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missmudd

LAP-BAND Patients
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Everything posted by missmudd

  1. G2K I go in for my first fill in a couple of hours.
  2. HA! I was just like that, full on about 1/8 cup of broth, and then my stomach became less swollen.
  3. i'd DIE for a scrambled egg and peaches! protein shakes make a difference for me since the carbs always make me hungry. but the liquid diet is mostly carbs!!! this process is making me crazy. hope the shake works better for you tomorrow.
  4. It's torture! My doctor must hate me I'll have to try that yogurt. I've been watching the John Stamos commercials and drooling... Not sure if it's the yogurt or John Stamos...
  5. 19 days post op and the soup and liquid yogurt and protein shakes do not satisfy me! I'm glad I get to have real food on Friday. I'll have to watch my portions for sure. But is this what is called Bandster Hell???
  6. Mine were stuck on good for about 10 days, which is also how long the dissolving stitches last. I think you're okay.
  7. I had BS of ID and was denied because I had no official diagnosis of Diabetes even though I had gestational diabetes twice with both pregnancies and high cholesterol. They required certain 'comorbidities', not just the ones listed on the FDA website, in addition to BMI 35+. And I was also denied because I had not fulfilled 2 yrs of doctor-supervised weight loss with proven weight loss. I was just tired of trying to jump through the hoops to have it covered. I even work for them! Anyway, i'll be able to claim the expense on taxes as non-covered medical since I meet the FDA criteria. I'd suggest filing your 'appeal' with supporting documentation (submitted by your surgeon/pcp) and go from there. Have the doc write a letter also. This is taken straight from the BCBS of IL website for providers regarding medical policies in place for certain procedures that require preauth. This is for bariatric surgery. http://medicalpolicy.hcsc.net/medicalpolicy/home?ctype=POLICY&cat=Surgery&path=/templatedata/medpolicies/POLICY/data/SURGERY/SUR716.003_2012-02-01#hlink NOTE: Check member’s contract for benefit coverage for bariatric surgery. PATIENT SELECTION CRITERIA FOR COVERAGE For a member to be considered eligible for benefit coverage of bariatric surgery to treat morbid obesity, the member must meet the following two criteria: 1. Diagnosis of morbid obesity, defined as a: Body mass index (BMI) equal to or greater than 40 kg/meter² (* see guidelines below for BMI calculation); OR BMI equal to or greater than 35kg/meters² with at least two (2) of the following comorbid conditions related to obesity that have not responded to maximum medical management and that are generally expected to be reversed or improved by bariatric treatment: Hypertension, OR Dyslipidemia, OR Diabetes mellitus, OR Coronary heart disease, OR sleep apnea, OR Osteoarthritis; AND 2. Documentation from the requesting surgical program that: Growth is completed (generally, growth is considered completed by 18 years of age); AND Documentation from the surgeon attesting that the patient has been educated in and understands the post-operative regimen, which should include ALL of the following components: Nutrition program, which may include a very low calorie diet or a recognized commercial diet-based weight loss program; AND Behavior modification or behavioral health interventions; AND Counseling and instruction on exercise and increased physical activity; AND Ongoing support for lifestyle changes to make and maintain appropriate choices that will reduce health risk factors and improve overall health; AND Patient has completed an evaluation by a licensed professional counselor, psychologist or psychiatrist within the 12 months preceding the request for surgery. This evaluation should document: The absence of significant psychopathology that would hinder the ability of an individual to understand the procedure and comply with medical/surgical recommendations, AND The absence of any psychological comorbidity that could contribute to weight mismanagement or a diagnosed eating disorder, AND The patient’s willingness to comply with preoperative and postoperative treatment plans. COVERAGE STATEMENTS FOR SPECIFIC BARIATRIC SURGICAL PROCEDURES (Gastric Restrictive and Gastric Malabsorptive) NOTE: For a member to be eligible for benefit coverage of any one of these procedures the member must meet the Patient Selection Criteria described above AND the member’s contract or certificate of coverage must allow coverage of bariatric surgery. Adjustable gastric banding (open or laparoscopic), consisting of an external adjustable band placed high around the stomach creating a small pouch and a small stoma, may be considered medically necessary as a surgical treatment option for patients with morbid obesity who meet the eligibility criteria for surgery, including lack of response to the required conservative measures. NOTE: If the original adjustable gastric banding procedure was a covered benefit, it is not necessary to request documentation for refill and maintenance procedures.
  8. I was allowed to schedule my surgery as soon as I paid the deposit.
  9. Thank you, Bon Bon and Mis73!
  10. I would have asked for Pepcid and Gas-X sooner!!! Pick up both of those at the store Buy a BUNCH of G2 Gatorade. Put an extra pillow on the bed in case you have middle of the night heartburn and need your head raised to help keep it down. Research ways to season your postop broth if you have to drink it. Good luck!!
  11. Hi! I'm Laurel, 28 from Idaho, and am coming here from the OCC forum. I'm a recent bander and am 2 weeks post op today. happy to find such an active Forum!

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