Guest guest Posted August 13, 2003 Report Share Posted August 13, 2003 Another problem I am having is just getting in to see a physician. They ask my height and weight and tell me my BMI doesn't qualify me for surgery. Which surgery would anyone recommend? Kourt Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2003 Report Share Posted August 13, 2003 If you are expecting insurance to cover this, you will need to meet certain criteria including a BMI of at least 40 and a need to loose about 80 to 100 lbs minimum. Most surgeons, or at least the good ones, wouldn't want to do the surgery on you either. So it doesn't really matter which surgery you are looking at, if you don't meet the criteria, they won't do the surgery. Lori Owen - Denton, Texas SRVG 7/16/01 Dr. Ritter/Dr. Bryce On Wed, 13 Aug 2003 19:28:45 +0000 krathjen@... writes: > Another problem I am having is just getting in to see a physician. > They ask > my height and weight and tell me my BMI doesn't qualify me for > surgery. Which > surgery would anyone recommend? > Kourt > > Homepage: http://groups.yahoo.com/group/Graduate-OSSG > > Unsubscribe: mailto:Graduate-OSSG-unsubscribe > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2003 Report Share Posted August 13, 2003 Well, not necessarily. When I had a staple line disruption, my BMI was 35. Dr. Gagner said it was a question of them seeing the benefit of doing it now or waiting until I gained all the weight back. Thank G*d, they had the foresight to approve the transection. But, that was in Aug. of 2000 (Horizon BC/BS of NJ), and they may not be that liberal now. But, Kourt was talking about them approving the JIB, which is not done in this country any more, is considered too dangerous, and her insurance approved it. I told her to go to the www.asbs.org website, and copy whatever info she could find on the dangers of the JIB, hire an attorney, if necessary, and demand they cover a more current, safer surgery. I don't know if it will work, but it's worth a shot. in NJ ***************************** > If you are expecting insurance to cover this, you will need to meet > certain criteria including a BMI of at least 40 and a need to loose about > 80 to 100 lbs minimum. Most surgeons, or at least the good ones, > wouldn't want to do the surgery on you either. So it doesn't really > matter which surgery you are looking at, if you don't meet the criteria, > they won't do the surgery. > Lori Owen - Denton, Texas > SRVG 7/16/01 > Dr. Ritter/Dr. Bryce > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2003 Report Share Posted August 13, 2003 In a message dated 8/14/2003 12:18:47 AM Eastern Standard Time, krathjen@... writes: > and the recommendation is to have it revised to newer procedure What is your present BMI. If you are doing okay weight wise with the surgery you have, you don't need a revision. Fay Bayuk **300/166 10/23/01 Dr. Open RNY 150 cm Click for My Profile <A HREF= " http://obesityhelp.com/morbidobesity/profile.phtml?N=Bayuk951061008 " >http:\ //obesityhelp.com/morbidobesity/profile.phtml?N=Bayuk951061008</A> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2003 Report Share Posted August 13, 2003 I had the VBG 6/99, then a JIB 7-14-03, just found out JIB has been abandoned in the US, and the recommendation is to have it revised to newer procedure. > > Another problem I am having is just getting in to see a physician. They > ask > > my height and weight and tell me my BMI doesn't qualify me for surgery. > Which > > surgery would anyone recommend? > > What is your BMI? And are you absolutely sure the surgery is your last > chance at weight loss? I can tell you, it isn't magic. It's hard work. It > can be discouraging. It's not an easy fix. If your BMI is under 40 and you > don't have a lot of co-morbs (high blood pressure, diabetes, sleep apnea, > and so on), you probably won't get the surgery, and maybe you will need to > look at alternatives. > > Just curious, but if you haven't had the surgery, how did you post to the > Grad list, which is for those of us 1 or more years out from surgery? > > ~~ Lyn G > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 14, 2003 Report Share Posted August 14, 2003 She had a VBG in 6/99, and was revised to a JIB on 7/03. in NJ *************************** > I had the VBG 6/99, then a JIB 7-14-03, just found out JIB has been abandoned in the US, and the recommendation is to have it revised to newer procedure. > > > Another problem I am having is just getting in to see a physician. They ask my height and weight and tell me my BMI doesn't qualify me for surgery. > > Which surgery would anyone recommend? > > >********** > > > > Just curious, but if you haven't had the surgery, how did you post to the Grad list, which is for those of us 1 or more years out from surgery? > > > > ~~ Lyn G > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 14, 2003 Report Share Posted August 14, 2003 I really don't know what's going on, but in a private email, she did tell me that her surgeons only do the VBG, but have done a very few JIB's for patients who have either gained back their weight or haven't lost much. She also said she does have a copy of her op report. I know that if someone doesn't follow the program with a VBG, they can easily gain, but the JIB is a very highly malapsorptive procedure, so it's very strange that she has not lost anything in the 3 weeks since surgery. Also, according to the ASBS, the JIB surgery was abandoned because of a 30% chance of it causing liver disease, in addition to the typical malapsorptive problems. That's why it's no longer done in this country. So, if that is, indeed, the surgery they did, she's questioning how the insurance company could have approved it. So, would this be an exception to the typical BMI of 35-40 rule? If it were me, I'd pull out the big guns and fight for a safer, modern surgery. in NJ ************************* > I do not know what JIB is but I do know her surgeons and they don't do JIB, the do a standard VBG with a silastic ring. She also has not > followed the program, and, in my opinion, probably has made poor eating choices. She was also told that there was nothing mechanically wrong with her surgery - no sld's, etc. So why would the insurance company cover that? Why would a doctor want to do surgery on her? That is all I am saying. She has to have more of a valid reason then not loosing the weight with a BMI of less then 35 or 40. > Lori Owen - Denton, Texas > SRVG 7/16/01 > Dr. Ritter/Dr. Bryce > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 14, 2003 Report Share Posted August 14, 2003 If anyone's interested, here's the link to the ASBS website, explaining the procedure and why it's no longer done here... http://www.asbs.org/html/story/chapter2.html Jac, this isn't what you had before, is it? in NJ *********************** > JIB:Jejuno-ileal bypass involved joining the upper small intestine to the lower part of the small intestine, bypassing a large segment of the small bowel, which is thus taken out of the nutrient absorptive circuit. > > Jac > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 14, 2003 Report Share Posted August 14, 2003 Sorry, I guess I missed a post somewhere. Lori Owen - Denton, Texas SRVG 7/16/01 Dr. Ritter/Dr. Bryce On Thu, 14 Aug 2003 10:17:52 -0000 " watnext2001 " writes: > She had a VBG in 6/99, and was revised to a JIB on 7/03. > > > in NJ > *************************** > > > I had the VBG 6/99, then a JIB 7-14-03, just found out JIB has > been > abandoned in the US, and the recommendation is to have it revised to > > newer procedure. > > > > Another problem I am having is just getting in to see a > physician. They ask my height and weight and tell me my BMI doesn't > > qualify me for surgery. > > > Which surgery would anyone recommend? > > > > >********** > > > > > > Just curious, but if you haven't had the surgery, how did you > post to the Grad list, which is for those of us 1 or more years out > > from surgery? > > > > > > ~~ Lyn G > > > > > > Homepage: http://groups.yahoo.com/group/Graduate-OSSG > > Unsubscribe: mailto:Graduate-OSSG-unsubscribe > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 14, 2003 Report Share Posted August 14, 2003 Thanks, Lori Owen - Denton, Texas SRVG 7/16/01 Dr. Ritter/Dr. Bryce On Thu, 14 Aug 2003 12:17:25 -0500 " Jacque Holdaway " writes: > JIB:Jejuno-ileal bypass involved joining the upper small intestine to > the > lower part of the small intestine, bypassing a large segment of the > small > bowel, which is thus taken out of the nutrient absorptive circuit. > > Jac > Life is not a spectator sport > Picture It Digital Designs <http://www.pictureitdigitaldesigns.com> > XXX Farm Paint Horses <http://members.cox.net/xxxfarmpaints> > Mail to: jholdaway@... > > > Re: Re: No physician will see me > > > I do not know what JIB is but I do know her surgeons and they don't > do > JIB, the do a standard VBG with a silastic ring. She also has not > followed the program, and, in my opinion, probably has made poor > eating > choices. She was also told that there was nothing mechanically > wrong > with her surgery - no sld's, etc. So why would the insurance > company > cover that? Why would a doctor want to do surgery on her? That is > all I > am saying. She has to have more of a valid reason then not loosing > the > weight with a BMI of less then 35 or 40. > Lori Owen - Denton, Texas > SRVG 7/16/01 > Dr. Ritter/Dr. Bryce > > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.