Wednesday, August 24, 2011

Approval

Finally.

I don’t have much time to post.  But let me just say I am so extremely happy that surgery was approved.  Surgery has been scheduled for October 17th.  This Friday I have to go to the surgeons office to pick up some prescriptions for labwork, ultrasound, etc.  Fun- more doctors.. Whatever.. I’m just glad the stress is behind me.  I hope.

Friday, August 19, 2011

A Setback

Very shortly after I finished posting yesterday, I received a call from the surgeons office.  I had been denied by the insurance company for surgery.  Except, they didn’t submit for the surgery I wanted (Lap-Band), they instead submitted for the Gastric Sleeve.

I can’t even describe how angry I was/am.  It’s subsided slightly, but yesterday I was fantasizing about how I could torture this doctor.  Rip off his fingernails and cut off his toes and make him eat them.  Call me sick, called me fucked up.. I don’t care- I was PISSED.

How dare he try and make a decision about my treatment without my consent!?  How is that even ethical?! It’s NOT.

So whatever… I was told that they would try and submit it again for the surgery that I actually wanted.  I guess we will just wait and see what happens.  I should follow my own advice that I give to people all the time and ‘Give it up to God’.

I’m trying my best to do that.. But I can’t help but have doubts about this surgeon’s capabilities.  How can I trust him to perform this surgery on me when he’s making decisions about my treatment without my consent?!  I do not trust him anymore and that’s unfortunate because I have no choice but to go to him for the surgery.  It’s too late in the year to find another surgeon.

See, the thing about insurance is that they have deductible’s and maximum out of pocket amounts… all of which I’ve been meeting and adding to the count for this year.  If I wait any longer, it will soon be next year and then all those amounts will reset for the year and I’ll be back to square one.

Thursday, August 18, 2011

The Beginning

Preparing for Lap-Band surgery is in itself it’s own journey.  For the passed 6 months I’ve been visiting doctor after doctor just to be able to submit to my insurance company a request that I want to have the surgery.  I have completed all the requirements and am now in that waiting process, which I was told can take anywhere from a couple days, to a couple weeks.  I initially planned to start blogging right before surgery, but the anxiety I have from waiting for approval from the insurance company is what’s caused me to start blogging now.

First, what is Lap-Band?

In a nutshell….Without any stomach cutting or stapling, the LAP-BAND® System reduces your stomach’s capacity, restricting the amount of food you are able to eat at one time. Plus, you feel full faster and stay full longer, so you wind up eating less.  They do this by placing an inflatable silicone device around the top portion of the stomach, via laparoscopic surgery.  They control the “tightness” of the band around your stomach by doing ‘adjustments’.  These adjustments are done at quick office visits where they access a port just under your skin and inject saline into that port which in turn makes the band tighter. (or removing saline, which makes the band looser)



Lap Band

Next, let’s go over the requirements I had to do before the insurance will even consider it…

1. Six Month physician supervised weight loss program:  This part was cake. (No pun intended)  I didn’t really have to lose weight, I just had to visit my primary care doctor once a month for 6 consecutive months and she would document what my eating habits had been and what my exercise routine was. (Which in the beginning I really did try to stick to the 1500 calorie diet she recommended but I just didn’t lose any weight..But I didn’t gain either! I digress…)

2. Nutritional Consultation:  This was very enlightening and crucial to my success once I have surgery.  I met with the nutritionist who went over the different stages starting two weeks before the surgery and going thru the 8 week mark after surgery.  The different stages have different foods that I am allowed to eat.. The food requirements I feel should be in their own post..But let’s just say it starts with a 2 week protein shake diet before you even have the surgery.. *sigh*

3. Psychological Evaluation:  I was a little nervous about this.  Knowing that I have major emotional food issues, made me hesitant to say the ‘wrong’ thing that would make her say that she doesn’t recommend I have surgery.  But all went well and she wished me luck on my journey!

4. EMMI: EMMI is an online video program that the doctors office has set up for you to watch and answer questions.. I was just kinda going thru the motions here.. Informational stuff, but by this time I knew all of it and it was boring- but quick.

5. Attend Seminar:  This was the first thing I did.  All Bariatric doctors have seminars they hold for people interested in Bariatric Surgery- whether it be the Gastric Bypass, the Lap-Band, or the Gastric Sleeve.  I went to Celebration Health first and was turned off from them because for the psychiatric evaluation they REQUIRE you to visit this specific Doctor that, by the way, doesn’t take insurance and his fee is $500.  SHADY! So then, I did some more research and found ORMC’s bariatric division.  I got a much better feeling from them so I decided to go for it.

6. Attend Support Group Meeting:  I did not look forward to this simply because I’m not much of a “group” person… But I ended up hearing lots of useful information and deciding that it might be beneficial for me to continue to attend these meetings, especially once I have my surgery.

7. Upper GI:  Let me tell you, when I went for this quick procedure, all I knew was that I was going to have to drink some gross stuff while they x-ray my digestive system.  That’s exactly what it was.  The stuff you drink is pretty damn gross and I gagged a couple of times while trying to drink it, but the process of them taking x-rays while you’re drinking it is actually kinda cool.  Watching the fluids going thru my digestive system was really fascinating.  It was like watching my own documentary.
After meeting all these lovely requirements, the surgeons office has submitted all the paperwork to the insurance company and now…..we wait.

Here I Am..

So here I am..  July of 2011 at my heaviest weight.  I’m not yet comfortable posting what that weight is, but I’m sure one day when I’m half this size, I will post it.