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WendyMay

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WendyMay    13

WendyMay
Posted

Hi everyone! I introduced myself in the wrong place, lol! So here I am. My name is Wendy and I am 42 years old. I am between 317 and 320 pounds right now. I don't have a surgery date yet, but I have a four hour appointment next Thursday, the 16th of August. I will be seeing the psychologist, the Nurse Practitioner, and the dietician. I am on Medicare and Medicaid, so I will probably have to lose between 25 and 30 pounds before I can have the surgery. I am really looking forward to this journey!

Thanks for reading

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cfmom716    8

cfmom716
Posted

Medicare requirements are 6 months of weight checkins in the last 3 years by your primary care physician or any physician that has said you need to lose weight to benefit your health. Start searching for records from drs. you've been to in the last 3 years. They do not need to be consecutive. You need a Center of Excellance to get your surgery and for Medicare and Medicaid to approve. There is no amount of lbs. you need to lose just check-ins by dr. for weight. Must be medically necessary and you need a BMI of 40+. You'll meet that I did at about the same as you are now when I started the process. Be positive and active in the process to get this done and t will happen. Good Luck!

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WendyMay    13

WendyMay
Posted

Hi cfmom,

I am not doubting you, but are you sure of that? I am going to a Center of Excellence. I have had the same PCP for 6 years or more. She wants me to have the surgery, and she weighs me once a month. I hope you are right about the Medicare thing. That would really make my day!

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Jim1967    3,569

Jim1967
Posted

Hi Wendy,

Welcome to the forum and best of luck on your journey. I am from Salem, NH and go through the Center of Excellence through Lowell General.

Good Luck on your journey

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WendyMay    13

WendyMay
Posted

Hi Jim. Thanks for the kind welcome and well-wishes! I am getting mine done through the Lahey Clinic Hospital Center of Excellence.

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ddrobins    58

ddrobins
Posted

Yea! Wendy!

I'm so happy for you. Stay connected to this board. It's great for info , advice and encouragement.!

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WendyMay    13

WendyMay
Posted

Hi ddrobins! Thanks a lot! How long have you had your band?

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cfmom716    8

cfmom716
Posted

I am positive That's how it worked for me. As long as you can get 6 weigh ins in the last 3 years from a dr saying you needed to lose weight you are all set. If you have any conditions due to your weight it can help. Conditions such as: high blood pressure, gall bladder problems, breathing problems, joint problems, GERD, depression,high blood sugar, heart problems, even skin problems are all considered medical necessity. Or as I said a BMI of 40 or more without any conditions.You will also need from your PCP a letter of Medical Necessity. The necessary psych appt. , dr. clearance, you will need an EKG and bloodwork, xray.

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WendyMay    13

WendyMay
Posted

AWESOME! Thank you so much. Your help and info is very much appreciated.

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WendyMay    13

WendyMay
Posted

I got it! Thank you!

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WendyMay    13

WendyMay
Posted

Oops wrong post... hehehe.

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Go To Topic Listing Tell Your Weight Loss Surgery Story

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    • LeighaTR

      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

      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

      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

        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

      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

        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

      CaseyP1011

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

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