Fustrated!

[KeepCalm 223]

I'm having a really hard time getting approved for my revision - I've had the lap band since 2008 and I've lost at most 60 lbs, I would get sick often, and haven't been able to afford a fill adjustment in awhile because I did not have insurance. Now that I have it - I find out about the sleeve and I really want to switch to it as I've weighed the pros and cons - but my insurance won't approve the revision unless I can prove medically necessary. I have some port pain, but I have a very high tolerance for pain, so I can ignore it most times... When I finally went for my band adjustment last July - they showed that the band had slipped a bit and that my pouch was enlarged. They unfilled it a bit and that is when I started doing research and found out about the sleeve. So many people were talking about all the issues they had with the band and not being able to be comfortable about going out to eat because you have to case the place basically to make sure you know where the restroom is and how quickly you can get to it, how some days I could eat a lil bit but then the next day its Soups or nothing kinda day... I thought - hey I could do the sleeve and I wouldn't have to worry about stuck food anymore and I would still have a restriction that would keep me from overdoing it - I was very careful about not overdoing it.

I've done all the requirements for it and have met them all - I keep reading about all of you that have had the revision done and I'm starting to get really fustrated and upset because it seems like I'm trying to do this before I get really sick with any of the overweight caused diseases - I am right now at around 270 - because I gained back 20lbs ( i admit - I regained because I was suddenly able to eat all the things I hadn't been able to eat in the past 8 years, like bread, brocoli(sp), vegetables, steak, actual pizza, Pasta - I do not eat junk like candy or processed bakery stuff and am a rather 'healthy' eater - I just over do it because I never feel full) after I got my band unfilled in preparation for surgery, atm I still do not have real health issues other then my joints are getting older and having a harder time at the gym because of the weight gain - I still go to the gym at least 1 - 2 times a week and work on the treadmill.

Last week I went back to my surgeon and his assistant has put me on a liquid diet to help me lose some of the weight I gained back, and because my EDG and swallow study came back normal - they weren't able to prove that its medically necessary to remove the band - so we're trying for intolerance since I was getting sick before when it was filled. So, we agreed to get my band filled again with 2 ccs - I went for the appointment that was set up with the hospial and when I got there the lady that was supposed to do my fill was almost like she didn't want to do it because she was confused as to why I was there - she said I was telling her the wrong things - that because I told her I don't want to gain anymore weight and that I want to prove to the insurance that the band wasn't working for me, so I have to get it refilled and go back through everything I was going through before. She almost didn't fill it and as it is - I don't believe she put the whole 2ccs in either.

I'm waiting until this week is done on the liquid diet, I still have port pain and it hurts sometimes like a bad stitch and sharp pain - but apparently that's not enough

I'm not giving up - but I can't afford this as a self pay, my credit is really horrible, so I am unable to get approved for a loan to pay for the removal of the band.

Please excuse any incorrect grammer and the fact that I skip from topic to topic - I'm not sure what its called but I type and talk in random sometimes jumping from topic to topic as my mind grabs a thought. I try to go back and edit, but if I missed something...

I've done 7 nutrition visits now, provided my gym check ins, did all the requirements for a normal just getting the sleeve done as well as doing the requirements for getting a revision done - I just want to get this done, so I can get started... I don't understand how some people are getting approved for revisions or getting the sleeve done when they have so much less to lose then I do, and I'm having such difficulty - what am I doing wrong?!

even my surgeon's assistant is at a loss, but she is trying to help me and hopefully we can prove intolerance... I feel almost as if I'm being pushed into self paying for it - which I can't afford to do...

[VDLT 244]

Keep complaining about the port pain. Mine was pretty bad. Did they check to see if the slip fixed itself after the unfill? If it didn't have your surgeon record that. I consulted a second surgeon who noted in my medical record that I had "band intolerance". I believe that helped.

It is all going to depend on your insurance. It would be helpful if you specify what kind of insurance you have, and that you move this to the band to sleeve conversion insurance forum. Each insurance is different in terms of requirements. Get a copy of your full policy and really look at the requirements for your insurance.

I wrote a letter outlining my initial success with the band, my complications, the medical conditions I developed because of the band, my weight history, and my attempts. I attached all the documentation required and sent it to my surgeon who in turn submitted to the insurance company. I don't believe they added anything other than notes from my consultation in which my surgeon said band removal was needed.

Best of luck. Hope that helps.

[Pinkgirl1234 761]

Keep complaining about port pain ,acid reflux and vomiting....If your port slipped that is mechanical failure...maybe you need a more proactive dr....