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Newbie! 12 month bariatric pre-surgery Education Requirement



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Today was my consultation for gastric bypass. I have to do 12 month bariatric pre-surgery education. Anyone from Virginia and have Anthem Cova Care Virginia insurance and going through this?

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No but.welcome to Bariatric Pal. I haven't seen anyone from Virginia, but we more than a few from Maryland, someone from Delaware, and also from Washington DC. I'm sure the other Virginia people will find you soon. I'm in Central Ohio myself,& having my surgery in Columbus.😛Good Luck!

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I’m not from Virginia but from Maryland and saying hello also why is our traffic horrible honestly it takes like 5 hours to get anywhere. Grrrrrr but once again hello pm me if you need a buddy

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I am from Virginia too, and I'm new to the forum as well. Had first consultation yesterday. A little nervous.

Edited by DTMEDIC

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Welcome!! What part of Virginia?

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4 hours ago, LMays said:

Welcome!! What part of Virginia?

I am from the Hampton Roads area - Live in Gloucester County which is near Yorktown, Williamsburg, Newport News, etc

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I know the area very well. My husband grew up in Newport News. We had friends in Gloucester. So when is your surgery?

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Still have some hoops to jump through...as soon as I get psych and nutrition visits done We can schedule it. Since I am self-pay will probably be in 6-8 weeks...maybe less

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And that WOULD put you in my month- SEPTEMBER. If that's when it turns out to be, come join us, we are getting a nice group in there!

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Cova Care Virginia here!! I started my 12 month process back on 1/4/2018. I am working with St. Mary's surgery team in Richmond VA. So far all of the requirements have been a BREEZE. Considering that some other people's requirements have so many more tests involved I am super excited to be on the back half of approval. I just did my psych eval last week and got a glowing letter of reccommendation.

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    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

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      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

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      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 3 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

      3. NickelChip

        I think it's important to remember that the weight charts and BMI ranges were developed a very long time ago and only intended to be applied to people who have never been overweight or obese. Those numbers aren't for us. When you are larger, especially for a long time, your body develops extra bone to support the weight. Your organs get a little bigger to handle the extra mass. Your entire infrastructure increases so you can support and function with the extra weight. That doesn't all go away just because you burn off the excess fat. If you still had a pair of jeans from your skinniest point in life and then lost weight to get to the exact number on the scale you were when those jeans fit you, chances are they would be a little baggy now because you would actually be thinner than you were, even though the scale and the BMI chart disagree. When in doubt, listen to the jeans, not the scale!

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      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
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      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
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      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
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