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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

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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

>

>

>

>

>

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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

>

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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

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HREF= " http://obesityhelp.com/morbidobesity/profile.phtml?N=Bayuk951061008 " >http:\

//obesityhelp.com/morbidobesity/profile.phtml?N=Bayuk951061008</A>

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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

>

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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

> >

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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

>

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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

>

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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

>

>

>

>

>

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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

>

>

>

>

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