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Medicare coverage for revision
WOLVESFAN1 replied to WOLVESFAN1's topic in Revision Weight Loss Surgery Forums (NEW!)
Yes, I have seen the nutritionist. I do chew and eat slowly. I can soft scramble an egg and eat at 8AM and late after noon some of the egg still comes up. I also have problems with liquids at time. I try not to drink a lot before eating and wait a while after eating. I've stopped drinking the protein shakes because they apparently sit in the little pocket and sour. I know that when I have the surgery I will go through different stages of food and I know they want me to have the protein shakes. That's why I stopped trying to get them down. I'm afraid I'm going to turn myself against them and won't be able to stomach them when I need them to heal from the surgery. I live in a very small city. My GI doctor said there wasn't a surgeon in our area that he would feel comfortable sending me to because I am a high risk patient. I have other medical issues. He referred me to a larger hospital that's a teaching hospital and they agreed I needed to be converted, but none were willing to do the surgery. The larger hospital is over an hour away. They referred me to Mayo Clinic and they are over 1000 miles away. I have had multiple EGD's, manometry test, Barrium Swallows, Acid test, etc. Mayo repaired my hernia and diaphragm a few months back and we were hoping that would do the trick, but I continued to throw up. Mayo did the same test again and when I did the Barrium Swallows it shows the liquid spontaneously coming back up. The EGD shows the pocket that's formed in my sleeve. Basically, some food trickles down, but a lot of it backs up in the pocket and then it has no where to go, but to come back up. TMI, but I've actually had food coming back up through my nose and throat. I can't remember when I've eaten something and it not come right back up or several hours later. We have spent thousands of dollars out of our pocket to pay for the trips to the different hospitals and for test that weren't covered by my insurance. The airline tickets and motels are several thousand dollars each time we go to the Mayo Clinic. I'm 63, but will be eligible for Medicare on 12/1/19. My current insurance will not cover the revision because I was self pay 12 years ago. I didn't have their insurance at that time, but they said that doesn't matter. They even said that if I was eligible for the revision I would still have to follow the 7 month protocol for the WLS. I can't afford to lose anymore weight and my doctor nor I can not understand why they would even say that. I could probably fight them in court, but to be honest with you I feel like I'm running out of time. My state does not offer Medicare Supplements for people under 65. Therefore, I will be paying my Medicare deductibles and the 20% out of my pocket. So, I have nerves about all of our retirement going out the window and then I'm scared to death to have the surgery, but scared not to have it. I'm sure I've repeated a lot of what I've already written. I hope all goes well with you and you can resolve your problem without surgery. I wish I could. -
Do you revise from sleeve to RNY due to GERD?
SeattleLady posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hi, Looking for individuals who have been revised for over 3 years! What is your story? Thanks in advance. Your testimony will help alot of people! Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app -
Ditto what AZHiker said. I'm back on keto with exception of fat %. I use vinaigrettes for salads and some salad dressings that straddle line between low carb and low fat. I use spray butter instead of butter, avocado mayo mixed with low fat mayo or greek yogurt and I use sparingly. Instead of full fat heavy cream, I opt for a splash fat free 1/2 and 1/2 )or vanilla protein drink). On rare occasions if overall carbs are low, I will use 1 TBSP of heavy cream in something but that is rare. I use fat free cream cheese, etc. - I think you get the picture. On top of this, since my calories are between 700-800 a day I still can be in ketosis sometimes partly from lower calories & part from low carbs. I notice when I stick to this, I lose weight faster. If I do some of the 'low glycemic carbs' like oatmeal, sweet baked potato, beans, I notice slow down in loss but I've had these items sparingly.. My surgeon is a keto fan after full healing when he lets his us start eating "regular food" . On the ongoing nutrition plan I just received, they had the macros as follows: 800 calories with 40% of total calories from protein, 30% from fat, and 30% from carbohydrates this should help increase your rate of weight loss. I can understand 800 cals & biggest % being protein but I was a bit surprised by 30% from fat part although I know they mean healthy kinds of fat like avocado, etc. Here is what plan says about fat: Limit fats to 2-3 servings a day; avoid unhealthy fats such as cream, lard, butter. 1 serving of fat should = 5g fat. Some examples include: 1 tsp. oil, 1 Tbsp. regular salad dressing, 2 Tbsp. reduced-fat salad dressings, 1/8 avocado, 6 almonds, 1 Tbsp. peanut butter. In looking at sample meal plans, I will revise it for me by removing some of the bigger carbs that the list has like once a day having oatmeal or 1 pc whole wheat toast as I need to keep overall carbs down to lose more quickly.
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October Surgery Roll Call
Klimczak replied to Panda333's topic in PRE-Operation Weight Loss Surgery Q&A
10/10 band to sleeve revision! Wish me luck! :) -
lap band removal - how did you heal?
WOLVESFAN1 replied to loridee24's topic in Revision Weight Loss Surgery Forums (NEW!)
I did fine converting from the band to the sleeve for 12 years. I've lost over 100 lbs and I've kept it off. However, now I'm going to have my sleeve converted to an RNY. I don't know why you are converting, but the reason I am is to sustain life due to reflux. My sleeve has formed a little pocket and I have spontaneous reflux. My surgeon at Mayo said I should have never converted to the sleeve because I had reflux with it also. He said that if you have reflux with the band the studies shows you will more than likely have reflux with the sleeve. My sleeve worked well for 12 years and I'm actually a little underweight right now because I'm not holding food down too well. BTW, I had very little pain with the conversion. I had the procedure on a Thursday and was back at work on Monday morning. It was a desk job and I will admit I was tired, but I never had a great deal of pain. Just make sure you walk a lot to get the gas out of your tummy. I think that's what causes a lot of people pain. Also, follow your doctor's diet plan. The first few weeks are rough, but you will get through it and on top of that you will lose weight. When I convert to the RNY I have to do the same diet as you will follow for the first few weeks. IMO, that was the hardest part about the sleeve surgery. I ate a lot of won ton soup without the won tons. Good luck on your revision! -
Fight, fight, fight and fight
SeattleLady replied to SeattleLady's topic in Revision Weight Loss Surgery Forums (NEW!)
The latest, my GERD is getting better by my change in eating habits. Most days, I feel like a perpetual science experiment! I am afraid to eat. I don't want to have acid. My first visit to the nutritionalist is this week. I will have a clear plan at that point. If I am revised? It will occur in late March. Time will surely tell! Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app -
I've lost 83 pounds, but can eat more and seem to be losing very slow. I told my PA I would reevaluate at my 1 year post-op appt. I'm almost 7 months post-op and close to going below a 40 BMI, so not sure if that could interfere with having a revision. I still have diabetes and take BP medicine.
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Revision from Gastric Sleeve to. ?
catwoman7 replied to Fluffymom67's topic in Revision Weight Loss Surgery Forums (NEW!)
people with acid reflux usually revise to RNY. It usually improves - if not outright cures - reflux. -
No problems. Just want to make sure that I communicated that from what I have been told and personal experience there is no dumping syndrome with DS surgery. I did an experiment after my RNY to DS revision, I ate something that would have put me down garunteed for a half hour with dumping syndrome. Didn't happen. I don't miss dumping syndrome. For me it was like an intense flu that came on hard and fast. Sweating, nausea, the works. Lasted for me about half and hour to a hour depending on what I ate and how much. Now it just hurts to eat too much and the bowl thing is something I'm re-evaluating my diet and supplements to help with. If OP is experiencing something similar to dumping syndrome, then probably should go talk to the surgeon asap.
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Revision from Gastric Sleeve to. ?
Fluffymom67 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I had the sleeve in March 2018 with hernia repair. The hernia failed and my stomach is in chest . I have acid reflux really bad, has anybody been through this and what revision surgery would be best. Thanks -
Duodenal Switch does not get the dumping syndrome. I had a RNY in 2001, revision this last June to Duodenal Switch . I know what Dumping syndrome feels like and how it was easy to get used to. Only things I have found that the Duodenal Switch gets is the limitation of food intake and the pain that accompanies it when eating too much as well as the bowl movement issues. Hope this helps.
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It's been a rough journey for you so far Bastian, it's not unexpected that after all the complications you've had and the revision surgery you will be feeling crap. Two surgeries which have radically altered your physiology have knocked you around a lot, it is just your body's way of saying that you need to rest and recoup. I can relate to you wanting to get on with it, but your body just isn't ready for that yet, give the poor thing a chance to catch up lol! From what I have read and researched it is going to be trial and error for quite some time with what you can not tolerate/makes you feel good/makes you feel crap etc you have to re-learn all over again what your new GI tract can take. Be kind to yourself and take it very easy until you do feel better. Hugs and best wishes hun.
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Here is the side by side of 3 days post revision vs 2wks post revision. Tomorrow I'm going to track down that black tank top so I can wear the same shirt in every progress picture. Both shirts are an XL and the jeans on the right are a size smaller than what I've been wearing.
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Sleeve revision to bypass for GERD and Hiatal Hernia
Roserie replied to jskittles7694's topic in Gastric Bypass Surgery Forums
I have Kaiser. I had the sleeve in 2013. I've had severe reflux for the last 2yrs. They had also found a hiatal hernia recently. From the discovery of the hernia to surgery date it took me about 6mths to get a revision. I didn't have any issue getting insurance to approve it for medical reasons. -
GASTRIC BYPASS REVISE FROM GASTRIC SLEEVE
Roserie replied to nomorefattypatty's topic in Gastric Bypass Surgery Forums
I just had the revision for reflux. Granted I'm barely on the moist diet but I haven't had any reflux since surgery. -
* HELP HOW many days in hospital???
Roserie replied to New&Improved's topic in Gastric Bypass Surgery Forums
I had VSG to RNY revision. I went in on a Wednesday. Surgery lasted 5hrs and I went home Friday night. They told me I could stay one more day if I felt like i needed it but I chose to go home. -
Ok, I know, I know, totally HUGE clothes. But no tengo deneiro (sp?) for new right now. Today was surgery day and I wanted super comfy and warm cuz the hospitals are always freezing. This is my official GOAL #3 day! I revised my goal #3 weight to be my original 130lbs. Cuz guess what? I DID it! I FINALLY made a for reals major end goal!!!! I can honestly say and give myself permission to be super proud of not only my progress and journey, but of seeing a weight loss goal through to desitination. It feels like...victory. Or napalm. Not quite sure. It's like, once I relaxed INTO the reality that I was in maintenance and wasn't trying to lose anymore, my body said, "Psych, bi*ch! JK. We're still gonna get ya to the original destination!" So I honestly don't see a lot of diff in this 130lb Goal #3 pic and the few previous ones. I am sure y'all will say its due to outfit selection and being too big.
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Don't get a lapband. I had one for three years and it was miserable. I revised to a duodenal switch and lost 80 pounds. Don't waste your money on a band.
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HW 325 CW 210 GW 170 VSG 8/2013 RNY Revision for Reflux 9/2019
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Roserie commented on Roserie's gallery image in Before and After Gastric Bypass Photos
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Roserie commented on Roserie's gallery image in Before and After Gastric Bypass Photos
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From the album: Revision
6mths pre revision (6yrs post VSG) -
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Roserie commented on Roserie's gallery image in Before and After Gastric Bypass Photos