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Help me please :( GERD
Losingit2018 replied to Helpme95's topic in POST-Operation Weight Loss Surgery Q&A
Did any of you have any type of reflux issues preop? This worries me a bit. Only because I do not want RNY and would be upset if I were forced to revise to it after the sleeve -
Help me please :( GERD
Helpme95 replied to Helpme95's topic in POST-Operation Weight Loss Surgery Q&A
thanks for the advice. Sadly I don’t think the bypass is an option for me -
The ins and outs of loose skin: NS treatments, Inconveniences and issues
Pilot my best self replied to Pilot my best self's topic in POST-Operation Weight Loss Surgery Q&A
First, you look amazing. I would not have guessed you were dealing with excess skin. You hid it very well. I have about 150 I’d like to lose so I suspect will be in a similar situation. for now, I just need to recover from the bypass surgery. But it is so good to hear others’ experience. Thanks so much for sharing! -
My doctor mentioned to me at my appt this week that I should consider lapband. I went to the library to find more information and was disappointed to find that most books focused on gastric bypass, and there was very little on lapband. Anyone have suggestions on reliable books to peruse before I pursue this? FYI..I attended an orientation about 3 years ago for gastric bypass, when I decided that it really wasn't an option for me.
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Well I attended DR. Maremas Seminar tonight in st. augustine, fl. It was pretty good i think. He seemed alright he seemed to push the gastric bypass more than the band, but i know i will NOT get bypass, he also seemed to like the realize band more than lapband, not sure why he said he likes the contour more i dont know, but i will research both, does anyone have the realize band? Well i weighed in my weight was still 230, bmi was 40.5. So i'm not sure if when i go approval they will go off that what that says, or whatever weight i am at when they submit my approval, i still have to do the 6 month diet.But the insurance lady said my bcbs ppo state employee plan was the best one to have that they take cause she said they are easy to get approval from. And with my bmi at 40 i dont have to have 2 co-morbilities. Not sure when the procedure will be, still have to talk further to them, about all the info that i need for approval, also i'm stll no sure if they want the several thousand upfront, phew still quite a bit i have left to do i think, but we'll see the 6 month diet will be the hardest and longest part to get thru.......... So yeah anyone know the difference between realize and lapband and do the insurance company go off your bmi from your weigh in, or do they go off of the latest weight before approval? thanks LaLa
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Lapband to Sleeve Revision - BMI 31
JACKIEO85 replied to luv2cook's topic in Revision Weight Loss Surgery Forums (NEW!)
If i were you I'd find out First what is going on with the Band, a Revision to sleeve doesn't have be done at the same time a band is removed. Also if your Surgeon is saying he thinks the band has eroded, Then a Sleeve revision MAY NOT be possible? Then your going to have to consider another form of WLS. personally I'd start researching all the options (why wait). The literature states that a Loss of restriction is a sign of erosion, and epigastric pain, where others experience nothing. What happened that you Failed the Barium swallow? Did the Surgeon see the flow of Barium going somewhere other than through the esophagus/stomach? OR were you just unable to tolerate drinking the Barium? I ask because this is a Concern for allot of Banded ppl. Any information can be helpful. In regards again to the Revision, Get on the Phone call the Insurance company, then get them to send you a hard copy of the policy to explain your Bariatric coverage, it varies greatly and you can't always trust the person that answers the phone to explain it correctly. BMI isn't the only factor that the insurance approves a revision, if Co-mobidities are present those are also factored in the decision. Good Luck!! So Sorry that your having band complications, Please keep us Posted and i hope all works out in your Favor!! -
I will go against the grain I never want to see the lap band covered call me all the names in the book I am ok with being an elitist snob for a lot of reasons... If it is covered there won't be more time for WLS surgery it will just be another surgery on the schedule and there is already a 7 year wait in ON for the bypass. people who are self pay take it more seriously and tend do better than people who have it paid because they have skin in the game (that comes from talking to WLS in the US where there are both options) and a host of other reasons I know it is a hardship for some but hell I had to pay too and I found the money.... I am glad the On legislature passed a bill to not cover the band. Heather
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I think I'm convinced....
Bornagainbabe replied to charitymarroquin's topic in PRE-Operation Weight Loss Surgery Q&A
Ditto what Susan said. I am band to sleeve revision too and like all the others would not recommend it now. VSG is great! -
DENIED - HELP with Self Pay Options??? New Surgeon????
attitudz replied to attitudz's topic in PRE-Operation Weight Loss Surgery Q&A
Thank you all for your help, I heard from my Doctors office today and they are livid! He says I DO have the comorbities listed and that they will try and fight, I do NOT however want to spend the next 2 years fighting. Also - my insurance will only pay for a bypass with my high BMI and I don't want that. I talked to Dr. Kirshenbaums coordinator today. I am trying to find some financing and once that comes through i think I'm going to Denver! Anyone have suggestions on medical financing? -
What to expect regarding weight loss and eating....
mom2cjpx4 posted a topic in PRE-Operation Weight Loss Surgery Q&A
I have heard and read repeatedly that results vary and not to expect as much weight loss from the band as the bypass but I can't get a definate answer from anyone about their loss. I have seen results that "so and so" lost 110 pounds after a year and a half, but can someone definitively tell me approximately how much a week or a month or within six months what they lost? I am just trying to be realistic. I have surgery this Friday, the 11th. Also, how long before you were able to eat "real foods" not continue on broths, shakes, etc. I have friends that ate baby food for a few weeks. Thanks for any input! -
Did you know that they will be doing a similar procedure with no incisions soon?
AngieAngel replied to cookiebaby's topic in PRE-Operation Weight Loss Surgery Q&A
Thank you for sharing. I just watched the video. The big plus is that there are no incisions, the drawback (when compared to Lapband) is that there is no adjustments available. I am guessing it is reversible? Not sure. Also, I would worry more about stretching the pouch (like bypass folks can) Very interesting though! -
Any US VSG Surgeons w package deals?
NtvTxn replied to ic4rest's topic in PRE-Operation Weight Loss Surgery Q&A
I'm out of state and self pay as well...I'm heading to Dr. James Davidson in Dallas. Phone number is 214-696-2890 web address is: Weight Loss Surgery Dallas Gastric Bypass Sleeve Gastrectomy LAP-BAND? Adjustable Gastric Band Home Page I have an appointment for the seminar in April and they are letting me have a pre-op appointment the following day since I am out of state; usually you do this two weeks prior to surgery. I have been penciled in for surgery for June, I'll fly in the day before for all the pre-surgery blood work. They are VERY easy to work with. I've been talking to Trevor. There is a one week follow up and then another one at two weeks. I don't know if that one is mandatory or not. We have planned a week in Galveston between week one and two, so it's not a big deal. Price is $12,500 and they are a center of excellence, which apparently, according to my doctor is something she told me to look for. Good luck!!!! :w00t: -
Why VSG instead of Rouen-Y
Bariatric-Surgery-Source replied to OldAv8tor's topic in PRE-Operation Weight Loss Surgery Q&A
Great question and equally great replies! As many of the respondents mentioned, gastric sleeve surgery is much less complicated than many other types of bariatric surgery… Your digestive system is not rearranged, unlike gastric bypass surgery or duodenal switch surgery. It also differs from the more complicated procedures by being primarily restrictive in nature (makes you feel full sooner rather than directly causing your body to absorb fewer calories). There are no foreign objects implanted in your body as with gastric banding or vertical banded gastroplasty. Because of these differences, the gastric sleeve has a reduced risk of: Vitamin deficiency/malnutrition Dumping syndrome and other malabsorptive-procedure (i.e. gastric bypass) side-effects Long-term gastroesophageal reflux disease (GERD) vs other restrictive procedures. Another consideration: with gastric sleeve surgery, a large part of the stomach is removed, so afterwards your stomach may secrete fewer hormones that make you feel hungry (i.e. ghrelin peptide-YY). To be fair, gastric sleeve surgery does have a few negatives vs other procedures: It cannot be reversed (not necessarily a bad thing) A relatively long staple line is created during surgery which may increase the risk of staple line leaks and/or bleeding It is a newer procedure than Roux-en-Y gastric bypass and other surgeries. As a result, it has fewer long-term studies to support the short-term results. Some critics fear that the pouch could stretch over time (although there are a few relatively quick and safe procedures that can tighten up a stretched stomach pouch). A couple of studies that directly compared gastric sleeve surgery to other procedures also suggest that weight loss may be similar or better than weight loss following Roux-en-Y gastric bypass surgery or duodenal switch surgery. Good luck with your decision and with your new life! Bariatric Surgery Source Gastric Sleeve Surgery - Evaluating & Comparing Its Effectiveness and Outcomes -
Pre-Op with question about MRSA (staph infection)
Infinity replied to crystal w's topic in PRE-Operation Weight Loss Surgery Q&A
I have recently been battling Mrsa infections. I was given the ok for surgery and then had a boil this was in January. I have since been on antibiotics and fighting break outs. My surgeon said I am good to go when I am symptom free - BUT- I can't find that much info on Mrsa people with the lapband. My caseworker in the bariatric dept feels gastric bypass would be safer due to the fact I won't have a foreign object in my body. I have been on this journey for months but am unsure if i should proceed. Is there anyone else out there who has Mrsa and has also had the lapband? I did read the one response and it was helpful. -
So many questions??? Lap band oir Gastric bypass!!!
yaddajean posted a topic in PRE-Operation Weight Loss Surgery Q&A
Hi all, I am really looking for some support. How is the lap band working for you. Why did you choose the lap band, rather than gastric bypass. I am trying to make a decision, and not sure which one is right for me. Plese give me your feed back, your successes, and failures. Thanks in advance!!! -
I am pretty sure I'm going to choose the sleeve for my WLS but I research the crap out of everything. I already know I can't have RNY because certain medications I have to take can't be taken after bypass. I also asked about meds after sleeve and someone linked a very useful list and the meds I take can be taken after the sleeve. Now it's time to verify with the DS. I can't seem to find a list of meds that can and can't be taken after DS. Is it the same as bypass or sleeve, or different from both? Specifically I'm worried because I have severe allergies, I have to take 3 allergy meds a day (zyrtec, claritin, and allegra) just to be able to leave my house, and my allergist told me to always have benedryl on hand in case of a severe reaction. Most of those meds were on the *do not take* lists for bypass that I've found. This worries me.
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Basically, the DS is the same as the sleeve from a medication perspective - the bypass has specific structural problems that contraindicate some medications (NSAIDs being the biggie) that doesn't apply to sleeve based procedures. The DS has problems absorbing some time release medications depending upon the time release mechanism used. That's something to discuss with the surgeon and to research the specific medication. IIRC, those that are activated in the stomach work fine while those depending upon transit time through the active intestine don't work so well.
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My Very Personal Reasons For Having The Sleeve
AmberDawn replied to AmberDawn's topic in Tell Your Weight Loss Surgery Story
Trust me I know that feeling of "but what if there's complications" I had it bad. And my husband was NOT supportive at first when I told him I decided on the sleeve over the band. All he saw was the odds of complications being higher with the sleeve and he freaked out. Luckily I finally got him on board (I think he realized he had no choice other than to support me lol) Worst of all since my insurance doesn't cover it I had the guilt of "I'm spending 14k on myself just because I won't/can't lose weight on my own" That was hard to overcome. But then I realized I NEEDED this tool. I've been fat my entire life, I've tried and tried to do it on my own, I NEEDED the extra help, the extra boost. Once I let that guilt go and decided I needed this to LIVE, I went for it. It was very odd and surreal how it all happened for me. For years I had considered the bypass, only the year before last did I learn about VSG, I played the "wouldn't it be great if i could have that done" game in my mind for over a year. I did the "poor me my life sucks i'll be fat forever" pity party. Then one day in August of last year I said "enough is enough i'm going to a seminar for weight loss sugery" well I went and learned about the band and the sleeve even more and at that point decided I wanted the sleeve. As you can see it took me from August 20th to the middle of October to get my husband on board and for me to finally say "I'm doing it NOW". After that it was 2 very short months of appointments and then bam, it was done. Once I said i was going for it, i kinda went on autopilot and was just going through the motions, it never really registered that I was actually going through with it. Still to this day I cant believe it finally happened. I guess that was my way of coping with such a huge life change. I knew things would change after the surgery as far as eating/drinking etc for the rest of my life but I never allowed myself to fully acknowledge that. I put it in the back of my brain as to not talk myself out of it. After the surgery I just delt with it, i was like "ok this is how it is now". I still morn food and being able to eat large quantities sometimes but everytime i do that it makes me realize just how much i needed this surgery. -
Chest x-ray anyone?
Tiffykins replied to angel96049's topic in PRE-Operation Weight Loss Surgery Q&A
I had a chest x-ray with my band surgery, and with my sleeve revision. It was part of my insurance pre-op lab work requirements. -
insurance questions
ParrotheadCathy replied to pattybeyster's topic in PRE-Operation Weight Loss Surgery Q&A
There is diversity across ALL the policies issued by any single insurance company. It's based on what any given employer is willing to pay for! So one Anthem policy won't cover weight loss surgery at all, another will cover it with the supervised and diet and another will cover it with a required minimum BMI for a specified period of time, etc. The only way to know what your policy covers and how is either read the booklet if you have one or call. There is a customer service phone number on your insurance card. Call them. They will need your policy number. Ask: 1. If your policy will pay for lap banding (some will cover gastric bypass but not banding so be specific). 2. What their requirements are for you to qualify. Some possibibilities are a minimum BMI of one number and perhaps a different number if you have 1 or 2 comorbidities. So, say a BMI of 37 with 2 comorbidities or a BMI of 40 or higher might be possible answers. 3. What surgeons in your area are on you policy. 4. Whether or not they have a requirement that the surgeon use a specific surgical center (I've read where some require the surgeon to use a "Center of Excellence"), or if they require an overnight stay. If they require an overnight stay, verify what hospitals are on your plan. 5. Ask if they require a supervised diet. If yes, then ask does Weight Watchers qualify or must it be doctor supervised. If it must be doctor supervised, ask if your primary caredoc can supervise or if the lap band surgeon's office can do it. 6. Finally, ask anything else you can think of. I've recently read on here where a couple of people discovered their insurance would pay for the surgery BUT NOT THEIR FILLS. Ask! And if they don'to cover fills, when you are interviewing surgeons, ask what their charge is for fills not covered by insurance (for example, mine charges $125). And ask the surgeon how many fills are included in the price of surgery (for example, mine included one year of follow-ups and all the fills and any unfills that would be done in that time period). Good luck! -
Ok so I am tyring with one hand pls forgive mistakes I had hand surgery two days ago. I was banded Aug 10 2010. Between that day and today I have had mutliple fills and unfills. Mostly steming from a tight/finicky band. I dont think I have ever vomitted so much in my entire life as I have in the past two years. Painful hiccups, unable to eat with a bra on sometimes. Varring band tightness throughout the day. I current have 4 cc in my band but I have been as high as 6 cc. Originally lost 50lbs but in the last few months have gained half back. My surgeon is pretty much degrading when I go in and have a weight gain. Very non-supportive. During my last visit I broke down and was horrified that I cant work with this stupid band. He suggested we give it a few more weeks... no more then 3 meals a day (DUH) low calorie liquids ( DUH).. tell this to someone who vomits most of the day. Bythe time I get home I feel so weak and horrible I eat bad foods. Anywhoo he said we may need to look at either taking the band out or do a bypass or sleeve. He states he has MANY patientas who just can not work with the band or it doesnt work with them. I need to do something becaue this vomiting and weight fluckuating is very depressing. I am very scared about the bypass although I know many ppl including my mother who has had it done with sucess. Barium swallows show good placement but bad acid reflux despite being on nexium forever. I have not had a upper GI for a year now. I see my GI doc today. Also the thing that scares me when I go to eat a solid food say meat or even a veggie. I can feel it hit my band and my heart starts to beat so hard and fast. I have acutally almost passed out a few times. I get this 75% of the time I eat. Now this can't be good on my heart... Ive told my surgery on more then one occasions but he has brushed it off failing to note in in my medical records. I need some opinions... support.... guidence...someone who understands....
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anyone has kids after being sleeved
Stacy160 replied to smeet's topic in PRE-Operation Weight Loss Surgery Q&A
I know of many, many bypass people (on another board) who have had RNY and gone on to have kids--often the desire to have kids was their primary motivation in getting the surgery in the first place. Your chances of having "normal" kids with the sleeve would be even better I would think, as long as you're getting in your Vitamins and nutrients, since sleevers don't have problems with malnourishment. However you go, good luck! :thumbup1: -
What about spicy foods?
building_a_new_temple replied to mskirtland's topic in PRE-Operation Weight Loss Surgery Q&A
Some people find that their tastes change after banding, but as far as what you "can't" eat due to digestive issues, there should be no change. Aside from those items that can cause harm to your pouch (soda, for example), your body is perfectly able to process things like it did before the surgery. Remember, lapband is NOT changing your body's actual structure like gastric bypass does, it just changes the shape of one of the structures - the stomach. All the enzymes and gastric juices are still produced and come in contact with your food. This explains why we still have to be watchful of what we eat - we are able to continue absorbing all the nutrients - both good and bad - that we put into our bodies. -
This has me scared....
grizzlyrider replied to ausamerican33's topic in PRE-Operation Weight Loss Surgery Q&A
I go to a support group where almost everyone is bypass. They have a lot more problems, healthwise and maintaining their weightloss. Now there are only 4 of us that are banded but you would recogize us by our happy faces. It's a personal decision but I don't agree with the facts your friend wrote at all. -
Got Incomplete Roux-en-Y gastric bypass
drmeow replied to soseverian's topic in Tell Your Weight Loss Surgery Story
Playing devil's advocate here. It sounds like the dividing wall between the new pouch and the remaining part of the stomach wasn't finished. I would guess this was because the liver was too large and in the way. I think a lot of people have misconceptions about laparascopic surgery, that b/c it's easier on the patient, it's easier on the surgeon as well. This is simply not true. Imagine if you had to sew a sleeve onto a shirt, but you couldn't actually use your hands. Instead, the whole thing is inside a box, which is also filled with packing peanuts, and the shirt is attached at various places inside the box, and all you have is a tiny camera and light inserted into the (dark) box at one area, and various instruments on lines inserted elsewhere. I am a veterinarian, I don't do laparoscopic surgeries (primarily b/c the cost to do so generally is beyond what most people want to pay for a non-specialist). Even with the abdomen fully open stem to stern, it can be very difficult to work around the liver and spleen, and my patients don't usually have a fatty liver, or adhesions from previous surgeries. It sounds like his surgeon worked hard for as long as he could but realized that his arms and back were getting fatigued (and likely he had already done 1 or 2 other surgeries that day) and was getting nowhere, and when you get tired you are more likely to make mistakes. Had he continued he might have nicked the spleen or hepatic artery, etc. Would you have wanted him to call in another surgeon who likely doesn't even do bariatric surgery? personally it sounds exactly like what I just went through with my surgery on Sep 9 - my fatty liver was in the way, and rather than do a partial, my surgeon opted to close up and try again after a liver-shrinking diet in a month's time. My surgeon said he could have done a partial but that the opening would be larger and I would probably end up needing a revision 6 mos down the road. It sounds like you just didn't get all the information from your surgeon yet. I hope that is the case and that he is planning to revise it for you. But I would be thankful to your surgeon for his good judgment instead of "going big" and possibly causing you a much worse outcome.
