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Got the dreaded call today. UGI showing my esophagus is in trouble due to dilation and other issues with stretched pouch, then, to complicate matters my new insurance does not cover the bariatric programs in my local town where I got my lap band and I have transferred care to the new insurance bariatric program 400 miles away. I have an appointment with the new doctor in 3 weeks. The call today came from the new clinic letting me know that the band needed to come out and revision to sleeve will be done 6 months after band removal. I did not want to hear either one of these news. So, I understand the 6 month wait due to scar tissue caused by the band and time to allow healing. My question and concern is undergoing 2 surgeries, what are my chances of getting approval for the sleeve after lap band removal? What I am hoping to hear is that revision approval (if there is such a code) includes band removal and sleeve after the six months. What I am unfortunately expecting to hear is that both removal and sleeve are two separate approvals. What if I don't meet insurance requirements to qualify for the sleeve after removal is my biggest fear! I've been successful with my weight loss and the band, however, will my BMI meet the requirements after band removal? Will I need to gain weight to meet the BMI requirements? I will be devastated if I end up with no weight loss tool of any kind. Just with a few times that I had complete unfills of the band, I started gaining weight quickly. Anyone have any ideas how all this works? All insurances companies are different and I will contact mine to get more information, but, I am afraid I will end up with nothing. Jake
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Hi everyone. I just joined the forum because I'm going out of my mind thinking about my upcoming surgery. I have been looking into weight loss surgery for the better part of eight years, with every issue life can throw at me popping up along the way. Then, all of a sudden, in the space of two or so months, every roadblock seems to fall away, and the team at the University of Chicago has offered me a date in less than two weeks for the DS procedure. I am such a combination of excited and scared, motivated and freaking out! It's hard to describe, but I know many of you have experienced the same thing. I am having weight loss surgery because I would like to avoid the many problems lurking around in my gene pool (diabetes, MS, blindness, etc.) and I would like to live a long and happy life. But I feel like I had convinced myself that it would never happen, and now that it is happening so fast, it's so thrilling and scary at the same time! I'd love it if any of you could share any stories you might have relating to your pre-surgery experience. I'd also appreciate any advice. I've got all my vitamins ordered (from Bariatric Advantage) and I've got all of my pre-op requirements done as well.
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Thank you! I see that we have about the same numbers. I can't believe you already had plastic surgery. How did that go? If I might say (and you already know this) but be patient, you will break the stall. I finally did. I went to my bariatric surgeon today and I'm down again. He said even if I don't loose in the next year, my body will still change, muscle tone, skin, etc. He doesn't want to see me again for another year. woohoo So I think I will wait a few more months before I see a plastic surgeon. Keep up the good work, the worse is over, IMO. We are AWESOME!!!!
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JC, Dr. Szomstein is my dr. too! I know it's going to take a long time. I started in July and don't expect surgery till Dec 2003 or Jan 2004. I originally went to US Bariatrics at Holy Cross, but they only want to talk me into RNY. I have about 85 pounds to loose and I don't care if it takes me 2 years to loose it (US Bariatric's big plug for RNY is that you loose it faster and that it's the "gold standard"!) 4-5 lbs a month is fine with me and a less risky, reversible (if necessary) procedure is why I want the band!!!!! Oh Well....in the mean time, I'm waiting! Keep in touch and GO DOLPHINS! Marsha
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Any recommendations for DS surgeons near Western North Carolina?
lorless replied to klwcm's topic in Duodenal Switch Surgery Forum
Novant Bariatrics in Charlotte is awesome. Sent from my SM-N900T using the BariatricPal App -
I would go into the E.R. where you had your Bariatric Surgery. They should have someone there or on call. Or locate another Hospital that does Bariatric Surgery, and go in the E. R with the same complaint, and get a second opinion. Make sure you get the DR.'s name or Tech's name and title. (P.A) or whatever. Time you went in, and anything else that you can think of to prove your case. Includeing signing a release for your Xrays, and Report. (GET THAT FROM THE OTHER PLACE TO.) If it is so show it to your surgeon, and demand that it be fixed... If there is no pouch, and he has done this out of neglect, contact a Attorney. You have a legitimate complaint. Your not a failure,, this is a misfortune. I hope they gave you something for the Medical Condition like Omeprazole. Shirley.
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2010 is just a few weeks old and yet things are off to a great start. I actually look forward to getting exercise and trying new forms of exercise. I can go into GNC now and not feel like a fish out of water. I am taking care of myself and striving to be the healthiest version of myself that I can be. I have determined that this year I am going to complete projects that I had started long ago. I now have a renewed energy that kept me from seeing things through. I hate to admit it but I have neglected so many things because I was always tired or sluggish. I am going to paint my kitchen, finish some quilting projects, maybe even plant a small garden(if winter ever decides to end) I find that I'm no longer content to sit down and just read all weekend. I want to see my goals achieved. If I can repeat myself just one more time ..... I am so very happy with my decision to have this surgery and I am going to encourage others to do the same. It truly IS life-changing!!!!
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15 days post op and can drink 11oz of Protien Shake
Orchids&Dragons replied to AdiosAnnie300's topic in Gastric Sleeve Surgery Forums
That's perfectly fine to drink the shake in 30 minutes. The swelling in your stomach has gone down and allows the liquid to pass right through. However, you now have absolutely no excuse not to get your water in every day! You won't really start feeling restriction until you start eating soft foods That's also when you start being able to feel "full". One tip for the hunger: Sugar-free jello, DON'T CHEW IT WELL! It will be slippery enough to get into your stomach all right, but it will take your stomach a while to break it down, so you feel full for a while. The little ready-to-eat cup is the perfect size! Good luck! p.s. In my area, bariatric support meetings are open to everyone, even if you didn't have surgery at their facility. Maybe you can find one near you? -
4 weeks out, will any multi Vitamin due ?
bigtula replied to Scottyd1264's topic in POST-Operation Weight Loss Surgery Q&A
I have found that a lot of the "bariatric" products are overpriced and come in small amounts like a month at a time. I just get the feeling they are trying to cash out on us. Centrum has an orange flavor chewable that has daily amount of Iron needed which can save you from having to take iron individually. There are roughly 90 for $10 and since I'm taking them 2 times a day that's enough for 45 days of course. Not a bad deal. -
Hello Tseeks You all going to laugh! So I was re-reading the pre-op liquid instructions from the book that I was provided by my surgeon and guess what! It said very BOLD & w/CAPS Bariatric Advantage it's the MANDATORY pre-op liquid diet for our pts to use.....so I guess I'm going to have a little trip to GNC tomorrow after work to return the 3.5 boxes I bought lol I guess I'm so anxious that I totally forgot that I was told plus that I READ that part of the diet...and I was feeling so weird after I bought them and now I understand why, b/c they went the right ones lol Thanks for the positive support, I hope all the best for all of you. I'll keep y'all update w/my progress
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What I feel is my port moving around. Not that it actually moves...but there are times when my pants get in the way or even if I lay down, I have to sort of move the port into a better position. I'm going to see my bariatric surgeon soon and ask about a lower profile port. Mine sticks out something awful at this point. I'm used to it but there are times when it shows even with clothes on..and I don't care for that at all.
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The only reason you would need to have the band removed would be if it was medically necessary. When I had to have mine removed due to infection my insurance covered it 100%. If the doctor reports it as medically necessary, it is covered even if your plan does not cover bariatric surgery, like mine does not. When I got sick I was scared to death that the removal surgery would not be covered, but my new doctor reassured me it would be covered. As far as your choice, if I were young and planning to have children in the future, I would factor that into the equation and discuss it with my doctor. I too chose the band, because the only other alternate at the time was bypass. I had my band done with 8 of my coworkers and none of the others have had any problems. I am the only one who picked up a staph infection and we all saw the same doctor for the surgery and the fills (except for one). Of course, at this point because of my problems, I can only recommend the sleeve. __________________ Originally posted at www.lapbandtalk.com
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Nicole, I'm so sorry you had to go through that. Please don't beat yourself up over regaining weight. I had to say goodbye to my band 3 weeks ago and I've regained also. My band was removed because of a congenital problem with my esophagus that contraindicates the gastric band, so eventually (when my esophagus is sorted out) I hope to revise to the sleeve. People often say that the band is the least invasive of bariatric surgeries, but let's face it. Any surgery that requires the patient to be anesthetized while a surgeon cuts holes in their abdomen, pokes instruments into those holes, and implants a medical device, is pretty invasive. People also say that the band is good because it's removable. Well, that's true, but it doesn't mean that removing it is easy and safe. RNY is reversible, if need be, but that doesn't mean it's easy or safe. So I guess you have to choose the lesser of the evils. I think we'd all like to say we can lose and maintain our weight on our own, but if we had a big enough problem that we qualified for weight loss surgery, it's not likely that another attempt to do it "on your own" is going to work longterm. On the other hand, presumably you've acquired some healthier habits since being banded, and can rely on those now, at least until you're healed and ready to consider a different surgery. Good luck!
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HELP! What factors are most important in making a decision about where to go?
Evilah posted a topic in LAP-BAND Surgery Forums
I live near two surgery centers where lap band is done. One is a center of excellence for bariatric surgery, and the other does exclusively lap band, is newer, but closer to home. HELP! What factors are most important to my decision? Proximity to home for fills, support, and nutrition? -
3 weeks post VSG and depression is AWFUL
KristenLe replied to jessi29's topic in Gastric Sleeve Surgery Forums
@@jessi29 You're feeling this way mainly because of hormones. It's not good to compare yourself to others - but especially a man - they always lose much faster! Hopefully you are comfortable with speaking honestly with your SO about your feelings. I am sure they are unwarranted. This will open doors for you both - and by communicating and being honest with each other - hopefully you'll be going through the doors together. Please talk to your Bariatric Team about this feeling - you may just need some medication to get you through the rough period or at the very least counseling/therapy. There's no need to go through this on your own. -
Emotional Rollercoaster
laurileet replied to BritneyMc2017's topic in PRE-Operation Weight Loss Surgery Q&A
I've been playing the insurance game for 2 years and had to switch hospitals/programs as well. My current insurance company is a royal pain to get info from, so I've had to fight for everything. At one point I was ready to give up just from the frustration of insurance, but my husband gave me a pep talk and thankfully I have renewed vigor to get what I need. It's not the fast lane, but baby steps are getting me through the process. No surgery date yet.. but getting through the requirements one by one. -
obese all my life and just got insurance
Wheetsin replied to taylormomto6's topic in LAP-BAND Surgery Forums
Hi Cindy, first - just because your plan (insurance) covers bariatric surgery does not necessarily mean it's available to you. You will need to check your SPD (should be an "Exclusions" section), and may also want to check with your employer directly on employer-enforced exclusions. You will also want to call your carrier and ask them about specific requirements: e.g. weight history, medically supervised diet, etc. With an HMO you will need to find a primary care physician. Considering your age and that you've not been seeing a doctor regularly, you'll most definitely need a very comprehensive physical, gyn, immunizations, etc. Medically necessary, by insurance standards, usually means a BMI of 40+ or a BMI of 35+ with 2+ co-morbidities. Often the 40+ requires documentation of co-morbidities as well, more and more it seems. Co-morbidities will have to be found/documented during your physical. -
Are you having bariatric surgery or a baby? Those small serving freezer containers are actually a really good idea!
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I am so grateful for the wealth of knowledge on this site. I have learned so much! I feel like BP has been an important step in my future progress, before I even begin. My surgery is April 14. I'm ready. I'm more than ready! I've seen a lot of people talking about their post-op instructions and noticed how much they vary. Some doctors require 1, 2, or 4 weeks of liquid diets, in various stages of puree or Clear liquids. After that, they move to mushies and eventually solid foods. After getting used to other plans as the 'norm', I was surprised to find out my surgeon's standards: He wants me to be able to drink a full cup of Water in an hour the day after surgery, and tolerate a puree before I leave the hospital. like, woah. Purees are supposed to be like, week 2 or 3, right?! And now, he's saying I should be able to be on 'regular' food within two weeks. But, I trust my surgeon. He was chair of a bariatric center, and now works at Mayo Clinic, specializing in gastric sleeve surgeries. He's had two leaks in his career. I'm going to work hard to do as he says and follow the plan of care he's laid out for me in order to give myself the best chance of success. We're all going to have very different instructions. It's great to be able to talk about them, compare, and share our progress on this long journey back to health. Thank you, everyone, for your input over the past few months whether it was tough love, encouragement, or just sharing in my joy of being approved and ready to go. I can't wait to be on the losers bench!
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The only one I had trouble with was the Bariatric AE Multi-Vitamin which would choke a horse. I cut them in fours and tried to mash it up in cinnamon applesauce, but the bitter taste made me puke. So, I ended up switching to a Walgreen's Women's Over 50 multi and take two instead of one. Some folks have even taken Flintstones Chewables until they got past this hurdle.
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I can tell you my experience: My highest weight was 235. I lost almost 20 pounds pre-op (on my own diet and my surgeon's pre-op diet). Surgery day I weighed 216. Month 1 I got up (finally) to almost 800 calories (was hitting closer to 500 most of that month). Months 2-4 I ate 800 cals/day on average. Months 5-6 (thanks to my bariatric PA's advice - who knows TONS of stuff about bariatric nutrition, more than my NUT, frankly) I gradually bumped up my cals to 1,000 cals/day. Months 7-8 I gradually raised my daily cals to 1,200. I hit my weight goal (150 pounds) 8.3 months post-op. In the last 2.7 months I've been trying to hit 1,750 calories/day -- the calorie budget that my PA, my NUT, my exercise consultant and I all independently determined would be a good maintenance diet for me. That's pretty hard to do, and as a result I've lost another 6 pounds. However, I think that finally at 144 pounds the 1,750 cals/day thing is working for me. I am sooo glad I didn't eat 800 calories for 8 months. There's no way to know for sure, but my feeling is that if I had eaten less during that time that my maintenance calorie budget would be lower than it is. I don't want to lose anymore. I am older (69 years old now) and look just fine. I also want to be able to bounce if I fall down. And I don't want to eat like a bird to maintain some fantasy 125 pound weight that's too light for me at my age. This has worked out really well for me. Everyone's mileage may differ considerably from mine, but that's my story.
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Christmas Round-Up
sleeved2win replied to Apple203's topic in General Weight Loss Surgery Discussions
I'm having surgery next week. I got some unflavored protein powders, Bariatric Advantage chewable vitamins, vitamin patches and comfy clothes for the days after surgery. Plus a few gift cards for new clothes when I need them. -
No, my insurance took care of everything. But, if you call his office I am sure they could tell you. They are very nice. Just look them up on the internet. Hope this helps you and good luck! Debra Weightloss Surgery | Birmingham AL | Bariatric Surgery
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Bariatric Advantage multivitamins
TerryBelieves replied to LBD's topic in Protein, Vitamins, and Supplements
I had to take the iron twice a day and the coromaga at night. While taking the bariatric advantage chewable multi. I also take a b12 shot monthly but that it. -
Have you guys watche Too Fat For Fifteen?
ElfiePoo replied to spoiltmom's topic in POST-Operation Weight Loss Surgery Q&A
Betsy, Making the statement that all young teens are not good candidates is like saying all adults *are* good candidates. It depends entirely on the person in both cases. I've gone to group support meetings at my bariatric center and they do have some young teens there. They're doing better than the vast majority of adults and appear to be (from their weight loss and what they have to say) more committed than the adults. I'm not going to belabor the point though since I know people have their own opinions and rarely change their mind. This is just mine based on my experiences. .
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