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Awaiting Insurance approval



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Hi, this is my first post...I hope I found the right way to proceed. I have been to all the preliminary meetings, saw my doctor, (Dr. Pitt, in Columbia, MO) and was very impressed with him. Everything is a 'go' so far, and after talking to the insurance, it seems that all will go smoothly. How long did it take any of you for the insurance approval, and eventual surgery date? I'm hoping by September I'll be banded!!!

By the way, I have been reading many of your messages and have been encouraged, and can relate to many many of your experiences with wt. loss and re gainining it again. I'm confident that this will really help me.

Thanks to all of you for your honest postings, they have answered a lot of my questions!

Thank you!

pjv

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Welcome to our group! I met with the surgeon for the first time in early December, 2005. I went to the required support meetings, met with both the psychologist and the nutritionist twice. I heard from the doctors office that I was approved at the end of February and had my surgery on April 6th, so it took a total of 4 months from start to finish.

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disneynut:

i live in the springfield area and was interested in pioneer valley surg. center. my friend is getting gb done on the 20th. can you give me a little more info on your overall experience with them?? what should i do first?? what insurance do you have?? sorry to bombard you but her experience is a lot different than what i want to do. what do i do first!?!?!?!?!?!?!?:help:

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Cinderella.

I have had a wonderful experience with Pioneer Valley Surgical. My dr. is Dr. Fiallo. My sister on the other hand has Dr. Haag and she has been fighting her insurance company for approval since April. She could not get anyone to return her numerous phone calls and when the insurance company requested additional information from his office, they never sent it and she was denied (that wasn't the only reason she got denied though). My insurance is Health New England and I got approved very quickly. The surgeon's office has informational seminars for people who are looking into banding at the Best Western hotel in West Springfield. I don't really know how often they have them so you could call their office or go to their website and it should tell you when the next one is. After the seminar was over, I arranged for a call back to get an appt. and it didn't take long at all as I said approximately 4 months from the date I went to the seminar until I had the surgery. Good luck to you!

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my friend has dr fiallo and said hes great. she was orig. going to go through baystate and the wait was rediculous. her first appointment with them (consult) was going to be on the 20th..and her surgery with pvs is on the 20th..lol. thank you for your input. im going to call there tomorrow and see what i can do. i heard health new england is one of the best for bariatric sur. i also have hne. will i have to supply a list of medical problems and diets/drugs ive tried?? im getting all that info together now so ill be set when i get an appt.

thank you for your info!! Ill keep you posted..Marissa

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    • LeighaTR

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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.
      · 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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