where and when?

[JuneR 0]

I need some help in deciding when and where. I am BMI of 43, diabetic 2 with insulin pump, hypertensive since I was 18 now am 57. I live 6 months in Wa. due to insurance needs and then 6 months in MO as we bought a house there (thinking of changing insurance but can't due to BMI, insulin use and hypertensive- no insurance will take me) so have to keep residence in WA as primary. My ins will not cover the surgery. So have to self pay. I have until Oct. 7th here in WA before going back to Mo. The lap clinic here will do 13 months follow ups. So I will miss some time either way, if I do it now or wait until next April. Or should I do it at Kansas City? Then have to leave there and have followups in WA. How many fills should I figure on and how often? Can I have the surgery here, maybe two fills then wait until I get back here in April for further fills? I am anxious to get started. Do I need to see my endochrinologist first? Any ideas and help greatly appreciated. June:confused:

[Trish1973 0]

They are going to want to do several different clearances with you (the surgeon will decide if he/she wants you to see an endocrinologist, cardiologist, pulmologist etc...) pre~surgical,,(considering your history I'm critically thinking ahead) and do allow some time pre and post for any small issues..... I thought, ahhh, no prob but I did have a sore muscle glitch, fine now though. I would hope that really you could go ahead and get the ball rolling (as it has a long hilly area to roll around in to get this started) in the area you are currently in and still perhaps have someone in your second area that you could pay a visit to if needed. Even a primary doc ((mayyybe)) that could address small things,,,,,not fills of course but you know that. This is a toughy and I'm not much help but had to say, Good Luck!!! And what a GREAT choice you have made!!