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Kaiser So Cal BMI 39.8



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I was just referred to Kaisers medical weight loss program by my primary care doctor. I have orientation in a week and a half. At what point do the doctors decide if Im a candidate for surgery? Im about 3 lbs off from having a BMI of 40. Ive weighed this for 3 years. I only have pre diabetes so I dont have a comorbidity. Could this disqualify me from surgery?
My primary care doctor didn’t explain all the requirements for surgery. Online it states I need a BMI of 40 OR BMI of 35 with comorbidity.

has anyone here had experience with this?

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I think it's the insurance companies that care about that, not the surgeons. I think most surgeons would do it if you're between 35-40 BMI without co-morbidities - but a lot of insurance companies won't cover it without the co-morbidities. But it'd be worth checking out, at least. Maybe yours will..

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I just posted about this because I've lost a lot of weight during the process of getting ready for surgery and I got two suggestions: wear ankle weights and slouch while they're taking your height. Unfortunately those won't work for me since I won't get weighed till I check in for surgery and my height was just recorded by my PCP who is in the same system. I've just resorted to overeating, which feels pretty gross, but I'm not sure what else to do.

Edited by lizonaplane

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On 8/9/2021 at 12:05 AM, Kelpo said:

I was just referred to Kaisers medical weight loss program by my primary care doctor. I have orientation in a week and a half. At what point do the doctors decide if Im a candidate for surgery? Im about 3 lbs off from having a BMI of 40. Ive weighed this for 3 years. I only have pre diabetes so I dont have a comorbidity. Could this disqualify me from surgery?
My primary care doctor didn’t explain all the requirements for surgery. Online it states I need a BMI of 40 OR BMI of 35 with comorbidity.

has anyone here had experience with this?

I think I would make another appointment and eat like crazy leading up to it then drink a quart of Water just before. Make sure you have your keys, wallet, spare rolls of quarters, heavy shoes etc on when you weight in. Silly missing out over 3 pounds.

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I was JUST under the 40 bmi mark and they took me. I had kidney disease, arthritis (which interfered with mobility), and I think that was it? No real Comorbidities.
they used that initial weigh in to qualify me. As I lost weight I went under that bmi marker but it was fine and I still got the surgery. They only used the initial weight for qualification.

it was a long process though because you have to do the options classes, get all the requirements done (ekg, psych screening, support groups), and I had to get my nephrologist to sign off on it so that was an extra step for me.

then covid pushed my surgery back…..lol.

(I went through so cal Kaiser. I used the south bay facility)

I started the process with my doctor referral in March of 2020. I started the options classes in October 2020. I finally got surgery March of 2021.

(highest weight 330, surgery weight was 297, and my current weight 5 months from surgery is 235). Goal weight they wanted to see me between 175-190.

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