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My Bariatric coordinator (she runs the support group) says we are supposed to aim for 800 calories per day, and then up to 1000 if you exercise intensely. There were a lot of people kind of surprised how low that was in my group however.
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Bcbs Of Al - Costs - Mobile Infirmiry
Rena's got this replied to bormannk's topic in Insurance & Financing
This is what they said in their denial letter..... According to the information sent to us, the patient’s condition does not meet the medical criteria guidelines established by our medical staff for the above procedure(s). The documentation does not show a BMI of 40 or greater or BMI of 35 or greater with a co-morbid condition and on optimal drug therapy for three years. Per Blue Cross and Blue Shield of Alabama®’s Medical Policy #053, co-morbid conditions include hypertension on optimal drug therapy, atherosclerotic cardiovascular disease, diabetes on insulin or oral agents, pulmonary hypertension, or severe sleep apnea with RDI of 50 or greater. Also, the six month consecutive diet must be supervised by a practicing physician such as the primary care physician and not by the bariatric surgeon. The diet received was supervised by a registered dietician only and does not meet criteria under Medical Policy #053. Please note, letters only are not accepted. You may request one reconsideration of this predetermination. This request should be made in writing. Please include any additional medical documentation available for this reconsideration that has not been reviewed. -
Hello all! This is a wonderful forum. So many questions answered and others popping up for me. I have Cigna insurance and I am not sure if it will be three or six months of prep but I am willing to jump through the hoops as long as I can see a VSG at the end of the tunnel. I am 57 year old female. I have struggled with anorexia and binge eating, both ends of the spectrum. I have been able to lose weight in the past, but have never been able to keep my weight down. The last five years, what worked for me before is no longer working and I get nowhere. Last year I saw a dietician for four months and lost three pounds and I exercised like a fiend. 90 minutes, five days a week. Three pounds in 16 weeks. It becomes very discouraging. And my company did not cover ANY weight loss services. Last year I hit rock bottom. This year I petitioned the CEO at my company and she immediately agreed that Bariatric surgery is something that a healthcare organization should offer as a benefit to its employees. Starting July 1 this benefit will be added to our coverage. So July 1 I am applying to start the process. Wish me luck! I will be here a lot looking for, and offering, encouragement, validation and support.
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Well I'm all the way in Orange County, but my group was great! They are located in Newport Beach and are called the N.E.W Program. Their whole practice (including not only surgeons, but internists and dietitians) are dedicated ONLY to bariatrics. They had great statistics on laprascopic to open conversion and I liked their whole approach to the subject. I think their website is The N.E.W. Program Southern California - Gastric bypass, Lap-Band, Weight loss, Adolescent Obesity. Tell your cousin good luck!
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It FINALLY happened
Finallyreadytomakeachange replied to Blue Door's topic in Weight Loss Surgery Success Stories
Just signed up for Bariatric Pal, and was looking for some encouragement. Yours is the first post I read. So impressed with how well you are doing. You are an inspiration! I hope I do as well as you :-) -
I started gaining weight in my late teens and was never able to control it no matter what I did. My PCP had encouraged me to have bariatric surgery for the last five years or so, and I finally decided that I'd done everything else I could possibly do. The sleeve seemed like the best option for me, so I went to Dr. Alexander Abkin in Florham Park, NJ, who's one of the best doctors in the NJ-NY-CT area. After months of classes, tests, etc., I finally had my procedure two weeks ago. It's been a struggle to get down enough Protein, and Clear liquids have to be within a very narrow temperature range not to upset my stomach (the gurgling is loud enough to be heard from across the room if my drink is two degrees too warm or too cool), so I've had to be creative. I was told to go to full liquids as soon as full digestive function had returned, so the third day after surgery heralded the return of milk, yogurt. farina and Soups. Nine days post-op when I had my check-up I was told to progress to Phase III, and I've been adding cheese, fish and other items gradually. My highest weight was 304, and it was 295 the morning of my surgery. Shifting those few pounds was sheer misery, even though I never really ate much nor had much of an appetite. After the surgery the weight has truly fallen off: this morning the scale read 272, a drop of 23 pounds in 14 days. It will be great to lose weight and look better, but I'm really looking forward to being healthy enough to be able to see my grandchildren grow up. My son and his wife just told us that they're trying for their first, so by this time next year we may have a little one and his or her future is of vital importance to me.
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I watched as many VSG and bariatric surgery videos on Youtube as I could. I wanted to know the good, the bad and the ugly. I chose to watch people that had posted at least a year of videos covering their progress.
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Hi Lovingdavid! Yes!!! I too had my sleeve on July 30, 2014! At first, it took some great adjustments (getting use to quantity of foods, etc). Doing really well now. Exercise in gym 2 to 3 times a week. I am a slow loser (weight), but I lost over 70 lbs! I will visit my bariatric team later this month for my one year anniversary! Hope you are doing well!
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Well its my Surgery Eve and im sittng in my hotel room in San Diego wondering why i cant find much about my surgeon on Bariatric Pal. His name is Luis Cervantes my procedure is @ Hospital Guadalajara in Tijuana Mexico tomorro 12/15 @ 1pm , after blood work, ekg, etc, All of his review are on his website, which I'm not 100% confident with because I am a website owner and reviews can be manipulated! Im doing this all alone, no support team, except back home in Dallas tx where they all disagreed with me going to Mexico to do this procedure. I was sucessful with stopping smokiing 2 weeks before surgery but have not been sucessfull with the 2wk liquid diet, i thought the latter would have been easier, but not! I never gave up i did the liquid diet best i could on the road because my profession requires much travel in which the gain balloned... none the less ive read many success stories about patients goin to mexico and a few horror stories. But I'm mainly wanting more info on the doctor Luis Cervantes of Guadalajara Tijuana Mexico I booked him through a site called Mexico Bariatrics, In which I went through a patient coordinator. I also want to know what are the risks besides Fatty liver if you don't strictly follow the liquid diet? I am a self pay patient so I guess aint no turning back now, thank you!- 19 replies
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My first step, a seminar
Big As Life replied to Kimmya's topic in Tell Your Weight Loss Surgery Story
Congrats On Your First Step...i Hope That All Goes Well For You....this Is A Great Place To Get Lots Of Info...i Am Not From Georgia So I Am Not Familiar With The Bariatric Clinic, But Welcome To Lbt And Good Luck... -
I am having my surgery at Methodist Medical Center. My surgeon is Jayar Salimath. The Methodist Surgery and Weight Loss center is in Peoria, Il here is a list that pops up under my surgeons profile; Other Bariatric Surgeons near Peoria, IL Gerald Cahill ? Evergreen Park Christopher D. Joyce ? Joliet Brian E. Lahmann ? Joliet Constantine T Frantzides M.D., P.H.D., ? Skokie Jeffrey Rosen ? Downers Grove Jonathan W. Wallace ? Hoffman Estates Alexander Nagle ? Chicago James M. Kane Jr. ? Hoffman Estates Stephen Haggerty ? Highland Park Amir Heydari ? Crystal Lake
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The adjustable gastric band (Lap-Band or Realize Band) is not all that new any more. The Lap-Band has been approved for use in the USA since 2001, the Realize Band since 2007, and other brands of bands have been used in the rest of the world since the 1980's. I had a band slip (resolved with a complete unfill) and a port flip (corrected with surgery), but I loved my band. You're correct that band surgery is reversible, though I wouldn't recommend doing that unless it was to treat a complication. Just because it's reversible doesn't mean that the band is easy to remove. RNY (gastric bypass) is also reversible, though not easily. VSG (vertical sleeve gastrectomy) is not reversible, and only the "switch" part of DS (duodenal switch) is reversible. Good luck with your decision. It's good that you're doing research. I suggest thatyou carefully weigh what other bariatric patients and a bariatric surgeon tell you, and pick the procedure that feels right for you, to meet your weight loss needs and your post-op lifestyle. Jean
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I am looking very hard at Bariatric Surgery, and I am still not sure which way to go, Lap-Band or Bypass ? I have been big all my life I have been as big as 525, down to 250, and I am back at 385 with a BMI of 43. I have been a type 2 diabetic for about 9 years. and I had a 5 way cadiac bypass a year ago. I have done alot of reading, a great deal has been done in the last 24 here on this site (Great Site !) I have been told I can beat the diabeatis in a few weeks with the bypass, longer with the band. There are good and bad with both procedures I am just trying to get some more insite before I go to the clinic in a few weeks for my first interview. I would like to hear from some of you on how you decided which way to go. Doc
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I Keep Losing Weight
Healthy_life2 replied to Christop's topic in Weight Loss Surgery Success Stories
I have no appetite. food hurts when it is going down. I often throw up after I eat. I lost more weight. I became malnourished and anemic. I lost more weight. I am always sick now. I am losing more weight. I think I am dying. Call your bariatric surgeons office. !!!!!! -
Just Starting the Process
thsisme replied to IceAnnouncer's topic in Tell Your Weight Loss Surgery Story
Kevin, call the customer service number of your insurance. let them know what you have done and ask them to tell you what they require. once you submit everything to the bariatric center, ask them who to contact in their office for an update as to when they send in your paperwork and what their experience is. Follow up with the insurance and learn their process. I took my waiting time form 3-4 weeks to one week processing time. I have BC/BS of CA though. Please continue to do your research. Know that hunger is sometimes felt with the band until you obtain your "sweet spot" . Hope this helps you and I wish the best in this journey you have just begun. -
136lbs in 8 months and this loose skin is starting to suck
penman53 replied to dandeegan's topic in The Guys’ Room
I'm not the young studs like you guys are i'm 61 in September but I never in a million years thought that the excess skin would look like this. I think I look terrible without cloths on. But there is no way in the world I will invest the kind of money you have to do to get rid of it. My good friend across the street from me works for a surgeon who specializes in bariatric skin removal procedures. Maybe I can get her to throw me a bone huh? -
Surgery Date August 27Th
mjrevel replied to princessrahniya's topic in PRE-Operation Weight Loss Surgery Q&A
My Dr has me on a 12 day protein shack diet, called Bariatric Advantage. Its has been hard with no real food. I broke down tonight and had two eggs. -
I have vitamins chewable from bariatric advantage my surgeon gave them to me they are watermelon cant say they taste good though :smile:
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Check out the following website. It will give you a list of Medicare approved bariatric facilities. Bariatric Surgery
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Hello All! My name is Kimberly. I am 24 yrs young, married with no children, and currently a pre-Nursing student. I am 5'7, 354lbs with a BMI of 55.4. I started the lapband journey just over a year ago. I have Humana EPO, and they have been terrific. To qualify I had to have: Medical records with recorded weights for the past two years, (one a year was sufficient), Letter of Medical Necessity from my PCP, and 6 consecutive months of nutrition/exercise advise from my PCP (each month I went to the doc, she typed in something along the lines of "advised Kimberly she needed to lose weight, follow low-carb high Protein diet and exercsie 3x per week..yadda yadda yadda). I turned all of that into my insurance and received an approval less than a week later! (This was after my father, who is the primary insurance holder, forgot to renew me on his insurance last January..thus having to wait another 6 months until his open enrollment, then another 3 months for my insurance to become effective again, so this prolonged everything by 9 months :-/) But alls well that ends well, and now I am anxiously awaiting my surgery date. I am having it January 25th with Dr.Rehnke at the Palms of Pasadena Hospital in St.Pete, FL. I start the Optifast on January 11th, and really am NOT looking forward to it. What helps me is the fact that my mother had the surgery with the same doctor a few years ago, so she has a bunch of tricks that she has passed on to me. One of which is to buy a BUNCH of different flavored extracts, like banana, Coconut, Almond etc. to add to the shakes. I'm hoping that will help with the variety. I guess the main things I'm nervous about are: 1.) I have bad acid reflux when I don't eat. Will I have this while on optifast? 2.) Anesthesia. I've never been under before, so I'm frightened of what my reaction will be. 3.) Just generally nervous about something unbeknownst happening to delay or prevent the surgery such as bad preop testing, complications in surgery, and various of other possible scenarios that have to come to mind. I want this so bad, I feel like I've been dreaming of it for a very long time, and now that my dream is being realized I'm afraid I will wake up! I look forward to continuing to post as I experience this new journey in my life and I look forward to reading all of your stories as well! Happy New Year!
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Hair loss after revision?
psvzum replied to cboone8424's topic in Revision Weight Loss Surgery Forums (NEW!)
I can share my experience with hair loss through RNY but not lapband. I've made several posts on this as it's not something that's really talked about in depth. People say, I'm losing "alot" of hair. Define "alot"! I knew going into RNY surgery I might lose some hair. I obsessed over it! I took hair supplements months prior to surgery and thought if I took all my Vitamins, Biotin and proten, I'd be fine. Uh uh. This article won't make you happy, but explains why it happens: https://www.drdkim.net/ask-the-dietitian/understanding-hair-loss-after-bariatric-surgery/ I have very thick, dark coarse hair. I began shedding at 3 months and it's just starting to slow down at 6 months. If I put my hair in a ponytail, it's half as thick as it used to be. I don't have any bald spots but I can see area's where it's thinned. GOOD NEWS!!!! I've been using this spray on color that's made for touching up your roots in between hair coloring. I spray it in the thin area's and don't see my scalp. There's also products you can spray on that have fibers that attach to your hair making the thin area thicker. I even looked into wigs, wiglets and extensions if it got really bad-it hasn't. BEST NEWS!!!! It grows back. I'd do it again in a heartbeat if needed-best decision I've every made. -
Do I Need My Gall Bladder?
*slim* replied to gabi311b's topic in PRE-Operation Weight Loss Surgery Q&A
Neither is my surgeon. He left the worst scars on me. Considering he does bariatric surgery, you would think he would know you can't tape together a fat woman's stomach incisions and expect it to heal well. Each incision spread apart much wider than they would have if he would have used something else. I think I would have rather had sutures and the marks they leave than the scars I have. -
I am six weeks post op and have been living on this stuff. Sugar free, 15 grams of protein, and you mix it with water so you get your water in. Tastes exactly like real hot chocolate and comes in a bunch of different flavors like marshmellow, chocolate raspberry, and cinnamon which are my favs.
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This is my first time posting but I have been lurking for a while. I also have Aetna and did my program thru Dr. Pennington at Advanced Bariatrics in Mountain Brook, AL. They have a psychologist/fitness instructor/nutritionist on site and I seen them for 3 months, as required by Aetna. My last appt was July 15, my paperwork was submitted July 25 and I was approved last friday, August 5. The fitness lady I seen just showed me different ways to do exercise, mainly after surgery. she also measured me for my file.
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Looking for Surgeon in New Mexico
NMThin replied to cdskinn's topic in Tell Your Weight Loss Surgery Story
Hi! I received my band last Tuesday (May 7) in El Paso at Southwest Bariatrics with Dr. Bruce Applebaum. I had the best care, and was up and moving only hours after the proceedure. There are NO bariatric surgeons here. Closest ones are in El Paso, Lubbock, Phoenix or Colorado. Good Luck!! If your insurance covers it (mine did) they propably have a network surgeon in mind that they use.
