Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Is this possible?



Recommended Posts

I apologize in advance for my long leadup to my question.

I had an appointment with my PCP today concerning switching meds for my RLS and told him of my plans to pursue WLS with the LAP-BAND®®® - he was very supportive. I am attending a seminar tomorrow evening. My BMI has been over 35 for most of the past 20 years and I have tried repeatedly to lose weight only to gain it back plus more. My BMI is currently over 40, I have been on medication for HBP for at least 13 years, I have obstructive sleep apnea and have used a CPAP since January of 2006 and am having a test done to see whether the air pressure needs to be increased due to my weight gain and daytime sleepiness.

In 2007-2008 I trained hard for and completed 2 sprint triathlons and 2 mini-sprint triathlons but only lost 15 lbs in over a year. I had gallbladder surgery in 2009. I had foot surgery earlier this year because of the repetitive stress of the weight during that triathlon training. I have gained 25 pounds back. I have had expensive (unsuccessful) procedures trying to manage my lower back pain and physical therapy for knee tendonitis and a torn meniscus ligament (which does not need surgery at this time).

So my question is: I have Aetna NAP Choice POS II insurance which covers the procedure and am expecting to get the requirements in the email any day. Needless to say, it has been an expensive year, medically speaking. I am less than $300 away from my annual out-pocket-maximum and I really need to have this surgery before December 31st. Is this doable, even with a 3 month supervision requirement?

I am 50 years old can't wait to be able to be more active again. I am not afraid of exercise but diet is my weakness and need this help to get to a healthy weight and stay there for the rest of my life!!!!!

Edited by sarytyr
Thread getting no response - edited title

Share this post


Link to post
Share on other sites

I did it in less than 4 months... just had to get all of the testing in, all of the nutritionist appointments and psych eval, and lose the weight required by my doc (had to lose 15 before he would approve surgery... I lost 25!). Just go, go, go. A lot of people on here have had their first appointment and surgery in the same month... it depends on your surgeon's requirements and how much you're willing to do in a short time... I'd discuss this with your surgeon and let them know you need to have it done before 2011... if they can they will!

Share this post


Link to post
Share on other sites

I would go ahead and start the supervised diet now. Also search for other surgeons in the area in case your current surgeon will take too long you might consider working with another. Good Luck!

Share this post


Link to post
Share on other sites

I have been in the process for over a year but all surgeon's are different (I switched insurances in the middle too).

The only advice I can offer is either talk to your insurance company about your situation. Is it them who require a 3 month supervised diet? If so, perhaps you can present to them some proof that you've been on diets before and they haven't worked. I know a lot of people on this forum have said that they were able to show Weight Watchers records to skip the supervised diets. Perhaps you can come up with something to show them?

If that doesn't work, start the diet ASAP and make sure you get all appointments and tests as soon as you can so you'll be set to start your liquid diet when those three months are up. I would think you could potentially get the surgery before the 1st of the year as long as everyone works with you.

I wish you the best of luck!

Share this post


Link to post
Share on other sites

I went to my seminar last night and that's what they suggested. Get started ASAP on my 90 day pre-op program.

They gave me the name of the person who handles the Aetna 90 day plans for them and her website. I got on my computer as soon as I got home and made an appointment for first thing Monday morning. It will be a real push to make it but if Aetna approves quickly in December I should be able to do the surgery before the end of the year. The lady at the seminar said that the surgeons are really good at working with you and if they are pretty sure that you will approved they will schedule the surgery so that once they get the ins. approval things are already set up.

Crossing my fingers that all goes well - I am so tired of the past 2 years of medical bills!!!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×