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Less Than A Year After Band Surgery, Nervous About Insurance Approval



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Hi everyone, I had my band surgery December 2011 so it's been less than a year since I got the band. I was so excited to get the band and even though my doctor thought RNY or the sleeve would be a better fit based on my BMI (51), I felt like I could prove them wrong. I watched so many videos on youtube of people that were successful with the band and thought I could do it too. Unfortunately, I have not been and I've had issues with the band.

I lost 45 pounds but quickly gained it back after I had to have an almost complete unfill. I am back to my pre-surgery weight. My unfill occurred after I had went in for a fill and they gave me 2 ccs, which was apparently too much all at one time. I went home and started throwing up. I ended up in the ER, they poked and prodded me (the ER doctors didn't know how to do an unfill) and I had to wait until the next morning for them to unfill me so I was throwing up the entire night. It was awful. I got so irritated that I was throwing up blood and they had a difficult time accessing my port because of swelling. Lots of poking and prodding that hurt like hell. It took me awhile to go back for a fill, which feels like nothing. It feels like the band isn't even there. I've been sick recently with GI issues, lots of reflux now and even before I was sick, and I feel like I need more unfilled. I really want to have a revision to the sleeve and my doctor supports it. I have had nothing but problems with the band. I don't know if these problems would be regarded by insurance as actual complications though. My band is still in place and while I have port pain, the port is fine. I have Aetna and they will cover a revision if there are complications or if the person is 2 years out of band surgery and they have not lost weight following a diet and exercise program.

Has anyone had any luck either with Aetna or with getting a revision less than a year out of the original surgery or at a year?

Sorry for the long post but I wanted to present the whole picture. Thanks!

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I can't help you with your question because I had tht lovely band for 10 years! I too regained weight when I had to have the band emptied about 2-3 years after it was implanted. Well, that was after removing more and more fill trying to get the horrid reflux to stop.

I started out the sleeve journey with a BMI of 52. What I have observed is that lower BMI people seem much more likely to get to goal. My personal experience is that my hunger really returned at about month 7-8 and while I am still losing, it has slowed down alot. I am mentioning this because I want you to know what you might encounter when you have alot to lose.

I am happy with my choice of the sleeve though, I feel that I have been wildly successful and without the misery that a filled band brings. I do hope to lose another 35# or so, but I am pretty happy with where I am at now too.

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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.
      · 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. 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.

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      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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