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Posts posted by athea.lei
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Anyone one Instagram? I'm always looking for active wls friends on IG to follow. I've been using IG as a platform to take accountability for myself and to meet my goals. Add me on IG boss.lady.vsg
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So I just finished my last doctor's supervised visit today and my scheduler is going to submit my information for insurance approval no later than Friday. My question is how long after insurance approval did y'all get your surgery date?
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9 hours ago, MaineDoc said:Following up on this-just found out that I have been approved! Just wanted to let you know since I also was wondering.
Congrats! I hope it won't be an issue with my insurance.
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12 hours ago, Recidivist said:I do wish I had been prepared for the saggy skin, particularly on my neck (which can't really be disguised).
The other big thing for which I was not prepared was the how much of my social life revolved around eating and drinking. It is still awkward to go out to dinner with people and only order an appetizer, with people constantly urging, "Oh, come on--one piece of cheesecake isn't going to make a difference--you are so thin!" I've also given up alcohol completely, and since we can't do carbonated beverages, that basically leaves tap Water as my drink of choice when everyone else is having wine or champagne. I don't mind, but I get tired of telling people I really don't want anything else, particularly when they don't know I've had the surgery.
Wow. I never realized that the sag can also happen on the neck. This is something I definitely have to watch for.
And food highly revolves around my family. I come from a very cultural background and we see food as a way to gather, share, and connect the family bond and strength. And to really think about it now, that is why alot of people in my island is big.
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2 hours ago, Pansypicker said:They have this fast track program. All the tests and classes are done there. It's a five day stay.
Wow! Not bad for 10k actually without going to Mexico and having it done in the U.S.
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When you do see your surgeon for consultation, ask if he/she is requiring you to lose weight because you're right at 40. I would also advise you to speak to your insurance to see if they will deny you if your BMI dips below 40, unless you have 2 or more co-morbidities.
This is one of the questions I asked in the bariatric FB group because my BMI is 44, and if I lose 21 lbs then I'll be below 40. Thankfully my surgeon is NOT requiring me to lose any weight pre-surgery.
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On 1/27/2020 at 9:37 AM, Shyree Wimberly said:two nutrition classes
Ahhh man you're so lucky! I have to do 6 consecutive months of nutrition classes. 4 more to go for me.
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That's great news! Congrats!
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Way to go buddy! Very good job! I love how you got back into soccer! I cannot wait to have the energy I once had years ago.
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What is TPN?
Or what does it stand for?
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3 hours ago, iagree2shine said:they still didn't approve because they said GERD was not enough to do a revision.
GERD is like the main side effect of the sleeve and is always usually resolved by doing a revision. Wow, what lame-o's.
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14 hours ago, Pansypicker said:Its costing me about 10K. Includes everything including hotel and testing prior to surgery. I pay for airfare though. They will even transport you to and from the airport and to appointments. Its Blossom Bariatrics. They will submit to my insurance and see if they will pay anything out of network.... Labs, other tests, etc. Was going to try Mexico for surgery but my husband forbid it....
Did the doctors themselves require you to complete anything prior to surgery? Like nutrition classes psych eval, etc...
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4 hours ago, Pansypicker said:My sleeve is scheduled March 6th. Super excited and scared at the same time. I am doing the self pay thing in Las Vegas because WLS is excluded on my insurance. I tried doing the 6 month program with my insurance years ago just to be denied. It was a heat breaker for sure.
Oh wow, sorry to hear that they denied you years ago. How much are you paying for WLS in LV?
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16 hours ago, MaineDoc said:Good point-I haven’t received official word yet on insurance approval. I had the very same concern you expressed. According to the administrator in my program, insurance looks at 2 BMIs-one at the time the PCP makes referral to the program and one at the first appointment with the program. Based on that, I would qualify. She said she was unaware of anybody who completed the program requirements ultimately being rejected by insurance for having a BMI too low and she was aware of people with BMIs close to 30 who qualified. So at this point I’m cautiously optimistic but certainly not out of the woods yet. Please wish me luck!
Ahhh man good luck on that! Hopefully they approve you with no problems.
Thankfully, my surgeon didn't require me to lose weight.
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19 hours ago, Losingit2018 said:Some of the things that made me think hard about having the bypass in the beginning was that I did not want to have to do surgery twice.
This is what I'm worried about. As you said, some people do just fine with the sleeve. But I'm afraid that if I went with the sleeve, it might cause GERD. I've had acid reflux in the past, but it went away after the removal of my gallbladder. But I'm really worried it may be a problem for me and then I may need to do a bypass. I've been contemplating the bypass for the last week now, it's definitely alot to think about that's for sure.
Losingit2018 reacted to this -
From what I heard from another bariatric buddy is that what they look for is if you can handle the extreme life change with food so that you don't continue with the habit that got you there in the first place.
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I'm looking forward to actually bend over to tie my shoes like a normal human being. Lol
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So you were still able to get insurance approval even though your BMI dipped below 35? My BMI is currently at 44. But if I lose more than 20 lbs, it will place me at 40 BMI, and I'm scared insurance might reject me. I have 5 more months to go.
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I haven't had surgery just yet. I've met with my surgeon back in November and I told him I wanted the sleeve, but just a couple of days ago I've been considering the RnY bypass.
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Way to go! And in 10 weeks too! Congrats!
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4 hours ago, BayougirlMrsS said:Go Dawgs......
My husband is from GA.
Did you find a new dr? Make sure you get them to send over all your stuff. After you leave the state it will be harder to get information.
I didn't find a new doctor yet, but if anyone has any recommendations, please let me know. I definitely plan to have my current doctor just refer/transfer me to a doctor in GA.
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1 hour ago, BayougirlMrsS said:There you go.... you did the right thing by checking with insurance. I would find out who your case worker is and keep in contact with him/her. Document every call, when, who and what you talked about. When possible use email. I wouldn't settle for "should"... i would want to know .... Yes, you defiantly will be able to continue.....
What state are you moving from and to? Cross all your t's and dot all your i's. don't give them any reason to deny you.
I'm moving from Washington State to Georgia State.
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I will be moving to Georgia in a few months. Can someone recommend a reputable bariatric surgeon preferably in southeast Georgia.
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Franciscan Center for Weight Management, Federal Way, WA
in Weight Loss Surgeons & Hospitals
Posted
Does anyone have or had Dr. Houseworth from Franciscan Center for Weight Management? I've seen some other people post about him but the most recent post was in like 2017. Anyone use him recently and what did you think of him?
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