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tinyt

Gastric Bypass Patients
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  1. Like
    tinyt got a reaction from Raymond Butterfield in May surgeries!   
    My surgery was May 28 and I am still drinking and eating clear liquid items. I have my follow up on Friday. I know we have to do the stages but I am kinda of ready to eat regular food. Just to have a taste of a good hamburger or a good chicken salad. I am just waiting until that day.
  2. Like
    tinyt reacted to twinRN in APPROVAL with HIGHMARK and a DATE w/ "Borderline" BMI!   
    So I got a call from my surgeons office today and I'm approved!!!!!!!!!!!!!! So I wanted to post because during my 6 months, I looked at postings to get hope. I live in PA, and I have Highmark Blue Shield PPO. Clearly I'm totally excited but wanted to share my "stats" like I said so others can compare...
    My surgeon's office submitted exactly 2 weeks ago and I got the call at 11:30am today that I'm approved! My date for surgery is June 17th!
    I'm 35, 5'2" and 212lbs so that makes my BMI 38.9 and I was told that is rounded up so it is 39. My insurance is like many others...with a BMI of 40 or higher, sleeve, band or RNY is covered 100% with no out of pocket and with a BMI of 35-39, WLS is only covered w/ co-morbidities. My co-morbidities aren't all that significant, but they worked! I have high triglycerides. Normal is 150 or lower and mine at the start of the 6 months were in the 180's (they were in the 300's but I go them down w/ exercise). My only other co-morbidity is high fasting blood sugar, not diabetes. Normal fasting blood sugar should be in the 80's to 90's, but mine are anywhere from 100 to 110's. Fortunately my PCP and my surgeon gave me a diagnosis for this (yay them:). My PCP documented it as "Impaired Fasting Glucose" and my surgeon said "metabolic disorder". In all seriousness, the high fasting blood sugar is a good indicator that I would have developed type II diabetes so it should count for something. Also as an FYI, I actually gained 5lbs in the 6 months so my highest weight was 217, but I did lose that five lbs for my last weigh-in.
    I'm a nurse so this all is easier for me to understand, but any questions please ask:) Anyway, I hope this is helpful to others like me that were worried the whole 6 months that they might not be approved.
    Wish me luck! My identical twin goes for her RNY on 6/3 too so we get to go through the good and bad together!

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