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West Medical US Self Pay Experience



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I was sleeved 2/23/23 at West Medical in Tarzana CA. Cost - $10,000. Time from first consult to surgery was 3 weeks. I had a psych eval phone call, and one zoom nutrition class on post op diet. Pre -op tests were done through my insurance, including EKG, labs, chest xray and sleep apnea test. Days on the PreOp liquid diet is based on BMI. The surgery is outpatient, but if there are complications, it is possible to spend the night. My surgery was scheduled for noon, and I was back in my hotel room by 6:00PM. I did pee before I left, but pretty much the requirements were being awake enough to put your clothes on. The facility was clean, and they welcomed my husband and tried to make him as comfortable as possible, but they said most family don't wait there. It was raining, and we were 3 hours from home, so he didn't really have anywhere else to go. We spent the night before in a hotel so we would not have to worry about the long drive in LA traffic in the morning, and the night after in case of any complications we would be close by. I would give every staff member I encountered 5 stars. From administrative staff to the nursing staff, they were all wonderful and very responsive. When I arrived, there were 2 patients Post-op, and the nurses were very supportive and caring. My consult was done with a bariatric Dr., but not the actual surgeon. He had been sleeved as well, and has a great repore with patients. I met him day of the surgery as he assists. He was also the one that did my follow up call 5 days later. I met my surgeon right before the surgery, but nothing since. He didn't even talk to my husband after, even though it is a small facility and he was right there. There will be another follow up call 4 weeks post op. I have phone numbers to call if there are any complications, I haven't had any, but I have no doubt they would be handled promptly and taken seriously, although remotely. They want to be notified by any ER or urgent care facility if necessary. PostOp full liquid diet is 4 weeks, then 1-2 weeks pureed, and 1-2 weeks soft.

All in all I had a good experience and no regrets, but I do lack the relationship with the surgeon and follow up support. I've joined a local support group through my insurance, and am finding my way with groups like this.

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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
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    • Onedayatatime365

      Looking to connect with others who are also on the journey of better health. Post-Op Gastric Sleeve (4/11/24).
      · 0 replies
      1. This update has no replies.
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