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Hi everyone, I am so happy to have found this website. The others seem more dedicated to the RnY WLS and I had the sleeve done exactly 1 week ago. I weighed 256 pounds prior to the surgery, down from about 300 at my highest. I had been hovering around 250 for the past 8 years. Anyway, I had Kaiser Insurance and they have a program that is extremely rigourous. First, you have to prove that you have tried all other weight loss options. You need solid proof, like your Weight Watchers log or documentation that is extensive. Once you pass that hurdle you wait to go into a class that lasts 6 months! You go once a week for 2 hours for 6 months where you learn about the surgery, nutrition, hear success stories. If you miss a class, you MUST make it up. If you miss 3, you are out of the program. After finishing the 6 month class, you are evaluated. If, during the 6 months, you have lost 10% of your weight (in my case, 26 pounds) then you go to the next step. I did not lost the 10 % and, in fact, only lost about 3 pounds in 6 months (so depressing) so I was referred back to the Dr. for another consultation. After being approved by him, it's on to a gall bladder scan and a fitness test. With Kaiser, you have to wait 3 months for a gall bladder scan (very frustrating). The exercise fitness test consisted of walking three times around a rather small building. This was the easy part for me because I go to the gym several times a week, love to exercise but for whatever reason, my exercise did not lead to weight lost, only maintenence of 250 pounds. After the fitness test and gall bladder scan, you are assinged a series of three appointments. One is for the shrink, who spends about 20 minutes making sure you are sane, then the nutritionist who gives you the same information you have gotten in the class and finally, a consult with the surgeon where you decide which of the three surgeries you are going to have. lap band; RnY, or Sleeve. For medical reasons, my surgeion pushed the sleeve. I was happy with that choice because I don't want to be fooling around with lap band adjustments and also, at 55 years old, I feel I needed a permanent fix. Then FINALLY, you get a surgery date. This whole process, including the 6 month class took a year. It was a long long year. Very frustrating because I could not lost that 10% and that slowed me down by a month or two. I had to get through Thanksgiving and Xms without gaining weight because in the pre op appt and in bold black letter in the pre-op instructions, it is stated "If you gain weight prior to the surgery, your surgery will be cancellled." That is a sobering thought after waiting for a year. Needless to say, I pigged out at Thanksgiving and gained about 5 pounds which was hard to get off by Xmas. My surgery was scheduled for Dec 29, so I really watched myself at Xmas and managed to check in on the 28th at the exact weight of 255.1, a whole 9/10ths of a pound lower than the last appointment. Whew! So on the 29th of Dec, I checked into Scripps Mercy Hospital in downtown San Diego (this is who Kaiser is contracted with for bariatric surgery) and waited to go under the knife. My surgery was delayed by about 3 hours but they gave me a bunch of Morphine and Versed so i didn't care. Finally, they wheeled me in and the next thing I knew, I was waking up in recovery, feeling so weird but actually, not in a lot of pain. My biggist problem was the after effects of the anathesia and, of course, the bloating from the CO2 they pump into you to do a laproscopic surgery. I was up walking within about 5 hours. Conditions at this hospital were amazing. The staff was the best I have ever had and all they cared about was my comfort. Their goals were to control nausea and pain. I didn't have nausea and the pain control was a morphine pump which I used liberally. I also got liquid Ativan to help my bad back so all in all I was pretty damn high at the hospital. I got out Sat. morning and things have been pretty smooth sailing since. I'm still obsessed with food and can't wait to get a little something on Monday (12 days after surgery after bargainaing my doctor down from 14 days) I'm so happy to have found this site to help with my recovery and to answer all my questions. My surgeon was Dr. Janos Taller who is with Pacific Bariatric Surgery. I personallly thought he was excellent. Thanks for reading and good luck to all contemplating this surgery. If you have Kaiser in San Diego, now you know the protocol. Smillzee