. I was so happy when I was over by 3 pounds of the required weight that my insurance company set! The doctor's office submitted my paperwork yesterday and they called me today to say that insurance APPROVE ME!

    My surgery date is very quick. I am set to be sleeved on Monday, February 28, 2011 by Dr. Ludwig in Chico, CA. I am so excited! And I can't wait for day that will change the rest of my life forever! I couldn't be happier!

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