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It sounds like you have checked all the boxes, so you should be able to get approval for this (particularly if the EGD shows any kind of damage from the reflux - in this case bad is good, for approval.) Have you started the appeals process? Some companies are reputed to simply deny all initial claims for bariatric surgery, and then approve upon appeal - that weeds out some of the less serious patients. I can't see how any kind of peer to peer review, or notionally impartial third party review would turn this down. Our local Kaiser routinely denies coverage for the DS (as their in-house surgeons don't know how to do it) but they lose upon state level appeal so often that they contracted with our surgeon to be their outside "network" surgeon for that; but they still routinely deny approval to make the patients jump through those hoops to get what they need.
Good luck - if they are denying coverage for these documented problems, they are likely going to be tough to get approval for simple weight gain reasons.

1st support group/seminar - 8/03 (has it been that long?)
Wife's DS - 5/05 w Dr. Robert Rabkin VSG on 5/9/11 by Dr. John Rabkin
Oh my! That must have been pretty scary. Hope everything is OK now.
Thanks, Jinxy for that glimmer of hope. Good to know Im not the only one that feels that way about the sugar free/ fat free foods. I rater eat whole foods then ingest that junk. Congrats on the weight loss. Ill kee you all posted in 2-3 months!! God Bless
Arlenello, I understand your concerns and stress. I am almost four months out and doing great. I say that not to brag, but to give you hope. The first six weeks are rough. I focused on my protein shakes and water cuz I didn't like the sugar free stuff. As for the sugar free stuff, You are right, it is not good for you. What really helped me was to constantly remind myself that this part would be over soon and then I can eat real food again. The fatigue/lack of energy was harder for me. That ended around week six or seven. As far as quantity, as the others have said, you will gradually be able to eat more. I started with around 2 ounces of meat and now can eat about 4. Hang in there, it gets better and it is worth it. I feel so much better (down 65lbs). I can breathe and move sooooo much better. Think about the therapy. It does help. Good luck and God bless.
I ended up being rushed to ER last night. Turns out. Pulmonary embolism.
I also thought my stomach was farther down before VSG, but that is not the case anymore. It reminds me every time I eat exactly where it is !
on 9/5/19 8:32 pm
Definitely call your surgeon to ask about the pain. That doesn't sound normal to me.
If you haven't had a bowel movement yet, you might want to try a stool softened (Colace) or some Miralax to get things moving.

Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!





