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I had a sleeve done in 2015, did well, lost 92 lbs, gained back about 25 lbs now, during the past year as I cannot get my heartburn/Gerd under control.

I was given Protonix again, was on it after surgery, but now a stronger dose...

I went to my surgeon, actually his colleague in the same office and she advised to up the dosage of the Protonix and get an end and some studies done.

I did that -- they did some Xrays, a CT scan, endo and colonoscopy and I was told stay on the meds at this rate for at least 3 months. She said any changes or its worse, come in and see her before the 3m time and since she was ready to give birth any mind, said to see her colleague. I did just that - she's out on maternity leave and I saw another dr. in her office and he suggested upping the meds again, to 2x per day and another over the counter at night time so avoid the GERD issues. I can't keep anything down, you'd think I would be thin LOLLL ;) it's the opposite, I'm maintaining, but I have GERD 24/7. Its horrible, even water does it.

So long story short - he said he would recommend the revision, which she did too - as well as fix an umbilical hernia I have that bothers me.

The surgical coordinator called, temporary scheduled for March 18 for a revision, said he will get pre auth from GHI, my insurance and if it's weight gain, don't get my hopes up of it being approved.. he's always been a non friendly guy, even years ago, it's like I'm bothering him. He must deal with horrendous people all day to act the way he does, but besides that.... He said don't get my hopes up and he'll pencil me in for March 18. He said I didn't come back to the office for years, erhmm, why should I - I was feeling fine... Gastro doc told me my GERD could be due to the sleeve and to go back to my surgeon, which I did - has nothing to do with weight gain - I'm not dealing with GERD for the rest of my life.... It's really really bad.. Anyway, GHI said they cover the procedure, just needs pre auth and it could take 7-10 days to get back... so I'll keep my fingers crossed and not listen to the surgical coordinator guy ... maybe he needs a drink LOL :D :D

Anyone have any luck with GHI/Emblem Health for the revision - my husband carries City Of NY coverage of GHI.

Good luck all :)

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  • Awesome. I’m so jealous lol I hope they approve it. Penciled in for March 18. If all goes well.

  • Walter Lindstrom
    Walter Lindstrom

    We've successfully helped several GHI members get revisions so please be optimistic - BTW, whether or not you regain weight is IRRELEVANT since changing eating patterns due to severe GERD is not only

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That’s awesome georgette! I also have emblemhealth. I was precertified and my coordinator sent in my
Paperwork today for preauthorization. It’s all so very confusing ahhh.
  • Author

Emblem has changed for us.
They base approval on Empire ??‍♀️

I don’t even want to go there. I was so aggravated for days and hours on the phone everyday.
grrr.

I wish you luck

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