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Tricare Denial..REVERSED!!



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Do you have a bowel prep Penny? I had to do that the day before surgery. Good thing I took off work that day! I was on the toilet all day!!

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Oh my! I just made the most awesome Protein Shake.

pumpkin Spice Protein shake:

(sorry, I didn't measure the ingredients)

1 scoop of vanilla Protein Powder

about 2 TBS of Vanilla yogurt

Some canned pumpkin

Splash of milk

Pack of Splenda

Cinnamon

Ice

So creamy and yummy!!

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No I don't.... however I am going to do it with some laxatives. Only because narcotics make me super constipated. I have learned my lesson.

Thanks for reminding me. I am going to go take some now, so they can get to work!

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I mentioned it before, but I would highly recommend little baby spoons. I am used to eating very fast and taking big bites, and this helps me out tremendously!

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JWRN, The pumpkin shake sounds great. I still haven't made it to Walmart to check out the magic bullet, so that is on my list for tomorrow.

A few years ago I used the Eas chocolate drinks and they were very good, so I need to get some of that also. Are you on normal food yet or still on drinks? Good luck on your surgery this week Penny, let us know how it goes. Maggie

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I am on Mushies/Pureed. I have tried to be very creative, as I tend to get bored with bland food and will jump on the carbs.

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JWRN, How is the weight loss going? I keep thinking I would be this far into it if they would not have denied me.

Do you all watch the Biggest Loser? I Love that show, but wonder how they lose all the loose skin I'm sure I will have when I get to goal. You younger people will probably snap right back in shape, but I know I won't. Because I lost over 100lbs several years ago and had a lot of loose skin. Oh well, I would rather be skinny with loose skin than like I am now.

Maggie:shades_smile:

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I have lost 37 lbs since the day of my weigh in for Tricare (remember,I had to gain weight to get approved). I have lost 24 lbs since the day of surgery.

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They say exercise will help with your skin. But, I don't think it will be enough to help some of us. Even me. I will need an apron surgery. My stomach hangs really low over my abdomen ever since I had a baby, a year ago.

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Oh and start documenting any sores or rashes you get where your skin is. And then make sure you get your PCM to put it your medical record. I have read that Tricare won't pay for surgery without a "really" good reason, and your stomach has to hang past your pelvic bone.

Good lord... I think that is what I read. LoL

I just read my Ticker and it says One day! Total freak out.

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Yes, my approval letter had something in there stating that Tricare may not pay for cosmetic surgery related to weight loss.

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Well, 45 minutes and I can call the surgeons office. Please, please let my banding date be real soon.. Good luck tomorrow Penny, are you nervous yet??? My skin apron will be below the pelvic area without a doubt. It would be so good not to have it after this weightloss. I stuck to my preop diet yesterday without a problem, so today is number 2. Maggie:shades_smile:

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Let us know (I know that goes without saying! :biggrin:) I hope it is soon. I wanted mine before the holidays. I just didn't think I could make it through another Christmas being fat. Every year I would tell myself (after I saw the family photos), "next year I am gonna be skinny!" Then my birthday is in Jan. and I think the same thing. This time Is going to be different!

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Nov.5th. at 10am is the date of my banding. I wanted it sooner but beggars cant be choosers. Maggie:shades_smile:

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    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

    • NovelTee

      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 3 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

      3. NickelChip

        I think it's important to remember that the weight charts and BMI ranges were developed a very long time ago and only intended to be applied to people who have never been overweight or obese. Those numbers aren't for us. When you are larger, especially for a long time, your body develops extra bone to support the weight. Your organs get a little bigger to handle the extra mass. Your entire infrastructure increases so you can support and function with the extra weight. That doesn't all go away just because you burn off the excess fat. If you still had a pair of jeans from your skinniest point in life and then lost weight to get to the exact number on the scale you were when those jeans fit you, chances are they would be a little baggy now because you would actually be thinner than you were, even though the scale and the BMI chart disagree. When in doubt, listen to the jeans, not the scale!

    • Aunty Mamo

      Tomorrow marks two weeks since surgery day and while I'm feeling remarkably well and going about just about every normal activity, I did wind up with a surface abscess on on of my incision sights and was put on an antibiotic that made me so impacted that it took me more than two hours to eliminate yesterday and scared the hell out of me. Now there's Miralax in all my beverages that aren't Smooth Move tea. I cannot experience that again. I shouldn't have to take Ativan to go to the lady's. I really looking forward to my body getting with the program again. 
      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
      I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow. 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
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      For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
      Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
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