Tuesday, April 12, 2016

The Steps to Surgery Checklist

The following checklist was emailed directly from the Center for Weight loss and Bariatric Surgery: It lists all the requirements that have to be done before I can have the surgery. I was also given a sheet that discusses payments that I will have to make prior to surgery. I may need to have a rummage sale before the surgery in order to meet all the financial aspects of the surgery! I will share that sheet later, but I'm asking that you will pray that God will provide when the time is necessary.

04-06-16

Thank you for trusting us with your surgical weight loss needs! Below are the steps that our team has defined as being necessary to complete prior to your surgery!


STEPS TO SURGERY CHECKLIST
- Psychiatric evaluation by licensed psychiatrist or psychologist.
(Note: If you had your eval done with Dr. Buhrman, it typically takes about 2 weeks for our office to receive the finalized report!)

- Medical clearance by your primary care physician (which includes a history and physical). NOTE: This needs to be done no earlier than 30 days prior to your surgery!!

- Written clearance from your cardiologist.

- Upper endoscopy (this is done by Dr. Curry or Dr. Pitt as a part of your pre-op workup).

- Preadmission testing (EKG, blood-work, etc) within 4 weeks of surgery
started with us, see ya next month :)
- Physician supervised diet program (MONTHLY) for 6 months. started with us, see ya next month :)

- Preop Nutrition Class. This is typically done about 4 weeks prior to surgery. You have the option of doing this online, or live in the Cincinnati office.

PRE-OP DIET/WEIGHT LOSS REQUIREMENTS:
Your pre-op diet will be 4 weeks in duration. The cost will be $376. This must be paid on or before your nutrition class, which will be 4-6 weeks before your surgery! Note that these are products that you will eat in place of regular food. According to a recent Gallup poll, the average American spends $151/week on food, so the preop diet will actually be a cost saving for most patients!


Pre-surgery target weight: 475 lbs

Pre-scheduling target weight: 500 lbs. This means that we cannot give you a surgery date until you reach this weight!

Thursday, April 7, 2016

Let's Start This Over Again...

I tried Blogging once before when I was trying to lose weight. If you saw my history, you know I have been battling weight all my life. The one thing I have discovered about myself is that I can succeed at losing weight, but at the same time, I can't keep the weight off.

For quite awhile now, I've been having issues with my knees giving me lots of pain, and I've gone to different specialists to see what could be done to alleviate the pain.

There was one question that came up in all the appointments I made with these specialists. "Have you ever considered weight loss surgery? My Response was always the same..."Yes, unfortunately my health insurance won't cover it."

Each made it a point to say they would go out of their way to write letters if it would help, but again, the insurance company made it clear in the policy: We will not cover weight loss surgery, or weight loss management under any circumstances.

I could never understand why they wouldn't allow it, when it meant better health after the surgery was performed.

It was my primary care doctor that pointed out, the insurance companies know eventually I will have a major health issue, but they are betting I will be with a different company, by the time it happens.

So...having pointed out why I couldn't get the surgery in the past, I'm happy to say, that Kimberly's health insurance WOULD cover it! We made the decision to change our health insurance with her company, the YMCA, from the health insurance I had with my company, National Express. It wasn't just the surgery option, but they also had better deductibles and co-pays.

At this point, I want to give you an example of how large I had become.

This picture was taken in January, 2016. In about 7 months, I had gained back almost all the weight I had lost in a year's time. As some of you know, I hate having my picture taken, and it was really hard to post this. But I want you to see what I'm up against, and to remind me, that I never want to be this large again!


Well, I made my first appointment to see a bariatric surgeon, on March 9. I chose to go with two of the doctors that have a practice in Cincinnati, only 4 miles from where I work. They have multiple names for the facility, www.CurryWeightloss.com, www.journeylite.com, and also the Center for Metabolic and Bariatric Surgery. The two doctors are Dr. Trace Curry and Dr. Tracy Pitt.

When I made my appointment, I was told to be ready to spend at least a couple of hours at their facility. I was there for 3 1/2 hours!

The first item of business was to be weighed. The starting weight for this journey was 585 lbs. When I stepped on the scale, I kept thinking, well, at least I didn't gain back all my weight! I also knew though, that I was going to have to listen to their recommendations and FOLLOW them!

After taking my vitals, I was put in a room to see a dietitian first, and she made recommendations of what type of diet I could go on to help me get weight off before the surgery. I was told to try the Fast Track 3/2 plan. The premise is to have 3 dietary supplements high in protein, and low in carbs, such as a slim fast drink, or an Atkins bar, and then 2 lean and green meals. The lean and green meals refer to 6 ounces of a very lean meat, and vegetables low in starch, such as lettuce.

She told me that she wanted to see if I could lose at least 20 lbs the first month on this plan, which is also about 1200 calories a day. She also said it would help if I could find an exercise to help burn calories.

I then talked with the Insurance specialist that they employ, who told me that my insurance company required that I be on a controlled diet for a 6 month period before having the surgery. That meant the earliest I would be able to get the surgery would be September.

I met next with Dr. Pitt, who will be doing the surgery, when I have met all the requirements. He has done thousands of surgeries, and we agreed that in my case it would be best for me to go with the Gastric Sleeve method of surgery. It removes a large portion of the stomach without re-routing the intestines, making it less invasive than the Gastric By-pass.

He and I hit it off immediately, and I feel real comfortable with him being my surgeon. He also prescribed a tool for me to use in my weight loss tool box. Belviq works on the brain to keep you from thinking about food. It's not covered by insurance, but thankfully the drug's website has coupons that bring the price down to $75.00 a month, which is about a $100.00 discount per month!

My final visit of the day, was to see a psychologist, to see if I had the right frame of mind for this surgery. He feels confident that I will succeed once and for all on losing the weight, and getting down to a healthy weight.

I should mention that as I waited for each of my visits, I was given paperwork to fill out, as well as a 375 true/false questionnaire dealing with physical and psychological statements. By the time I left I was worn out.

The first appointment was March 9, and today, it's April 6, a month later, and time for my next visit with the dietitian and to get my weigh in to see how I did. I'm happy to say, my weight today, is 538 lbs. A loss of 47 lbs! Thank you Lord!

Rebecca, the dietitian, was shocked at how much I lost, and was afraid I was starving myself. I made it clear that wasn't the case, but that I was doing my best to follow the plan completely.
Dr. Pitt came in, and said he was happy with my loss, and gave me a goal of 30 lbs for this month to lose. By the time my 6 month controlled diet is done, I have to be down to 475 lbs, before I can have the surgery. I hope I can be down more than that before I go in.

So...I know this has been long, and I apologize for it, but I wanted you to see the complete picture. I want to thank all the folks that have reached out to me through email and Facebook messages that they would be praying for me and supporting me in this endeavor. This is one life change I want to make, and NEED to make! I realize I can't do this on my own, and I'm asking you to pray that God will give me the ability to meet my goals coming up to the surgery.


(I want to thank my good friend, Lisa S. for helping me fine tune this blog. She has given me great advice in helping me to organize the content, as well as my thoughts!)