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Impatiently waiting for Aetna



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Mine was approved on a Sunday

Congratulations! Did aetna call you on Sunday?

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No but they left the Dr.s office a message on Sunday

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No but they left the Dr.s office a message on Sunday

Nice! Mine was submitted to aetna on the 10th and still haven't heard a thing, maybe I annoyed them calling everyday :/

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mine was sent in on Sept 25th and didnt get an answer until Oct. 13th. I called everyday.

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So I was denied today. I guess my bmi dropped below 40 down to 36 while I was on hcg. I do have a history dating back to 2008 where it was over 40. Do you think that is what they are looking for?

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Oh no this was the first time submitting though? This want a denial to an appeal? If so yes that's what they r looking for 2 yrs of being over 40 or under 40 with 2 comorbids ... When I got denied in my letter to them for my appeal I let them know I was under 40 only because of diet pills and hcg... Don't give up!!!!

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So I was denied today. I guess my bmi dropped below 40 down to 36 while I was on hcg. I do have a history dating back to 2008 where it was over 40. Do you think that is what they are looking for?

I would assume it is because you are under 40 currently without the comorbidities...they probabaly think you can lose on hcg vs having to do surgery. Ugh sorry I know you are frustrated.

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So, my dr faxed over the paperwork saying my bmi has been over 40 for two years. Please cross your fingers! Hopefully they won't take another 3 weeks to decide

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I hope they approve you. No one wants to be on supplements to lose weight for a long time.

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Sending positive thoughts your way

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So funny thing today, when the surgeons office faxed the paperwork to aetna that my bmi had been over 40 for 2 years they then questioned the fact that one of my weigh ins said I was 5'4" and one said 5'5" wouldn't that tell anyone with a brain perhaps I was wearing sufferer shoes or maybe my hair was bigger that day.... For crying out loud! Thank you I had to vent!

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So funny thing today' date=' when the surgeons office faxed the paperwork to aetna that my bmi had been over 40 for 2 years they then questioned the fact that one of my weigh ins said I was 5'4" and one said 5'5" wouldn't that tell anyone with a brain perhaps I was wearing sufferer shoes or maybe my hair was bigger that day.... For crying out loud! Thank you I had to vent![/quote']

Mazzers120,

That sucks! People just don't use common sense. I mean if the BMI is still over 40 who cares how tall you are, lol. Funny thing though, I was 5'4" most of my life. I had back surgery in 2008 and honestly hadn't measured my height in years, I was shocked when they measured me at the nut appointment and I was 5'2". Not sure how old you are but our height does change as we age. I am 45

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So guys I am 4 days out if you count surgery day. I am still in the hospital because I also had a cystic mass removed from my belly that was much lower than the sleeve incisions. I'm doing ok.. Just gas, soreness and a bit if nausea. They also had to give me a few doses of Benedryl because I was itching so bad from the pain Med's. I get a heparin shot a few times per day in my stomach as well because I am high risk for clotting. I am getting down about an ounce per hour of liquid but it makes me so nauseated . I should be going home tomorrow no later than Monday...because you just don't sleep in the hospital.

Hope my twin Sleevers doing great as well.

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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💪
      · 0 replies
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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!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.
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