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Old 01-28-2007, 01:15 PM   #1 (permalink)
NFaith2Lose
Newbie
 
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Join Date: Jan 2007
Location: Illinois
Posts: 6

Weight Statistics

Height:
217 lb
Start Weight:
217 lb
Current Weight:
162 lb
Goal Weight:
55 lb
Lb Left to Lose:

Body Mass Index
39.9
BMI Start:
39.9
BMI Current:
29.6
BMI Goal:
Default 1st Appt. Is Scheduled....

Hello - from Chicago! I've been reading, researching having WLS and came across this forum. I knew I was interested in WLS in Jan. ’06; I visited my PCPat Northwestern Mem. Hosp. on my birthday in Jan. '06 - she told me to purchase a rice cooker and to cut back. I joined WW {again} in March, ’06 - lost approx. 20 lbs. & here I am again in Jan. ’07 with more weight than I had this time last year. This happens every year – diet/lose/gain +.

I have my first appt. with Dr. Robert Kushner at Northwestern’s Wellness Group 01/30/07. I’ve read a lot about his WL approaches; he’s written a book on WL - his Northwestern profile list his areas of interests as: Nutrition/Diet Counseling, Obesity, Weight Loss/Management. They have sent me paperwork to turn in for my initial visit. They ask you to ensure your Insurance will cover visits w/Registered Dietician & Health Psycologists. The receptionists says I'll have to attend 4 classes (1 month apart).

I began an excel spreadsheet listing all weight loss attempts since 2000. This is my first time being at 40 BMI, therefore, I won’t have medical documentation to show 5 yrs of 40 BMI. Almost all previous doctor’s appt., have recorded the times after I’ve lost weight. I’ve never been under a supervised diet. I began this week documenting EVERYTHING I can remember & will from this point on, because I have a fear of dealing with my Aetna Open Access HMO. Since 2000, I’ve been on slim fast, medifast, WW x2, south beach, nutrisystem. I know HOW to lose weight… haven’t learned how to keep it off. So, if things don’t work out with getting approval for WLS {I’ll be completed crushed}, yet I’ll be ready to work with the Wellness Center on to assist me w/losing & learning to keep it off (hopefully).

Currently, I’m not diagnosed with anything. I’ve had a hysto surgery in 2000; Vag. Prolapse surgery in 2004 & hemmie surgey in 2006. I snore so loud that I wake myself up – so, I wouldn’t be surprised if I actually have sleep apnea. Both my sisters have been are diagnosed.

Please wish me luck and give me any / all advice possible. Thank you!
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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 01-28-2007, 02:15 PM   #2 (permalink)
fr1endly2
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Join Date: Jan 2006
Location: SOMEPLACE LONG ISLAND, NY
Posts: 6,756

Weight Statistics

June 1, 2005
Start Date:
Height:
310 lb
Start Weight:
167 lb
Current Weight:
159 lb
Goal Weight:
143 lb
Weight Loss:
8 lb
Lb Left to Lose:
46.1290322581 %
% Lost:

Body Mass Index
51
BMI Start:
27
BMI Current:

Weight Loss Method
Roux en Y Gastric Bypass
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HI Nfaith2lose!
Welcome to the forums!
GLAD you found our family for all your support needs

As for you approval its difficult every insurance company
is different. I am sure for you pre op clearances you will
see a pulmonary specialist to confirm the sleep apnea..
most sugeons require it.

GOOD luck....and im sure you will get thru the process!
KEEP us updated of all your steps!
hugs
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Old 01-28-2007, 04:27 PM   #3 (permalink)
beckamarie
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Join Date: Jan 2007
Location: Hawaii
Posts: 3,626
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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and Welcome to our little family. This is a great support place very knowledgable people here





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Old 01-28-2007, 07:03 PM   #4 (permalink)
macathrt
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Join Date: Nov 2006
Location: Elkton, MD
Posts: 513

Weight Statistics

2 Nov 06
Start Date:
2 Nov 06
Surgery Date:
5' 4"
Height:
258 lb
Start Weight:
132 lb
Current Weight:
140 lb
Goal Weight:
126 lb
Weight Loss:
-8 lb
Lb Left to Lose:
48.8372093023 %
% Lost:
Nov. 2007
Goal Date:

Body Mass Index
44.2807617188
BMI Start:
22.6552734375
BMI Current:
24.0283203125
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Hi and welcome to RR! Glad you found this site. It's truely the place to be when your journey begins. Good Luck with the steps to a healthier life. Keep us informed on what's going on with you.

Keep on Keepin' on,

Debbie

LAP RNY GASTRIC BYPASS
11/02/06
258/215?/140
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Old 01-28-2007, 11:57 PM   #5 (permalink)
DocSanae
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Welcome to the board, thank you for joining us.
Looks like you have your plans for attack lined up.
Good luck, and (((((((HUGS))))))) May your journey go well.
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Old 01-29-2007, 10:54 AM   #6 (permalink)
NFaith2Lose
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Join Date: Jan 2007
Location: Illinois
Posts: 6

Weight Statistics

Height:
217 lb
Start Weight:
217 lb
Current Weight:
162 lb
Goal Weight:
55 lb
Lb Left to Lose:

Body Mass Index
39.9
BMI Start:
39.9
BMI Current:
29.6
BMI Goal:
Default

Hello & Thank you for all of the greetings!

I'm on the line cancelling my appt. for tomorrow - since Aetna just told me that they will not pay for a dietetian unless you are diabetic. Before I cancel - I'll ask Northwestern to quote me price on the seeing the dietitian.

Continued Success to all today!
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Old 01-29-2007, 11:13 AM   #7 (permalink)
fr1endly2
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Join Date: Jan 2006
Location: SOMEPLACE LONG ISLAND, NY
Posts: 6,756

Weight Statistics

June 1, 2005
Start Date:
Height:
310 lb
Start Weight:
167 lb
Current Weight:
159 lb
Goal Weight:
143 lb
Weight Loss:
8 lb
Lb Left to Lose:
46.1290322581 %
% Lost:

Body Mass Index
51
BMI Start:
27
BMI Current:

Weight Loss Method
Roux en Y Gastric Bypass
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((HUG))) im sorry the insurance isnt covering the dietician!
IT can be frustrating!
I know my surgeon offers a nutritionist at his office thats
free.
hang in there has to be a way to get over this little hurdle!

hugs
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Old 01-29-2007, 03:30 PM   #8 (permalink)
*Butterfly*Girl*
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Join Date: Nov 2006
Location: MW
Posts: 127

Weight Statistics

3/27/07
Start Date:
3/27/07
Surgery Date:
Height:
336 lb
Start Weight:
236 lb
Current Weight:
150 lb
Goal Weight:
100 lb
Weight Loss:
86 lb
Lb Left to Lose:
29.7619047619 %
% Lost:
7/1/08
Goal Date:

Body Mass Index
61.4
BMI Start:
43.2
BMI Current:
27.4
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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One piece of advice something I've learned the hard way. Most ins. companies will not accept your version of keeping track of weight loss attempts. It must be umbrelled under a doctor or a program like Jenny Craig, WWs, medifast, etc. HTH!
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Old 01-29-2007, 03:33 PM   #9 (permalink)
fr1endly2
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Join Date: Jan 2006
Location: SOMEPLACE LONG ISLAND, NY
Posts: 6,756

Weight Statistics

June 1, 2005
Start Date:
Height:
310 lb
Start Weight:
167 lb
Current Weight:
159 lb
Goal Weight:
143 lb
Weight Loss:
8 lb
Lb Left to Lose:
46.1290322581 %
% Lost:

Body Mass Index
51
BMI Start:
27
BMI Current:

Weight Loss Method
Roux en Y Gastric Bypass
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YES some doo require a six month doctor supervised diet, not all.
SORRY for those that have to ride that out!
SO frustrating
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Old 01-29-2007, 03:46 PM   #10 (permalink)
leyva29
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Location: Miami FL
Posts: 84

Weight Statistics

1/15/07
Start Date:
Height:
304 lb
Start Weight:
287 lb
Current Weight:
140 lb
Goal Weight:
17 lb
Weight Loss:
147 lb
Lb Left to Lose:
5.59210526316 %
% Lost:
12/31/07
Goal Date:
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Hello NFaith2Loose, Welcome to our forum. It's very nice to be able to talk to people and talk about our different situations related to our overweight problems. I have an HMO too. I know it doesn't cover the surgery but I made the phone call to Avmed anyways and try to speak to someone to let me know if there was any possibility in that If I have health related issues, would they cover me for the GBS. I was told that that my PCP has to be the one to send Avmed themselves a letter determining the health issues that I have now. I'm already a diabetic. I have poor circultation, sleep apnea, breathing problems while I walk fast or go up the stairs, no menstruation because I'm insulin resistance, High blood pressure, High cholesterol, High triglycerides and water retention. The only thing good I have is my heart. Thank God for that!!! My BMI is 49.

I have an appointment with my Pulmonologist on Feb. 2nd. And, I've already gone to a group session with my surgeon. Got alot of feed back. I also have an appointment with my surgeon on Mar. 6th for the first time after the group session. Before that day, I must have letters from my other doctors explaining why I need to GBS.

So, if you have HMO and you have health issues, you'll probably have a chance for them to cover it. I mean it's worth the try.

Don't give up, there's always light at the end of the tunnel.



Leyva29
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