Sorry to be a bit of a downer. I'm sure they must base these clinic models on some sort of identified set of ideal practice guidelines, as outlined in the literature.

If I was to be asked for feedback I would simply indicate that there needs to be less hoops to jump through-- either screened in or out. Then one can make an informed decision about continuing with classes, with the option to chose not to stay on the wait list for surgery if the classes are enough. 

I am a full-time working professional, single parent and part-time graduate student. I don't have a lot of free time to waste to prove to AHS how dedicated I am about the possibility of having a surgery that would improve my quality of life. 

:-( still being a downer....

thanks Kelly  im having the RNY  done  Dr Davey is my doctor  i feel like finally  i  have a fresh start date

They generally consider that losing 30% of your original weight or 60% of your excess weight to be very good long term results. Going by what I weighed when I started my preop diet, figured either way, that puts me at about 189.

That doesn't mean I can't work harder and be above average, right? To heck with "very good" I intend to be awesome.

Did you need an itemised receipt for taxes as well? It sounds like need to contact Dr Aceves office for a more detailed receipt.

My husband is considering being sleeved as well, although he wouldn't qualify here. He has severe sleep apnea and takes 3 drugs to (try to) control his blood pressure, but he's "only" 50# overweight.