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Weight Loss Surgery: Stand Up for Yourself against the Doctor



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My PCP didn't give me a referral (I asked for about a year) to the bariatric surgeon until I saw a cardiologist who told her I needed it. In that time of waiting I gained 50 pounds and developed sleep apnea and asthma. I definitely should have been more proactive.

I had a neurologist that disagreed that I should need WLS for my Pseudotumor Cerebri.. Fast forward 2 years, 60 pounds, and 8263682873 spinal taps to drain Fluid, a blood transfusion to patch the leak in my spine, and I started going to a different neurologist- who, on the very first visit said I've been through so much in the past 6 years, I didn't deserve to have to wait so long for someone to sign off on the surgery. And now I'm here.. 15 days post op. [emoji4] Be your own advocate! You know what is going on with your body. Nobody knows better than you.. You just need to find someone who'll listen!

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My PCP won't be for it, luckily she isn't part of the decision. My rheumatologist perked up when I asked her if it would be a good idea, and she started telling me benefits to the surgery that I hadn't even heard of. She referred me to a surgeon who I meet with tomorrow. My PCP probably won't know until it's over, if I decide to go through with it. Funnily, my PCP is the one who's been on me about my weight forever, but she thinks Atkins or gluten free is the way to go. Not for me.

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I have a history of not taking any BS from doctors. I have switched doctors for having bad staff, stood up to them when I was not really in a strong position to do so (Literally on my back at a charity clinic).

YOU are the expert. YOU pay the money, call the shots and wake up with your body. Your doctor can certainly express concern, that is their job..but that is about where it stops.

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I am a strong believer in being your own advocate. And yes, choosing to have WLS was MY decision, not my doctor's. I actually didn't even tell him about it until a month postop. And after seeing my VSG recovery and results, my PCP now refers his patients who don't have insurance that covers WLS to the surgeon I used in Mexico.

But my proactive participation in my own healthcare isn't just limited to WLS. I also researched and chose the neurosurgeon who did my cervical fusion after my PCP diagnosed the problem. My PCP called the surgeon he normally uses in order to discuss my case. Turns out the guy I chose was top of the field and is the specialist my PCP's surgeon uses for his harder cases.

Fortunately my PCP fully respects and supports my independent medical decisions. He's perfectly happy to work as a team. And in turn, I totally respect and trust in his medical expertise. He's always provided outstanding care and is truly an amazing Doctor.

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My PCP doesn't even know I had a procedure and never reacted to my weight gain, increasing blood pressure and cholesterol over the years. Agree with all posters. Bariatric practices are masterful at dealing with insurance issues. Bypass the PCP if you are getting any pushback.

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    • 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
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