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My Gastric Sleeve Pre-OP Requirements

So I had my first appointment with my doctor yesterday. I absolutely love him! He's very blunt and to the point, which I found hilarious. I brought my mom with me because she was not supportive of this surgery at all. She thinks I can just diet and lose it on my own, but I have tried dieting for 3 years now, and I always fall back into gaining weight. I am 24 (25 in a few weeks) and I'm sick of wasting my young life being overweight.

My surgeon got straight to the point and said, "This surgery has a 90% success rate of keeping the weight off for the next 10 years. Without this surgery, you will most likely gain the weight back." My mom asked him questions about my Pseudotumor cerebri and he said, "This surgery will absolutely help." He also said it will probably cure my PCOS. That conversation convinced my mom that this surgery is probably my last hope. I am so pleased because now she is no longer rolling her eyes at me every time I bring it up. She's actually saying that my sister probably needs it, too.

Now about the requirements that BCBS has given me... They are pretty stupid. Even my surgeon agrees. He said that BCBS gives us these requirements because they think we will give up trying to get everything together, because they don't want to pay. That is believable.

1. I have to get records together proving that I have had a BMI over 40 for the last 3 years. (This one isn't so bad. Since I have been overweight for the last 7-8 years, this should be fairly easy to obtain.)

2. I have to be put on a diet by a DOCTOR for 4 months. (That means, the 4 months that I have been put on a diet by a Nutritionist are worthless in this situation.)

3. I have to have a Cardiac Evaluation. (This is understandable. They have to make sure my heart is strong enough to handle the operation.)

4. I have to have a sleep Disorder Test. (Also understandable. I'm having one July 29th. They said there's a possibility that I may have Narcolepsy. Let's hope it's just sleep apnea.)

5. I have to have a clearance letter written by a doctor. (This one is kinda stupid. I'm pretty sure my surgeon is more than able to know I need the surgery. I'm worried my doctor may charge me to write this letter.)

6. Psychological Evaluation (This is bogus, too. But I guess it's also understandable. They must want to make sure I'm not an emotional eater. I can already tell that's not the case. I'm just hungry, dang it! Lol. The oral steroids they put me on years ago started this.)

7. I have to see a Nutritionist. (I hope the one I'm seeing is good enough. They are so against me getting this surgery, though. I know it's because they're worried about losing me as a customer. Those scumbags...)

8. I have to schedule a 4 hour nutrition class. (I guess this won't be so bad.)


I have 7 months to do all of this. I really wanted to have the surgery before next year, but I guess it's worth the wait.

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I'm having my surgery in Birmingham too! Dr Pennington at Grandview Medical Center. Sorry, I haven't seen anyone else on here near me.....I got excited !

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This is too cool! You're going to love Grandview. Their rooms are very nice and almost have a hotel feel to them. The hospital isn't depressing like a lot are.

  • Author

We should all be each other's support! It's awesome to find people that are local.

@@MNovalis when did you start your journey?

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I agree! :D Have they called you to set up your Cardiac Eval yet? They called me last week and I have mine on July 11th. I'm so anxious to get this all completed, lol. :)

I see that many people told you the time goes fast, it really does until your paperwork is submitted and you get your date! For me things are really "crawling" now . I also have BCBS I'm in TX and I had similar requirements but I was able to get everything done in just four short months, have my paperwork submitted , and an approval 10 days following. Honestly it goes fast, I'm just ready to get started on the good foot

DSLdiversity

We should all be each other's support! It's awesome to find people that are local.

@@MNovalis when did you start your journey?

Sent from my XT1080 using the BariatricPal App

I agree! :D Have they called you to set up your Cardiac Eval yet? They called me last week and I have mine on July 11th. I'm so anxious to get this all completed, lol. :)
Wow! That's great! I'm so glad that they have you such a soon surgery date.

Sent from my XT1080 using the BariatricPal App

I see that many people told you the time goes fast, it really does until your paperwork is submitted and you get your date! For me things are really "crawling" now . I also have BCBS I'm in TX and I had similar requirements but I was able to get everything done in just four short months, have my paperwork submitted , and an approval 10 days following. Honestly it goes fast, I'm just ready to get started on the good foot

DSLdiversity

When is your surgery date?

Sent from my XT1080 using the BariatricPal App

We should all be each other's support! It's awesome to find people that are local.

@@MNovalis when did you start your journey?

Sent from my XT1080 using the BariatricPal App

I agree! :D Have they called you to set up your Cardiac Eval yet? They called me last week and I have mine on July 11th. I'm so anxious to get this all completed, lol. :)
Wow! That's great! I'm so glad that they have you such a soon surgery date.

Sent from my XT1080 using the BariatricPal App

I see that many people told you the time goes fast, it really does until your paperwork is submitted and you get your date! For me things are really "crawling" now . I also have BCBS I'm in TX and I had similar requirements but I was able to get everything done in just four short months, have my paperwork submitted , and an approval 10 days following. Honestly it goes fast, I'm just ready to get started on the good foot

DSLdiversity

When is your surgery date?

Sent from my XT1080 using the BariatricPal App

August 8th

DSLdiversity

They haven't set up my cardiac evaluation yet. They are waiting for me to send them all of my weight history for the past 3 years.

Sent from my XT1080 using the BariatricPal App

We should all be each other's support! It's awesome to find people that are local.

@@MNovalis when did you start your journey?

Sent from my XT1080 using the BariatricPal App

I first saw Dr. P back in December and my insurance requires 6 months of doctor supervised diet. So July 18th will be my last of those. Hopefully I am looking at an early August surgery........ I've been for my cardiac tests, my EGD, nutrition and physical therapy meetings. Got all of that behind me. Feel like I'm turning the corner now!

  • Author

I see that many people told you the time goes fast, it really does until your paperwork is submitted and you get your date! For me things are really "crawling" now . I also have BCBS I'm in TX and I had similar requirements but I was able to get everything done in just four short months, have my paperwork submitted , and an approval 10 days following. Honestly it goes fast, I'm just ready to get started on the good foot

DSLdiversity

Thank you so much for your kind, uplifting words! It's nice to see, especially when I'm a bit stressed about it all. I'm about to start college for the first time, plus I just had to sell my Jeep to Driver's Way because it blew a head gasket. So I have all of these things to stress over. But your post has really helped me. <3

  • Author

They haven't set up my cardiac evaluation yet. They are waiting for me to send them all of my weight history for the past 3 years.

Sent from my XT1080 using the BariatricPal App

Now that I think of it, Dr. Miles requested my Neuro-Opthamologist to fax him my records showing that I had a BMI over 40 from 2013 till now. He requested them himself because he's extremely anxious to do my surgery since I'm at a high risk of losing my vision because of the Pseudotumor cerebri. Bless his heart. :blush: So that's why they called to set up an appointment; because I had the records faxed pretty quickly.

How are you doing on that, by the way? :)

It goes by much faster than you think trust me. Good luck on your approval.

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I just got the call today that my insurance approved me! I would like to thank Dr. Les Miles and his patient advocate, Bridgette, for all the hard work they did to make this happen. I am so excited!

I just got the call today that my insurance approved me! I would like to thank Dr. Les Miles and his patient advocate, Bridgette, for all the hard work they did to make this happen. I am so excited!

Oh I am so excited for you!

  • Author

Awesome news Hiraeth!! Have you started your pre-op diet yet?

Sent from my XT1080 using the BariatricPal App

Not yet. They haven't gotten a surgery date scheduled yet. That will be the hardest part, I think, since my stomach will still be empty since I still have a lot of room. I'm mostly worried about migraines. But... no pain, no gain. :)

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