Post by JRo on Aug 18, 2015 11:18:21 GMT -5
Hello All!
I have been an offsite lurker on a few sites, this one included, for a few months now and felt it was time to finally sign up and to say Howdy!!
A little about me, I had lapband 10/2009, HW 285, got to about 215 then adjustments stopped having any effect and I had the band removed 5/2014. I then moved forward to the VSG 8/2014. My surgery weight was 266, I got down to a whopping (Sarcasm!) 228 by about December and it's only creeped back up and now at 1 year post op I'm at 252 and beyond disappointed. With the VSG, by the time I was 3 months post op I had almost no restriction and at this point it's as if I had no surgery at all.
I'm now in the process of finding a new surgeon (band, removal and VSG was all with Coirin in Modesto) to hopefully lead me to a revision/DS. I was hoping for Rabkin but my insurance (BSC) doesn't authorize him, so I have made an appointment with Jossart.
However, I have now read quite a few deterrents from Jossart and that he may sway me from the DS and the RNY is not an option for me. Why go sideways or even backwards when I could move forward with the DS. Thats my viewpoint anyway. However, I can't follow through with the full appeal with the DMHC until I meet with Jossart and he does lead me away from the DS.
Overall, I'm fairly optimistic especially with a new surgeon, and anxious for a final step of success. My primary concern is getting BSC to cover the DS considering my BMI is 42 with minimal co-morbidities (edema, slight sleep apnea, joint pain, lower back pain). Any suggestions or veteran secrets to make sure my insurance gives the go ahead, or if they don't, how to successfully appeal, is most appreciated!
I look forward to lurking (and this time contributing) more and sharing experiences. Any words of encouragement, advice, warnings or howdy' are most welcome!!
I have been an offsite lurker on a few sites, this one included, for a few months now and felt it was time to finally sign up and to say Howdy!!
A little about me, I had lapband 10/2009, HW 285, got to about 215 then adjustments stopped having any effect and I had the band removed 5/2014. I then moved forward to the VSG 8/2014. My surgery weight was 266, I got down to a whopping (Sarcasm!) 228 by about December and it's only creeped back up and now at 1 year post op I'm at 252 and beyond disappointed. With the VSG, by the time I was 3 months post op I had almost no restriction and at this point it's as if I had no surgery at all.
I'm now in the process of finding a new surgeon (band, removal and VSG was all with Coirin in Modesto) to hopefully lead me to a revision/DS. I was hoping for Rabkin but my insurance (BSC) doesn't authorize him, so I have made an appointment with Jossart.
However, I have now read quite a few deterrents from Jossart and that he may sway me from the DS and the RNY is not an option for me. Why go sideways or even backwards when I could move forward with the DS. Thats my viewpoint anyway. However, I can't follow through with the full appeal with the DMHC until I meet with Jossart and he does lead me away from the DS.
Overall, I'm fairly optimistic especially with a new surgeon, and anxious for a final step of success. My primary concern is getting BSC to cover the DS considering my BMI is 42 with minimal co-morbidities (edema, slight sleep apnea, joint pain, lower back pain). Any suggestions or veteran secrets to make sure my insurance gives the go ahead, or if they don't, how to successfully appeal, is most appreciated!
I look forward to lurking (and this time contributing) more and sharing experiences. Any words of encouragement, advice, warnings or howdy' are most welcome!!