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PCP says he will refer me to a surgeon



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Good News! My Pcp is giving me a referral to a surgeon. I weighed in at 224.8 and bmi of 41. I'm nervous of course wondering what the surgeons requirements will be. But I am so excited to have made it past step one. Woohoo:w00t:!! I believe this means I am on my way to being a bandster. Wish me luck with the surgeon and the insurance. Does anyone have any advice for me at this point...like don't lose any weight til I see the surgeon? Stuff like that.

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that's what made me really look into lap-band....a few months ago my mom was at our PCP checking in (she had GB a few years ago and looks amazing) and when the PCP asked how I was, she told my mom that she already knows the new surgeon and is recommending me for the surgery. She thinks I'm a great candidate and referred me to start the process :tongue2: I'm excited and going to the seminar on 3/13...

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A lot depends on your insurance company's requirements. Some require that the surgery site be a "center of excellence" which means they have done x amount of surgeries (I am not sure of the whole criteria, but if they have the "center of excellence" label that is a plus). Many also require a documented 6 month (or two 3 month) diet attempt, and a BMI over 40 plus 100 pounds overweight, or a BMI of 35-39 with one or more comorbidity (ailments afftected by weight: diabetes, high blood pressure, high cholesterol, reflux/GERD, sleep apnea, joint arthritis and there may be a few others I can't think of). You will need to attend the bariatric seminar, have a consult with the surgeon, a psych evaluation (some may also want a stress test or echocardiogram), and when these are complete, your paperwork is submitted to the insurance company. I needed a 6 month diet so I just used the dietician on the bariatric team. Cost me $35 and I had to document my weight every other week, then at then end she wrote it up and I had to take it to my PCP to sign off. Once that was done my paperwork was sent. I am not-so-patiently waiting for approval. Hope this info helps.

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I do have co morbidities. Type II Diabetes, High blood pressure, High Cholesterol, Arthritis of the knee and years ago I was told I have mild sleep apnea. I am hoping for a good surgeon that has done many lap bands. We'll see who the PCP office refers me to. I will check out the surgeon once I have a name and ask many questions. Thanks for all your help.

Start/224.8/Goal/120

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oh yeah...all of that i already know...it's the same process basically as going for Gastric Bypass...the hospital team has been doing this for a LONG time...we just have a new surgeon to the area, that's all...thanks for the info though

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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!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.
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