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Old 09-26-2007, 08:43 AM   #1 (permalink)
KnitterGirl
Whipper Snapper
 
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Join Date: Jul 2007
Location: Hagerstown, MD
Posts: 42

Weight Statistics

July 11, 2007
Start Date:
April 15, 2008
Surgery Date:
5' 4"
Height:
315 lb
Start Weight:
254 lb
Current Weight:
150 lb
Goal Weight:
61 lb
Weight Loss:
104 lb
Lb Left to Lose:
19.3650793651 %
% Lost:

Body Mass Index
54.0637207031
BMI Start:
43.5942382812
BMI Current:
25.7446289062
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default PCP question

Good morning all!

Question...I am not convinced that my PCP is really all that supportive about my trying to get RNY, which brings me to a second item of concern. I see a nurse practitioner at my doc's office more often than not and she is the one I have discussed this with. Should I actually start seeing one of the docs as opposed to the practitioner?

I know I can't expect her to be as revved up about this as I am, but she seemed almost blase about it. I don't want to wind up with a problem once my six month structured diet is completed, so I want to know who I should be seeing now.

Thoughts?
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Alt Weight Loss Surgery Insurance
Yes, you can often get insurance cover for your Weight Loss Surgery.
Our own Craig "Big-T" Thompson has been there and done that, and he's written an e-book about it.

   
Old 09-26-2007, 08:49 AM   #2 (permalink)
Lch
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Join Date: Jan 2007
Location: Modesto, CA
Posts: 470
Blog Entries: 11

Weight Statistics

12/13/06
Start Date:
December 13, 2006
Surgery Date:
Height:
220 lb
Start Weight:
150 lb
Current Weight:
145 lb
Goal Weight:
70 lb
Weight Loss:
5 lb
Lb Left to Lose:
31.8181818182 %
% Lost:
Dec 2007
Goal Date:

Weight Loss Method
Roux en Y Gastric Bypass
Default

I went through this with a Dr's office too, some Dr's just don't approve of the surgery, which will include their Nurse practitioners. I changed Dr's twice, until i found one that supported the surgery. After research and talking to people, i knew i had to do what was going to be best for me, i just needed to find a Dr. who agreed.
But i would talk to your primary first... if your primary doesn't sound like he/she is going to help you go forward, i would look elsewhere.
that is just my opinion. I worked hard to get my referral and surgery.
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Old 09-26-2007, 09:14 AM   #3 (permalink)
DocSanae
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Height:
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Quite honestly, I think you would be better off with a PCP who is cooperative. Even if he/she isn't familiar with WLS patients, be willing to learn. Your PCP is the person you will have to turn to if you need help when your surgeon is for some reason unavailbe.
Looking for a PCP with whom you feel comfortable with, is a good idea.
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Old 09-26-2007, 10:46 AM   #4 (permalink)
beckamarie
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Join Date: Jan 2007
Location: Hawaii
Posts: 3,831
Blog Entries: 9

Weight Statistics

07/23/2007
Start Date:
July 23, 2007
Surgery Date:
5' 2"
Height:
230 lb
Start Weight:
120 lb
Current Weight:
125 lb
Goal Weight:
110 lb
Weight Loss:
-5 lb
Lb Left to Lose:
47.8260869565 %
% Lost:
June 23 2008
Goal Date:

Body Mass Index
42.0629552549
BMI Start:
21.9458896982
BMI Current:
22.860301769
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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I agree with Doc. My PCP had never eferred ANYONE out for surgery. I was her 1st but she was supportive from day 1. I say find a doc you are comfy with and if they arent familiar with the proces, be their "learner" patient...I know not a real word but I think you get what I am trying to say
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Old 09-26-2007, 10:52 AM   #5 (permalink)
BOOTS
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Location: WADING RIVER (Long Island), NY
Posts: 4,860

Weight Statistics

7/16/07
Start Date:
7/16/07
Surgery Date:
4' 11"
Height:
230 lb
Start Weight:
139 lb
Current Weight:
115 lb
Goal Weight:
91 lb
Weight Loss:
24 lb
Lb Left to Lose:
39.5652173913 %
% Lost:
12/31/08
Goal Date:

Body Mass Index
46.4492961793
BMI Start:
28.0715311692
BMI Current:
23.2246480896
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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I Agree With Everyone Else. Infact When I Discussed For The First Time With My Pcp I Was A Little Shocked He Understood And Told Me That Is The Best Option For And To Not Think About It That I Should Do It. I Figured He Was Old Fashioned A Bit And Wouldnt Go For It. But The Reason He Was So Supportive And Understood A Fat Persons World Was Because He Told Me Somthing I Never Knew. He Used To Be Very Obese At One Time. Boy Was I Shocked!!!! He Didnt Have The Surgery He Ended Up Losing It On His Own But He Totally Understood How I Felt And Was Very Very Supportive And Helped Me In Every Way Possible For To Get This Surgery!!!

That Is The Type Of Doc You Need
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Old 09-26-2007, 02:50 PM   #6 (permalink)
kimtindall
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Join Date: Jun 2007
Location: Jacksonville, Florida
Posts: 4,458

Weight Statistics

July 21, 2007
Start Date:
August 6, 2007
Surgery Date:
5' 2"
Height:
287 lb
Start Weight:
164 lb
Current Weight:
140 lb
Goal Weight:
123 lb
Weight Loss:
24 lb
Lb Left to Lose:
42.8571428571 %
% Lost:
January 1, 2009
Goal Date:

Body Mass Index
52.4872528616
BMI Start:
29.9927159209
BMI Current:
25.6035379813
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Definately...find a new PCP, someone that you can talk to and that is understanding. I was so lucky to have found mine. I wish you so much luck!!!
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Old 09-26-2007, 06:39 PM   #7 (permalink)
Kenyar
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Join Date: Apr 2007
Location: Mount Vernon, NY
Posts: 7,520

Weight Statistics

4/1/07
Start Date:
4/19/07
Surgery Date:
5' 9"
Height:
258 lb
Start Weight:
165 lb
Current Weight:
165 lb
Goal Weight:
93 lb
Weight Loss:
36.0465116279 %
% Lost:
04/19/2008
Goal Date:

Body Mass Index
38.0957781979
BMI Start:
24.36357908
BMI Current:
24.36357908
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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i agree with everyone else. find a dr who will cooperate and be willing to seek out ways to support your aftercare. it would be a terrible thing if you were appoved and did NOT have the support of your dr afterwards for follow ups and any scripts you may need. with that said, SWITCH! lol.
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Old 09-26-2007, 06:50 PM   #8 (permalink)
sydsmom
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Join Date: Jun 2007
Location: Upstate New York
Posts: 96

Weight Statistics

10/15/07
Surgery Date:
4' 11"
Height:
250 lb
Start Weight:
140 lb
Current Weight:
142 lb
Goal Weight:
110 lb
Weight Loss:
-2 lb
Lb Left to Lose:
44 %
% Lost:
10/15/09
Goal Date:

Body Mass Index
50.4883654122
BMI Start:
28.2734846309
BMI Current:
28.6773915542
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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My PCP was never available, like yours and I did see the PA for every one of my visits. My PA even wrote a letter to my insurance company indicating why she felt I was a candidate for the surgery. But...like everyone has said, make sure you are comfortable with your physician's office. I personally like my PA better than my PCP, but because my PA works under the PCP umbrella, she was allowed to write to my insurance without question. Do your homework with your insurance company, if you like your PA or NP, then check to see if your insurance would accept documentation from them, most insurance companies supply an 800 number to call, it's a free call, it won't hurt to get facts now than to worry about them later. Good luck and keep us informed.

P.S. I have worked in the health insurance field for 20 years, and would be happy to give you any pointers you may need to get through this.
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Old 09-26-2007, 10:39 PM   #9 (permalink)
judy
WLS Guru
 
Join Date: Jun 2007
Location: Arizona in the winter - Colorado in the summer
Posts: 397

Weight Statistics

about age 12 the first time
Start Date:
8/29/2007
Surgery Date:
5' 4"
Height:
268 lb
Start Weight:
147 lb
Current Weight:
140 lb
Goal Weight:
121 lb
Weight Loss:
7 lb
Lb Left to Lose:
45.1492537313 %
% Lost:
a year from Christmas
Goal Date:

Body Mass Index
45.9970703125
BMI Start:
25.2297363281
BMI Current:
24.0283203125
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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I agree - get a PCP you can be comfortable with - I saw the PA at first here in AZ who was more than agreeable to write the letter - she left before I got it ready but the Dr who replaced her agreed to write it anyway. The Dr we use in the summer in Colorado was more than eager for me to have the surgery so I really lucked out both ways.
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Old 10-06-2007, 10:37 PM   #10 (permalink)
serratneednewlife
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Join Date: Oct 2007
Location: bronx
Posts: 14

Weight Statistics

9/26/07
Start Date:
07/2009
Surgery Date:
5' 0"
Height:
226 lb
Start Weight:
242 lb
Current Weight:
110 lb
Goal Weight:
-16 lb
Weight Loss:
132 lb
Lb Left to Lose:
-7.0796460177 %
% Lost:
1 year
Goal Date:

Body Mass Index
44.1327777778
BMI Start:
47.2572222222
BMI Current:
21.4805555556
BMI Goal:

Weight Loss Method
-
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hi all i also feel not fine with my pcp yes i went there i told him i want the surgery be done and right away woithout question he gave me the referral BUT i feel that he even take time with me to ask me so i am very nervous about the fact that the insurance need documented notes, yes i see him writing on the file but it is enough. please i need guidance i am in NY and i have HIP medicai. i am lost i need advise i am scare to death my insurance says no.
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