POSTED UNDER Gastric Sleeve Surgery REVIEWS
72 Years Old and Finally Making the Decision to Get Healthy Again! - Phoenix, AZ
ORIGINAL POST
I have been overweight at least half of my life,...
$10,000
I have been overweight at least half of my life, although I still remember when I got married (53 years ago), I was a size 10, very slim and trim. After having 3 children and lots of years of stress and bad food choices, I made the decision to have bariatric surgery. My daughter-in-law had the mini-bypass surgery around 9 years ago, and has kept the weight off, and looks fabulous! So, I figured, why not me? I really expected my age to be a factor, but my doctor said he has done a lot of women my age, and they are very successful with the surgery.
I have gone through the whole process of seeing a nutritionist, a psychologist, seeing my surgeon or personal physician, for 6 months, and the Dr sent in the necessary paperwork to my insurance co. so they could determine if I am qualified to get the surgery. My weight, at the beginning, was 262 lbs, and I am taking medications for high blood pressure, high cholestrol, high thyroid, have sleep apnea, and generally was feeling like crap, (back hurting terribly when I stood for any length of time). So when I got a letter of denial from the insurance co, I was devastated, but my Dr said they had faxed 132 pages of information about my case, but the insurance people said they only received 19 pages, thus determining I was not eligible for surgery. Well, my Dr's assistant re-faxed all 132 pages to the insurance again, and now they (insurance) are saying my case is in appeals, and will take some time to reach a final decision.
So, frankly, I am really discouraged, and have not been watching what I eat nearly as closely (I have lost around 50 lbs in the 6 months I have been anticipating the surgery). I guess what I need is some encouragement, I feel like, what's the use of even trying anymore? I truly hope there is a happy ending to my story, that they will accept me and the surgery will go smoothly, and I will get the rest of this weight off, once and for all. My family is very supportive, although my husband is really worried that I am going to start gaining back what I have lost. Me too.
I have gone through the whole process of seeing a nutritionist, a psychologist, seeing my surgeon or personal physician, for 6 months, and the Dr sent in the necessary paperwork to my insurance co. so they could determine if I am qualified to get the surgery. My weight, at the beginning, was 262 lbs, and I am taking medications for high blood pressure, high cholestrol, high thyroid, have sleep apnea, and generally was feeling like crap, (back hurting terribly when I stood for any length of time). So when I got a letter of denial from the insurance co, I was devastated, but my Dr said they had faxed 132 pages of information about my case, but the insurance people said they only received 19 pages, thus determining I was not eligible for surgery. Well, my Dr's assistant re-faxed all 132 pages to the insurance again, and now they (insurance) are saying my case is in appeals, and will take some time to reach a final decision.
So, frankly, I am really discouraged, and have not been watching what I eat nearly as closely (I have lost around 50 lbs in the 6 months I have been anticipating the surgery). I guess what I need is some encouragement, I feel like, what's the use of even trying anymore? I truly hope there is a happy ending to my story, that they will accept me and the surgery will go smoothly, and I will get the rest of this weight off, once and for all. My family is very supportive, although my husband is really worried that I am going to start gaining back what I have lost. Me too.
Replies (5)
September 8, 2015
Hi Ms Nemuckey. I am so sorry because I cannot tell you how that feels. But I do know it is very discouraging for them to turn you down. I cannot figured out with your weight and all that you have going on why they would turn you down. I am praying for you to get good news soon. Do not give up hope because this too shall pass. Keep me posted and I pray that you hear something soon. But remember everything happens for a reason but I will stay positive for you that you will hear something soon.
September 10, 2015
Thank you so much for your encouragement and especially for your prayers. Originally, I had said if I got turned down then I would know it wasn't God's will to do the surgery, but now I am feeling like I really thought this was supposed to happen (the surgery), so I am trying to keep a positive attitude. And you are right, everything does happen for a reason, so I am "hanging in there"!
September 8, 2015
I have a friend who was 71. Two years ago she had the sleeve done. She has losted almost 100 lbs. and does not even look like the same person. She says she feels wonderful. Don't worry, you will be glad you did it.
September 10, 2015
Thank you! I have lost 50 so far, and feel so much better, but really need to get at least 50 more off. I guess I just need to be patient, which is a hard thing sometimes. Thanks for your comment, I appreciate it.
UPDATED FROM nemuckey
72 Years Old and Finally Making The Decision to Get Healthy Again!
Well, I think I have been very patient, but it has been a good 3 weeks since I have heard anything from either my Dr (surgeon) or the Insurance co. So yesterday I called both, of course had to leave a message at Dr's, but talked with someone at the insurance office. She said they show that my case was denied, then I explained that the Dr had faxed 130 pages to them, but they had only received 19 of those pages, and that was what determined the decision to deny me. So she checked, and then told me they can't tell me anything that is happening in my case, unless my Dr calls them and asks for an update. FRUSTRATION!! I have gained 7 lbs in the last 3 weeks, surprise? I am going to keep trying my Dr till I get a "person", meanwhile could use some prayers right about now, cause I am really getting close to giving up on the whole deal! My husband pointed out to me the other day that I was so much happier and had so much more energy when I was losing weight, and he is right! He even said I seemed depressed, "YA THINK?" haha Anyway, I will keep trying, and will post when I hear something, one way or the other.
Replies (4)
September 18, 2015
Keep on the MDs office. If no answer check out other programs in your area. There are programs in Las Vegas, salt lake and a fabulous one up here in Blackfoot Idaho. It will be worth it to follow your decision. We all have hurdles placed in our way but those once passed make it that much easier to move on with more determination. If you wish to read my story just click on profile picture ( circle upper left)
September 18, 2015
I thought I had written a little about me, sorry it is early. I am almost 67 and am 1 week post op from being sleeved. It has been a long journey but very worth it. I started on this site in March and have found much support and education here. Make sure you read on the forum section as well especially under kristys 10 top tips. Good luck and welcome to the family!
September 20, 2015
Thanks Chukkar! I finally did hear back from my Dr's assisstant, and she said she had tried calling the insurance co and was waiting to hear back. That was over a week ago. My insurance only covers the bariatric plan I am enrolled in (It is in Phoenix, and I live in Chino Valley, 120 miles away.) I will call them again this next week, and hopefully will be getting some good feedback. My eating has not been good, I have to admit, I think if I get a date set, and am put on liquids 2 weeks before the surgery, I will get back on a positive note. Meanwhile, thanks again for the encouragement!
September 21, 2015
I am glad to hear that there has been some communication. Keep on them! Just from the things I learned on this site after I had made the decision which was first of may, I had booked all my preliminaries: nutritionist ,psych eval,EKG, upper GI for the first week of June. That is when I found out the surgeon was going back east and they were in process of finding a new one. I took the time then to take first steps to prepare. I purged my pantry and started eating better, not perfect but better. I tried out some protein shakes and started using one as my breakfast. by the time I got to actual pre op diet I had already lost 10 lbs just with the small changes. It really helped to prepare my mind for the life changes that would come. I am 10 days post op today and am very happy with decision. I would really encourage you to take some small steps as you wait. Keep reading on this site and ask the questions you have. Hang in there it is so worth it!
UPDATED FROM nemuckey
72 and Finally Making the Decision to get Healthy Again
Hi! I thought I would update you on my latest progress toward having the sleeve surgery. I finally heard from my insurance company and have been approved for surgery on Jan 13, 2016. Yeah!!! I actually had given up, have gained 15 lbs back (of the 50 I lost), but now am renewed in my commitment to get this weight off. Yes, I am nervous about the surgery, but I have prayed all along, that if God works it out for me to have the surgery, then I know he will be with me during it and after, with recovery. I appreciate any prayers concerning this, and thank you for your interest and encouragement. I look forward to sharing more with you as I progress toward my goal.
Replies (6)
December 15, 2015
Great news on your surgery date! I am now 13 weeks post op and still smiling! I had my post op with surgeon on Saturday. She was very pleased with my progress as I have lost 27% of my excess weight. It has been slow but steady. I am feeling great and would do it again in a minute! I am sure you will be feeling the same way by the end of winter! Keep us posted and keep reading here as it will keep you encouraged and supported.
December 17, 2015
Thank you so much for your reply! You are right, it does encourage me to read what others have posted, especially when it is directed to me personally. Congrats on your surgery, and I am happy you came through successfully. I may be writing you in future, also, just to "vent", etc. Again, thank you!
December 17, 2015
You are very welcome! There are a few reviews s here that have been especially helpful, Puppy's Mom, Choripan, Lovelymish and Carol Anne Owens. Check their full reviews and replays as there are a ton of helpful hints. Mine also details the adventures I have had since starting on this journey in April. I had to decide if I wanted to use my "bucket list " money to save my life or take a chance on surviving any of the adventures I had on the list! I chose to for go the bucket list and go for health! My labs are all good,my energy level is through the roof as is my physical stamina. I am not hungry and have to remember to eat! My recovery was very quick. I had surgery on a Thursday afternoon and was back walking a mile on Monday and 2 miles a day by a week post op. The most important thing to understand is that it is moot a magic bullet. You have to stick to the program your surgeon gives you. It is a tool that has made my obeying the rules very easy. Please ask any question you want. I would be happy to help any way I can.
December 22, 2015
I am having my surgery on Jan 13, at 9:30 am, am very excited, yes, very nervous, but I feel this is the right thing to do (for me). So I know God will bring me through it and help me with all of it. I appreciate reading everyone's comments and updates from their experiences too.
January 24, 2016
Well, once again, my insurance gave me a hard time. The day before surgery they called and said I had been denied. Something about because this is a new year, and I was approved in 2015, now the Dr has to send all paperwork and wait for an approval again. I was really furious at first. But then the very day of surgery, (which I didn't get,) the Dr's asst. got everything sent over to ins and actually got me approved for Jan 29th, which is this coming Friday. I'll believe it when I see it. haha No, I actually am okay with everything, for some reason, I just wasn't supposed to have surgery that day, and I know God is in control.
Had all my appointments booked for June 8. Got word on June 4 that they would have to reschedule. On June 8 I found out surgeon was announcing on June 9th that he was leaving to go back east. I was worried as I had just retired and my insurance would be done October 1st. They found a new, experienced surgeon that just arrived the end of August. I found out my surgery is 9/11. And also received a summons for jury duty 9/14 - 9/25. As you read here you will see we have all had different hurdles. Please stay hopeful and connected to this site. It is a great support and great place to learn. If you want to read more of my story or any others just tap on the name of person who replied. Mine is chukar.