Anyway to make the process move quicker. I am scared to keep getting heavier :( Need...

Hi everyone... I am stressing to the max about this.. I am terrified that I am going to get bigger because I went to the hospital with someone and weighed myself about two weeks ago and i was 330 then I went to my PCP like yesterday and I was 336... She tried to comfort me by saying that people were saying that the scales was about 6 or 7 lbs off and that i hadn't gained any weight since i had been there before I had actually lost weight... but before that i went from 330 to 334 in 4 days... or something like that. I gained 4 lbs in 4 days... so I am afraid that I am going to keep getting bigger... I try to watch what I eat.. I guess I am not doing a very good job and I will admit I haven't exercised lately... But before when I was watching what I ate and was paying about 30 bucks a week for a trainer and working out with them 3 days then some on my own I was gaining weight. When I looked at my medical summary from my consultation with the suregon it said something about unspecified weight gain and stomach problems... I am so scared that if  I don't convince them that there is something medically wrong with me and that I am having serious trouble losing weight on my own then that I could get up to 400+ lbs by the end of 2012  and I don't want that. The only reason why I don't think I can lose weight is because I had said I lost like 5 lbs but if that is the case then I gained 6 back.. I don't want to die young. I will be 20 this sunday and it is starting to sink in that my weight is affecting my health in an extremely negative way.. I am too the point where the excess skin problem wouldn't bother me nearly aas much if it means that I can get healthy and live a longer life.. Like I told someone..God made people smart enough to be plastic surgeons for a reason.


           Anyway sorry I was rambling the point of this post was that I have United Healthcare (Medicaid/Tenncare) what it is called but I was just wondering if there is anyway that I can show them that I need to maybe just do 3 months of a supervised diet instead of 6 months or maybe not do it at all. I go for my psych evaluation Oct 10th and my sleep study oct 12th and then after I just have to do the diet and I am done.... My main concern is getting bigger and bigger because I could have medically wrong with me... Does anyone know ANYTHING I can do to talk to my surgeon or my PCP about helping me get the ball rolling so I can start living my life.. I was going to a pediatrician because I had been there since I was 7 weeks old and my mom didn't want to switch doctors when I turned 18 because I had went there so long... but I am almost 20 and I want to go to a doctor who can actually help me... not do everything I ask because they don't understand what or why I want to have WLS.. Any advice is better than no advice... Thanks to all. Much Love OH fam!!

Sometimes beiing heavier actually works in your favor.

Have you chosen a surgeon yet? If so, talk to his or her insurance person.

i am new to a precert nurisig posstion and it includes all surgeries and out pt procedures.  Recently I have been exposed trained to do gastic WLS and I am not sure if this will help you but it seems they focus on the 3 months medical supervised wt loss.  In some instances this has been waved.  I have only dabbled in a few so I have no idea how helpful this is to you but I hope it assist.
Donna

Sounds like you do have a BM of over 40 so at least that is in your favor, for being able to qualify for WLS.  And you have decided on the BEST WLS too....... the DS!!!!

You are heading in the right direction!!!!  Look at DSFacts.com as well.

And here is some reading for you, too abut the 6 month supervised diet:
http://www.asmbs.org/Newsite07/resources/ASMBS%20Position%20 Statement%20on%20Preoperative%20Supervised%20Weight%20Loss%2 0Requirements.pdf

PRE-OPS: YOU CAN FIGHT YOUR INSURANCE COMPANY'S REQUIREMENTS FOR PRE-OP WEIGHT LOSS PROGRAMS!

Summary and Recommendations

1. There are no Class I studies or evidence-based reports that document the benefits of, or the need for, a 6 to 12 month pre-operative dietary weight loss program before bariatric surgery. The current evidence supporting preoperative weight loss involves physician-mandated weight loss to improve surgical risk or to evaluate patient adherence. Although many believe there may be benefits to acute preoperative weight loss in the weeks before bariatric surgery, the available Class II-IV data regarding acute weight loss prior to bariatric surgery are indeterminate and provide conflicting results leading to no clear consensus at this time. Preoperative weight loss that is recommended by the surgeon and/or the multi-disciplinary bariatric treatment team due to an individual patient’s needs may have value for the purposes of improving surgical risk or evaluating patient adherence, but is supported only by low-level evidence in the literature at the present time.

2. One effect of mandated preoperative weight management prior to bariatric surgery is attrition of patients from bariatric surgery programs. This barrier to care is likely related to patient inconvenience, frustration, healthcare costs and lost income due to the requirement for repeated physician visits that are not covered by health insurance.

It is the position of the ASMBS that the requirement for documentation of prolonged preoperative diet efforts before health insurance carrier approval of bariatric surgery services is inappropriate, capricious, and counter-productive given the complete absence of a reasonable level of medical evidence to support this practice. Policies such as these that delay, impede or otherwise interfere with life-saving and cost-effective treatment, as have been proven to be true for bariatric surgery to treat morbid obesity, are unacceptable without supporting evidence. Individual surgeons and programs should be free to recommend preoperative weight loss based on the specific needs and cir****tances of the patient.
Read more: http://weightlosssurgery.proboards.com/index.cgi?board=insur ance&action=display&thread=669&page=1#ixzz28Y7pOR1o