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My Primary Doctor was PISSED



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It is really shocking how little some primary care doctors know about the sleeve surgery. My original PCP still thinks that I had gastric bypass and was having issues with malabsorption and thought I couldn't take certain pills etc. and so wouldn't prescribe me antibiotics, etc. I tried to explain to him several times that I had had the sleeve surgery and not gastric bypass but it didn't seem to click. Finally I had to switch to another primary care doctor that understood.

I'm sure your PCP is a nice man but you are going to need someone who understands and empathizes with your surgery in case issues arise down the road.

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I agree with those who say give him time to adjust, and do what you can to educate. My PCP is very nurturing and supportive and takes fantastic care of us, but she too balked at us planning surgery for Mexico. I see her tomorrow to level set.

She too is tiny and has no weight issues, but when we first approached her with the thought, she admitted freely that she is coming around to it as she sees how it is benefitting her patients. The nurse practitioner in the office has it and looks fabulous. But mainly the PCP is seeing people with comorbidities healing as the weight comes off, and she is starting to think that even with the small risks, it's better than the alternative. So time and education do help I think.

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The lapband is not temporary. It causes a lot of damage to your stomach. Mine was just taken out and revised to a sleeve. As a nurse I can tell you that not all doctors are created equal. Do not feel bad about switching to another doctor you can have a good repoire with. Some just are so arrogant and narcissistic that they get all uppity when a patient has a different opinion. Lapband is one of the worst things in my opinion and I hope they remove it off the market. With such a high failure rate and high rate of complications I am surprised it hasn't already happened. You hang in there and don't be intimidated. He isn't God just a human being with some alphabet Soup after his name.

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And who wants another " temporary" weight loss tactic? I want a permanent solution. And no thank you, I don't care to be fat again. Been there done that.

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I was wondering if anyone knows how to tell your primary dr? I have kaiser and they denied my surgery so I am paying for it myself. I have not told dr. Cause I am afraid they could cancel me. I think I should tell dr. Now and see if she will run tests for me but scared too. Any advise?

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I would change docs. My doc is very supportive and excited for me.

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My GP confessed to having Lap Band Surgery when I first saw her after my VSG.

As for Vitamin and mineral deficits after having a VSG, I had low Vitamin B, D and severe anemia BEFORE I had my sleeve surgery. I was so tired all the time, I thought I had a serious underlying illness that hadnt been diagnosed.. Feeling so much better now that im taking Iron and vitamin supplements and these levels are being monitored by my VSG nutritionist and doc.

I believe there are a hell of a lot of the general public who have severe deficiencies in their vitamin/minerals who are never checked by their regular doctor. Apparently checking for vitamin deficiencies in blood isnt standard (at least at my regular doctors office). Ironically now that I am a "risk" for deficiencies I have been able to regulate and correct deficiencies I have had for many many years.

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I work for kaiser and have kaiser insurance. Three ladies in my dept were all denied 3 times before they were approved. Keep filing appeals and call the number on your card. Ask for the bariatric case management dept so they can help you get approved.

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I was wondering if anyone knows how to tell your primary dr? I have kaiser and they denied my surgery so I am paying for it myself. I have not told dr. Cause I am afraid they could cancel me. I think I should tell dr. Now and see if she will run tests for me but scared too. Any advise?

Minnie, why would your dr want to cancel you? Surely they couldn't anyway if you are self pay... But why do you feel your dr will see this as so inappropriate for you? I only ask because if that is your overriding fear, it may be something you need to look at in yourself.

Don't rush in to an irreversible op if you're unsure. Most of us have at least some time to delay surgery, even if we have significant health issues.

If u think your dr is unreasonable about WLS, might be time to change doctors. You will have to tell him/her some time, and it will come up from time to time in the years ahead. You need to be able to talk freely about it.

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I had a lot of Vitamin deficiencies with my band due to it making me sick all the time. Just got my blood work back two months post op with sleeve and everything is great. People kill me with the permanency argument. I am 100 percent sure I will not wake up one day wishing I could go back to being morbidly obese and pre diabetic.

right? "gee i wish i could go back to eating enough food so that it will kill me, please." um, no.

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I am worried that kaiser would no longer serve me if I had complications from sleeve from a self pay. I am not doubting having surgery I have heard that kaiser could deny treating u if u had surgery sone where else. I am just scared thinking what if I come home after surgery and have complications and need medical assistance ASAP would kaiser stick me with a big bill or reject me. I was already denied surgery from kaiser cause all labs are borderline bad and my bmi is only 37 so they won't do surgery.

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I have kaiser and my lapband was from another medical group 2 years ago. They not only paid to take out the slipped band but also the revision to the sleeve. Please call the number on the back of your card and ask for the benefits dept to ask about your policy.

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    • 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!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • 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.
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