FDclerical

It’s been 4 years since I’ve posted !!!

Keep fighting. Your bmi alone should have you approved revision or not! Maybe escalate it to the medical director of the insurance company and hopefully they reconsider. Also try getting more than one letter of medical necessity like from your pcp and surgeon but I've read the peer reviews always succeed. Good luck to you !!!! foreverbariatric Sent from my GalaxyNote4 using the App

thanks guys!!

i am SO HAPPY! i am now down 42 pounds. including pre op diet started october 27th. i go to the gym everyday. never skip a beat i love my sleeve. im so happy and grateful. i even had to buy new gym clothes because my others were fallin off! ahhhhhh i do NOT get 60 grams of protein a day but i TRY my best. and i switch up protein shakes just to avoid nausea and feeling sick! im sooooooooo excited. and wanted to share my joy including another before taken at my job's 80th anniversary party.

awww jugee please do not worry! i to was at stall when i hit my 3 week mark. but you know what i did i went to the gym every day. took a break friday and sudays. i focused alot on cardio and getting my heart rate up. and eventually the scale started moving again please do not be discouraged because we all hit stalls. stay positive!

starting weight 319 weight today 285.1! yessssss. dancing so excited. and i have an hour PT training session tonight. very excited and nervous about it.

you guys are the best thanks so much! i feel like im floating today

hey guys! december 6th i will be one month post op. my co worker told me to take a before and after because she can already see the difference lol. i decided to wear the outfit from before surgery. so here it is!! so exciting

wow we are in the same boat. congrats to us! i went back to work last friday it was fun! everyone is like oh wow look at u with ur clothes hanging off. lol i am so happy and excited. i seriously cannot get the protein in. i just intake as much as i can and keep hydrated no matter what. i think everyone is different but we are doing good have u been going to the gym

kudos to you! i do the same on the elliptical. check out my post http://www.verticalsleevetalk.com/topic/59538-2-week-post-op-woohoo/#entry571077

i love those comparison pics you look great. congrats girl

ok so i dont have that great of insight on this but i will try. lol i had a c section as well and my father tried to drill into my head to wear a belly band. i never did. my friend however did and she looks AMAZING. you could not even tell she had a baby at all and everything is tucked in so nicely. im only 1 week post op and im going to my brothers wedding in a few days so i have to get some spanx. which i plan to wear daily. i am going to buy 2 sizes down as well because i no longer have incision pain. well i do but its minimal. i think they help alot with keeping things in and formed lol. i only have one example of this working but hey why not try. i was watching those as seen on TV commercials and i wanna get the tummy tuck one. my friend swears by it as well. but i def have to push myself into some spanx this saturday in order for my dress to look decent lol

sending prayers your way! you will be fine. everything happens for areason. and it is OUR time!!!!

congratulations~! thats ALOT. ive lost 14 during the meetings with my NUT but gained alot back. so far ive lost 4 pounds in 3 days since i started my liquid diet. i am allowed food so it is still hard and plus i have to cook for my daughter. ive been doing great i think its easy to cut out the snacks and carbs when u know it will make ur liver extra fat lol.l i def dont want 2 be opened up. good luck to both of us getting sleeved on the same day!!

hi kathy! we are sleeve twins! november 6th for me as well. my birthday is nov. 5th and the hospital is supposed to call me between 1-5pm to give me my surgery time and all the details. i STILL cant believe that its only a week away. i have wicked anxiety as well. the hospital actually sent me a disc and abook to listen to to help me get through it.

more power to you girl! that sounds amazing. i took had to give up smoking 3 weeks pre op. i am getting sleeved next week and i still cant believe it. i am excited ready so nervous and scared. ive been using an electronic cigarette and hopefully after surgery ill get on the patch!!

congratulations!!! ive been following your p[osts and such a transformation! u look great and i am sooo happy for you! i cant WAIT to be there and and u give me faith that this will work and help me be a better person!!!!

i too went through the 6 month journey and hoops required by insurance. reading your story i sooo can relate and i pray that everything works out for you. now i know every center is different and i TOO gained 6 pounds during my journey but i was able to lose it all back by the time i was submitted. do you know if your surgeons office requires weight loss? it really comes down to them because my insurance never specified any type of weight loss, they just wanted to see that i was cleared for everything and actually going to the dietitian once a month. honestly i would double check w/ your surgeons office to see if the weight loss is a for sure requirement before doing surgery. i am excited for you and wish you the best of luck. trust me if it is meant to be it will be~~ i was accused of possibly having behavioral health issues BECAUSE i called my insurance every day waiting on approval. lol turns out i documented every time i called and specifically why. i was finally approved and now im getting sleeved the day after my birthday~ im not gonna lie, now that im approved i am VERY emotional, my brother is getting married 11 days after surgery and i have to travel really far to see him, my parents just got a divorce 3 years ago and just traveling with my daughter, trying to decide which parent 2 travel with is hard enough BUT i know God's has a plan for all of us, he wouldnt bring us this far if we werent destined to succeed~! good luck and it will go by faster than you know. i pray that you getting approved really fast

i hear you. my surgeon fought for me though. during our appointment he really tried not to take no for an answer when he called the Coordinator. he also said its NOT her call but watever. he wanted to give me a surgery date right then and that. but she insisted not to get my hopes up. hellooo my BMI is 50 and ive followed the diet and lost 14 pounds not alot but still. my friend has the SAME insurance. just got the bypass and she was approved in 5 DAYS and her bmi is 42. so yeah there is another Surgeon in the office I can see but I have confidence that i made the right decision. i will continue to pray and watch the signs. I know God will lead me in the right direction.

siiiigh. thank you guys sooo mcuh!! i feel 100x better. my dad is flying up from jamaica and moms taking a week off. my daughter will be at day care everyday (ive paid them like 3 months ahead. this was all by accident) and my neighbors are willing to drop her off and pick her up. i have plenty on vaca time at work and we also have short term disability. im ready but i think everything does happen for a reason and although i like my surgeon and feel comfortable i had a dream that my dad told me not to get the surgery by him (way 2 superstitious) just anxious but going to be extra patient. thanks guys!!!

i need to get this ALL out before i insane. or i guess to prove that im NOT insane. nor do i have BEHAVIORAL ISSUE. lol i cant believe this. UGH anyways. lets start from September 5th. September 5th was the last day of my 6 month NUT visits. completed and faxed over to my Surgeons office the same morning. September 6th. I gave it a day and didnt call them. They received my paperwork but again i never called the Surgeons office because I was told my paperwork was complete and would be given to Kathy our Surgical Coordinator. In my mind i assumed everything was fine due to the fact that the notes in my file say i chose to go with the gastric sleeeve. I had also met with my Surgeon a month before making my final decision and he specifically said lap band would be a waste of time and probably have to be removed a year later due to all complications and issues. (plus i have a 2 year old and all the fills wouldnt be logical with my schedule.) moving on.....i gave in and called the insurance directly because i was told that i would be submitted. not until the end of the business day did the say that got a call from my Surgeons office questioning authorization code something along those lines. so i called my surgeons office and spoke with one of his nurses and advised what surgery i wanted and got transferred to voicemail. one of them call me back i think it was on the 10th. One of the nurses called me and said she needed to speak with the Surgeon and she was out of office for one day. they prolonged this all week and then i didnt find out until thursday the 13th that the coordinator ended up back with my chart NOT sure why but basically it had to be inter officed through the carrier to be present for my appointment on the 17th. so again no submittance to insurance. Monday my appointment with my Surgeon was effective but short. The coordinator DID explain to me that she will not be submitting to insurance until after Monday AND that my Surgeon cannot schedule my pre op or surgery date until approval has been received, I TOTALLY UNDERSTOOD THIS. there was a handwritten note on my flie and my SURGEON took it upon himself to call the Coordinator while we were in our appointment. he fought for the push and understood that its not good practice to get the patients hope up and then be denied for some reason. I called the coordinator to explain to her that i FULLY understood but that My surgeon insisted on calling her. he took it upon himself to question and fight for me. SORRY cant control that so basically that was that. i was told my chart would go back and it would be submitted the next day. so instead of bugging the coordinator i called my insurance. just to CHECK. ok great no submission. Wednesday i let it pass. didnt call anyone. Thursday it is now the 20th and i talk to the coordinator. she says shes working half a day and that my file wont get submited. i hvae to wait for friday or Monday. so based on me i called insurance this morning hoping it would be there. THEY then asked me for her phone number. called her and then she called me. she expressed that she explained these things to be over and over which i understood but i guess lack of communication from the beginning put me in paranoia and reading the forum just made me in the mind set of CALL CALL CALL. basically my forms just got SUBMITTED TODAY. finally BUT that the entire group at the office has meetings a week and they brought up what if i have behavioral issues. are you serious??? because im anxious about my surgery>>?? because i know your busy but my case has been completed for weeks. because i have a 2 year old and work on a small team at work where our schedules are made waaaaay in advance and i work occassional weekends so its really important to know whats going on. i feel bad and sad that they would think of me this way but i feel like i didnt really do anything worng yeah a little obsessive but all in good reason. i told them that i also need more time to talk to my Surgeon during our appointments because there are things i still want verbal confirmation directly from him. i dont know it makes me feel low but i know in my heart that i DONT have behavioral issues. i was told to deal with the Coordinator only (even tho during this time i was going through an address change and had issues getting my address fixed) it may have seem like i called to check on approval but other things too. all in all i was told not to raise red flags and if i have anxiety to meet with my dietitian or one of the nurses. sigh. yeah everyone has anxiety im just a working single mom who is anxious to start a new life. sorry but 7 months is gone and im ready. whatever i feel better and now the waiting game really begins. for whoever reads this or made it to the end seriously am i crazy>???? honestly i know im not AND i see where they are coming from but.....come on.

congratluations!!! thats what i love to hear...every time i doubt my surgery these posts help snap me back lol i cant wait to make the lifestyle change for me and my daughter its going to be amazing.