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6 month wait...

snapdragon05

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snapdragon05    44

snapdragon05
Posted

Having gone through an extended approval process myself (took a year),and now just weeks away from surgery, my biggest hope is that someday there will be a standardization of the hoops wls candidates have to undergo.

They are so vastly different and confusing now, with no two alike, that I'm sure there are some people who just end up giving up. And that is so sad.

There has only been one other person I've read about having a one year "hoop" on this board! I think there should be one set standard!!!! A year is a long time---if it is medically necessary, provide the required info and keep going! I asked my "coach" provided/required by my insurance, "how many people have life changing weight loss after having 20-30 minute phone conferences once a month for 12 months AND no longer need the surgery?" She referred me to BCBS. ????

Why would she refer you to bcbs? I'm sorry I'm a little dense right now from a hard day at work and trying to get used to my new eating plan.

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katybelle7    65

katybelle7
Posted

I had to wait also, BC/BS of IL. It was very frustrating because I only lost 5#'in that time and my pcp who was monitoring me was frustrated with me too. She said every time, "why aren't you losing weight?" I finally told her if I COULD lose weight on my own, I WOULD have lost weight already! She finally seemed to understand and became more supportive! Hopefully someday people won't have to go,through these hoops for WLS. No one makes you me go through psychologists or anyone for a hysterectomy, liposuction or a face lift.

It's MY body, I pay my premiums on time, and a six month wait was ridiculous!

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linzlou2000    193

linzlou2000
Posted

Having gone through an extended approval process myself (took a year),and now just weeks away from surgery, my biggest hope is that someday there will be a standardization of the hoops wls candidates have to undergo.

They are so vastly different and confusing now, with no two alike, that I'm sure there are some people who just end up giving up. And that is so sad.

There has only been one other person I've read about having a one year "hoop" on this board! I think there should be one set standard!!!! A year is a long time---if it is medically necessary, provide the required info and keep going! I asked my "coach" provided/required by my insurance, "how many people have life changing weight loss after having 20-30 minute phone conferences once a month for 12 months AND no longer need the surgery?" She referred me to BCBS. ????
Why would she refer you to bcbs? I'm sorry I'm a little dense right now from a hard day at work and trying to get used to my new eating plan.

She is contracted by BC/BS---she didn't have the stats I guess. However, the MD office told me no one ever finishes the program!

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MarciaN    391

MarciaN
Posted

Wow. I'm curious to find out how many people actually give up. It seems that those of us who are really motivated have found this site and keep doing research and get support from each others. I can't imagine how you could stay motivated on this long journey without this support! In one respect I can see why the insurance companies make us wait- it really gives you time to understand what you are doing and make changes. On the other hand, I think have gotten so much out of this forum than I have at my local NUT visits and program meetings. Thanks you, thank you, thank you!

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MarciaN    391

MarciaN
Posted

Interesting thing.... I started getting dizzy over the weekend. I went to see my primary doctor yesterday and my blood pressure was 93/63. She was shocked that I had already lost 40 pounds and told me I should go off BP meds. I told her I couldn't because my insurance has a 50BMI without comorbidity and 35BMI with to qualify for surgery. If I went off meds I would not qualify. (This is crazy because I started at like 52BMI!) My last NUT appointment is Aug 19th and then all my prerequisites are over and I can get approval. I might have to stop losing weight for the next month....

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The Candidate    3,215

The Candidate
Posted

50 BMI without a comorbidity is so ridiculously high. The majority I've seen is 40 BMI without. That is such a shame that you have to stay on the BP meds you no longer need just to qualify.

Mine is 40 without. I never would have qualified otherwise. It's heartbreaking when we're all trying so hard to get healthy, after trying and failing at every other option, before even considering surgery.

I'm glad that you're almost there. Congrats and good luck!

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snapdragon05    44

snapdragon05
Posted

I had an appt for weigh in with Dr. She said the dr would like me to lose 7 lbs. I had already lost 4. She said if you lose 30 lbs you may not qualify anymore. So I stopped dieting. Now I feel like garbage. Next test is endoscopy on July 30 and then another dr weigh in again in August. I will get surgery date then. Looks like it may be November. Sorry bcbs I'm not giving up! I have a 46 BMI with comorbidies. I can't wait to do this and get my life back.

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • LeighaTR

      LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • LeighaTR

      LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      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. LeighaTR

        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!

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