I'm new at this!! An already feeling so frustrated! I've been in the process for about two months I have all the tests almost done and my PCP today told me it will take about a year for him to give me the clearance for surgery. I feel that this is wrong. I have healthfirst, and just recently found out I have sleep apnea and my liver is very swollen according to my PCP. Well what I'm trying to say is if anyone has had this issue with their pcp's and do you know if the insurance will waive the 6 month weight loss supervision? Thank u for all your answers!!

J

Edited November 7, 201312 yr by muneca1029

It can be a frustrating process for sure. Did your PCP give you any reason why they feel it will take a year for clearance? Can you switch primary doc? Your swollen liver most likely can be managed with diet (unless there is an underlying liver issue) A major reason for the pre-op diet is to reduce liver size prior to surgery. I would definitely get a second opinion. My insurance originally required a 6 month supervised diet, weight watchers was an approved diet and I only had to go to get weighed in at my doctors office once a month for 6 months. Fortunately for me, two months in the insurance requirements changed and it was no longer required.

Good luck, keep us posted.

Yes it is very frustrating. I've been searching about this surgery (sleeve) for a year and change and decided to start process with a surgeon dr.gadaleta in manhasset ny two months ago. I'm puttin all my effort an I'm done with everything But it seems I could never get In Touch with my surgeon.. By the way if anyone knows of a good surgeon here in ny I might be willing to change surgeon and PCP as well. I'm willing to do the 6 month supervised weight loss but a year for a clearance letter is going to drive me crazy! ( by the way he really didn't give me a reason why, he just said it was his policy)

Ps. I'm 26 weight is 220 my highest has been 240, height 5'2. I have a two year old i want to live for, but with all this weight it seems I can't manage to do many things.

Thank u for responding!

H

Edited November 7, 201312 yr by muneca1029

Your surgeon should communicate with your PCP on recommendations regarding your liver. I would ask your surgeon for advice as to how to help your liver shrink. Your preop diet will also help shrink it. If it is in the way during your surgery it makes it that much harder for the surgeon. There is a chance that your surgeon may wait till your liver problem is resolved that is why I would make sure he or she is kept in the know about your PCP's concerns. Be patient and follow both docs suggestions. It will keep you on track. I am not sure what is causing your liver to be swollen. It is a big factor when having any type of surgery. If your liver enzymes are abnormal they usually try to correct them before surgery. I would ask if it would help to go on a liquid diet for a certain period of time to see if that helps reduce the swollen liver and they will know by doing another ultrasound. Good luck!

I'm only a few months in but have you looked into Lenox hill in the city? They are affiliated with north shore LIJ which is probably closer to you but I love Dr. Roslin. I also love Lenox hill ( if its good enough for Beyonce to have her baby there and al roker to have his surgery there - it's good for me).

Also have you ever seen and Endocronoligist? Perhaps they would write the letter of support you need? I was recently diagnosed with PCOS and insulin resistance so I'm hoping my pcp gives my the thumbs up ( I go next week).

I would suggest that if you feel this is what's best for you in your heart, it will all be worth it, don't give up. Just look at all of these hoops part of making the best informed decision for you. Good luck!

Your surgeon should communicate with your PCP on recommendations regarding your liver. I would ask your surgeon for advice as to how to help your liver shrink. Your preop diet will also help shrink it. If it is in the way during your surgery it makes it that much harder for the surgeon. There is a chance that your surgeon may wait till your liver problem is resolved that is why I would make sure he or she is kept in the know about your PCP's concerns. Be patient and follow both docs suggestions. It will keep you on track. I am not sure what is causing your liver to be swollen. It is a big factor when having any type of surgery. If your liver enzymes are abnormal they usually try to correct them before surgery. I would ask if it would help to go on a liquid diet for a certain period of time to see if that helps reduce the swollen liver and they will know by doing another ultrasound. Good luck!

Thank u! It makes sense what you just told me. Hopefully I could get in touch with my surgeon soon! Lol

N

Edited November 7, 201312 yr by muneca1029

I'm only a few months in but have you looked into Lenox hill in the city? They are affiliated with north shore LIJ which is probably closer to you but I love Dr. Roslin. I also love Lenox hill ( if its good enough for Beyonce to have her baby there and al roker to have his surgery there - it's good for me).

Also have you ever seen and Endocronoligist? Perhaps they would write the letter of support you need? I was recently diagnosed with PCOS and insulin resistance so I'm hoping my pcp gives my the thumbs up ( I go next week).

I would suggest that if you feel this is what's best for you in your heart' date=' it will all be worth it, don't give up. Just look at all of these hoops part of making the best informed decision for you. Good luck![/quote']

Hey! Thank you so much for the info. I will def search for their info tomorrow and see if they accept my insurance. Thank u n u are so right!

B

Edited November 7, 201312 yr by muneca1029

I had similar issues with my doctor. He gave me a very hard time because I'm so young, according to him. I'm 30. When I went to the seminar, I asked if they could recommend a supportive doctor and I went to him. It was smooth sailing from there! I recommend you get a new doctor.

Yes it is very frustrating. I've been searching about this surgery (sleeve) for a year and change and decided to start process with a surgeon dr.gadaleta in manhasset ny two months ago. I'm puttin all my effort an I'm done with everything But it seems I could never get In Touch with my surgeon.. By the way if anyone knows of a good surgeon here in ny I might be willing to change surgeon and PCP as well. I'm willing to do the 6 month supervised weight loss but a year for a clearance letter is going to drive me crazy! ( by the way he really didn't give me a reason why' date=' he just said it was his policy)

Ps. I'm 26 weight is 220 my highest has been 240, height 5'2. I have a two year old i want to live for, but with all this weight it seems I can't manage to do many things.

Thank u for responding![/quote']

Dr. Roslyn in Lenox hill hospital the best. He's my surgeon. Check he's profile on line. Dr. Mitchell Roslyn

I had similar issues with my doctor. He gave me a very hard time because I'm so young' date=' according to him. I'm 30. When I went to the seminar, I asked if they could recommend a supportive doctor and I went to him. It was smooth sailing from there! I recommend you get a new doctor.[/quote']

Omg yes I think I will because he is giving me a hard time! You just confirmed my concerns I will def be looking into new PCP today thank u

B

Edited November 7, 201312 yr by muneca1029

Dr. Roslyn in Lenox hill hospital the best. He's my surgeon. Check he's profile on line. Dr. Mitchell Roslyn

Great thank u so much that's my project today