Re: New and I have a couple questions...

[Guest guest]

YES!! CHANGE DOCS, I think that even without co-morbs, Kaiser will do the surgery if your bmi is over 35 and 100 lbs overweight. giggle3474 wrote: My best friend and I are in various stages of our weight loss journeys. I am meeting with the surgeon next week and she's at step one. She really wants to get bariatric surgery. Her PCP told her they wouldn't refer her because she would be denied. Her BMI is 43 and she shows no comorbidities other than rashes under her gut. However, she's never been tested for a lot of the different things people suffer from being overweight, so she may have comorbidities that haven't been diagnosed yet. According to her PCP, she isn't unhealthy enough to qualify for the surgery and instead she should try "South Beach Diet" or

"optifast" and if she continues to have the rashes, the Dr. will submit for approval for a tummy tuck. This line of thinking just doesn't make any sense to me. My friend was very upset when she was told all this. She's at the same level of frusration I was at when you just feel like you've tried everything and nothing seems to work. She's having trouble being supportive of me because she has reached this barrier.Does anyone know what steps she can take with Kaiser to at least be considered for the surgery? Is it a matter of switching PCP's ? Does anyone know of a PCP in San Diego that is a little more "weight loss surgery friendly"?? Thanks so much!Geneva

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[Guest guest]

Actually, without co-morbidities, the BMI needs to be

over 40. With co-morbidities, they will consider

doing surgery on those who have a BMI under 40.

--- Rhinehart wrote:

> YES!! CHANGE DOCS, I think that even without

> co-morbs, Kaiser will do the surgery if your bmi is

> over 35 and 100 lbs overweight.

>

> giggle3474 wrote: My best

> friend and I are in various stages of our weight

> loss

> journeys. I am meeting with the surgeon next week

> and she's at step

> one.

>

> She really wants to get bariatric surgery. Her PCP

> told her they

> wouldn't refer her because she would be denied. Her

> BMI is 43 and she

> shows no comorbidities other than rashes under her

> gut. However,

> she's never been tested for a lot of the different

> things people

> suffer from being overweight, so she may have

> comorbidities that

> haven't been diagnosed yet.

>

> According to her PCP, she isn't unhealthy enough to

> qualify for the

> surgery and instead she should try " South Beach

> Diet " or " optifast "

> and if she continues to have the rashes, the Dr.

> will submit for

> approval for a tummy tuck.

>

> This line of thinking just doesn't make any sense to

> me. My friend

> was very upset when she was told all this. She's at

> the same level of

> frusration I was at when you just feel like you've

> tried everything

> and nothing seems to work. She's having trouble

> being supportive of

> me because she has reached this barrier.

>

> Does anyone know what steps she can take with Kaiser

> to at least be

> considered for the surgery? Is it a matter of

> switching PCP's ? Does

> anyone know of a PCP in San Diego that is a little

> more " weight loss

> surgery friendly " ??

>

> Thanks so much!

>

> Geneva

>

>

>

>

>

>

>