Guest guest Posted June 13, 2008 Report Share Posted June 13, 2008 Just thought I would check to see if anybody else in the group has the same problem as I-this is kind of different, but pertains to back pain- anyways,about 5 years ago I had a gastric bypass and lost 150 pounds. After I lost the weight, I started my problems with my back, had lumbar fusion and cervical fusion, but still have lots of pain. Because I'm no spring chicken, and was left with a lot of skin sagging after the weight loss that could not be exercised away, I was researching surgery to have the excess skin removed, and found out that the excess skin can and does cause back problems. I still have a lot to research, but that really floored me, as none of my drs. have ever mentioned this. Has anyone ever heard about the weight of excess skin left after actual weight loss causing back problems? I still have to look into getting approvals, I have been given the name of a surgeon who deals in the type of surgery I would need, but I don't have the money for it to be done for cosmetic reasons, it has to go through my insurance so i can have it done for medical purposes. Any help would be appreciated-thanks! Jeannie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2008 Report Share Posted June 13, 2008 if you can have your referring doctor submit a really good h & p for the certification I cant imagine your insurance denying you unless they just dont have that kind of coverage. Most do though. If you are having chronic pain (as your back surgeries indicate) that in itself is a very strong reason for the surgery. You just need to have your GP and your surgeon on board to get this through the insurance certification and appeal it if they have to in case its denied. good luck. wendy weight loss surgery and back pain Just thought I would check to see if anybody else in the group has the same problem as I-this is kind of different, but pertains to back pain- anyways,about 5 years ago I had a gastric bypass and lost 150 pounds. After I lost the weight, I started my problems with my back, had lumbar fusion and cervical fusion, but still have lots of pain. Because I'm no spring chicken, and was left with a lot of skin sagging after the weight loss that could not be exercised away, I was researching surgery to have the excess skin removed, and found out that the excess skin can and does cause back problems. I still have a lot to research, but that really floored me, as none of my drs. have ever mentioned this. Has anyone ever heard about the weight of excess skin left after actual weight loss causing back problems? I still have to look into getting approvals, I have been given the name of a surgeon who deals in the type of surgery I would need, but I don't have the money for it to be done for cosmetic reasons, it has to go through my insurance so i can have it done for medical purposes. Any help would be appreciated-thanks! Jeannie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2008 Report Share Posted June 14, 2008 , What is a h & p? I have a supplemental medicare plan. I guess the first thing I need to do is visit the surgeon to see if he even accepts my insurance, and go from there. I have about 10 pounds of loose skin that could be removed. You can't tell when I'm dressed, especially wearing jeans, but I can't even exercise with the skin bouncing around. Thank you Jeannie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2008 Report Share Posted June 14, 2008 Gee, jeannie boo. I bet it can!!! i know a fellow that goes to my chiro, and he is the incredible shrinking man. he went from like 400 lbs to normal weight, and it may take me a week or so to run into him, but i am going to ask him! when i see him next time! cindy > > Just thought I would check to see if anybody else in the group has the > same problem as I-this is kind of different, but pertains to back pain- > anyways,about 5 years ago I had a gastric bypass and lost 150 pounds. > After I lost the weight, I started my problems with my back, had lumbar > fusion and cervical fusion, but still have lots of pain. Because I'm no > spring chicken, and was left with a lot of skin sagging after the > weight loss that could not be exercised away, I was researching surgery > to have the excess skin removed, and found out that the excess skin can > and does cause back problems. I still have a lot to research, but that > really floored me, as none of my drs. have ever mentioned this. Has > anyone ever heard about the weight of excess skin left after actual > weight loss causing back problems? I still have to look into getting > approvals, I have been given the name of a surgeon who deals in the > type of surgery I would need, but I don't have the money for it to be > done for cosmetic reasons, it has to go through my insurance so i can > have it done for medical purposes. Any help would be appreciated- thanks! > Jeannie > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2008 Report Share Posted June 14, 2008 sorry- history and physical. Have your General Partitioners write a synopsis of your situation, you can take it to your surgeon who will likely need to get your surgery pre certified- and to do that they will need a history and physical to see if you meet criteria. The Surgeon's office knows this and if denied they can appeal it as well. Medicare most likely will not cover this surgery as far as I know. The Surgeons office should have someone that deals directly with insurance and should know what to submit and if you need additional information. You sound like a good candidate to me. best of luck. Re: weight loss surgery and back pain , What is a h & p? I have a supplemental medicare plan. I guess the first thing I need to do is visit the surgeon to see if he even accepts my insurance, and go from there. I have about 10 pounds of loose skin that could be removed. You can't tell when I'm dressed, especially wearing jeans, but I can't even exercise with the skin bouncing around. Thank you Jeannie Quote Link to comment Share on other sites More sharing options...
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