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Had my psych eval today..



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I passed it with flying colors. The psych doctor said he will write me a great letter to send in to my insurance company. He definitely thinks that I'm a great candidate for Lap Band and he's happy that I've made the decision to get it:)

I was also supposed to have my dietary consult but here's what happened: My surgeon only uses one specific hospital. That hospital called ME and scheduled the appointemnt. They called yesterday to remind me of the appointment then called again at 9:30 this morning to say that my insurance won't cover it. She said If I pay up front they would do it for $125. I said fine. She said okay your appointment is at 11 so be here by 10:30. I got there at 10:30 they filled out my papers and took my money then sent me to the lobby to wait. At 11:15..YES 45 minutes later....they informed me that they had made a mistake and there wasn't a dietician in the hospital today so I would have to reschedule. I was so mad. I thought it was very unprofessional of them to make me pay upfront and not even check to see if the lady was there first. I demanded a refund. I told them I would repay them when I actually get to see a dietician:(

The psych doctor said the main point of the psych exam is just to weed out the Bi Polar patients. Depression is fine and anxiety is fine as long as you aren't Bi polar.

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I would call your insurance company and confirm coverage of dietary meetings. My insurance covers Medically neccessary meetings with dieticians yet my dietician bills keep getting denied. Grrrrrrrr. So call them and say that the dietician meetings are required for the Lap Band approval process. If they cover the surgery they should approve the dietician meeting.

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I actually had my psych eval as well today. Did not go as bad as I thought. Asked a bunch of questions and then filled out a a few sheets of how I've been feeling. My guy too said it was just to weed out people who are severely depressed and who they don't feel would be able to cope with the surgery. He did not give me any results, but said he'd mail them to me, my PCP and surgeon.

About your nutrition appointment, that is totally unprofessional. They should have told you prior to your appointment that one would not be there. My insurance does not cover the nutritionist as well and when I called up they said they require 3 appoiuntments, 2 before surgery and one after. They said they are usually $164 each, but they bundle the 3 appointments together and are $164 total. So that is doable.

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I had my psych eval yesterday. It was different then I expected, but it went very well. I took 3 hours worth of tests and then had a 45 minute interview. The Phd that my surgeon's office referred me to was very nice!

I can not wait to share in your journey's!

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The psych doctor said the main point of the psych exam is just to weed out the Bi Polar patients. Depression is fine and anxiety is fine as long as you aren't Bi polar.

That's weird -- I have bipolar Disorder. I have even been hospitalized in the past. I am stable now and under a doctor's care. Both my surgeon and the guy who did my psych eval were not really concerned. I did have to have a letter of support from my psych doc, but that was all that was said about it. Did the psych doctor elaborate on why people with bipolar shouldn't have the surgery? Just curious!

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He said it was because when a Bi Polar goes Manic they usually get non compliant and eat things they shouldn't which in turn messes with the band.

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Okay -- that makes a little sense to me. It at least explains why they didn't consider my bipolar a problem -- because I'm stable. Thanks for answering me!

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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