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Daenerys Targaryen

Gastric Bypass Patients
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Everything posted by Daenerys Targaryen

  1. My insurance denied my revision surgery that was scheduled for Tuesday. Has anyone had experience with hiring Lindstrom Obesity Advocacy group to help with the appeals process?
  2. I am in the same boat. I was denied mid-liver shrink diet a week before my revision surgery date this past Tuesday. I hired Lindstrom Obesity Advocacy group after doing lots of research on them. They have a great track record of getting denials overturned. They started working today on my case and have been updating me throughout the day. So I am hopeful. Maybe they could help you too.
  3. I found out tonight on my insurance's website that my peer-to-peer resulted in another denial, so maybe they are a waste of time. I don't know. I have contacted Lindstrom Obesity Advocacy group to handle my appeals process. Good luck with your appeal!
  4. . I am so sorry. My revision surgery was scheduled for yesterday, but insurance denied me too. I had my surgeon do a peer-to-peer phone call, and now insurance is reconsidering the decision (no answer yet). I had to request the peer-to-peer, it was not something my surgeon's office automatically offered. Just an idea if you are looking for a next step.
  5. Today was supposed to be my band to bypass surgery date, but insurance decided to deny the surgery a couple of weeks ago despite the fact I have met all of their pre-surgery requirements. Yesterday, my surgeon did a peer-to-peer with my insurance, ActiveHealth, and they are currently reviewing my case. Does anyone know what the average turnaround time is for an approval/denial after a peer-to-peer? Are peer-to-peers usually successful?
  6. So my insurance is crazy. I started the process to get my band to bypass conversion back in October 2015. Bariatric is covered but I had to do a six month supervised diet and a bunch of other hoops. I jumped through all the required hoops. The insurance lady at the surgeon's office submitted everything at the end of May and went ahead and gave me a June 28th surgery date. June 20th, ActiveHealth sends a letter approving band removal and denying bypass. My surgeon has been out of town, but comes back Monday. She is going to do a peer-to-peer on Monday to see if we can overturn the decision and still have my surgery Tuesday. I am a nervous wreck and have been on the starvation liver-shrink diet since June 14th, as directed. I'm scheduled to go on Clear liquids Monday and will do so until I hear how how the peer to peer went. I am not a fan of ActiveHealth right now!
  7. I am June 28th. I had to start the pre-op diet on the 14th. My surgeon is having me drink a protein shake for breakfast, another for lunch, and then a turkey sandwich for dinner (3 oz turkey, no mayo or cheese, lots of veggies on the sandwich). Hope that helps.
  8. BMI 65 here 5'7 and 414lbs Having lapband to bypass revision 6/28
  9. I am scheduled for a lapband to gastric bypass revision on June 28th. Anyone else having bypass on that day?
  10. No history of any heart issues, blood pressure and resting heart rate are great, everything is great except heart is slightly larger than normal range.
  11. I had to get cardiac clearance (due to borderline EKG) for my upcoming lapband to bypass revision. The echocardiagram showed an enlarged heart. The cardiologist explain that a number under 55 is considered a normal heart size and my number was 56, so it is only slightly enlarged. Has anyone had experience with this? Did losing weight reverse the enlargement?
  12. I currently weigh 405 lbs. I was banded in 2008 and lost 90 lbs the first year, but anytime I would get a fill my reflux would land me in the hospital with aspiration pneumonia due to reflux in my sleep. So I have been unfilled since 2009 after I decided I was done being hospitalized from band fills. All the weight came back and I am back to where I started at 405. I am currently working towards a revision to gastric bypass. I have so much to lose. I see all kinds of stories of people losing over 200 lbs with the bypass, but I have yet to run across a story of someone losing that much that was a revision from lapband. I have googled and googled but can't find a story of anyone losing several hundred as a revision. So please, if you or anyone you know has been a lapband revision that lost 200+ lbs, I would greatly appreciate the encouragement. I just need to hear that it can be done.
  13. I had my lap band put in in 2008. Currently, I am working towards a revision to bypass (nearing end of six month supervised diet insurance requirement). For me, I am having to do all the pre-op stuff all over again- supervised diet, psych evaluation, upper GI, meeting with a nutritionist, EKG, etc. That seems to be the norm from what I've seen on here.
  14. This is almost identical to my story. I was banded in 08, and lost 90 lbs. started having bad reflux and inhaling stomach acid in my sleep, which resulted in a few hospital stays with aspiration pneumonia. Had to have band un filled and gained all the weight back plus and extra ten. Currently working towards a revision to gastric bypass.

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