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I'm 2 yrs post op. I was considered to be a "light weight" on other websites. I was 40 BMI with a couple co-morbitiies. My baby brother 27 years old 6'3" and what I can only guess is about 600 lbs came to me for help. After months of paperwork, He will get his insurance thru Familycare staring next week. He's unemployable due to his weight but because of the lack of insurance we could not get him on disability. Now, I know, my journey was a cake-walk compared to what I'm going to have to help him thru. He's moving in with my family in a couple weeks and has already started making baby steps with his diet. We cut out sugary drinks 100%.. yay! (2 liters of soda/gater-aid a day, down to Water and suger-free flavored waters is a HUGE step for him!)

I guess my question is, what order should I get things done? I know my first order of business is to get him on disability so he has some small form of income. Then he need to start behavioral therapy (counseling)? I found a surgeon who takes medicaid (referred by my surgeon who unfortunately does not take medicaid). Has anyone ever gone thru the medicaid maze? I heard 6 months of medically supervised diet? Anyone over 600lbs who can tell me what weight he would need to get down to for a safe"er" surgery? My 16 year old daughter wants her Uncle to see her graduate, so I have 2 years to get him healthier!

Thanks in advance!

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I know at Kaiser they want you to at least get down to 500 or 450. Sense his weight is high it shouldn't be completely difficult get it down that much he should cut out things with sugar and switch to sugar free. If you had a pre op diet before your surgery maybe introduce him to it. My Surgeon recommended 2 Protein shakes a day and a 400 calorie or less dinner, and he can have all the sugar free popcicles, pudding, and Jello he wants. If thats to hard of a diet to switch to have him introduce a cheat day but eat portions within reason.

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Thank you! All help is appreciated form both him and me!

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New Jersey....has he applied for NJ medicaid yet?

IN NJ, Medicaid has gotten out of the Heath Insurance business and now contracts with 4 Private ***'s...all NJ does is pay the premiums and manage the system.

You need to check with Dr.'s who do Bariatric surgery and find out who accepts what ***...not all of them are good, and not all Dr.'s accept all of them.

There are a few people left who are enrolled on Straight Medicaid anymore.

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    • 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
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    • 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!
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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.
      · 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
      1. This update has no replies.
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