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Nutrition appointments...



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Hello!

My consultation went well, the doctor drew me a picture of my stomach and showed me how much he would cut off, he said right now my stomach can hold two plates of Thanksgiving dinner and after the surgery it will be the size of a large banana. Yikes! Lol. It went a little quick I thought, I didn't have a chance to ask any questions, he basically covered everything and then he escorted me to the insurance woman's office.

With my insurance, Aetna, I have to do 3 months of nutrition appointments. I wasn't told what all that would entail, the woman just made me 3 appts and I was on my way. I called back a couple of weeks later and the woman at the front desk told me I didn't even have to come in for the appts, that I could just call in and talk to her on the phone. Is this normal? I thought they would have to weigh me, etc. She said "Just don't gain weight". Hmm. I'm wondering if you all had a similar situation with your doctors office?

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aetna's requirement is no net gain during the three month period. my office made me come in and get weighed monthly plus talk to the whole team each visit: nurse, psychologist, nutritionist and exercise physiologist. but that was their requirement, not aetna's.

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I have aetna and I'm required to weigh monthly as well. I have been told that I cannot gain from start to finish, and that even a gain from weigh in to weigh in (but still ending lower) could jeopardize my approval. My aetna plan also required a 2 year weight history, and letter of recommendation from my PCP. If there is a surgical coordinator where you go, I'm sure she/he could write down everything you'll need so you have time to get it all together!

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I wouldn't call that "normal" but it sounds pretty easy. It sounds like they need to slow down and clue you in a little better with the details! Sometimes you have to make them. I know I wrote down on a piece of paper all my questions and took them in with me so when I talked with my DR I literally had a pen and checked each question off. So in a way I made him slow down to get all my answers....it's kinda their job!

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I have Aetna, and these (all mentioned in the answers above) are all the technical requirements for Aetna to approve the surgery. However as far as calling in for appointments and not having questions answered...not good!! It would certainly be in your best interest to get all the information you can, get every question and concern answered, and take full advantage of all the requirements and appointments. In my case, the nutritionist, the surgeon, my PCP...I went to each one of them with my written list of questions and concerns, and they all were very cooperative in answering everything for me. To this day when I go for my follow-up visits, I still go with my question list, to the point where I'm now known for being the one with all the questions! They seem to like this, since it's shows that I'm fully engaged and invested in the whole idea of weight loss and better health.

I wish you the very best, and much success in your journey!!

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      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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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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