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You are correct. I have receipts for the current medical policy. Click this link to the BCBSM website, or google bcbsm bariatric surgery medical policy MEDICAL POLICY - BARIATRIC SURGERY (GASTRIC SURGERY FOR MORBID OBESITY) Once the pdf opens, press Ctrl+F on your keyboard. Type 4/20/21 in the search bar. “Updated the policy to say 4 years for both BCBSM and BCN as per the JUMP’s recommendation and eliminated the 6 months waiting period statements” I also called Blue Cross Complete @ 800 228 8554. I spoke with a very helpful rep who informed me that there is no waiting period for Blue Cross Complete (Medicaid) Only documented medical weight loss program within 4 years of surgery request. Doctors determine the length of their weight loss programs. I’d give them a call and maybe do a three-way with your office manager.
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So tired - 2 months post op
Arabesque replied to smc124's topic in POST-Operation Weight Loss Surgery Q&A
I had a slump about three months after surgery. So so tired. Remember walking on my treadmill (thought it was about time I did something more physical) & struggling to keep my eyes open. Thought I was going to fall off & hurt myself. Went upstairs and napped. Can’t recall how long it persisted. I went back to taking a diluted bottle of hydralyte with me to give me an energy boost if I needed it. Never did get back on my treadmill 😁😁. -
Body contouring recovery time
kristieshannon replied to ClareLynn's topic in Plastic & Reconstructive Surgery
I had my surgery (tummy tuck w/muscle repair, breast lift & augmentation and arm lift) all done in one surgery. I took three weeks off work and I work as a nurse. I still had some minor discomfort when I went back, but nothing that Tylenol didn’t help with. I was on light duty though-no heavy lifting for 6 weeks due to the arm lift. -
Body contouring recovery time
catwoman7 replied to ClareLynn's topic in Plastic & Reconstructive Surgery
recovery was much harder and longer than it was from my RNY, but I would say the three months you mentioned is an exaggeration. Well, I may have had some discomfort for that long, but I could have worked. I retired before I had my plastic surgeries so I don't know exactly how many weeks it took, but I was pain or had some pretty significant discomfort for probably three or four weeks - at least with the lower body lift. Arm/breast lift wasn't as bad - but you're not supposed to reach for things for awhile after having an arm lift, so it could be a problem if you have to reach for things at work (this was hard to do - I caught myself reaching a few times when I shouldn't have been....). I didn't have a thigh lift, so I can't address that one... -
I was "allowed" to take pills the size of a pencil eraser or smaller as soon as I got home from the hospital. I had to wait two or three weeks on the larger ones (and I only had two that were "larger"). One I was able to split using a pill splitter, so I could take that one after all as long as I split it. The other one the PA at my clinic said it was fine to hold off on for a couple of weeks. So in other words, I never crushed anything.
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Learning the signs
Arabesque replied to Dan1131's topic in Revision Weight Loss Surgery Forums (NEW!)
Yep. Our bodies can be pretty vocal about what it likes/doesn’t like or tolerates/doesn’t tolerate. I was really happy when I was able to eat rolled oats too (instant initially). I’d make up the full serve (on milk) with extra milk added to further thin it too & I’d eat it for three days. 😁 Each day I’d scoop out the portion I could eat & reheat it in the microwave. I still at it very day with blueberries. Yummy! -
I just wanted to share some Costco finds that are Bariatric friendly. I found these this week and they have made my meal planning super easy! -Sukhi Chicken Tikki Masala: 1/2 cup is about 145 calories with 17 grams of protein. The box comes with 2 bags. One bag provided me with three 1/3 cup servings and one 1/2 cup serving. I’m freezing the other bag for another time! -Sous Vide egg bites: one egg bite is 145 calories with 9 grams of protein -Paleo Chicken Sausage: 1 link is 160 calories with 16 grams of protein -Fairlife chocolate protein drinks If anyone has any other great Costco finds to share please do!
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I felt kind of nauseated the day of surgery (it's the anesthesia - in my surgeries since then (three plastic surgeries), I've asked for one of those anti-nausea patches they put behind your ear before the surgery - works like a charm!). I let the nurses know, though (that is, after my RNY), so they put Zofran in my IV bag, which did the trick. I had very little to no pain while in the hospital or once I got home, so I didn't even bother with the pain meds they sent me home with. The only uncomfortable thing was getting in and out of bed. If I was lying down, I was fine - and once I was standing up, I was also fine, but the transitioning between the two was tough - my abs felt like I'd done 1000 crunches. pain is all across the board - some people have it - some don't (or have very little), but I would say based on the posts I've seen here in the eight years I've been on BP is that most of us don't experience much - if any - pain with these surgeries. But if you're one of the ones who does experience it, take your pain meds as directed to keep on top of it. You don't want to wait until it's really bad - just keep on schedule and should be manageable (and also keep in mind that's only a few days at most) I also had buyer's remorse the first couple of weeks after surgery (as in "what did I just do to myself? And why?"), but that's pretty common. Once I got through that, I was really glad I got the surgery and have been ever since. I think it literally saved my life.
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Being a nurse with crazy hours
The Greater Fool replied to ynotiniowa's topic in General Weight Loss Surgery Discussions
I'm in IT which has crazy hours far too often. There have been multiple occasions when I went to work Monday morning and didn't leave the office until Saturday evening. I honestly didn't worry about exercise, though when I lost enough weight I did run quite a but. I found it mentally refreshing and it was a great start to the day. Everything about food in our situations is all about planning ahead: 1) I prepared a week of work meals and have them packaged ready to grab and go. Make things you will really enjoy so that between your meal will win over anything at work. One of my favorite foods is Mongolian BBQ which I get from the local restaurant, which I can split easily into 4 meals. It was a great lunch on 'those' days; 2) If snacks are on your plan, handle them the same was as meals. My plan didn't include snacks so this was not an issue for me; 3) Eating out wasn't a problem food-wise as there's always something on the menu that would fit into my plan and I'd still exercise portion control. Leaving food on the plate is not the end of the world. If it's really good I'd get the left-overs to-go and eat it again for the next meal (or three); 4) Ordering out can be a bit tougher if your not ordering for yourself. If the food ordered can fit into your plan then portion control is the order of the day again. If the food doesn't fit into your plan then you don't have to eat the communal meal, just eat the meal your brought and socialize. 5) Keep 'emergency' food in your private area. I keep a couple Hormel Beef Stews in my desk, no refrigeration required and they keep for months, and they don't taste bad. I just looked and the Beef Stews expire in Feb of next year. I don't keep snacks but if they're on your plan keep some snacks available that fit into your plan. I don't do protein drinks but here at work milk is available so I also have a couple zip locks with protein powder, again, just in case; Work very, very hard the first 3 months [6 is better] to stay on plan. You will get the positive reinforcement of losing weight. This is how your plan becomes normal and how you will eventually just naturally avoid things off plan. Good luck, Tek -
I understand your frustration. Remember that post-surgery swelling and lower grade inflammatory (even without water retention, which is also a thing) can contribute with a lot of extra weight in the first 4-6 weeks. I haven’t had much of that now, but I definitely did after I had my second c-section in 2019 — three weeks later I was still carrying 20-25 lbs of swelling/fluid, then one week later it all disappeared almost overnight. What was your starting BMI? If you were a “lightweight” that could also be a contributing factor. But some people just lose weight more slowly after surgery, nothing wrong with that either. ❤️ Hopefully you’re starting to feel better in other ways?
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Constipation is very common. Find a good soluble non swelling fibre supplement - I used Benefibre - & add it to your diet every day. Add more vegetables to your diet as you’re able, look to whole & multi grains in the carbs you can have & ensure you’re meeting your fluid goal. And try to keep on top if the constipation so it doesn’t go on for so long you require more extreme treatments, and you can avoid the daily discomfort & pain when you finally go. Personally I took a stool softener if I hadn’t gone by day three. It was enough to get things moving again for me. It usually continues until you are eating more & a wider variety of foods so when you are close to your weight stabilising. I still have occasional episodes of constipation (had one this week 😉).
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the first two pics are head shots before surgery. The last three are me now.
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Good afternoon, My first time on a blog. I joined today, because someone I Know is not doing very well with her procedure and it has not been two weeks. It has been 18 months since my surgery and a little over 1 year since my corrective surgery. I am struggling with the mental aspect of what I went through and what this young lady is now going through. It terrifies me that she is going through this, and I have been encouraging my three daughters to have the Gastric Sleeve surgery. I am not so sure I want them to have the surgery now. Anxiety is through the roof. Suggestions please.
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report time is at 5:30 am on Friday
The Greater Fool replied to Nina35's topic in Gastric Sleeve Surgery Forums
I had to be at the hospital at 5:00am for a 7:00am surgery. I dressed in slippers, sweat pants, t-shirt, and my robe which is what I wore home three days later. After I got there I signed a couple forms, then they set up the IVs, gave me some happy drugs, and I waited for surgery by going to sleep. They woke me up and told me my surgery got changed to 9:00am. I went back to sleep. Finally at about 8:50 my surgeon came to talk to me and to make sure I wanted to continue. His last words were "You know you can die in surgery?" "Yep." They took me into surgery, about 6 people moved me to the operating table, and they put me to sleep. Of course everything went swimmingly. It wouldn't be until my abdominoplasty 3 years later that I would die. Good luck, Tek -
Considering another surgery
NovaLuna replied to Ellebronwyn's topic in Revision Weight Loss Surgery Forums (NEW!)
Well, you could revise to a duodenal switch or loop duodenal switch surgery. The biggest problem, of course, would be finding a surgeon who would do it in the first place, and also one who would be comfortable doing a RNY revision to DS or Loop DS. The DS is the most aggressive surgery and one of the biggest downsides is having to take more vitamins. Also, if you wait too long in between eating... your bowels will decide to empty everything in them after taking about two to three bites of food and you'll be in and out of the bathroom for an hour or more, so if you do decide to do the surgery keep something like a granola bar or something next to your bed. I had the Loop DS 3 years ago and am incredibly happy with my surgery choice. -
My surgery will be 9th February
Arabesque replied to Loreley NYC's topic in PRE-Operation Weight Loss Surgery Q&A
Welcome & congrats on your upcoming surgery. You picked one of the questions for which there is no definitive answer. Some will say yes & others no because surgeons have different plans & requirements. Best advice is to ask your surgeon or their team & then follow their advice. Same with what foods you can or can’t eat & when, how long each of your staged return to eating phases last, whether you can use a straw or not & so on. Nothing stopping you reducing or stopping your caffeine intake if you want as it can irritate your delicate post surgery healing tummy. May be look to reducing things you consume a lot or crave like carbonated drinks (one you will have to avoid for a while or forever depending on how you react), sweet things, etc. so withdrawals symptoms while on the pre surgery & staged return to eating post surgery diet aren’t quite as severe & hard to manage. To update your profile information using the web based version not the app, click the three line icon in the top right hand corner, select account & then profile. You can update your current weight as you progress by scrolling to almost the bottom of any page to the together we have lost section. All the best. -
I didn’t exercise in the traditional sense & I lost all my weight & more. I made my everyday tasks more active. Walked up & down escalators, took stairs not lifts, parked further away from where I was going, took the long way round, made multiple trips up & down my stairs even if I could do it in one trip, etc. Now I do some stretches, use resistance bands, some wall pushups & sit ups. Mainly for my back - have oozing discs. Honestly what I do takes about 20 mins max over a three or four separate sessions. Wouldn’t burn 30 calories. 😆. Exercising accounts for only about 10% of the weight you have to lose. So want to lose 100lbs, exercise will only account for about 10lbs. Of course there are many benefits to exercising. There are lots of low impact, gentle exercises designed for various physical limitations available online which you may be able to do without causing a flare up. Give them a go & see how you go.
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after you wake up from surgery
The Greater Fool replied to Nina35's topic in POST-Operation Weight Loss Surgery Q&A
I woke up to someone calling my name and telling me to wake up. This happened about three times but finally I stayed awake. My first words were "I've changed my mind." The nurse replied with an exaggerated "oops." When they were happy that I was mostly alive and mostly well I got wheeled to my room, which I slept through. Sleep is good. Good luck, Tek -
How long did you wait before going back to work
catwoman7 replied to Yahoo's topic in Gastric Bypass Surgery Forums
I had a desk job (retired now) and took three weeks off. If necessary, I could have gone back after two - but I appreciated that third week to sleep and get used to the food progression. -
after you wake up from surgery
Smanky replied to Nina35's topic in POST-Operation Weight Loss Surgery Q&A
I've had three big surgeries and one endoscopy under general, and with the exception of the first back in 2001 (knee reconstruction), I just wake up in recovery feeling dopey but ok. I woke up after my bypass in considerable pain, but I had had a surprise hiatal hernia repair as well as my bypass, so I really felt like I'd been hit by a truck. The nurse asked if I was in pain and gave me some morphine. I was then wheeled back to my room. It's all very hazy as they're very intense drugs. Just let the nurses know your pain levels and you'll be fine. Well... sore but fine. -
the two week thing is the infamous "three week stall". Almost everyone experiences it. Here are the 17,501 posts on it on this site (and no, I am NOT kidding): https://www.bariatricpal.com/search/?q=three week stall weird color poop isn't uncommon the first month or two after surgery. I think paleness usually indicates fat malabsorption, which isn't a huge surprise. I think mine was normal colored after about the first month. as for the pain thing, I'd run that by your clinic. I'm not sure what that is- could be a lot of things, I think. They might want to do a scope or something to see what's going on.
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Yes! I'm also feeling the cold 14 months out from my sleeve. I need three layers minimum inside now if I'm sitting doing nothing. I really hope it isn't permanent.
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I try to eat three meals a day that are healthy and keep myself to one serving of carbs a day - if I have a bagel thin for breakfast - with almond butter - that is it for the day. Or save it for half a baked potato with dinner - I eat pretty simple proteins like grilled fish or chicken with grilled vegetables and some fruit. I do tuna salad (with mashed avacado) instead of mayo - For work lunches.
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it's the infamous three-week stall. It happens to almost everyone. It's not always the third week - it's sometimes the second or fourth - but it's most often the third (hence, the name). It'll last 1-3 weeks (sometimes longer - although that's unusual - 1-3 weeks is pretty standard). Just follow your plan and stay off the scale for a few days. It'll break and you'll be on your way again. here are past posts on this site about the three week stall. All 17,501 of them (and no, I am NOT kidding): https://www.bariatricpal.com/search/?q=three week stall
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Working from home after gastric bypass
catwoman7 replied to Joy in the journey's topic in Gastric Bypass Surgery Forums
I had a desk job (I'm retired now). I took three weeks off but could have gone back after two. With working from home, you may not even need that much time - although like St77 said, it tends to be an individual thing.