Recent Posts
Topic: RE: Frustrated, cant stop crying
My suggestion:
A) Call OHP find out exactly what their requirements are, having them send or fax it to you in writing. Also find out exactly WHICH WLS types they will cover willingly you might also find out if they have a list of Dr.s and WLS programs that accept their insurance. You might also ask if they would cover the psych. evaluation that you may have to take for the program or if you will have to pay out of pocket or it. It's been a while since I've delt with OHP and don't remember what all they cover.
B) Start calling around for another Dr. when you do ask them a few questions right off the bat.
1. Does this Dr. deal with many patients who have had WLS?
2. I AM going to have WLS and I would like to know how PROACTIVE they are
3. Does this Dr. work with any particular WLS surgeon he would recommend? (this is kind of sneaky way to find out if they actually deal with many WLS patients as well)
4. How soon would this Dr. be able to schedule me for tests for A,b,c Etc.
This way they kind of have an idea that you are meaning business. They may not be able to answer all of you questions but you DR. darn well should be able to as soon as you meet with them. They should also know what tests you need to have immediately. I had (a mammogram, an echocardiogram,and a sleep study) I also met with two dieticians, and had my diabetes controlled with eating and metformin before surgery depending on your cir****tances and how high your Ha1c is you may need to have several appointments.
C) Find out if OHP will pay for you to meet with a dietician. If for nothing else to make sure your diabetes (if you do have it and are diagnosed with it) is being worked on as soon as possible.
D) Find a free informational WLS seminar in your area and go to it. You will probably have to pre-register for it so start looking now. This will also start giving you more information about some of your local options.
E) talk to your therapist, find out what they think of the idea of you going through the surgery and what pro/con's they can see with your mental health and what recommendations they would make for you.
Those would be the first things I can think of right now. The biggest thing is just getting the ball rolling. Once it starts moving, hopefully everything will fall into place for you!
Katie
A) Call OHP find out exactly what their requirements are, having them send or fax it to you in writing. Also find out exactly WHICH WLS types they will cover willingly you might also find out if they have a list of Dr.s and WLS programs that accept their insurance. You might also ask if they would cover the psych. evaluation that you may have to take for the program or if you will have to pay out of pocket or it. It's been a while since I've delt with OHP and don't remember what all they cover.
B) Start calling around for another Dr. when you do ask them a few questions right off the bat.
1. Does this Dr. deal with many patients who have had WLS?
2. I AM going to have WLS and I would like to know how PROACTIVE they are
3. Does this Dr. work with any particular WLS surgeon he would recommend? (this is kind of sneaky way to find out if they actually deal with many WLS patients as well)
4. How soon would this Dr. be able to schedule me for tests for A,b,c Etc.
This way they kind of have an idea that you are meaning business. They may not be able to answer all of you questions but you DR. darn well should be able to as soon as you meet with them. They should also know what tests you need to have immediately. I had (a mammogram, an echocardiogram,and a sleep study) I also met with two dieticians, and had my diabetes controlled with eating and metformin before surgery depending on your cir****tances and how high your Ha1c is you may need to have several appointments.
C) Find out if OHP will pay for you to meet with a dietician. If for nothing else to make sure your diabetes (if you do have it and are diagnosed with it) is being worked on as soon as possible.
D) Find a free informational WLS seminar in your area and go to it. You will probably have to pre-register for it so start looking now. This will also start giving you more information about some of your local options.
E) talk to your therapist, find out what they think of the idea of you going through the surgery and what pro/con's they can see with your mental health and what recommendations they would make for you.
Those would be the first things I can think of right now. The biggest thing is just getting the ball rolling. Once it starts moving, hopefully everything will fall into place for you!
Katie
Katie
Ht. 5'2 HW 234/GW 150/LW 128/CW 132 Size 18/20 to a size 4 in 9 months!

Ht. 5'2 HW 234/GW 150/LW 128/CW 132 Size 18/20 to a size 4 in 9 months!

Topic: RE: Frustrated, cant stop crying
Thanks..ya I'm 5'7" so I think that puts me at a BMI > 50. So that is extremely high, I know. I am going to get a new dr. as soon as possible. I did call OHP and asked them if they cover weight loss surgery, and they said, (and I quote) "If it is something that your doctor and you decide is the best option". So I just said, ok, I'll talk to my dr. and left it at that. But when I talked to my doctor, he was really "himhaw" about it, he just said, "Well, they say that, but it is very difficult to get them to cover it. You have to have "comorbidity" issues. And I asked him, "Ok like, what kind of comorbidity issues?" and he said, "Well, like Diabetes, joint problems, etc." and I said..."DUH, I've told you over and over how much pain I'm in, I can barely flippin walk anymore AND last time we did blood work a year ago it was borderling Diabetes, so, wouldn't you say I have some of these "comorbidity" issues?" But he just kind of shrugged it off. He doesn't want to check me out for anything. He was like, "Do you want to try the Fastin again?" I'm like, "NO, IT DIDN'T WORK AND I HATE THE WAY IT MADE ME FEEL!" (Not to mention the fact that it's very expensive) He just wanted to write me a script and get me out of his office. He didn't even really want to talk to me about it. He had no empathy at all, I'm sitting there in his office in one of those really heartfelt crying episodes where you lose your breath and bleed catharsis everywhere. I want a female doctor. But how does one know what your new doctor's going to be like? Is there a "rate your doctor" website like there's a "rate your professor" website? There should be.
So should I call OHP back and ask them for specifics? I mean they kind of gave me a vague answer that was totally contradictory to what my doctor told me. I try to avoid dr's. dxing me as "depressed" because they just want to medicate me, and the meds make me suicidal. I have PTSD which is a pretty serious anxiety disorder. So I do have psychological issues, which are also considered "comorbid", arent they? Anyway, I do have a lot of health problems associated with my weight. My weight problem is central to my whole life. It literally negatively effects EVERY area of my life. I can't think of anything but losing this weight, you'd think I would be more motivated to just do it "the old fashioned way", but I just can't seem to get into that frame of mind. I don't want to be one of those people that they have to come cut me out of my house because I won't fit through the doorways. I HATE THIS SOOO MUCH!!!
Anyway, thanks for the advice. I will do more research and try to hang in there. I cannot give up. This is definately the battle of a lifetime.
Jess
So should I call OHP back and ask them for specifics? I mean they kind of gave me a vague answer that was totally contradictory to what my doctor told me. I try to avoid dr's. dxing me as "depressed" because they just want to medicate me, and the meds make me suicidal. I have PTSD which is a pretty serious anxiety disorder. So I do have psychological issues, which are also considered "comorbid", arent they? Anyway, I do have a lot of health problems associated with my weight. My weight problem is central to my whole life. It literally negatively effects EVERY area of my life. I can't think of anything but losing this weight, you'd think I would be more motivated to just do it "the old fashioned way", but I just can't seem to get into that frame of mind. I don't want to be one of those people that they have to come cut me out of my house because I won't fit through the doorways. I HATE THIS SOOO MUCH!!!
Anyway, thanks for the advice. I will do more research and try to hang in there. I cannot give up. This is definately the battle of a lifetime.
Jess
Topic: RE: Frustrated, cant stop crying
Oh boy! Take a DEEP breath! hold, and let it out. First there are a lot of things you need to do. YES, YOU NEED A NEW DR! Don't put up with any crap anymore! You need to be seen. The amount of weight you have gained in 2 years needs to be addressed.
You need a lot of tests run to see if there is anything going on that is causing this, if you can't get your current dr to take a serious look at this, then yes, change your Dr. Start researching your options. Is there a particular reason you want lap band? You don't mention how tall you are so I'm not sure what your current BMI is. Lap band may not be your best bet. Have you checked into the VSG which is another restrictive only surgery? have you looked into the RNY or DS? both are malabsorptive as well as restrictive.
You need to find out what OHP will cover and what it won't cover. Can you call them and find out? A good Dr. who will advocate for you is always a plus, but you also have to be a good advocate for YOURSELF! That means do your homework. Talk to your insurance find out what they cover willingly (I say willingly because if you are doing research and find something works for you more than what they say they cover you can fight them for what you want!). Find out their requirements. Research all the main 4 surgery types and learn them upside down and backwards! Find a new dr. who is not totally anti-weight loss surgery. Get your tests done and find out what you are dealing with healthwise and see if there is anything compounding your problems besides just "gaining weight". Some problems will have to be addressed, treated and under controll before you can have any weight loss surgery.
Check out each of the weight loss forums here on OH and get as much info as you possibly can. Talk with your therapist. Is your depression and anxiety so high that it could cause problems?
Lots to do, but it's doable. Just start at the beginning and keep at it.
Good luck Jessica!
You need a lot of tests run to see if there is anything going on that is causing this, if you can't get your current dr to take a serious look at this, then yes, change your Dr. Start researching your options. Is there a particular reason you want lap band? You don't mention how tall you are so I'm not sure what your current BMI is. Lap band may not be your best bet. Have you checked into the VSG which is another restrictive only surgery? have you looked into the RNY or DS? both are malabsorptive as well as restrictive.
You need to find out what OHP will cover and what it won't cover. Can you call them and find out? A good Dr. who will advocate for you is always a plus, but you also have to be a good advocate for YOURSELF! That means do your homework. Talk to your insurance find out what they cover willingly (I say willingly because if you are doing research and find something works for you more than what they say they cover you can fight them for what you want!). Find out their requirements. Research all the main 4 surgery types and learn them upside down and backwards! Find a new dr. who is not totally anti-weight loss surgery. Get your tests done and find out what you are dealing with healthwise and see if there is anything compounding your problems besides just "gaining weight". Some problems will have to be addressed, treated and under controll before you can have any weight loss surgery.
Check out each of the weight loss forums here on OH and get as much info as you possibly can. Talk with your therapist. Is your depression and anxiety so high that it could cause problems?
Lots to do, but it's doable. Just start at the beginning and keep at it.
Good luck Jessica!
Katie
Ht. 5'2 HW 234/GW 150/LW 128/CW 132 Size 18/20 to a size 4 in 9 months!

Ht. 5'2 HW 234/GW 150/LW 128/CW 132 Size 18/20 to a size 4 in 9 months!

Topic: Frustrated, cant stop crying
Hello. I'm new to the forum. Not new to being "morbidly obese". Here's a bit about me/my story, tho I know each of you has your own, and I know/hope with time I'll get to know you. I have put on 150 lbs. in the past 2 years. I was close to normal weight (normal to me) now I'm 350 lbs. and I continue to gain. I've tried everything - with my dr. help...meds, programs (OA, WW, FP4H, etc) nothing works, nothing helps curb my voracious appetite. I am in pain all the time. My knees, my legs, my feet, my hips, my lower back. I am 34 years old, and I have arthritis. My doctor is not the best. He's the "herd 'em up, head 'em out" type. He wont get me checked for ANYTHING. I went into his office today in tears, begging for his advocacy, and I had to ask him to repeat the bloodwork he did a year ago that was borderline diabetes. That's the best I could get out of him today. I have been in his office a number of times complaining about the pain in my legs and my knees, my lower back, and he wont get me checked for any kind of joint problems or anything. There are days when I can hardly get out of bed I'm in so much pain, and I'm on a high dose of methadone, so you know it's gotta be bad. I have heartburn ALL the time. Sleep Apnea? Probably. He WONT get me checked for any of these things. Imean, you would think your dr. would want to help you, right? I have headaches all the time. I don't know. I don't know if it's just me, or if he's really a quack. Imean, do I need a new doctor? I feel like I have some of these "comorbidity" issues that insurance companies talk about. I want the lap band surgery. I have OHP plus. I fit the criteria, as far as I know, especially if my doctor finds some "comorbidity" issues going on, but why doesn't he want to help me? He saw my tears today and didn't seem to care at all. Do I need to find a new doctor? Or just give up on this? Is it really a dead end? Will OHP cover anyone? Do you like...have to be on your death bed for them to cover you? Or do you just need a good doctor who will advocate for you? I'm new to all this, I don't know how the paper trails work, but I do need to do something. I have 2 small children, I'm a single mom back in school full time. I can barely chase after them. (I also struggle with depression and chronic anxiety, and I see a counselor regarding my issues with weight) I just don't know what to do or what my next step should be. I left that appointment feeling like I will never be able to have this surgery. I don't know...any words of encouragement? What should I do next? Will getting a new dr. help? Or am I already in a losing battle with OHP? Resources? Anything? Thank you so much for taking the time to read this. I know you all are probably on similar boats.
Thanks,
Jessica
Thanks,
Jessica
Topic: RE: Cut backs in the OHSU Support Groups
Thanks for the info! I had planned on going to a couple of the evening meetings Do you know how soon they are stopping them or is it immediately?
Katie
Ht. 5'2 HW 234/GW 150/LW 128/CW 132 Size 18/20 to a size 4 in 9 months!

Ht. 5'2 HW 234/GW 150/LW 128/CW 132 Size 18/20 to a size 4 in 9 months!

Topic: Cut backs in the OHSU Support Groups
FYI:
I heard today, from Vicki Jakovec (Digestive Health Nurse Practitioner) who use to organize the groups, that OHSU is cutting out the Tuesday evening topic group and maybe the 4th Wednesday discussion group due to staffing issues. I asked for an official statement and an updated calendar of events to share with anyone interested. I hope no one is caught off guard and show up for no reason.
I heard today, from Vicki Jakovec (Digestive Health Nurse Practitioner) who use to organize the groups, that OHSU is cutting out the Tuesday evening topic group and maybe the 4th Wednesday discussion group due to staffing issues. I asked for an official statement and an updated calendar of events to share with anyone interested. I hope no one is caught off guard and show up for no reason.
Topic: Yamhill County/McMinnville Support Group
Hi Everyone,
The next meeting will be on Monday March 14th at 6:30 at my house. Please message me here or email me at [email protected] for address. New members are always welcome! All types of WLS as well as Pre-op, Post-op are welcome!
We will be discussing topics for the rest of the year as well as setting a date for each Meeting (i.e. 2nd Monday of every month). Hope to see everyone there!
Katie
The next meeting will be on Monday March 14th at 6:30 at my house. Please message me here or email me at [email protected] for address. New members are always welcome! All types of WLS as well as Pre-op, Post-op are welcome!
We will be discussing topics for the rest of the year as well as setting a date for each Meeting (i.e. 2nd Monday of every month). Hope to see everyone there!
Katie
Katie
Ht. 5'2 HW 234/GW 150/LW 128/CW 132 Size 18/20 to a size 4 in 9 months!

Ht. 5'2 HW 234/GW 150/LW 128/CW 132 Size 18/20 to a size 4 in 9 months!

Topic: North Coast support groups??
Hey all...
I am looking for some friends or support groups around the north coast. Specifically Seaside, Warrenton, Astoria area. Anyone hear of anything??
I am looking for some friends or support groups around the north coast. Specifically Seaside, Warrenton, Astoria area. Anyone hear of anything??
Topic: RE: Does OHSU do VSG?
I had Dr. Deveney do a Gastric Sleeve revision from a mini-gastric bypass back in 2007. It's not a standard surgery he does, but it gave me my life back. I've maintained my weight now for 3 years. I had been down to 92 lbs. with a MGB that was botched. If it wasn't for Dr. Deveny, I would not be alive today. He tracks me closely, annually.
OneFinger
on 2/18/11 11:58 pm
on 2/18/11 11:58 pm
Topic: RE: Experienced Plastic Surgeons in state and out
Plastics was discussed recently in the Men's Forum. One guy whom I trust said this:
Post Date: 2/9/11 1:52 pm
I went to Mexico last summer and had surgery with Dr Sauceda. It was about 15k cheaper than what I was quoted in the US and I had excellent care. I paid 9500 for a Lower body lift, inner thigh lift and fat injections to my face. That included airfare, 2 weeks in a hotel, the clinic, compression garments and all medication and anesthesia. The care I got was 2nd to none. I highly recommend him and there is a group for his patients on OH. If you want more info, feel free to send me a message. Good luck.
www.obesityhelp.com/forums/men/4317614/Body-lift-Tummy-tuck- costs/
I've read several other posting about Dr. Sauceda and will definately consider him when the time comes. I've been told to wait about 1 year after reaching my goal weight before having plastics.
Plastics was discussed recently in the Men's Forum. One guy whom I trust said this:
Post Date: 2/9/11 1:52 pm
I went to Mexico last summer and had surgery with Dr Sauceda. It was about 15k cheaper than what I was quoted in the US and I had excellent care. I paid 9500 for a Lower body lift, inner thigh lift and fat injections to my face. That included airfare, 2 weeks in a hotel, the clinic, compression garments and all medication and anesthesia. The care I got was 2nd to none. I highly recommend him and there is a group for his patients on OH. If you want more info, feel free to send me a message. Good luck.
www.obesityhelp.com/forums/men/4317614/Body-lift-Tummy-tuck- costs/
I've read several other posting about Dr. Sauceda and will definately consider him when the time comes. I've been told to wait about 1 year after reaching my goal weight before having plastics.