Jump to content
×
Are you looking for the BariatricPal Store? Go now!

PCP NOT Encouraging



Recommended Posts

BTW Lap Band for Life is written by Dr.Ariel Ortiz....just thought I would mention that because it was mentioned earlier :)

~Liz~

03/10/06

241/156/160

5'8''

Share this post


Link to post
Share on other sites

Hi Kim, I'm going to give you my honest opinion on this. I can only speak from personal experience and someone (probably several someones) may tell you totally different. BUT, much evidence is to be found here to support this. Your PCP is not entirely wrong. The evidence shows that the band is SAFER. That is not even debatable. BUT, in terms of results, look around and you will see MANY lap band failures with very few HUGE losses. Yes, you may see small losses but you see those with weight watchers and other diets. You will see lots of regains. I don't say this to discourage you from the band. But, before you totally crucify your PCP, just be aware that many docs, including the surgeon who did my surgery, are now saying that the band, statistically speaking, will not give you the same results as RNY. The risk is much lower, though and for me, RNY was a risk I wasn't and still am not willing to take. So, I'm going to try again with my band.

Your statement that you made, "WELL WHY NOT JUST DO IT THE OLD FASHIONED WAY, EXERCISE AND DIET". ARGHHHHHHHH makes me think that maybe you are expecting something other than what the band can provide. The band will not stop cravings or binges. If you decide you want to eat 10 oreos or half a quart of ice cream, the band will not stop you so there is a huge measure of diet and exercise involved and many of us have found ourselves asking, "If I needed major willpower, diet and crazy exercising, why did I have the band?" Please don't think I'm disagreeing with you, but I just would hate to see anyone go through what I've been going through for the last year. Go in with your eyes wide open. The tool doesn't work for the main things that cause people to be obese and that is grazing, eating when we aren't hungry and eating junk food. My personal experience has been that my band has made it very hard to eat the things that are good for me and very easy to eat the things that are not good for me. Again, let me reiterate that the band does work for some people who are just ready for a change but I challenge that any diet followed with the same resolve, would've given the same results. It may work great for you and I believe the band CAN work, it just requires A LOT of effort as compared to RNY, with no negative feedback or very little. Its a lot less forgiving than RNY since there is no malabsorption.

My suggestion is that if you trust your PCP with your general health and you just have a difference of opinion on this issue that you question why she feels the way she does about it and ask her to show you her sources. Then, honestly consider that she might just want you to get the best results. If you truly feel this surgery is right for you, explain to her that you are well aware that it will be a struggle and will still involve diet and exercise and give your own research results. Maybe she'd still be willing to give you a letter for the insurance.

I wish you the very best of luck. I hope your band surgery is an absolute success!

Jennifer

Share this post


Link to post
Share on other sites

If you have an HMO, you will need to get a recommendation from your PCP before your insurance will even think about covering the surgery. Changing PCPs is no big deal. There are some who are very WLS supportive.

Share this post


Link to post
Share on other sites

Jennifer: At the proper fill amount, the band DOES significantly decrease my grazing and cravings. What was impossible work on my diet and health has become hard work and entirely possible with the band. The stats my Dr. gave me were that on average, a lap band patient loses half their unnecessary weight and keeps it off. the gastric bypass person on average loses 70% of their unnecessary weight and regains 20% of it. You beat the averages if you do what you said...exercise and work the program alot. My willpower has always been nonexistent. With the band, it is better. "Better" to me is a miracle.

Share this post


Link to post
Share on other sites

I agree with Betsyjane. I was banded last September and I have lost weight thanks to this tool. I simply cannot eat as much and even though I am now retired and thus in close proximity to my kitchen I am eating much, much less. The band won't allow me to eat as much as I used to do. A lot of the success of the band hinges on getting the right amount of fill. And it will work poorly on an oreo and icecream diet. :faint: You do have to collaborate with the band.

Because I don't have those big meals anymore I deal with my food obsession by paying more attention to what I am going to eat. I pay a lot of attention to the breakdown of calories and Vitamins, fibre, and Proteins, etc present in prepared foods, both canned and frozen, and I make a point of trying to add fresh produce to my meals. I also take Vitamin supplements because I don't always do a good job.:phanvan

And best wishes on your recommitment to your band, rtgirl!

Share this post


Link to post
Share on other sites

Hi Kim, I'm going to give you my honest opinion on this. I can only speak from personal experience and someone (probably several someones) may tell you totally different. BUT, much evidence is to be found here to support this. Your PCP is not entirely wrong.

Jennifer,

Thank you for being so honest and upfront. I am still trying to decide what path I want to take and it is refreashing to hear differing opinions once in a while!

Amy

Share this post


Link to post
Share on other sites

Just wanted to let everyone know that my PCP did, in fact, sign my recommendation letter for the lap band surgery. After I told here everything that I had learned, and read, and saw, and talked about, for months. What was so funny, was that I went to see her because Ive been having severe knee and hip pain lately. which im sure is arthritis. She agreed, and said if I would lose some weight my arthritis would probably not give me any problems. I told her that if she would sign my recommendation letter that i could lose weight. She also told me that i needed to stop smoking to have the surgery, I told her that if she would prescribe chantix for me, that i could stop smoking. I walked out of the office a winner that day! :)

Thanks to all of you for your words of wisdome and support.

Share this post


Link to post
Share on other sites

Sounds like you're doing things in a good order. There's another person somewhere on this site who is having trouble getting started on exercise because she has other illnesses and because she smokes so much. If you can get the smoking stopped and then do the band to help stop what otherwise might be even more weight gain, and then get the exercise started, you've taken on a HUGE task, but a worthy one. Good for you.

Share this post


Link to post
Share on other sites

yea thats what i kinda thought.. gaining weight has always been a big reason why i didnt like to stop smoking. cause the weight goes on REALLY fast. So i thought if i quit now, then get the lap band, that will take care of the weight, plus i will have healthier lungs so i can exercise more.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×