SAD HATTER

I have united healthcare. I better do a full appointment just to cover my rear. I dont want them to have any reason to be a pain in the rear. My husbands work will basically stop paying part of my premium if i am still comsidered obese next year so i dont want to mess around.

My pcp doctor's office has a service where we check in each month for a bp and weight check when we are dieting. So there is documentation of my monthly weight, but no visit notes. Does anyone know if tge weight documentation after the initial visit meets the requirements, or if they demand visit notes?

My pcp doctor's office has a service where we check in each month for a bp and weight check when we are dieting. So there is documentation of my monthly weight, but no visit notes. Does anyone know if tge weight documentation after the initial visit meets the requirements, or if they demand visit notes?

I am Austin area. Surgery probably won't be till December. I am 35 with 2 kids.

Oh the horrible agony of defeat after working for 3 months, 6 days a week, at a hard core program, only to realize, that you ate too much and didn't put a dent in your butt. I was eating healthy, but eating way too much. Dang hunger.

I have been exercising for about 5 years. Sadly, I am still fat... You would think doing several rounds of P90X and Insanity and all that other crap would mean I was losing, but no. Hunger always kicked my butt. Weights is my favorite thing to do, and kickboxing. I used to run about 6 miles a day, but now my knees hurt so bad that I can barely jog for a block. So one of the things I look most forward to, is being able to run. To throw on the earbuds, and run all my stress away. just me and the road after everyone else goes to sleep. It has been 14 years since I considered myself a runner. And I miss it.

That actually helps a lot, that you still have restriction. That is a big fear, that I will lose weight, then the feeling of fullness, or the restriction, will fade, and I will start being really hungry and over eat again.

Plus, the supra pubic catheter, once removed, can leak a little, which I would think you would not want. Not inside you.

I would think the rate of infection would be higher with the one going through the skin.

Speed isn't really an issue. I am more concerned with long-term success and health. I am wondering if there are any sleevers that wish they had done the RNY? and if so, why?

I have my first appointment set. I will be discussing sleeve vs RNY with my surgeon. I am leaning toward sleeve, because the digestive tract stays in tact. I am 350 pounds and 6 feet tall. I was wondering how you losses went. I have talked to some people that followed their drs instructions and just had a really hard time losing. Then I have talked to people that had crazy good results. Any advise?

I have had a cath several times. When they do it in the OR they make sure everything is sterile. And they are so much easier that the abdomem ones.

I have not done the pre-op diet yet but I do use Unjury for my protein shakes. I have for years. I love the chicken flavor. And the strawberry is more like a fruit punch. Which I like.

I did a LOT of research, and met with a few other surgeons, and none of them made me feel that "we are meant to be" feeling. So I waited. Then I ran across Dr Pilcher and after talking to him via email, I had more of a comfort feeling with him, than I ever did the others I met. So I am glad you recommend him so highly. I am excited to get this all underway. His office is about 2 hours from me, but even my PCP is 75 miles from me in downtown Austin, so driving down I-10 to SA isn't that big of a deal really.

Thanks. My problem is, that even after I eat, I am hungry. There is never any full. I would love to be able to sit down and eat, and 30 minutes later, not feel like I haven't eaten all day. I did Medifast for 3 months, along with exercise, and was sick the whole time because the hunger made me nearly throw up. So I added more Protein to my meals and upped my caloric intake to 1500, and then I lost nothing. A month of that and I was completely frustrated. It's like, I can stick to the diets, but the frustration with the constant hunger drives me to quitting. I usually end up depressed and hating myself for not being strong enough to overcome the hunger. I am really hoping that I can feel full after meals with one of these surgeries so I can stick to the healthy eating. I have heard of bypass patients pouches stretching out after several years, but I don't know any sleeve patients. I wonder what the rate of stretching back out is on them?

I am using Dr Pilcher in San Antonio. I am trying to decide between the sleeve and RNY. My biggest problem is that I am always hungry. Also, I really like food. I can diet and exercise and just not lose much because the hunger always takes over. I can usually do about 2 months and stick to a strict diet, then after that, I just get really exausted of always being hungry, and I cheat. I work out, and I love lifting weights. I like feeling strong. But I am 350 and I need to be closer to 200. I am 6 feet tall. I am worried that the sleeve will not kick the hunger. Then again, I worry about the rny and the lifelong issues it brings with supplements and the inability to eat some of my favorite foods again. i am more concerned with the long term success and quality of life, than the immediate weight loss. I have been reading up, and seen a lot of people that had the sleeve that are still hungry, and that scares me, because to go through all the prep with insurance, and the surgery, and to still be hungry... would suck. Has anyone else used Dr Pilcher in Texas?