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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!!

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Edited by muneca1029

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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.

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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!

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Edited by muneca1029

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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!

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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!

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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

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Edited by muneca1029

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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!

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Edited by muneca1029

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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.

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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

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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

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Edited by muneca1029

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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.

    • CaseyP1011

      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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      https://alluniqueguide.com/java-burn-coffee-reviews/
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