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adargie

Gastric Sleeve Patients
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Everything posted by adargie

  1. adargie

    Insurance

    I also had to do 6 months. But actually 7 appts. with a bariactric doctor, I had to keep a food journal(myfitnesspal) and I also could not drop below 40 BMI or that would have been a denial straight out because I have no comorbs. Also had to see exercise specialist/nutritionist as well. It felt like the longest 6 months of my life. Fast forward to now, I got my approval and start my pre-op diet July 29th, sleeve aug 5. So it does finally come to an end!!
  2. I am getting scheduled for surg and have a question regarding boobs. LOL, anyway, I am top heavy, 44/46 DDD, wondering if anyone has any tricks to tighten things up as they start going south. In the past I lost 25 pounds on the south beach diet(only to gain back plus 15) but I happened to notice how I lost in the breast area, which worries me they are going to be "2 eggs in a sock tacked to a wall" after I lose a significant amount of weight. Any advice would be welcome- exercises, wraps,(or a good plastic surgeon! ha!)
  3. adargie

    Five Days In - I'm ready for changes...

    Great post! Gives me something to look forward to, surg date is agu 5. I also have a bullet and have not heard of doing the spinach ice cubes great idea!!!! How much do you use?
  4. adargie

    Summer time in MICHIGAN

    I must ask, mounted delivery doens't mean horse right??! JK! That would be fun tho. I am in Rockford and we are headed up to Indian river for the weekend to escape the heat. I am nervous and excited for this surg!!
  5. I am going to st Marys. Where was your sleeve done? Did he have you stay 2 nights? I have my pre- appt in 2 weeks. How was your recovery?
  6. I am in Rockford. My date is Aug 5. I am going with Dr Foote and grand health partners
  7. My date is aug 5th! I only have a one week pre-op diet(whew) I am going on vacation for a week tonight and am going to be good but will prob have a couple food funerals to get it out of my system. I am active on a regular basis, and we are going to kayak our hearts out this next week!! Because I have a feeling it will be awhile before I feel like getting in one.
  8. Wondering if this affected your outcome for surg. Tomorrow is my last weigh in and I am up a couple pounds. Very nervous
  9. Wow I never realized there was a medicine for your gallbladder, I just looked up the stats on the actigall and I am totally going to ask my dr ahead of time. I hope you get feeling better, that was a double whammy for you!
  10. adargie

    You're all I got! (Waiting on insurance)

    I am in the same boat, submitted last thurs have a 14 day wait from he**, and with the holiday it might be longer, so I figure I will glue my phone to my face and proceed to try to have some fun this weekend!!!!
  11. Well I ended up losing the couple pounds I had gained(by starving myself for 2 days) so overall my weight was one pound higher than my initial weigh in, so I remained at a 40.7 BMI. My dr was happy and they submitted my info to the insurance, now to wait, they told me 14 days and with the holiday it could be longer. So I am hoping to hear something early next week. I don't know anyone who has had this surgery with my insurance(priority health)so I am in the dark.
  12. adargie

    Getting very close

    I am also contemplating all that crazy paperwork, where did you go to have your will done? I don't have an attorney and would just like to get an idea of how to go about that stuff. It needs to be done whether or not I have surg. anyway I figure
  13. I have my own waiting game too, mine with waiting for ins approval, also 2 weeks, sigh......
  14. adargie

    Four Days Out

    I can agree with not telling those that live far away. My dad lives in Arizona(me mich) and my best friend in cali. It has been difficult not telling them but I know what worry warts they are and would hate to keep them up at night, I will eventually tell them. (don't have a date yet hoping aug) also I am only telling those I know who will be positive energy for me prior to surg. The whole "you're not that fat" gets real old. Good luck friday, will be waiting to hear your story
  15. Had my last weigh in yesterday, so my Dr said they will submit my paperwork today and it takes about 2 weeks before they hear anything, And with the holiday who knows how long....ugh. I swear this has been the longest 6 months ever. I am hoping to have a date in aug. if everything goes well. My Dr did say I would prob only have to do a 1 week preop diet because I am a "low" bmi-er(40.7)
  16. Thanks for the replys, I have been concious with my diet but was told if I dropped below 40bmi I would not be covered(I started with a bmi of 40.4) but I am hopping its not a catch 22 and they deny me because I didn't lose any. Just have the jitters wondering if anyone else is in my position
  17. I think my insurance is different, sounds like they record my last weigh in. I started at bmi of 40.4 and I have actually gone up a couple pounds so I am now at 41, so I am crossing my fingers that doesnt affect my outcome. My Drs told me not to drop below 40 during the 6 months, its actually been very difficult. I keep bouncing around the same 2-3 pounds. This has been the longest and fattest 6 months of my life!!!
  18. I am on my last month of of 6 month pre-op for insurance and the dr following me said that with my insurance I cannot drop below 40bmi or they will not pay. I started at like 40.7. So I have purposely not lost weight and am nervous that they will deny me because of that
  19. adargie

    3 Months Today

    That is amazing!!! I am inspired by your story!!! If you don't mind me asking what ins did you have?
  20. adargie

    ahhh the waiting game!

    Congrats on the approval!! Did you lose any weight during your 6 month? I have gone up a couple since I started and I am worried this will affect my ins outcome, my paperwork will be submitted 6/26ish so I am absolutely outta my mind about it. This has been the longest 6 months ever.
  21. adargie

    bcbs new jersey 35,7 bmi

    I am in the same boat, bmi of 40.4 and I have gone up a couple pounds since I began , I am super worried about it my last weigh in is june 25 so gonna be on my best behavior to try to get those few pounds off, but man I am scared they are going to deny me!
  22. OK I have a week and a half before my final weigh in for my 6 month course. I am have no comorbidities and my start weigh was 258 so that puts me right at 40.4 bmi, my insurance requires bmi of 40 or above for no comorbidities so needless to say I have not gone under 258, I have actually gone up a couple of pounds. But I read my surg requirements and it says "The BMI recorded on the prior authorization form should be based upon measu rement of height and weight within one month of requesting the evaluation." My question is should I keep these few extra pounds on to get me to 41 bmi since they use the last measurement of the course or should I just try for my exact start weight. I don't want them to deny me because I didn't lose. But I really have not put anything on. Every weigh in I was within one pound of my start weight and I have printed my food journals and my DR says I have done very well. I think I am just starting to get loopy from constantly thinking about this approval. I was told when I started 'Just DO NOT drop below 40 bmi or they will for sure deny" I am hoping others have dealt with this situation, I know every ins is different, mine is Priority Health and I am in Michigan. I have not spoken to anyone with this ins and in my situation so I am really nervous.
  23. adargie

    BCBS of MN..waiting game

    I am in the same boat with you, but I have Priority Health ins, my BMI is like 40.4 and I have no comorbidities. I have been nervous this whole time about that. My last weigh in is June 25th and then the paperwork will be submitted. I do not know anyone who had dealt with priority health so I have nothing to go on. Good luck with the appeal I will be interested to know how it works out

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