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JaysWife

Gastric Sleeve Patients
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Everything posted by JaysWife

  1. JaysWife

    sabotaging visitor

    I know I'm late, but I just wanted to add... You are worth standing up for!!! You are worth your time and the time of others! Most of all you deserve respect! It's obvious that you have a big heart to allow them to be in your home when they are in need, that ALONE means they should be following your requests and then some! I hope you have kicked your ex completely to the curb and that you have been able to get back on track. It is so hard for a lot of us who have struggled with weight to not feel like we are deserving of good things, for me it is anyhow, but someone as kind as you deserves only the best things in life!!!!
  2. I'm 3 almost 4 months out from my surgery and my stomach hurts all the time. It's achey and makes my back ache too. Has anyone else had this? How did you deal with it? I'm going to call my surgeon on Monday but I'm hoping for some help before then because this is miserable. TIA! 💙
  3. I am 2 weeks post op and haven't lost any weight yet. I lost 23lbs pre-surgery so I'm trying not to be discouraged but it's tough! I'm struggling with being hungry, tired, and grouchy. I know the hunger is mostly in my head. But I'm always tired and I'm not sure if my meds that had been previously working for my mental health are not working anymore or if it's just all the changes or all of the above. The lack of weightloss has been really hard to deal with. I know it's not going to just melt off but even 1 or 2 pounds in 2 weeks would have made it feel like this wasn't a mistake. If this is the dreaded "3 weeks stall" how do I get passed it? How long does it last? I'm desperate for a ray of sunshine right now.
  4. JaysWife

    Scared

    I'm 2 weeks post op. I was a wreck the night before. To the point that I wrote my family letters just in case I didn't make it lol. I definitely feel silly about that now but it's completely normal to be nervous! Good luck on your surgery!!!
  5. I'm so glad I'm not alone! This emotional rollercoaster is awful! To say I'm ready for a stiff drink is an understatement lol
  6. I am 7 days post up, half way through my full liquid stage. I find myself not getting full or even feeling satisfied at all at this early phase. I am sure that will change once I move onto foods with more substance, but right now I'm absolutely miserable. I'm not in pain from the surgery which I'm thankful for. I know part of it is psychological but is there anything anyone has found that is filling? I've tried strained bean soups, strained creamed soups, adding protein powder, and increasing my water intake. I'm keeping my calories low, and eating slowly. I appreciate any advice and suggestions!!!
  7. JaysWife

    Aetna denial

    For the second time now I've been denied by Aetna. Their reasoning is lack of information. I started my whole journey at the of July/beginning of Aug. 2020. I did the required 12 classes as fast as they could send them to me, which at the time was acceptable. Had all the testing and everything done by end of Sept or there abouts. My hospitals insurance team got everything together and sent it to insurance and they denied it stating the didn't receive 6 months of dr supervised classes nor 24 months of documented obesity. So my Dr tacked on 4 months of classes one class a month and the nn said they would go to my previous provider for the weight history. Fast forward to now, I have completed everything and have a tentative surgery date of March 22nd. Tomorrow is to be my pre-op appointment but I found out today that my insurance denied it AGAIN. Saying the exact same reasons are the cause. I'm devasted. I've been working so hard. I've been hungry for days. Fighting off the emotional eating and sweets that I crave so badly for something that I feel like will never happen. I can't afford to self pay. I feel like this is the end for me.
  8. JaysWife

    Aetna denial

    I FINALLY am able to get my surgery. I'm scheduled for June 30. I had to drop Aetna to be able to get it tho. It was such a mess! But either way I am just thrilled to finally be able to get it done!!
  9. This whole process of getting my insurance to approve this surgery is a freaking nightmare. I started this whole process in August of 2020. I did everything the surgeon and insurance required of me. Got a tentative surgery date of 12/9/20. I was so excited! My insurance denied me in November. They said they needed more info and I needed more classes ( I had already done 12, I just did all of them in 2 months). So my team added on 4 more classes, once each month and resent all of my info highlighting the info ins. claimed to not have. Got a new date of March 19. End of Feb. I got ANOTHER denial because they are STILL claiming to not have all of my info. My team sent it yet again and got confirmation that it was received. I was rescheduled again and again and again, each time having to have it pushed because the ins needed more time. Always more time. It's finally to the point that I stopped scheduling because the back and forth with the ins. is endless. I got another denial last week because now it's different info that they didn't get. Stuff that was previously sent on multiple occasions but now is just magically not in my file. So my team sent it all again and the waiting starts all over. I have strayed so far off course I have gained back everything I previously lost and then some. I know I need to get back on track just in case by some divine intervention my insurance actually approves my surgery I'm not scrambling to get back down at the last minute but it's so hard. I've fallen back into my depression pit and just feel hopeless. There is no way I can self pay. I don't want to give up but that little nagging voice in my head just keeps telling me it will never happen for me. That I'm just not worth it. I wish I could afford an attorney or an advocate aside from surgical team but that's not in the cards for me either. Blah... Sorry to be a Debby Downer, I just don't have many people that understand where I'm at that I can vent to.
  10. JaysWife

    Atena Insurance picky

    Thanks! I am sending the same for you! I hope it is smooth sailing for you!!! Good luck!!
  11. JaysWife

    Atena Insurance picky

    It's through my husbands work. It's so bad even their HR department has reached out to them as well... It's a whole mess.
  12. JaysWife

    Atena Insurance picky

    I have aetna also and dear God what a NIGHTMARE! I have been going back and forth with 2 denials so far even tho I have done everything they require and then some! My provider even made the statement that they have little hope at this point of getting a favorable decision even tho my bmi is 45and has been for at least 25 years and I have ridiculously high bp. Good luck is all I can say 😞
  13. JaysWife

    Rant: The Word I Hate

    I thought I was the only one with a dislike of the term pouch. It's just weird to me. Lol
  14. JaysWife

    Gee, Thanks Mom... I think...

    A little background before I get to my real rant lol. My mom and I have a strained (almost non-existent) relationship. We only talk a few times a year. She has always been tall and thin (5'9" 130lbs) I however have always been heavy. I have been fighting with my insurance for the last 7 months to be approved for wls. A few days ago my mom calls me and asks how everything is going with the surgery. I tell her about the struggle with ins. and that I'm hoping for surgery next month. Her comment to that is the kicker. I hope everything works out so you can finally be skinny and pretty and feel good about yourself. Like WTF?? My self esteem is already in the toilet, but now I've just been reminded that because I'm fat I can't be pretty. Sometimes I wish I hadn't told anyone about wanting wls. The amount of unsolicited advice and criticism that has been more hurtful than anything is crazy. Thank God for this site. I don't feel like such an outsider in here.
  15. JaysWife

    The Night Before Is Here!

    Good luck!! 🌟🌟
  16. JaysWife

    Aetna denial

    I am still fighting with them. They have "misplaced" or "not received" the documents they need 3 times now. They FINALLY have them scanned into their system as of 3/10 but I was told it can take them another 30 days to process them. And that's just for the predetermination. I still have to go through the pre-certification process yet. My surgery has been pushed out 3 times now. I have a new tentative date of 4/7 but I'm not holding my breath for that to be the actual surgery date. It's been a nightmare in all honesty. The back and forth between insurance and the surgeons office, the uncertainty of whether I'm actually going to be approved or not, and the rescheduling of things over and over again. There have been many times through it all where I have very seriously thought about just saying eff it all and giving up. But I know this is kind of like my last hope so I keep at it. I call the insurance company every other day to try to get updates even though it's always the same thing. I was finally told that I should have an answer by this Wednesday so fingers crossed I do and it's a good one. My recommendation is to stay on the insurance company, keep records of who you speak to and when, and just be prepared for possible scheduling changes. I truly hope my case is just a fluke and that others don't have to go through all of this!!
  17. I completely agree. $90 for 2 tubs is a lot and I have to buy 2.
  18. My Dr requires I use either bariatric fusion or bariatric advantage protein powder for my pre-op diet. I was given samples of all of the flavors of the b.a. except the coffee flavored and the orange cream. I was wondering if anyone has tried the Orange Cream and what they thought of it? So far I'm not a fan of either brand but I'm required to purchase 2 tubs of one brand from the drs. And I really don't want to be stuck with awful flavors.
  19. Hi everyone, I've been here for a while but never posted before. But I'm just under 3 weeks away from my surgery. My nerves are going crazy. I don't know if it's because of not having my approval from insurance yet or about the actual surgery. I was denied back in December and it was so disheartening. But my Nut. and NN have helped me make sure all requirements are met this time since they were changed part way through so my fingers are crossed. How do/did you guys get passed the jitters? I feel like literally all I do is worry about weightloss and meal planning to the point that I'm not sleeping...
  20. I have some final pre-op tests to take, covid, ekg, and blood work. Also I have to start my pre-op diet on Thursday. The problem with that is I am required to purchase my protein powder through my surgeons office and it's $90. I don't want to spend that if I don't have an approval so basically I have until Wed. Which isn't looking good right now.
  21. March 22. I'm about to find out if there is a way for mine to be uploaded and sent instead. I'm on hold now with insurance. I've been on the phone with them for literally an hour so far. And this is the second phone call to them today.
  22. Still getting the run around from insurance. My surgeons office has now submitted the required info 3 times to three different fax numbers that they have been given and insurance is still claiming to not have received the paperwork. It's so frustrating. I can't get a straight answer nor can I speak directly with the person within the insurance company that is handling my case. My surgery date is coming up and there are still things I have to do but I was told to hold off for the approval. I'm running out of time if I want to make this surgery date and there is literally nothing I can do. I feel so helpless.
  23. My Dr requires I use either bariatric fusion or bariatric advantage protein powder for my pre-op diet. I was given samples of all of the flavors of the b.a. except the coffee flavored and the orange cream. I was wondering if anyone has tried the Orange Cream and what they thought of it? So far I'm not a fan of either brand but I'm required to purchase 2 tubs of one brand from the drs. And I really don't want to be stuck with awful flavors.
  24. JaysWife

    This Pre-op diet is a b$@!:

    Mine is 4 protein shakes / day and 4 cups of non starchy veg/day. I have to use either bariatric advantage or fusion shakes. I haven't started yet, but the samples they gave me of the shake flavors are terrible 🤢
  25. Yay!!!! That's so awesome!! Please come back and let us know how the surgery goes!!!! I didn't get my official approval but my nn told me they will get it! She is going to call them everyday if she has to she said. They have refaxed all of the info to a single contact within the determination department so by this time next week I should have my approval in hand!

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