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Well, it's been a minute since I blogged. I don't know why... I feel like what voice do I have here? Some days, I honestly just don't feel funny. Some days I'm a whiny arsed brat. Well today's one of those days and here I am... but IDK why I am here. But I am. I had surgery 3/5 originally; then readmitted with aspiration pneumonia (a complication from surgery, to which I believe it's due to too much anesthesia during surgery based on my prior history of having the same whenever I had a c-section), then a leak and revised 3/20. Then 7/4 or so, I went to the ER in the middle of the night as I woke up with body shaking, teeth chattering, would not stop chills that made me panic. I have never been so cold down into my bones in my life. I couldn't even move across the bed to nudge my husband (dang king sized beds... remember whenever you were dating, it didn't matter where you slept or how, just as long as you were together. Now I'm rather particular about my king sized tempurpedic. However, I digress). Anywho, I went to my dr. about 2 weeks maybe ago... I have had consistent pain in my side and my shoulder since the pneumonia's reoccurence in July. She was going to pull my records from the hospital and check the xray, trying to save me some money I believe as the last visit's bill was about 2 G (can you freak'n believe for 3 hours of "care" in the ER it cost me 1400 and some change? That is LUDACRIS! ok lemme shush... but we wonder wth is wrong with healthcare.. here's one example! i only saw the dr. for 30-45 mins MAYBE. NUTS.). Well, she listened to my lungs and didn't hear any crackles. She told me instead that it sounded like I had a bone spur or osteoarthritis in my left shoulder. Oh thanks doc. Now I'm freak'n old. Just the thing I needed to hear. Well she was going to pull my XRays from the ER visit and get back to me. A few days later, I called back as I had yet to hear. Well come to find out, they really wanted the CAT scan that I did (where the dr. told me something came up in the CAT scan as a possible mass on my shoulder. Um yeah, WHAT? My father died of cancer that came on suddenly so you hear "mass" and you are like WTH? I'm 38 so I was honestly like WTF but I was trying not to be crass, let's just be honest... I don't want to die anytime soon and I want to be healthy. Hello? It's why I paid out of my pocket for this surgery and why I work my assets off daily at the gym!). So they were trying to find the CAT scan because my regular dr. said it probably was an occlusion or a shadow since it wasn't the main area of focus in my CAT scan so she will review it and let me know. Few days later, called back, as now I'm running a temperature and in much more pain. Left a VM for the nurse... second day no call back, I called this morning and they said go for an XRay. So 280-375 dollars later (not sure yet, they are "going to bill me"... ), guess who has PNEUMONIA AGAINNNNNNNNNNNNNN? I feel like I cannot catch a break here people. I still say I don't regret surgery but some days I also think I want to sue the damn anesthesiologist who caused this crap in the first place. I know everyone makes mistakes though, but this is now playing with my life, my job, making money and keeping a job. Probably just speaking out of stress as my job is changing. I start my new one 9/4 and everyone at my current position has been so very lovely. I couldn't ask for more. Except I am... to stop getting sick, especially with pneumonia! I am fearful now. Where did I pick it up? Walking past someone just non-chalant? Did I pick it up the last time I went into the gym and did a circuit routine? Now that the winter is coming, what do I do? Stop doing anything? How am I going to continue to lose to my goal and keep my weight down if so? I feel so discouraged. I have less than 20 lbs to my goal. I have never in my life ever been this small (and don't get me even started that most ppl at my height and weight are 2-3 sizes smaller than me, GRRR!). Just sometimes, I get so freak'n tired of life "not being fair." Yeah, sorry, I'm freak'n whining and being a brat. Through all of this, yes, I also am that TOM. God really has it "out" for me with the comedy now doesn't He? Ok... I am going to end saying, it's not only God that tests us. But it is God that allows me the strength to get through my life challenges. So I still believe and rely on my faith in Him. I may be a frustrated, whiny brat, but... I am optimistic that I will continue to soar and reach a higher level through even these challenges. Or so I'm going to do my best to believe in that because if I don't, I'll live in fear of getting pneumonia that will kill me this winter. So should you have made it through my long arsed, whiny, tear holding back post.... and if you pray... do me one favor. Say one for me. Just in case. thx xxxx

Sorry to say but yes I did vomit after surgery. Also my nausea was pretty bad. I had a little rougher time than others because I was a revision from band to sleeve. However that is not a prerequisite for this type of reaction. Just remember, nothing worth doing is ever easy. My results are proof of that. I really went through it for the whole first 6 weeks, but I'll tell you what, I wouldn't trade in one second of that knowing how I'm living today. Your emotions will get the better of you leading up to your surgery. Just don't let your feet get so cold they get stuck to the ground. Stick to the plan and make your life better!!!

Hi all, I just wrote a long post and lost the whole thing. So, I'll just say that I was revised to RNY on 6/18/07. Pre-banding, 232, lowest banded weight, 158, pre-revision, 210, presently 160. I'm a slow RNY loser, but have never been happier. My band doctor and my RNY doctor told me the same thing; if you cannot tolerate solids with a lapband, there is something very wrong. Keeping a too-tight fill will lead to slippage and much worse. Even after I was unfilled, I couldn't tolerate tuna, or white-meat chicken. Now I eat everything protein-wise, veggies, many fruits, etc. The band worked great for me for a while, and due to other problems, I could no longer tolerate it. The whole story is here on this board, just search my old posts if you're interested. FYI, the mini-bypass isn't really used anymore; it was found to be an ineffective procedure. And oh yeah, my RNY surgeon returns emails within 24 hours, usually sooner, and urgent calls are returned immediately. But then I couldn't complain about Dr. Ortiz in that respect either, because he gives out his cell phone #! Best wishes to all from a very happy revised RNY'er, Karen

I never had the sleeve but I did have a band and was converted to rny last june after five years of heartburn,reflux and finally intestinal metaplasia (precurser to esophageal cancer) from all the vomiting. I am now 8.5 months out from the revision to rny and feel like a teenager again. I'm 20 lbs from goal, never had reflux or heartburn since the revision and eat all things in moderation. I have not had any refined sugar since surgery and frankly don't miss it. Whole fruit is my only sweet now and only after Protein. I eat better than I have in years. I have friends who have been succesful with the sleeve but if you have reflux or heartburn already I'd think long and hard about that path... I never experienced reflux or heartburn until I was banded and it was the worst kind of existence. I dont regret my rny one bit in fact I wish I had done it first back in 2008 when this journey started for me. Best of luck in your decision. You must do what you feel comfortable with because ultimately the work is up to you and any of the surgeries are work regardless of what others think. Follow the rules, journal and seek support and you'll do great! Blessings!!

I currenlty have Humana ins but will be moving to Cigna as of Jan 1st 2012. My company is no longer offereing Humana going forward. I decided to have WLS after a visit to my PCP when she suggested I look into it after discussing my weight. To give full disclosure, I haven't been to a doctor in quite sometime (probably close to 10 years), I just don't go. Other than my weight I'm fairly healthy. My first visit to my PCP early Aug I asked her to run a full blood panel and do a full work up on me since I haven't been to the dr in a long time. At that first visit my blood pressure was a little high so she put me a low dose blood pressure medicine. When I came in on my second visit to review my blood work, chest xray, sonogram, everything was good. Cholestrol good, sugar level good, thyroid good, liver function good, ovaries look good, heart looks good, and lungs look good and the only comorbidity I have is lower back pain. So all in all I'm pretty healthy with a little bit of high blood pressure and lower back pain. Also In my second visit to my PCP I disucssed my weight, I'm 5'4", 320lbs, 56 BMI and I'm 40. I'm single, never had children and been overweight all my life. My PCP recommended I look in to WLS and gave me a few surgeons to check out. She documented that visit as the start of the physician assisted weight loss management program as she knew most insurances require 6 months. Based on her recommendation I checked out the one surgeon that she recommended that was covered by Humana and went to a seminar that he held on WLS and that's when I decided on the VSG procedure. I have since had two appointments with that surgeon's office (one actually seeing the surgeon) and essentially I just need to complete my 6 months weight management program, have a psych evaluation and get a letter recommending this surgery from my PCP and submit to Humana for approval in Jan 2012. Just last week my work announced they revised the entire medical plan and the 2012 is completely different. It looks like Cigna will be the ins that I will have starting 2012. Since I won't be completing my 6 months weight plan this year I will have to qualify with Cigna's Bariatric guildlines and here is how they state their weight management programs: "Failure of medical management including evidence of active participation within the last two years in a weight-management program that is supervised either by a physician or a registered dietician for a minimum of six months without significant gaps." So I shared all of that to say, what is considered failure of the physican assisted weight managment program? I'm concerned that if I show weight loss and given my current health history (I'm pretty healthy, i'm just fat) that they might deny the surgery in Jan when I have completed my 6 month program. I would like to make effort during this time to lose weight to help with the surgery (about 15 -20 lbs) but I'm really concerned that Cigna will deny me the surgery stating that I didn't fail in the 6 month weight managment program since I would have lost weight. I would think that my BMI alone would be enough for the surgery even if I lost some weight during this 6 month time frame. I just don't want to ruin my chances with the surgery. Any advice would be helpful. :-)

It seems to vary. I have bcbsil and am trying for revision. It has been going back and forth between insurance and my doctor for about a week, but I have read about people being approved through them in a matter of days. I have also read of some people not having to do the 6 month diet plan through some plans with bcbsil.

You are actually not suppose to be able to easily feel your port. Its supposed to be completely under your fat tissue & jus beneath the muscle. If you've got a band its likely you've got a bit of belly fat too so feeling your port should be pretty hard to the untrained touch! You may never feel your port until you're at the ideal body weight for your height & that's actually quite thin! In which case when it pokes out visibly or uncomfortably you'd likely get a port revision and have a 'low profile' port implanted in a more meaty area so that you will once again be unable to feel your port. As a nurse most of my patients can't fathom how I find a good vein for an IV or catheterize someone, some people can't even find their own pulse. But your doctors done this many times before he's trained to use palpation techniques to locate things underneath the surface so you'll be alright don't worry! Congrats on your successful surgery!

I have a friend who had a port revision... our surgeon just moved it to a different location, very similar to what you are having done.. she said the pain after was nothing... and it was done outpatient....

My BMI is 31 and I'm planning a lap band to VSG revision. I started at 236 and got down to 164 but have been steadily regaining since my band "failed" this last year. I wish I'd done it after the first 15 pounds rather than my current regain of over 30. Britt

I know alot of people post this concern, I have seen it too....Please dont tell me to stay off the scale, I have been through this nightmare already.....I was a sleeve to bypass revision on august 1st, but when i got my sleeve I was on the other site titled "sleeve talk"...and soon after my sleeve, I saw that my weight loss was lagging behind everyone who was sleeved at the same time I was..then, I just stopped losing..actually as soon as the post op diet ended...I have lived on salad and grilled chicken for 3 yrs, and the wt would not come off..I knew I could eat alot, it wasnt my choices in food, it was the volume...Now I feel like I am living that nightmare all over again...I lost 11 lbs the first 11 days, then i stopped and now i've gained 2 lbs...I am so scared...the doctor told me i had a stretched fundus, upper part of the stomach, that he could not shave off due to scar tissue after the band and it had stretched to allow alot of food...he said he had learned how to get behind the scar tissue now and was going to fix my sleeve.....I agreed, but 1 week later i called and told him I wanted bypass, i didnt want to take a chance that it wouldn't work and i would fail again....So, I had the GBS, then one week post op he told me he left the excess out pouch and just lopped off the bottom of my stomach....NOOOOOO.......what????....I dont know why I didnt say anything that day...last Friday as a matter of fact...but i didn't and now he is on vacation and I wont see him till sept 10th...Im sure if I do say something he will only blow it off anyway...but now I feel like I am living my last nightmare of surgery without the benefit of wt loss....I am walking, eating right, but no wt loss and a 2 lbs gain to boot!! sorry for ranting but I am so depressed right now, I dont even know what to do with myself....I look around and everyone is losing faster and more than me just like the last surgery....I dont even know how to close this rant so I will just say thanks for listening.....

Hopefully you will find a Dr to do the revision/removal. I have heard many people say they went to a new Dr when they needed the Band out and got the Sleeve instead. Good Luck

I had terrible Gerd, then I got the lap band. All of the gerd went away (Or so I thought). I woke up in the morning spending the first couple hours clearing my throat. The surgeon told me it was probably "silent GERD". Right after my revision surgery from the band to the RNY, the throat clearing was fixed. I have a family member who was thinking about having bariatric surgery. They have GERD really bad, and the surgeon also recommended the RNY. He said that the sleeve is a high pressure setup which has a tendency to push up stomach acid. This is coming from a surgeon who does mostly sleeves, so I wouldn't say he was biased against sleeves in general.

Wow, just wow! Revision 1/31/13 by Dr Cabrera and Venezuela in MX

yes weight loss definitely slows way down after the first few months. Also, you are a revision - and revision patients almost never lose as fast as those with virgin surgeries. are you sticking to your plan? If not, do whatever you can to get back on track. If yes, then you're in a stall. Your honeymoon period is likely not over yet. I had long stalls after I was eight or so months post-op, and every time I thought my weight loss was done, but then it would start up again. It finally stopped at 18 months out (but that was fine because I was at a normal BMI by then)

I have Highmark BCBS as well. I am a band to sleeve revision. No problem with them at all. Completed everything that the hospital wanted me to do prior to surgery. Paperwork was submitted and approval came a week later. So far, insurance has paid for everything, but I got a bill from my hospital for ten grand, stating that my insurance is refusing to pay for the lap band removal. I told them that is wrong, I have two approval letters, have talked with insurance multiple times prior to surgery and have read my policy coverage front to back and sideways. There's nothing in there stated that for a revision, they will only pay to have 85% of my stomach removed, but they won't pay for my leaking lap band to be removed. That's part of the revision surgery. My band was leaking, it is physically broken, we have the fluoroscopy results to prove it.The girl I talked to looked into it and said that the coding it correct but it looks like it was misworded on the hospital's end. So, waiting for billing management to look into it and hopefully get it corrected and resubmitted to Highmark BCBS. We are switching insurance companies in January to United Health Care and my company decided to drop bariatric surgery coverage.

The first surgery I had to pay a $150 co-pay to the hospital. I don't remember what I paid the doctor. The second one had a $175 co-pay, my co-pay increased January '09. The dr never sent me a bill (which is good since I wouldn't have paid him anything anyway since it was their fault). He did get paid from my insurance though. Also, because I had a revision, I get another year of fills at no cost. Normally, because the 12 months was up, I would have to pay a co-pay of $15 for each fill.

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I had a revision as my port came unhooked on one side and was laying on its side. I had surgery again and it was a much easier recovery(they didn't even unfill me). I will say that they attached my port to a grid type mesh and then stitched that down to my muscle, not sure why they don't do that as regular protocol. Also I am insured but since they felt that this was their mistake, the whole 2nd surgery was done at no cost to my insurance company.

True. Ok good, phew. I'm making the right choice. Was on the obesity help forum and people there LOVE it. I am just getting the sleeve... No revisions or anything.

Had revision on 5/27 and couldn’t get liquids down. I had the same issues with the sleeve though even years out. Water bothered me all the time. Had to do sips all the time. Other liquids not so much. I just had lapro again yesterday as some of the scar tissue was giving me an issue. Was only 2 weeks. I hope this was just a fluke.

I happen to run across this on my surgeon's website and wanted to share. This is for people who have had weight regain after bypass. It appears that this is less invasive than another revision surgery, but can reduce the size of pouch and outlet. Hopefully, we all will have ZERO problems forever and be compliant, and never have to go this route, but... it can happen and we need to know what options are out there for help if it does. Read on There is also a great animation video on the right to see how it can fix this problem. http://apolloendo.com/procedures/outlet-pouch-reduction/

I don't know but before I had my surgery I was worried about stories of regain ect and my surgeon said not to worry about that just do what I'm suppose to do BUT if I ever needed it he could always do a revise. I don't see that happening. My husband took the kids and I out for my early birthday breakfast I always get the eggs Benedict and I ate the exact same amount I ate at 3 months post-op. A good 5 bites and done. I've been eating on that same meal ALL day! I finally throw it away. See what your surgeon says. You would be different case than me.

I only had to do low carb/high Protein for both my band and my revision. There's no scientific evidence to prove that the "liquids" only diet does anything more than low carb for a pre-op diet. Nor, did I have do the 6 month wait, or lose any specified amount of weight before either surgery.

That is not what I said. I was quoting someone on another forum who had insurance pay for band removal due to complications. She revised to RNY at the same time. Insurance would not pay for the RNY portion, but since insurance was covering the operating room, staff, and anethesia, the surgeon charged a fee of $1100.00 to perform the extra surgery to do the RNY portion.

Hi. I am getting ready for replacement or revision due to being left overfilled for several years. At this point I am completely unfilled in order to settle things down but the daily throwing up (not full vomiting but more than just PB) really took a toll on my stomach, esophogous, and nutrient levels. I'm just chiming in to wish you luck in getting this resolved and urge you not to wait too long like I did because other problems will result. Be persistent about someone figuring out what the cause is and listening to you. I have been unfilled now for a month and have maintained with just a three pound weight gain. It is worth it to feel like a normal person again and I am looking forward to moving forward this Thursday with a replacement band or revsion.