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CPAP is a positive pressure. You invariably get a portion of air intended for your airways down your esophogus. This can hyperinflate the stomach; placing pressure on your pouch. This is why cpap or bipap are contraindicated in patients with recent bariatric surgery

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The biggest reason any physician wants to do a sleep study prior to surgery is because patients with sleep apnea are often hard to wake up after surgery and require a small of time on the ventilator until sedation has passed from your system. We often get a lot of patients in the sleep lab because they gave the post op surgery team a scare. With sleep apnea they just wait a little longer to extubate the patient.

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I've was diagnosed with sleep apnea several years ago. After a second sleep study done in August (or was it September?) of 2007, I was switched from a C-Pap machine to a Bi-Pap machine, and it works a LOT better! I'm going to make sure I ask my surgeon about whether or not I will be able to use my Bi-Pap machine after I'm banded (February 6th), because, for some reason--and I'm sure there is one!--I seem to swallow air during the night, and wake up in the morning burping like crazy! I'm still not crazy about having to use a B-Pap machine, but I DO sleep better, and don't nod off all the time, AND I sleep a lot better with it.AND my husband is happier as well!

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Thank you, SLEEPYGIRL, your explanation. It makes total sense. I just posted a reply to someone else's post, and when I scrolled up, I saw yours. {So much for my skills of obvservation!} I'm still going to ask my surgeon about it, because I don't want anything to mess up his good work.

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There isn't a way to trick the system about the sleep apnea, and I wouldn't hope for having it. My father had sleep apnea, and narcolepsy and he ended up dying of falling asleep in the car and had a fatal car accident. Just something to think about, be thankful if you dont have it, dont wish for it!!

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I saw your posts and was wondering why you did not have over 5 years of weights? Have you gone back to all your doctors and got your medical files from way back when. I happen to find some medical files because of work and put them into the letter and was approved. The doctors would be like OBGYN,Skin doctor, Orthopedic, etc. If you would like to see the letter e-mail me your address and I will forward it to you.

Chris

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Yeah, having a sleep study tends to suck sour lemons, and I'm not sure as to why lap-band surgeons require them, but I'm glad I had mine done. I sleep so much better, and I DON'T fall asleep during the day. I didn't have much teouble sleeping when I had my studies done. The bed I slept on was great--a "regular" bed--wonderful. I've found that I sleep BETTER when I use my bi-pap machine. Plus, I have this certain amount of paranoia {after hearing news of the demise of a number of people due to--apparently--severe sleep apnea} of this happening to me. As for not being able to use my bi-pap machine after the surgery, I was told--by my surgeon's nurse--that 'they' saw no reason why I couldn't continue using my bi-pap machine post-operatively. I'll play it by ear, because I tend to somehow swallow air as I sleep {when using my machine} and wake up at some point during the night with a slight bellyache. :) I move around a bit, and I release a couple of huge, not so delicate burps.:mad: Yeah, not too pretty, but at least it's not in public!

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On Wed Dec 26 2007 at 3:18 PM, SuzanneG said:

My BMI was 35.1 when I first started trying to get approved. I got denied because I didn't have heart disease, lung disease or sleep apnea. By the time I wrote my appeal letter, I had gained a few pounds and my BMI was 36.7.

I had to write a letter of appeal to BCBS. I wrote a letter of medical need, then a letter of emotional need, then I gathered letters of support from my GP, GYN, Podiatrist, and Gastrointerologist. Then my bariatric surgeon sent the entire package through with his endorcement.

BCBS called me directly and said my letter was amazing and that they decided to approve me.

If you have to appeal, I'd be happy to share my letters with you, just post your email and I'll send them to you directly.

Good Luck!

Suzanne

Hi Suzanne,

Would you mind sharing your letter with me please? Welovekrystal@gmail.com thanks so much!

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On Wed Dec 26 2007 at 3:18 PM, SuzanneG said:

My BMI was 35.1 when I first started trying to get approved. I got denied because I didn't have heart disease, lung disease or sleep apnea. By the time I wrote my appeal letter, I had gained a few pounds and my BMI was 36.7.

I had to write a letter of appeal to BCBS. I wrote a letter of medical need, then a letter of emotional need, then I gathered letters of support from my GP, GYN, Podiatrist, and Gastrointerologist. Then my bariatric surgeon sent the entire package through with his endorcement.

BCBS called me directly and said my letter was amazing and that they decided to approve me.

If you have to appeal, I'd be happy to share my letters with you, just post your email and I'll send them to you directly.

Good Luck!

Suzanne

Hi Suzanne,

Would you mind sharing your letter with me please? Welovekrystal@gmail.com thanks so much!

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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