Hmm... I need to find out myself. I don't know what is the answer. I'll do some poking around and get back to you if I find an anything. You should email the people at Medifast as they probably could assist you..
I know I dont have 100+ lbs. to loose but it seems like an insurmountable amount to me. The last Medifast diet I did, which was also low carb, it took me 15 months to loose 42 lbs. I was very strict with it and totally changed everything I ate and I only lost 2-3 lbs. a month! I know that where I am in my life with my activity limited due to my foot pain that I will just continue to slowly gain weight. I am trying to do something before I get to the point of being disabled.
I guess I picked the wrong forum...
You are definately in a tricky place there with your BMI. I had to lose 30 lbs as part of my preop requirement. That was part of my surgeons requirments to lose at least 10% of my weight as to prove I was able to comply with the new way of eating I had to learn. Only after losing this weight was I able to schedule my.
A weight loss like that for you would drop you out of obesity. It sounds like losing less than 10 lbs would drop you out of obesity and into the overweight category. So that could be why you got the reaction you did from your surgeon. My starting BMI was 50 I weighed in at 344 lbs, and so far I've lost almost 150 lbs, with about 20 more to go. I'm not trying to add to your disappointment, but you may want to weigh all your options carefully. Like Cindy said, maybe get a second opinion from another surgeon..
Isn't right for everyone, it's not an easy path for sure. I wish you all the best along your journey...
Only you can answer that question. If it was me, I'd feel like I'd have to gain another 40 lbs or so, THEN go back. Makes no sense, does it! The banding is supposed to be less invasive and probably a viable option for you. Keep trying and be sure to get another opinion or two...
First, I would check around and see if there is any other surgeons that accept your insurance. You have to have a positive relationship with your doctor to be successful. You are having the.
For you have a eating problem, among other things. They are there to help you and guide you...
Don't hate me but I actually drank a couple milkshakes a day in order to qualify. I knew that I had already tried everything and the yoyo effect was unhealthy both physically and emotionally. I actually did the.
And gained the weight before I saw my first surgeon. I shopped around and the third surgeon I spoke to is the one I went with..
If you did not have a good experience with this surgeon I highly recommend you keep shopping. This is a life long commitment so your trust and comfort in your surgeon is extremely important..
Keep us posted and share your feelings. We are here to help...
Is it possible for you to meet with another surgeon. He doesn't seem very supportive. It does sound like you should qualify for the.
With the BMI of 36 and 4 comorbidities. I wouldn't give up. If you really want this, and it sounds like you do, then it is totally worth it. Best of luck to you...
Hi, I just had.
December 28th and my BMI was 56. This.
Is one of the hardest things I have ever done in my life. It is a very long difficult and in the beginning painful process. I right now have days when I wish I would not have done this. I am 28 and I do know I would have eventually got to 400lbs as I was already 325lbs. I do know if I was 50lbs over weight I would never even thought about it. I.
You the best and I.
You can be happy with whatever you choose...
I'm sorry that he made you feel that way I have a strict Dr and at first I wanted to cry because I was a smoker back in Sept and he said that he wanted to thank me for my honesty but he would not touch me because of the smoking asked when did I want to start trying to quit I told him that I would quit that day he said we will see, and I did that day not one since he also talked as it would be six months are longer I did everything he said 1st appt. 9-18-09 had.
1-18-10 just keep doing what the Dr. says and show him you can follow directions and we will pray for you I had lots praying for me and it happened keep up your spirit..
"Thank you for all your posts!" I am going to make another appointment with a different surgeon. I will make him understand how I feel and if he isn't more supportive, I will keep looking. I live close to Nashville and there are a lot of doctors in that area. I appreciate all your thoughts and advice. I am not going to give up on this. I will show the doctor I am serious and I just.
That the other health problems will convince him to go to bat for me with the insurance company...
I am brand new to DS and I am so glad to have found you. I have read a lot of your posts. Maybe you have some suggestions for me too. I.
I am a 54 yr. old woman, wife, mother of 3 and grandmother to 4..
I decided a few months ago that I would change my life this year and get healthy. I have 4 grandkids who I want to be able to enjoy more and do things with them. I am aproximately 60-70 lbs. overweight with many health issues. I opted for Bariatric.
, possibly the.
My doctor was in total agreement due to my high B/P, cholesterol, GERD, and severe joint and foot pain..
I went to a seminar on Bariatric.
And was very encouraged. I went for my first appointment yesterday with the surgeon and was so disappointed. My insurance will pay for almost all of my.
If the criteria is met. I am right on the border, BMI is 36 with 4 co-morbidities. Which my doctor had said would qualify me. The surgeon was very discouraging and told me to totally stop eatting carbs, eat three meals a day and stop grazing all day. I tried to interject some comments on my health issues and he interupted me every time. All he could say to me was that if I could not stick his plan, I would never succeed as a surgical patient.
He said that was very possible. The problem is I have done it quite a few times over the years and I always gain back more. So here I am with all these other health issues. I was so excited for the New Year to get here and start this venture and now I feel like it's hopeless. I know I will have to change my lifestyle to succeed.
But this doctors attitude totally discouraged me. I just wanted some of your thoughts on this. I really want this. I am totally comitted to follow his directions but I can't help but wonder without the.
, will I fail again?..
As I generally start, I am a Kaiser patient and much like you, I'm 58 yrs old, and needed to lose 80 to 90 lbs. (a little more then you but close). I was considered morbidly obese when I started my journey, my primary care physican had to refer me to the bariatrics dept and that is when I "qualified". My doctor was wonderful, but she had been highly recommended to me by one of my clients who had already had the.
She informed me that once my PCP DR had referred me and I qualified that I would not be disqualified for following the plan and losing weight on my own before.
"They did not penalize patients for doing good" was what she told me! She did ask me before I had.
If this is really what I wanted since I was no longer morbidly obese because she said she was required to since I was now just "obese". lol - So long story short, I would definitely check out some other doctors or centers in your area...
My sympathies - insurance is weird, doctors' programs are certainly not consistant and sometimes the whole thing makes no sense at all. I had lost about 40 ponds on my own before I started seriously considering.
, got my BMI down to about 38. Unfortunately it did nothing for my 'co-morbidities' (God, I love that word!?!) My diabetes A1c kept rising,blood pressure and cholesterol not lovely. When I started the process, the insurance company demanded that I prove that for six months I prove that I either could not.
And/or keep it off. I've had the same insurance for 8 years, but they wouldn't go back and look at the record - So I just failed to lose any more (maintaining was easy - had hit a serious plateau) My son's mom looks fatter in his wedding photos than she should have, but that's life. I had a choice of 2 locations for.
And the psychologist suggested that one group would probly accept my previous weight loss as proof that I could stick to the diet, but the other always demanded 10%. If you have options check with other members of your team, they may know the players better than your primary does. Also doctors, especially surgeons, are not all insurance wizards - if they had wanted to be paperwork jockeys they would have become CPA's. Talk to your insurance company, tell them that you qualify at your currrent weight and are concerned that if you do as the first surgeon requested you will no longer qualify. I agree with the person who said that the weight when you first qualify probably determines it, but check....
When you go to see the new surgeon, do not do what our first inclination is and try to weigh as little as possible. Wear heavy clothes, eat potato chips the day before, drink lots of water, etc. We all know what causes us to gain a couple of pounds overnight..
I got through all the hoops and have.
Next Feb 11. I'm 60 and I wish I had had the resolve to do it when I was a spring chick like you..
Best of luck as you start your journey.
I agree with everyone else, You need to find a doctor who is on your side and will help you through the process. My doctor is strict but is also caring and wants the best for me. Don't give up. The doctor you choose will follow you for years to come. I also have a bad ankle, and I feel like little 10 min. walks 3 times a day work for me...
I read your post and the replies and feel awful that someone can be treated so bad when they are trying so hard to have a healthier future. The US system is sooooo hard and unforgiving..
With such small weight loss I too would recommend the band and not the bypass....
You take the advice and seek another surgeon. I would be.
A letter to the old one if it was me, telling him exactly how I felt about his attitude and manner..
These people are supposed to have our best intrests at heart. WHO EVER made him judge, jury or even god..
Check to see if their is a complaints procedure....
So to be positive, you have to be persistant, dont ever give up and you will make it....
I do wish you well..
Please keep us updated....
Buzz xx (Andy in the UK)..
I'm so sorry that your surgeon made you feel so uncomfortable, whatever your circumstances you are the patient and are there for guidance, not humilation. I too was not happy with the first surgeon I spoke to because he did not listen to one word that I had to say or help me with my fears and so, I met with another surgeon and I'm so glad that I did. This surgeon was so compassionate and understanding and never once made me feel as if I had done something "wrong" my whole life and that was when I knew that he was my choice. Remember, this is your body and your choice. Good luck. CE..
I cant tell you how much your posts have meant to me. When I was sitting here last night craving my full bag of buttered popcorn, I thought of all of you and how determined you all have been to beat this. I resisted it once again! :) It does seem to get easier with each day and all your positive thoughts have definitely helped. I am going to start calling around tomorrow and find another surgeon. I know there is one out there that will be more sensitive to my situation..
Don't gain weight to try and "better qualify". That's not a healthy way to approach this..
First, talk to your insurance company, they know what they will and will not cover. Flat out ask what their qualifications are. Many insurance companies require so much time of MD supervised weight loss prior to even considering you. BUT, if you are borderline, that does not always mean losing some weight will disqualify you. LIke you mentioned, you have co-morbidities....
If you need to do the pre-op supervision, find a surgeon you are comfortable with, and see if they have a dietician that can help you with the pre-op phase of things. Often, for the insurance, it's a matter of checking in on a monthly basis and having your weight recorded. By doing so with your surgeon, your starting weight is on record, and is typically what the insurance company will go by. This is because most surgeons REQUIRE some sort of weight loss prior to.
Anyways to reduce liver size and such..
BMI is not the only indicator typically used..
On the other side of this, be careful shopping around for a surgeon, yes, you need to find one you are comfortable with, but you should not just go looking for one that is going to tell you what you want to hear. This is a tough process, and you will nedd to make a lot, and some times drastic changes to your life style if you are going to make this work for the long haul. period..
But having a surgeon that really cares about his patients makes a world of difference. It's a tough-love type of relationship..
Hi...I don't usually come around here much lately, but did today..
I'm also in Nashville. My surgeon was Dr. Brandon Williams through Vandy Uni Hospital..
HIGHLY recommend him and all of his staff is beyond exceptional..
I had heard that Vandy had a similar program to Centennial. Unfortunately, I work for HCA and have to go to one of their hospitals, therefore the surgeon has to have priviledges there. I think the Vandy surgeons only operate there. But I will definitely check it out. Thank you for the advice and your Drs. name..
My husband knew I was upset the past few days and he treated me dinner tonight. I was so good! I ate a 7oz steak, a small salad and steamed asparagus. No bread, no loaded potatoe, no dessert. I was very pleased with myself. We had a nice time and it made me really feel like I can succeed. Of course all your uplifting posts have made it easier too.
Back to work tomorrow. All of you have a great week..