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01-08-2009, 08:37 PM
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#1 (permalink)
| | Cub Reporter
Join Date: Jul 2007 Location: Hagerstown, MD
Posts: 75
Weight Statistics July 11, 2007 Start Date:
April 15, 2008 Surgery Date:
5' 4"
Height:
315 lb Start Weight:
206 lb Current Weight:
150 lb Goal Weight:
109 lb Weight Loss:
56 lb Lb Left to Lose:
34.6031746032 % % Lost:
Body Mass Index54.0637207031 BMI Start:
35.3559570312 BMI Current:
25.7446289062 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
 |  Doc, one more question, please?
So my surgeon is leaning towards my new burping hobby as being my gall bladder and I have an ultrasound in the AM. Now, the questions....
My hubby's insurance changed at the beginning of the year, so my surgeon who did my RNY is no longer in-network for me. This concerns me but maybe it shouldn't. My thought was that as he did my RNY I would have felt much safer with him removing my gall bladder as he knows where all my stuff is in there! Is having a non-WLS surgeon remove a gall bladder a big deal? Can any general surgeon do it?
Thanks so much, doc!
__________________ I can do all things through Christ who strengthens me. Come blog with me! Kim  | 
|  |  | Weight Loss Surgery Insurance | | | |
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01-08-2009, 09:17 PM
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#2 (permalink)
| | Seasoned Veteran
Join Date: Feb 2007 Location: No. Los Angeles County, CA
Posts: 2,849
Weight Statistics 4.29.08 RNY Surgery Date:
5' 8"
Height:
301 lb Start Weight:
168 lb Current Weight:
170 lb Goal Weight:
133 lb Weight Loss:
-2 lb Lb Left to Lose:
44.1860465116 % % Lost:
Body Mass Index45.7618944637 BMI Start:
25.5415224913 BMI Current:
25.8455882353 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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I am not doc, but I have a thought...
Ask your PCP to submit a referral to your insurance company for your WLS surgeon. You are under continued care (for 2 years, as I recall?) and may qualify to see him/her.
Good Luck! 
__________________
Judijo 
"Burning out this fuse out here alone" Surgery 4.29.08
11-29-08: Down 90 lbs. Total cholesterol is under 200 for the first time in my adult life!
1.11.09: 100 lbs down! Century Club! WHOO HOO! 
7.10.09 GOL! GOL! GOLGOLGOLGOLGOL! GGGGOOOOLLL!
1.10.10 Still at goal.
2.21.12 up a bit. Back on track, I hope. 
310/176/<164
Starting weight: beginning of nutrition classes, August, 2007 | |
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01-08-2009, 09:19 PM
|
#3 (permalink)
| | Cub Reporter
Join Date: Jul 2007 Location: Hagerstown, MD
Posts: 75
Weight Statistics July 11, 2007 Start Date:
April 15, 2008 Surgery Date:
5' 4"
Height:
315 lb Start Weight:
206 lb Current Weight:
150 lb Goal Weight:
109 lb Weight Loss:
56 lb Lb Left to Lose:
34.6031746032 % % Lost:
Body Mass Index54.0637207031 BMI Start:
35.3559570312 BMI Current:
25.7446289062 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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I no longer need referrals with my insurance as it is that Choice crap through Aetna (sorry, I had such good luck with Optimum Choice and was very upset that option was taken from us this year),so would having my PCP submit something do any good?
__________________ I can do all things through Christ who strengthens me. Come blog with me! Kim | |
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01-08-2009, 09:24 PM
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#4 (permalink)
| | Super Moderator
Join Date: Nov 2005 Location: Tokyo, Japan
Posts: 24,788
5' 5"
Height:
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If he's a trained GI surgeon, it shouldn't be much of a problem, but yes, your WLS surgeon would be better. Give what judijo says a try first.
Hope it all turns out fine.
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01-08-2009, 09:26 PM
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#5 (permalink)
| | Seasoned Veteran
Join Date: Feb 2007 Location: No. Los Angeles County, CA
Posts: 2,849
Weight Statistics 4.29.08 RNY Surgery Date:
5' 8"
Height:
301 lb Start Weight:
168 lb Current Weight:
170 lb Goal Weight:
133 lb Weight Loss:
-2 lb Lb Left to Lose:
44.1860465116 % % Lost:
Body Mass Index45.7618944637 BMI Start:
25.5415224913 BMI Current:
25.8455882353 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
|
Quote:
Originally Posted by KnitterGirl  I no longer need referrals with my insurance as it is that Choice crap through Aetna (sorry, I had such good luck with Optimum Choice and was very upset that option was taken from us this year),so would having my PCP submit something do any good? | It could not hurt to try. I didn't think a general surgeon would have a problem, but I wanted to see what Doc said.
PS. Make sure the sonographer knows you had WLS. He/she may see things differently with the new plumbing, and of course, you want a proper reading.
__________________
Judijo
"Burning out this fuse out here alone" Surgery 4.29.08
11-29-08: Down 90 lbs. Total cholesterol is under 200 for the first time in my adult life!
1.11.09: 100 lbs down! Century Club! WHOO HOO!
7.10.09 GOL! GOL! GOLGOLGOLGOLGOL! GGGGOOOOLLL!
1.10.10 Still at goal.
2.21.12 up a bit. Back on track, I hope.
310/176/<164
Starting weight: beginning of nutrition classes, August, 2007 | |
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01-08-2009, 09:37 PM
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#6 (permalink)
| | Super Moderator
Join Date: Nov 2005 Location: Tokyo, Japan
Posts: 24,788
5' 5"
Height:
|
Quote:
Originally Posted by judijo PS. Make sure the sonographer knows you had WLS. He/she may see things differently with the new plumbing, and of course, you want a proper reading. | Oh, yes, make sure you tell ALL the medical personnel you had WLS, not just drs and PAs and NPs, but ALL the med tech, pharmacists etc etc, everyone who has a license and has something to do in relation to your health. And in saying drs, I mean ALL drs even if they don't seem to have anything to do with WLS, eye, throat, dentists, whatever.
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01-09-2009, 07:20 AM
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#7 (permalink)
| | Cub Reporter
Join Date: Jul 2007 Location: Hagerstown, MD
Posts: 75
Weight Statistics July 11, 2007 Start Date:
April 15, 2008 Surgery Date:
5' 4"
Height:
315 lb Start Weight:
206 lb Current Weight:
150 lb Goal Weight:
109 lb Weight Loss:
56 lb Lb Left to Lose:
34.6031746032 % % Lost:
Body Mass Index54.0637207031 BMI Start:
35.3559570312 BMI Current:
25.7446289062 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Gotcha! Thanks for the input!
Had the ultrasound this morning and told the tech all about my surgery. Now I just have to wait till mid-week next week for results, while I continue the attractive burping.
I think I will give the insurance a call to see if continued care is an option. I would feel so much better with my surgeon doing it!
__________________ I can do all things through Christ who strengthens me. Come blog with me! Kim | |
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