karen_marie

I am 4 years post-op RNY. As far as the inner me, I did not detect any change.
But some individuals do. I think perhaps it might be expectations. They might believe that if they lost the weight, everything in their lives would change for the better - that overweight was the root cause of all their personal problems. It doesn't.
In my case I had the surgery because my obesity was causing me to slide down the slippery slope of bad health conditions (high blood pressure, diabetes, sleep apnea, severe acid reflux [Gerd]). The surgery corrected those conditions and I am very please to be healthy again. I also was pleasantly surprised on how easy it was to drop the weight because after the operation I lost my hunger. And I was also surprised by the fact that I went from a size 3X in shirts down to a size Small and from a size 46 in pants down to a size 33. It meant that I could shop in department stores again and replace my wardrobe with the latest fashionable styles.
Perhaps another component is hormones. As you lose weight, the chemicals and hormones that were stored in your fat cells are released into your body. These will pass through your kidneys and be expelled in your urine. But they can generate a flush of hormones during the weight loss phase and in some people dramatically affect their mood. This hormone rush generally simmers down once you transition into maintenance. It is important to meet your daily Fluid requirements, because it take fluids to flush these hormones from your system.
Another component to your question is how the outside world treats the obese you from the slim, fit you. People treat fat people differently. Some comments may rub you wrong. Sometimes this is out of jealousy. Some people perhaps may even wish you to fail because they are obese and do not want to follow your path.

I was going to say my surgeons office did it all. I've done what they asked of me (short of keeping a written journal of exercise/food. I was asked to keep it in the event it was needed for surgery. I have high bp and several other qualifiers but didn't meet the 40% automatic qualifier. So I did the psych meeting(s), nutritionist, EGD, and in home sleep study. Got approval a week ago today! Set for 9/12! Eek!!

ok 10-day... you're gonna need to chill out or you're not gonna make it..

I feel like I could make such a huge list, but I'll share some of my top picks:
My husband to be able to pick me up Go horseback riding again Fit on roller coasters again Comfortably fit in an airplane seat and lower the tray Be more adventurous in the sack Shop at 'normal people' stores for clothes Run farther distances without my hips hurting

That's so exciting! I bet I could have it done the end of October but for scheduling with my kids and when my husband can be home to help it will have to be November or December... but still enough time for a great summer bod [emoji12]

I feel like I could make such a huge list, but I'll share some of my top picks:
My husband to be able to pick me up Go horseback riding again Fit on roller coasters again Comfortably fit in an airplane seat and lower the tray Be more adventurous in the sack Shop at 'normal people' stores for clothes Run farther distances without my hips hurting

Quick update - my patient advocate is already putting my info in for insurance approval! Still have some pre-op appts to complete in September, but it would be great to get approved already. It's been just under a month since I first went to their free seminar to them putting in for my insurance approval. Seems like it's going really fast!

I feel like I could make such a huge list, but I'll share some of my top picks:
My husband to be able to pick me up Go horseback riding again Fit on roller coasters again Comfortably fit in an airplane seat and lower the tray Be more adventurous in the sack Shop at 'normal people' stores for clothes Run farther distances without my hips hurting

It's something that I would love for him to be able to do! We're going to be buying a house next summer, and I'd love to be corny and have him carry me over the threshold haha.

Quick update - my patient advocate is already putting my info in for insurance approval! Still have some pre-op appts to complete in September, but it would be great to get approved already. It's been just under a month since I first went to their free seminar to them putting in for my insurance approval. Seems like it's going really fast!

@Rucamama Woohoo! I've got my psych eval appointment tomorrow (1hr for the test, another 1hr to sit with the psychologist). But I'll have time to chat with my assigned patient advocate at my surgeon's office afterwards, so I'm guessing I'll get more info on next steps and hopefully a better idea of when a surgery date would be.

Bummer! Too bad BCBS doesn't have their medical policies match from state to state

Same here! I'm hoping for a late October/early November surgery date This will be my early xmas gift to myself this year.

I've got BCBS of IL, PPO through work. I also did the cost estimate on the BCBS website, and it basically said I only had to pay my max out of pocket for the procedure. I then checked my policy and confirmed that gastric bypass is covered. When I reached out to my insurance, these are the requirements they gave me in order for them to review my submission for approval. You'll notice that BCBS IL did away with the 6mo required diet back in Feb. 2012 (I pulled the current BCBS of IL medical policy on bariatric surgery and it notes when changes were made at the end of the policy). I've attached the policy PDF with the predetermination information at the beginning.
"For a member to be considered eligible for benefit coverage of bariatric surgery to treat morbid obesity, the
member must meet the following two criteria:
Diagnosis of morbid obesity, defined as a: Body mass index (BMI) equal to or greater than 40 kg/meter (* see guidelines below for BMI calculation); OR BMI equal to or greater than 35kg/meters with at least one (1) of the following comorbid conditions related to obesity that have not responded to maximum medical management and that are generally expected to be reversed or improved by bariatric treatment: Hypertension, OR Dyslipidemia, OR Diabetes mellitus, OR Coronary heart disease, OR sleep apnea, OR Osteoarthritis; AND Documentation from the requesting surgical program that: Growth is completed (generally, growth is considered completed by 18 years of age); AND Documentation from the surgeon attesting that the patient has been educated in and understands the postoperative regimen, which should include ALL of the following components: Nutrition program, which may include a very low calorie diet or a recognized commercial diet-based weight loss program; AND Behavior modification or behavioral health interventions; AND Counseling and instruction on exercise and increased physical activity; AND Ongoing support for lifestyle changes to make and maintain appropriate choices that will reduce health risk factors and improve overall health; AND Patient has completed an evaluation by a licensed professional counselor, psychologist or psychiatrist within the 12 months preceding the request for surgery. This evaluation should document: The absence of significant psychopathology that would hinder the ability of an individual to understand the procedure and comply with medical/surgical recommendations, AND The absence of any psychological comorbidity that could contribute to weight mismanagement or a diagnosed eating disorder, AND The patient's willingness to comply with preoperative and postoperative treatment plans." I'm sure your surgeon has an entire program already put together to meet pretty much all of these requirements. My surgeon is Dr. Jonathan Wallace at Suburban Surgical out in Hoffman Estates, and their practice is a pretty well-oiled machine at this point. I just had my initial consult with Dr. Wallace on 8/9, and I've already had my insurance confirmed by them and multiple appointments set up (first set of labs, psych eval, and two required nutrition classes).
Hope this helps! I'm just starting my journey but I've done a TON of research already, if you can't tell

Current BCBS IL medical policy on bariatric surgery as of 3.15.17.pdf

Quick update - my patient advocate is already putting my info in for insurance approval! Still have some pre-op appts to complete in September, but it would be great to get approved already. It's been just under a month since I first went to their free seminar to them putting in for my insurance approval. Seems like it's going really fast!

@Rucamama Woohoo! I've got my psych eval appointment tomorrow (1hr for the test, another 1hr to sit with the psychologist). But I'll have time to chat with my assigned patient advocate at my surgeon's office afterwards, so I'm guessing I'll get more info on next steps and hopefully a better idea of when a surgery date would be.

Thank you! I actually just got the call for my first consult with Dr. Heydari for next week! And I have to schedule my bariatric/ nutrionalist screening. It's really happening! Im so excited and scared.