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Dave, Tricare won't cover VSG outside a MTF. Honestly, I was faced with the same dilemma, and as luck would have it, the MTF near us had 2 surgeons that had performed enough VSGs for my standards, and one of them had removed bands, and converted to RNY so I jumped through the hoops to have my revision at the MTF even though I see a civilian for everything else, and my band surgeon was a civilian with Tricare Prime. Tricare will not cover the sleeve outside a MTF until Medicare starts fully covering the sleeve. They did the same thing with bands. They will not overturn a denial, they will not do anything to cover the sleeve outside a MTF. I've been through it myself, and I've walked 4 friends through the process from Florida, DC, and Cali. I was hellbent on getting the sleeve, and I would have self-paid with Dr. Aceves in Mexicali or Dr. Nicholson in Dallas if Tricare would have not approved my revision. If I would not have been able to have VSG and self pay was an absolute no go, I would have had my band removed and stayed fat. I wouldn't get RNY if you paid me, and I refused to have another band placed even though both of those options were immediately approved without hesitation by Tricare. I'm sorry to be the bearer of more bad news. BUT, it's been "hinted" that Medicare "might" start covering VSG around 1/1/2011, we "heard" the same thing in 2009, but I have hope that Medicare will get on the ball, and Tricare will follow suit. If there is an MTF near you, check them out. I'll help you in any possible way I can with the Tricare situation. I'm an insurance agent as well, and umm pretty much know how to work the system. Keep all your paperwork from your current appointments, keep getting your PCP to weigh you, keep doing everything you have been doing. Do not settle for a surgery you are not 100% about.
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Obesity is an inflammatory state. That inflammation may actually worsen the symptoms of MS. Weight loss via dieting or surgery should help(in general). The VSG is a good option to consider for a patient with MS as there is no foreign body and no intestinal bypass that could interact with the side effects of MS. There are not many patients with MS that have had weight loss surgery but one of mine told me recently that her Neurologist said she had the best MRI in ten years. She is two years postoperative from a VSG!
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:confused2: Hello Everyone, I was originally going to get the gastric sleeve, but found out my insurance didn't cover that procedure, even though a Representative originally said they did. I had done all my pre-op appointments, but now my doctor wants me to do the lapband. I was wondering if the success rate was as high on the lapband as the gastric bypass. I tried doing a side-by-side comparison, but not much is really out there on the internet. I worry about finding places to do the "fills" in case I ever move or will the band have to be replaced after 20 years. Any information would be great! Thanks.
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Dr. Jossart,<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p> <o:p></o:p> Been getting conflicting information about revisions.<o:p></o:p> <o:p> </o:p> 1. The band should be removed first than after x amount of time a sleeve can be placed. Rational: The area around the band will be irritated after taking the band out due to adhesion having to be cut to get the band out.<o:p></o:p> <o:p></o:p> 2.Taking band out and sleeve in the same procedures. <o:p></o:p> <o:p> </o:p> I will have had my band ~1 year.<o:p></o:p> <o:p> </o:p> What is your view? D.
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So, here I am...19 days post-op. I'm feeling good, considering that I've stopped taking my anti-depressants and given up caffeine since surgery. I'm down 12 pounds and keeping a positive outlook. It's really bothered me because a rumor started around my school (cosmetology school, nonetheless) that I'd had gastric bypass. I've just shrugged it off for the most part, but I'm gonna admit that hearing that bothered me. I feel that more severe obesity cases opt for gastric bypass and I feel slightly insulted that it's even a topic amongst my peers. I would think that my being fat wasn't an issue to them as well as my having LAP Band isn't a topic that's up for discussion. I'm probably being silly for even worrying about it, but that's what cosmetology school is for. Drama and girlfights. Even though I feel generally better, I have noticed that I'm really lethargic at the end of the day. I've been honestly forcing myself to walk for thirty minutes here and there. I'm only up this late because I made it a point to prepare dishes that my sister and I could eat while everyone else eats the high fat/calorie stuff for Thanksgiving. I took a bunch of recipes from Hungry-girl.com and made them into "mashies approved" casseroles. I ended up with a cauliflower bake (pureed), smashed sweet potatoes (made with sugar-free maple syrup and Splenda), and a crustless pumpkin pie. I'm pretty pleased with how everything looks. So hopefully, everything with taste good as well. We had a potluck today at school and I had a teaspoon of stuffing and I can safely say...their stuffing was terrible! I'm really glad I couldn't eat much because I couldn't imagine eating something like that and pretending to enjoy it. Blech. Anyway, I'm gonna go ahead and close by saying that I'm trying to keep my chin up and stay hopeful that I'm going to (one day soon) be much smaller! I've had a lot of heartache in the past year that's made a huge impact on my life and I really need to make this work. For me. This time it's not for anyone else. Keep your fingers crossed!
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Abdominal Pain - 13 years post op
Berry78 replied to CharChar04's topic in Gastric Bypass Surgery Forums
You should get checked out by your doc. In the meantime, if the pain becomes severe, go to the ER, since it could be a bowel obstruction or hernia. Recently there was a bypass patient that had to get surgery for a Petersen's defect. It is a fairly rare complication of the bypass, and it can happen anytime postop (even 13 years). Hopefully it's nothing, just some constipation, but better safe than sorry... -
I have to remove my band and I am on the fence with the bypass. Looking for advice on dumping and nutritional deficiencies. Sent from my MB886 using the BariatricPal App
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James thank you so much. I'm hoping the mini will do the same as well. Would love to hear from a mini bypass patient.
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Revision to DS, what insurances require less than six mos. weight management?
Sleeveless in seattle replied to NYCGIRL's topic in Revision Weight Loss Surgery Forums (NEW!)
When I was researching I found that most insurances didn't cover the DS at all. I ended up getting the sleeve which was my first choice anyways, the malabsorption of bypass and DS freaks me out a bit. Can I ask what problems you have with the sleeve that you're wanting a conversion? Always good to hear the positive and negative stories. -
Interesting that we have similar timeframes! How was the revision. Is there anything I should know in advance.
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Congrats on getting a date! Also, that is great that your daughter has done so well with her band. There are several great doctors in Mexico that are excellent at revisions. I also watched a show (Nightline I think) where doctors in the US are perfoming the sleeve at affordable prices. Good luck to both of you. (I am a December sleever, too). Hugs!
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I was banded in 2012 and almost immediately back on solids developed gallbladder problems. Unfortunately for me they went undiagnosed for just shy of a year. I was having weekly attacks, sometimes the 2 or 3 times a week. In the end I had it removed and it was the best thing for me. Sadly, my band needed unfilling for the surgery and has never quite been the same since. I'm being revised to a sleeve in a few weeks time!
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Wishing you every successlll I had a friend you regained afer bypass. She refused to change he relationship with food. It is hard to do, but not impossible. Good Luck and Happy New Year!
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I told doc that I wanted the bypass but now leaning toward the sleeve surgery. I am so afraid that if I lose weight I will gain it back cause I live to eat and eat long after I am full.
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I had gastric bypass whereas you had the sleeve. I dropped weight so quickly that it was like jumping off a cliff. But then at around 7 months, my weight loss stopped and I went into the maintenance phase. Sleeve patients lose weight at a much slower pace. They encounter many stalls along the way. But their journey is much longer. And they can achieve almost the same weight loss as gastric bypass patients. Many do not transition into the maintenance phase until 2 years.
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Need your advice - to do or not to, considering my comorbidities
vensa replied to vensa's topic in General Weight Loss Surgery Discussions
Thank you all so much! I cannot express how grateful I'm to your consoling and kind words. I've decided to go ahead with the surgery - Gastric Bypass as per my surgeon's advice. Since I've started a strict diet and exercise regime, I'm confident I'll be in a better position to continue the routine post-surgery. I shall remain in touch with you and seek further inputs as I embark on the bariatric journey / adventure -
I've just joined the community today and have gone through most of the discussions. But stating this obvious question once again to gain some comfort in deciding to go under the knife. I desperately need your wisdom to help me decide. I’m obese, type-2 diabetic for the past 9 years (I’m 40 yrs now) with uncontrollable blood sugar levels all this while. This summer my tests had traces of Microalbumin and a follow-up test in autumn confirmed Microalbuminuria (Incipient Diabetic Nephropathy, early stages of Chronic Kidney Disease). It was like a bolt from the blue! If I do not take control, I could progress the stages of CKD and also risk having other complications (like hypertension, heart disease and eye diseases). I've consulted an Obesetologist and a Bariatric Surgeon to understand the bariatric surgery options for BMI 36.0 and my comorbidities. They've advised me Gastric Bypass Surgery. I can fund my surgery if Insurance declines. While engaging the doctors and follow-up tests I've also started to follow strict low-carb diet and follow a good exercise regime. In the last 3 months, I dropped weight and now at BMI 28.5 and blood sugar level is at normal levels for a month now. Here is where the confusion is - I know the risks of the chronic disease like Diabetes and Nephropathy + others. I'm only 40 and need to strictly follow the diet and exercise without getting a burn-out for the rest of my life and not let the diseases take over my life. On the other hand, Bariatric Surgery is promising with limited set of post surgery complications/risks. If I weigh the risks of not having surgery and having surgery done, on paper Surgery WINS hands down. I just need someone to tell me to go ahead with the surgery, so that I can focus on preparing myself. Thanks a lot...this advice will change my life and my family's.
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You tube videos have me worried
kychick1294 replied to lynndtt's topic in PRE-Operation Weight Loss Surgery Q&A
The band isn't for everyone and I strongly suggest that you really research your options and what surgery would be best for you. I've lost about 20lbs in 2 years!! I'm completely annoyed with myself for picking the band so quickly. I lost 10 the first week and from there on its been a lose/gain battle. I worked the band to a tee for about 7 months.. If lose 3-4 lbs one week and gain it back plus 2 lbs the next. I was mentally and emotionally drained after it and just have up. Got all my fills and had good restriction but the weight just wouldn't come off.. Could not get lower than 320. I'm the kind of person who needs to see the number on the scale dropping.. If it doesn't I lose motivation. I'm trying to get approval for the bypass or sleeve as we speak. Now my neighbor lost 100lbs in 6 months, never has gotten a fill and eats all the fast food she wants... She doesn't exercise but her smaller portions did the trick. I have a serious food addiction so I need that fast weight loss to keel me going! Everyone's different so just do your homework!!! -
and some of us come back because we need revisions!
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Hi all.. my name is Wendy. I had the lapband surgery on 05/31/11 and had done really well until about a month ago. My highest weight was 286 and my weight as of Saturday was 141. I started throwing up blood about a month ago. My stoma was becoming eroded from acid reflux. Long story short, I ended not being able to hold anything down and got really dehydrated. I ended up having an emergency revision this past Monday. I am unfamiliar with the sleeve. Can you tell me some of your experience with it?
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Weekends = cravings
Bandakat412 replied to hockeymother's topic in POST-Operation Weight Loss Surgery Q&A
I just had a band placed over bypass so I have limited experience with the band, but plenty with WLS. No one knew I had surgery. The first two months were very hard to eat out with people because I couldn't really eat. I imagine the band will be similar until you have a good idea of what your safe foods are. Then, I just are small portions with no comment. If someone commented I'd tell them I was on a diet or I eat smaller portions more frequently, rather than large meals. -
Dealing with loved ones that don't support your decision...
BubbleSam replied to BubbleSam's topic in PRE-Operation Weight Loss Surgery Q&A
Thank you for responding to me. I do still live at home. My goal is within the next year I will be able to afford living on my own. My mom has tried talking to him but that does no good. I think just limiting anything to do with it would be best like you said. I think why he is so worried is because my aunt had bypass and she was miserable and my cousins husband also had bypass and he had to have it reversed. I know there are risks but I think since I am doing the sleeve it will be a much different outcome. The other issue I think he has is that he can't imagine giving up food and the quantity he eats so he thinks I shouldn't either. How long are you post op if you don't mind me asking? Do you think that the surgery was worth it? Everyone I have talked to says it's the best thing they have done and that they wish they had done it sooner. -
Would U Do It Over If U Could? (Gastric Bypass)
pinky posted a topic in PRE-Operation Weight Loss Surgery Q&A
Hi all I haven't had the surgery yet but am nervous and excited at same time. Just would like to know who would or wouldn't do it. Tu -
Revision Sugery From Lap Band To Sleeve!
krazzierebel posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hello everyone! Haven't ever posted on here so I might be a little shy or nervous! Lol Just getting back on YouTube (where I first documented my journey) and saw all the rough stuff everyone has been through.. I had a slip and they were able to fix it by just removing saline. A couple of months went by and the same thing happened. I ended up having revision Surgery on Dec 2nd. The doctor wanted to do it in 2 steps but my insurance company wouldn't go for it. After he got it approved for me to get a sleeve he ended up doing 3 surgeries in one. I had my band removed, a sleeve, and a huge hiatal hernia fixed/removed. It was the most painful thing I have ever felt in my life!! Today I am 5 days post op and dying for some food that I could chew!! I snuck two saltines and chewed, chewed, chewed... Anyone ever had a problem with this? I'm gonna try to keep posting regularly! Thanks for reading!! Stay strong and healthy!! Cris -
Hi my surgery is on Friday November 10. Just wondering if anyone was told to be on a liquid diet? My Dr said only 2 days... have you all heard anything different!?! Sent from my SM-J700T using BariatricPal mobile app
