LorettaLynn

Hi from VA, looking at surgery at the end of the year

Recommended Posts

Hi, I’m LorettaLynn from Virginia.  I began my 6 month process with Dr Nain at the Inova Fair Oaks on 6/6/18.  I have completed a psych evaluation, 2 sessions with the nutritionist, consult with exercise guy, etc.  I am concerned that my Aetna (Foreign Service Benefit Plan) is not going to pay as my weight is not going down and fluctuates a bit so I am preparing myself to have to pay out of pocket and travel to Mexico if needed.  I have given up carbonated beverages since 6/6/18 and have increased my water a lot.  

I am 5’6 and weighed 277 at my highest in May, wearing a 22W dress.  I have high cholesterol, fatty liver and Nonalcoholic fatty liver disease, my A1C is prediabetic, and my hormones have been out of balance since at least 2016 with estrogen dominance and PCOS.  My beloved father died of liver cancer at 63 and my mother is a Type 1 diabetic.  

I am hopeful that RNY or DS will help my health turn around and give me the energy that a 40 year old should have.  I’m enjoying this forum quite a bit as the folks seem a lot nicer than other forums I’ve looked at.  

Share this post


Link to post
Share on other sites

Hello and welcome! Mostly I think insurance companies do the 6 month weight loss program preop requirement to test commitment to the process.  Many of us don't lose much weight (if any) during those 6 weeks.  That is different if your liver size is such that it makes surgery difficult or dangerous; in that case they may postpone surgery until enough weight is lost that liver size is suitably reduced.  Whatever the case is, I'm wishing you the best as you begin the journey to your new gloriously healthy life!

Share this post


Link to post
Share on other sites

Welcome to Thinner Times! Hopefully your prep goes smoothly and your insurance covers your surgery. I think giving up carbonated drinks is a great first step. Good luck with everything! I hope you find the support you’re looking for here.

Share this post


Link to post
Share on other sites

Welcome to the group. I hope all goes good with your insurance and the new journey you are on.

Share this post


Link to post
Share on other sites

Hi @LorettaLynn. Welcome to the forum. I had surgery last year in Mexico and had a fabulous experience. I am a Type 2 diabetic in remission. I no longer have sleep apnea or blood pressure issues.

The only thing I would do differently is to have done the surgery in my 30’s. I have much more energy and better health than I did ten years ago. Life is much sweeter. 

I wish you all the best. Let me know if you have questions about surgery in Mexico. 

Share this post


Link to post
Share on other sites

Welcome! 

Share this post


Link to post
Share on other sites
On 8/14/2018 at 7:47 PM, LorettaLynn said:

Hi, I’m LorettaLynn from Virginia.  I began my 6 month process with Dr Nain at the Inova Fair Oaks on 6/6/18.  I have completed a psych evaluation, 2 sessions with the nutritionist, consult with exercise guy, etc.  I am concerned that my Aetna (Foreign Service Benefit Plan) is not going to pay as my weight is not going down and fluctuates a bit so I am preparing myself to have to pay out of pocket and travel to Mexico if needed.  I have given up carbonated beverages since 6/6/18 and have increased my water a lot.  

I am 5’6 and weighed 277 at my highest in May, wearing a 22W dress.  I have high cholesterol, fatty liver and Nonalcoholic fatty liver disease, my A1C is prediabetic, and my hormones have been out of balance since at least 2016 with estrogen dominance and PCOS.  My beloved father died of liver cancer at 63 and my mother is a Type 1 diabetic.  

I am hopeful that RNY or DS will help my health turn around and give me the energy that a 40 year old should have.  I’m enjoying this forum quite a bit as the folks seem a lot nicer than other forums I’ve looked at.  

Hi @LorettaLynn

You should qualify for surgery based on having a BMI > 40, your lipid issues, and a family history of diabetes with you being prediabetic. Many insurance programs will approve surgery if you have BMI > 40 and any 1 other condition (in your case either the lipids or the family history of diabetes). I would find out now if your insurance requires you to lose some weight ... or if it simply requires you to have participated in a supervised weight loss program for 6 months. Mine required the supervision but not the weight loss. @michiganmilkman did his 6 months, gained a pound or two, and was denied by his insurance ... so he appealed and won, had surgery, and has been doing well. 

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now