THEMAXWELLFAMILY

Thanks. I should have a response soon. Im soo anxious! Im more than ready!!!

I got a surgery date- 09/14/10. Now we are just waiting for approval from anthem. My pre-op class is 09/01. Doing pre-op testing this week or next. Im soo anxious.. I hope i get approved!

i just got a surgery date today- 9/14, but im switching it to a thursday so that i can have thursday, friday, saturday and sunday off.

depending on how much you make per year, you may qualify for Indiana Hip, or Medicaid??

I got a surgery date- 09/14/10. Now we are just waiting for approval from anthem. My pre-op class is 09/01. Doing pre-op testing this week or next. Im soo anxious.. I hope i get approved!

hi. im sending friend requests now :thumbup:

Mine is themaxwellfamily@yahoo.com

same here... a lady in my church had bypass, and had a ton of problems after surgery. she lost a ton of blood, blood transfusions, she had to walk with a cane for 2 years, and now she is blind.

just found out that my surgeons office doesnt require patients to do pre-op diet? i think i may do it the week before the surgery just to prepare my body. What do you think?:redface:

Had my consult with Dr. Gomez today. He was pretty short and to the point.... He reccomends the Realize band instead of the Lapband. He says that the sucess rate is higher and etc. Dr. Gomez's office is going to fax everything to Anthem on Monday and i should have an answer within 5-7 business days. Im really excited. If all goes well, i will be banded in September. Well... i need to get back to reading more about the Realize band.

my bmi is 44. im going to do it

good luck to both of you!

This is an email that was sent to me from the surgeons office: Melissa, We will not do any of the pre op studies (EKG, CXR or labs) until we have a surgery authorization. We will draw nutritional labs and do a breath test for h pylori at this appt though. I will explain everything when you are here. If Myrna has all of your information we will get our part together and send in after your visit Thursday. It usually takes a couple of days to get dictations, the packet made up and we will send in within a week. Then once we get authorization you will get a surgery date then return to do your pre op testing within a 30 day period prior to surgery. See you Thursday Jill East, RN IU Surgical Weight Management @ Wishard Bariatric Clinical Coordinator

Thats what ive been doing too! I love walk away the pounds!

you go girl!

I go tomorrow for my consult with the surgeon, and for EKG , H pylori test, and chest Xray. I am told that everything will be sent to Anthem by Monday. Im nervous too. im told that Anthem is super fast!

This is an email that was sent to me from the surgeons office: Melissa, We will not do any of the pre op studies (EKG, CXR or labs) until we have a surgery authorization. We will draw nutritional labs and do a breath test for h pylori at this appt though. I will explain everything when you are here. If Myrna has all of your information we will get our part together and send in after your visit Thursday. It usually takes a couple of days to get dictations, the packet made up and we will send in within a week. Then once we get authorization you will get a surgery date then return to do your pre op testing within a 30 day period prior to surgery. See you Thursday Jill East, RN IU Surgical Weight Management @ Wishard Bariatric Clinical Coordinator

wow! you are doing great! what about making your goal 25 instead of 50?

thats funny

I was wonder the same thing! I hope my boobs go down. Im 25 , 5'1 and wearing a 40 ddd. Killing my back!

everything will be fine! dont worry! keep us posted!

keep up the good work ladies! i go in for my pre op testing Thursday. Im soo excited

Medically Necessary: Gastric bypass and gastric restrictive procedures with a Roux-en-Y procedure up to 150 cm, laparoscopic adjustable gastric banding (for example, the Lap-Band® System or the REALIZE™ Adjustable Gastric Band), vertical banded gastroplasty, or biliopancreatic bypass with duodenal switch as a single surgery, is considered medically necessary for the treatment of clinically severe obesity for selected adults (18 years and older) who meet ALL the following criteria: BMI of 40 or greater, or BMI of 35 or greater with an obesity-related co-morbid condition including, but not limited to: diabetes mellitus; or cardiovascular disease; or hypertension; or life threatening cardio-pulmonary problems, (e.g., severe sleep apnea, Pickwickian syndrome, obesity related cardiomyopathy); AND [*]The patient must have actively participated in non-surgical methods of weight reduction; these efforts must be fully appraised by the physician requesting authorization for surgery; AND [*]The physician requesting authorization for the surgery must confirm the following: The patient's psychiatric profile is such that the patient is able to understand, tolerate and comply with all phases of care and is committed to long-term follow-up requirements; and The patient's post-operative expectations have been addressed; and The patient has undergone a preoperative medical consultation and is felt to be an acceptable surgical candidate; and The patient has undergone a preoperative mental health assessment and is felt to be an acceptable candidate; and The patient has received a thorough explanation of the risks, benefits, and uncertainties of the procedure; and The patient's treatment plan includes pre- and post-operative dietary evaluations and nutritional counseling; and The patient's treatment plan includes counseling regarding exercise, psychological issues and the availability of supportive resources when needed. Surgical repair following gastric bypass and gastric restrictive procedures is considered medically necessary when there is documentation of a surgical complication related to the original surgery, such as a fistula, obstruction, erosion, disruption/leakage of a suture/staple line, band herniation, or pouch enlargement due to vomiting. Repeat surgical procedures for revision or conversion to another surgical procedure (that is also considered medically necessary within this document) for inadequate weight loss,* (i.e., unrelated to a surgical complication of a prior procedure) are considered medically necessary when all the following criteria are met: The patient continues to meet all the medical necessity criteria for bariatric surgery (see page 1); and There is documentation of patient compliance with the previously prescribed postoperative dietary and exercise program; and 2 years following the original surgery, weight loss* is less than 50% of pre-operative excess body weight and weight remains at least 30% over ideal body weight (taken from standard tables for adult weight ranges based on height, body frame, gender and age). Following an initial adjustable banding procedure that met the medically necessary criteria in this document, adjustments to the banding devices are considered medically necessary so long as the adjustment is for a medically necessary purpose, (e.g., to control the rate of weight loss or treat symptoms secondary to gastric restriction).

im sure it will all work out for you!