JaxBandster

Low carb. Sugar is stored in your liver. The first place your body goes for energy (sugar) is your liver. Once that is depleted (and your liver shrinks), it will go to your fat stores for energy. Try to keep your carb level around 30 gms a day. I have been doing that for two weeks and have lost 14 lbs.
One more thing. If you are going to do this and be successful at it, you need to be mentally prepared to follow doctor's instructions to the letter. There is no more putting it off. It is imperative that your liver be in good shape for the surgery. You are a partner in your weight loss team. Your doctor and the band can only do so much. You have to do most of the work. So starting today, resolve that you are going to do what it takes to be a successful loser!
Good luck!

Low carb. Sugar is stored in your liver. The first place your body goes for energy (sugar) is your liver. Once that is depleted (and your liver shrinks), it will go to your fat stores for energy. Try to keep your carb level around 30 gms a day. I have been doing that for two weeks and have lost 14 lbs.
One more thing. If you are going to do this and be successful at it, you need to be mentally prepared to follow doctor's instructions to the letter. There is no more putting it off. It is imperative that your liver be in good shape for the surgery. You are a partner in your weight loss team. Your doctor and the band can only do so much. You have to do most of the work. So starting today, resolve that you are going to do what it takes to be a successful loser!
Good luck!

Low carb. Sugar is stored in your liver. The first place your body goes for energy (sugar) is your liver. Once that is depleted (and your liver shrinks), it will go to your fat stores for energy. Try to keep your carb level around 30 gms a day. I have been doing that for two weeks and have lost 14 lbs.
One more thing. If you are going to do this and be successful at it, you need to be mentally prepared to follow doctor's instructions to the letter. There is no more putting it off. It is imperative that your liver be in good shape for the surgery. You are a partner in your weight loss team. Your doctor and the band can only do so much. You have to do most of the work. So starting today, resolve that you are going to do what it takes to be a successful loser!
Good luck!

I got tired of being compared to Lindsey Lohan (addict) and looking at his picture of him and McKenzie Phillips

For those who haven't been following my story...............
I was diagnosed with an eroded band in November of 2011 and had it removed in March of 2012. I had to wait for six months before revising to the gastric sleeve as my surgeon wanted to wait for me to heal completely and do medical tests before confirming that I would be a good candidate for the sleeve. I have complete those tests and he was satisfied that I could have the sleeve. We also found that I had developed another hiatal hernia (the first one was repaired when I had my lap band surgery).
My predetermination request for the sleeve surgery was denied. They stated that I needed to complete a six month weight loss program in order for them to consider my request. I asked my surgeon's insurance coordinator to appeal based on the reasoning that this was a repeat surgery for a lap band that had medically failed me and that I shouldn't have to complete the six month medically supervised weight loss program. She filed an appeal but no where in the letter did it address the six month weight loss program so of course they denied me again stating that we still hadn't submitted the records they had requested.
Frustrated beyond belief, I took the initiative to write my own appeal letter. I used language from the BCBS-AL bariatric policy regarding repeat surgeries and their rationale for requiring the six month weight loss program and explained how I had met that rationale just by having a lap band for four years and that my waiting for six months before revising to another surgery was not conducive to improving my health.
I just got off the phone with BCBS-AL and they have approved my surgery!!!!!! I am actually shocked that I succeeded in my appeal. I fully expected them to deny me and had already started the medically supervised six month weight loss program in preparation for that denial (and have lost 10 lbs over a six week period which is nice).
I'm excited, relieved and nervous! I've been through this before so I don't know why but I am. I was very successful with my lap band (losing 94 lbs). I remember how wonderful it felt to be thin and feel good about myself and how I looked and not to be in pain anymore from carrying around all this extra weight (yes I packed the pounds back on after my band was removed). I can't wait to be there again!
Yeah me!!!!!!!!!!!!!!!!

For those who haven't been following my story...............
I was diagnosed with an eroded band in November of 2011 and had it removed in March of 2012. I had to wait for six months before revising to the gastric sleeve as my surgeon wanted to wait for me to heal completely and do medical tests before confirming that I would be a good candidate for the sleeve. I have complete those tests and he was satisfied that I could have the sleeve. We also found that I had developed another hiatal hernia (the first one was repaired when I had my lap band surgery).
My predetermination request for the sleeve surgery was denied. They stated that I needed to complete a six month weight loss program in order for them to consider my request. I asked my surgeon's insurance coordinator to appeal based on the reasoning that this was a repeat surgery for a lap band that had medically failed me and that I shouldn't have to complete the six month medically supervised weight loss program. She filed an appeal but no where in the letter did it address the six month weight loss program so of course they denied me again stating that we still hadn't submitted the records they had requested.
Frustrated beyond belief, I took the initiative to write my own appeal letter. I used language from the BCBS-AL bariatric policy regarding repeat surgeries and their rationale for requiring the six month weight loss program and explained how I had met that rationale just by having a lap band for four years and that my waiting for six months before revising to another surgery was not conducive to improving my health.
I just got off the phone with BCBS-AL and they have approved my surgery!!!!!! I am actually shocked that I succeeded in my appeal. I fully expected them to deny me and had already started the medically supervised six month weight loss program in preparation for that denial (and have lost 10 lbs over a six week period which is nice).
I'm excited, relieved and nervous! I've been through this before so I don't know why but I am. I was very successful with my lap band (losing 94 lbs). I remember how wonderful it felt to be thin and feel good about myself and how I looked and not to be in pain anymore from carrying around all this extra weight (yes I packed the pounds back on after my band was removed). I can't wait to be there again!
Yeah me!!!!!!!!!!!!!!!!

For those who haven't been following my story...............
I was diagnosed with an eroded band in November of 2011 and had it removed in March of 2012. I had to wait for six months before revising to the gastric sleeve as my surgeon wanted to wait for me to heal completely and do medical tests before confirming that I would be a good candidate for the sleeve. I have complete those tests and he was satisfied that I could have the sleeve. We also found that I had developed another hiatal hernia (the first one was repaired when I had my lap band surgery).
My predetermination request for the sleeve surgery was denied. They stated that I needed to complete a six month weight loss program in order for them to consider my request. I asked my surgeon's insurance coordinator to appeal based on the reasoning that this was a repeat surgery for a lap band that had medically failed me and that I shouldn't have to complete the six month medically supervised weight loss program. She filed an appeal but no where in the letter did it address the six month weight loss program so of course they denied me again stating that we still hadn't submitted the records they had requested.
Frustrated beyond belief, I took the initiative to write my own appeal letter. I used language from the BCBS-AL bariatric policy regarding repeat surgeries and their rationale for requiring the six month weight loss program and explained how I had met that rationale just by having a lap band for four years and that my waiting for six months before revising to another surgery was not conducive to improving my health.
I just got off the phone with BCBS-AL and they have approved my surgery!!!!!! I am actually shocked that I succeeded in my appeal. I fully expected them to deny me and had already started the medically supervised six month weight loss program in preparation for that denial (and have lost 10 lbs over a six week period which is nice).
I'm excited, relieved and nervous! I've been through this before so I don't know why but I am. I was very successful with my lap band (losing 94 lbs). I remember how wonderful it felt to be thin and feel good about myself and how I looked and not to be in pain anymore from carrying around all this extra weight (yes I packed the pounds back on after my band was removed). I can't wait to be there again!
Yeah me!!!!!!!!!!!!!!!!

For those who haven't been following my story...............
I was diagnosed with an eroded band in November of 2011 and had it removed in March of 2012. I had to wait for six months before revising to the gastric sleeve as my surgeon wanted to wait for me to heal completely and do medical tests before confirming that I would be a good candidate for the sleeve. I have complete those tests and he was satisfied that I could have the sleeve. We also found that I had developed another hiatal hernia (the first one was repaired when I had my lap band surgery).
My predetermination request for the sleeve surgery was denied. They stated that I needed to complete a six month weight loss program in order for them to consider my request. I asked my surgeon's insurance coordinator to appeal based on the reasoning that this was a repeat surgery for a lap band that had medically failed me and that I shouldn't have to complete the six month medically supervised weight loss program. She filed an appeal but no where in the letter did it address the six month weight loss program so of course they denied me again stating that we still hadn't submitted the records they had requested.
Frustrated beyond belief, I took the initiative to write my own appeal letter. I used language from the BCBS-AL bariatric policy regarding repeat surgeries and their rationale for requiring the six month weight loss program and explained how I had met that rationale just by having a lap band for four years and that my waiting for six months before revising to another surgery was not conducive to improving my health.
I just got off the phone with BCBS-AL and they have approved my surgery!!!!!! I am actually shocked that I succeeded in my appeal. I fully expected them to deny me and had already started the medically supervised six month weight loss program in preparation for that denial (and have lost 10 lbs over a six week period which is nice).
I'm excited, relieved and nervous! I've been through this before so I don't know why but I am. I was very successful with my lap band (losing 94 lbs). I remember how wonderful it felt to be thin and feel good about myself and how I looked and not to be in pain anymore from carrying around all this extra weight (yes I packed the pounds back on after my band was removed). I can't wait to be there again!
Yeah me!!!!!!!!!!!!!!!!

According to information I've read on various boards and in speaking with Dr. Pinnar in person regarding his old practice in Virginia, it appears that after he sold his practice, the physician who purchased it went back through old records and was rebilling insurance companies in Dr. Pinnar's name or something to that effect. The reason I waited 45 minutes on him at one appointment was because he was speaking to his attorney. When he came in, he apologized and we spoke a little about the subject before turning our attention to the reason I was there.
During my office visits with him, it was very apparent that he was not happy with the way the office was being run and often encouraged me to contact the Practice Administrator and voice my dissatisfaction which I did prior to finding another group to do my revision surgery.
There is definitely something odd going on with that practice. When I first started going there, the waiting room was ALWAYS packed and you had to wait hours before being seen. Not so much anymore.
A curious thing happened when I was in the process of getting my band removed. At one point I was scheduled to have my surgery performed by Dr. Cywes at Shands. About a week prior to my surgery, the office called saying they were going to have to reschedule my surgery for a much later date due to a mixup between Dr. Cywes and Shands about operating room times. They were not going to be able to schedule me for a month or more later. I asked about Memorial and they said that Pinnar could do it there (why not Dr. Cywes?). That was when I decided to go with Dr. Pinnar. In addition, for a little while I was speaking with another group that operates out of Memorial. In speaking with the bariatric coordinators there, they alluded to something going on with Cywes, but they would never come right out and say what the issue was.
I really don't know what's going on there, but as messed up as things appear I would not recommend them to anyone that I cared about. I had my band removed due to 40% erosion in late March. Cywes told me he could revise me to the sleeve in six weeks. The surgeon I am seeing now won't touch me for six months! I hate waiting. I hate the fact that I'm packing on the pounds and I'm miserable in my body. But I'm thankful they are being cautious and allowing my body ample time to heal and allow the scar tissue to settle down and do a variety of tests to make sure I'm a good candidate so I'm not miserable for the rest of my life. I can wait a few more months to be safe. Pinnar once referred to Cywes as a "cowboy". I think reckless and cocky may be a more accurate description.

My wife got a call from Dr. Baptista's office a little while ago...our surgery is scheduled for September 7th!!!!!! Now I really wish I had went to him when we first started.

This is a letter I wrote to the practice administrator for Dr. Cywes and Dr. Pinnar outlining the many reasons I decided to go with another surgeon even though it will cost me more money and time. I wasn't going to post it publicly, but since they seem inclined to ignore my repeated requests for my medical records, I feel justified in doing so. For what it's worth I do like Dr. Pinnar, but the accumulation of all the issues below finally motivated me to make the change.
Dear ******,
I am contacting you as the practice administrator to request that all claims submitted to my insurance provider be withdrawn and to outline the reasons for my decision to go with another practice for my surgery. I will apologize in advance as this may be rather lengthy but this has been a difficult decision and one that I have weighed for the past month.
On February 7, 2008 I had lap band surgery which was performed by Dr. Cywes. I had considerable success until approximately two years ago when I began to be able to eat more and began to put on more weight. I then went to Dr. Baptista for maintenance fills primarily due to my past experiences of having to wait hours to get in for a fill with Dr. Cywes. It was faster and easier for me to get them done by Dr. Baptista. Last November, Dr. Baptista order an upper GI to check my band and discovered that my band had eroded. This was confirmed by an upper endoscopy in December. It was at this time that I decided I wanted the gastric sleeve but I was not comfortable with Dr. Baptista’s level of experience in this area so I made a call to Dr. Cywes as I felt more comfortable with him with a more complicated surgery. When I called and explained my situation to the person who answered the phone, she placed me on hold and then came back and informed me that Dr. Cywes felt I should have Dr. Baptista perform the surgery. In other words, he was not interested in seeing me since I went to his former partner. At this point, I decided to go to Dr. Webb’s practice to explore this option. When Dr. Webb’s office requested my records from your practice, I subsequently received a call from the office inquiring as to my reasons for pursuing another surgeon. I explained my experience to her and she assured me that Dr. Cywes did not mean that he was not interested in seeing me and that there were options out there that Dr. Cywes would like to speak with me about. She suggested that I come in with no obligation other than to hear what options were available to me and I agreed.
After meeting with Dr. Cywes, I agreed to have him do the surgery to remove the band and subsequent repeat surgery. This was on 2/1/2012. It took a month to submit the initial pre-determination request and the subsequent appeal letter as a result of the initial denial by my insurance provider. We received the approval to proceed on 3/1/2012. Due to an issue at Shand’s with Dr. Cywes, I had to schedule the surgery for 3/29/2012 with Dr. Pinnar at Memorial. Everything went smoothly. I liked Dr. Pinnar immediately and felt comfortable with him.
On April 6th, I had my post-op follow up appointment with Dr. Cywes in order to remove the abdominal drain that Dr. Pinnar had placed during my surgery. On April 27th (3 weeks later) I had another post-op appointment. In those three weeks I had put on weight due to my lack of restriction and not following the low-carb plan. As is typical for Dr. Cywes, he saw that I had gained weight and he gave me his usual talk about our relationship with food for 15 minutes and when he was done he said that he would need to tighten my band. I then had to inform him that I didn’t have a band. It appears that he hadn’t even looked at my chart prior to coming in. He just assumed that I had been not following the program. When I got back to my office, I wrote ***** and asked that my gastric sleeve surgery be performed by Dr. Pinnar. I am not comfortable having such an invasive and complicated surgery performed by a surgeon who doesn’t bother to read my chart in his office.
On May 15th, after repeated attempts to contact ***** to inquire as to the status of filing a claim for surgery with my insurance company, I finally wrote a lengthy email expressing my frustration with the practice, lack of communication and lack of action in filing my claim. I copied you on this email and it is attached.
At this point I finally received a response from ***** saying that she was having computer issues and had not been receiving emails. I responded to her expressing that I understood about computer issues and asked when she would file my claim. She wrote me back on May 17th and said she would be filing it that day. The next day (May 18th) **** wrote to me explaining that she had faxed clinical information to my insurance company. She stated that my current BMI was 35.8 and that if I had a BMI under 40 I would require a serious co-morbid condition to get approved for the sleeve. I wrote back to her explaining that since this surgery was a result of an eroded band that I didn’t believe my insurance would require me to have a co-morbidity. I didn’t hear back from ***** until May 25th stating that she had finally filed my claim.
On June 1st, I had a follow-up appointment with Dr. Pinnar. Once again, I had gained more weight, but I wasn’t concerned about it as I knew the reasons why. While I was waiting for Dr. Pinnar, the nutritionist came in looking very concerned and asking me what was up? She also asked me if I felt I had sufficient restriction. I explained to her that I didn’t have a band. She then asked if I was a conventional weight loss patient. This was not the first time she had seen me but once again, it was a case of not reviewing a patient’s information before coming into speak with them. I also had a chance to speak with **** and express some of my frustrations and concerns about the filing of my claim. She assured me that she understood and that she would make sure my claim was filed properly (i.e. for a repeat surgery as opposed to a first time surgery).
After **** left, I proceeded to wait approximately 45 minutes to see Dr. Pinnar. He knew I was there as I spoke to him when I first came in. I could hear him out in the hallway talking on the phone and waited patiently for him to finish his conversation. I justified that it must be an emergency since he knew I was there and was keeping me waiting. When he finally came in, he apologized and explained that he was on the phone with his attorney. I was aware of the issues he was having with the physician who bought his practice in Virginia and we discussed that matter for a few minutes. Thankfully, he was aware that I had had my band removed due to erosion. Still, I am a very busy woman. I manage the cash for ********** in their Treasury department. My boss depends on me a great deal. I understand that Dr. Pinnar has some serious issues going on, but he needs to address them on his time, not mine.
On June 7th, I wrote to ***** to advise her that my insurance company had submitted a reply to their correspondence department stating that in order to approve the surgery for the sleeve I would have to complete a six month weight loss program with my PCP, which is standard for someone having their first bariatric surgery. Since this is a repeat surgery resulting from erosion, I feel that this requirement should be waived. In my email, I reminded her of this and asked her what the next steps would be for my appeal. I wrote again on June 12th and again on June 14th asking what the next steps in the process would be. To date, I have not had a response from her.
****, I hope you can understand my frustration with this process. I am frankly tired of being ignored and having to constantly remind my health care provider of my medical status and hand feed insurance policy language to support my claims. I have registered with another practice and have an initial consult this Friday with them. I would appreciate my records being sent to them as promptly as possible once they submit the request for them. Even though this is going to cost me a considerable sum of money and probably a little more time since I am basically starting over again, I feel I will be more comfortable with a practice who respects my time and communicates with me. I am a very patient person, but my patience has been pushed to the limit.

Hi Tater,

I am so sorry that you're having a rough time and that you're having health problems. I hope that's better soon.

You really can't look at everyone else's numbers. We are all different. You just have to strive towards being the best that you can be. Some people lose slower than others. It takes some people longer to get the right fill. I know that is easier said than done, we all want to compare ourselves to someone else. But it's not going to get you anywhere.

A couple of questions -- Do you track your food? If not, that is a good way to get an idea of what you need to work on. Have you measured your food to get an idea of the correct portion sizes? Have you been able to distinguish between head hunger and actual hunger? Also, did you visit a nutritionist as part of your program? Can you go back to him or her and discuss your current diet and how to improve it?

You mentioned seeing a personal trainer, so I'm guessing that he or she knows about your health problems and can come up with a program that you can do that won't hurt you. I hope that you stick with that. And dance is fantastic exercise.

I can't tell you how to make yourself do it. I don't think anybody can. You just have to reach inside yourself. You have to remind yourself why you got banded to begin with and what your goals are. You are right, it is work. The band is a tool, and we have to make a drastic lifestyle change. It sounds like you're having a hard time with fills, and that sucks. But there are still things you can do to help yourself be successful.

I wish you the best of luck and I hope that you keep posting here. Hang in there!

Dear Jerk,
You tease me. I thought the conversation we had the last time I came to visit would make a diffrence. I pleaded with you to move , to change. I can't keep coming back to the same old unsatisfactory circumstances. I bargained with you, rationalized with you, pleaded with you. I thought we understood one another afterwards.
And, oh, you changed. I will give you that. You moved and I appreciate that. I think you must have misunderstood me, however. I wanted you to move DOWN not UP. I am offended that you didn't listen to me. I can talk and talk til I am blue in the face, but yet nothing seems to work with you.
Don't be confused. I will move on. There are a lot of scales that would want me. Don't take me or my bathroom floor for granted or I will be done with you. Toss you in the trash with my empty cartons of soy milk and old cans of tuna. Don't think I won't. I deserve better. I am worthy of a scale that listens.
Shape up or ship out. This is your FINAL warning.
Thanks for your time.
Tara
(ReadySteadyGo)

Ok, good things first:
Rave! My weight is 219 today, woot! Finally out of the 220's, and into the teens! Onederland is feeling closer, some work to do yet though. TOM is coming up, I hope I don't go back into the 220's Dang hormones!
Rant! at 219, my BMI is STILL 40. Bleh! The BMI moves so slow. I'm really not overweight, I'm undertall!

Thank you Lesly!!! Don't worry darlin, it will come off slowly but surely. There may even be a time when I stall and you catch up to me! I have been learning that weight loss is a funny thing. It's varies by individual and even varies for that individual. I have a tendency to loss about 10 lbs all at once and then will stall for two or three weeks before I suddenly cascade downward again. Others lose about a pound a week.
So just keep at it. It will have. Maybe sooner, maybe later, but you WILL get there!