Question:
PCP THREATENS TO DISCONTINUE 6MO DIET PLAN
PCP THREATENED TO NOT CONTINUE 6 MO SUPERVISED DIET IF I DON'T LOSE ANY WEIGHT. I HAVE ONE MONTH TO GO AFTER THE UPCOMING VISIT END OF JUNE. WHAT DO I DO?? SINCE GHI REQUIRE 6MO PRIOR TO APPROVAL. I'VE COMPLETED ALL REQUIREMENTS EXCEPT THE 6 MONTH DIET PLAN. ANY SUGGESTIONS IS HIGHLY APPRECIAATED. MERIDIA WAS PRESCRIBED ,BUT I DO NOT WANT TO TAKE IT. ALSO I WAS THINKING ABOUT OPTIFAST? — T L. (posted on June 12, 2004)
June 12, 2004
I don't mean to be harsh, but I don't see that you have much choice but to
lose some weight. The insurance company requires it, and your doctor
requires that you show that you're trying. If you don't want to take
Merida, then lose some weight another way--try some kind of traditional
diet, or Atkins or South Beach or Sugar Busters. Even if there were a way
around it (and I don't see one), I don't think it's a good idea to
circumvent the requirement. You will have to regulate your eating after
surgery. The surgery will help you lose weight, but you will forever have
to control your eating. One reason many docs and insurance companies
require a weight loss plan prior to surgery is to be sure that you can do
that post-op. If you cannot, then you need to consider whether surgery is
really the answer for you. It would be terrible to go through the surgery
and recovery only to regain all the weight because you couldn't adapt to a
restricted eating program. You need to commit to that now. If you need
help with a diet, or decide not to use Meridia, then talk with your doctor
about that. Perhaps s/he could refer you to a good dietitian who could
design an eating plan you can live with for six months. Best wishes.
— Vespa R.
June 12, 2004
Some surgeons require 20 -30 lbs. This may be good practice for you.
— Robert L.
June 12, 2004
Try Atkins for a week or 2 until you see your Dr.. It is pretty easy to
follow, and you should lose 5 to 10 pounds in the 2 weeks til your
appointment. Even if you show a small loss, your Dr. should continue your
diet monitoring. As the others have said, you will have to do some diet
monitoring as a post -op, so trying any routine diet plan is good practice.
Good luck!!
— Fixnmyself
June 12, 2004
Well, many of us have done Optifast with great short term results. I did
it 12 years ago and lost 60 lbs. I gained those 60 plus another 70.
I would recommend trying other things to meet your physicians requirements
and qualifying for the surgery.
Good Luck!
— brinkman_d
June 12, 2004
First of all I do not believe in weight loss surgeons who insist that you
lost X amount of weight before they will operate on you, other than for
health reasons to make surgery safer. That said, if your insurance
requires a 6 month supervised diet to get approval then I feel you have to
try and comply and give it an honest attempt. Losing some weight isn't
going to prevent you from getting approval, unless you are on the bubble to
begin with, but it is going to show a committment to a new life style. The
docs and insurances know that the long term issue is keeping any lost
weight off, not necessarily losing it in the first place. You are going to
have to make a lifetime committment to new healthy lifestyles and choices,
so why not start now and prove to yourself that you can do it.
<p>My surgeon did not require any weight loss, and I was a SMO at 442
lbs, but he did require a protein and veggie diet only for the two weeks
before surgery to shrink our livers. So I ate as much protein as I could
shovel in and with veggies and deviated very little from that request and
ended up losing 21 lbs before surgery. That was 21 less I had to lose
after. It made me just that much healthier going into surgery. If this is
something you really want then you need to make up your mind that you will
do whatever it takes to get approval and on with your new life. I'm sure
they are not trying to say that if you lose some weight you don't need the
surgery they just want to make sure you will do what it takes. This is a
very risky surgery, no matter how healthy you are. They are permanently
rerouting your intestines and doing permanent changes to your stomach. It
is not something to be taken lightly.
<p>Track your foods on Fitday.com and write down your exercise. Show
your PCP that you are serious and I'm sure he will continue to work with
you. I'm not trying to be judgemental here, just trying to push some
reality at you. Good Luck! I know you can do it!!
— zoedogcbr
June 14, 2004
If you are not compliant with a doctor supervised diet pre op are you going
to be compliant post op? As far as Chris D's comment on weight loss
surgeons requiring you to loose weight pre op, Chris D it is not the
surgeon that is requiring her to loose weight, it is the PCP. Why don't you
want to take the Meridia? If that you help you curb your appetite I would
go with it and who knows may be you will loose a little weight in the
process?
— ChristineB
June 15, 2004
So, just lose two or three pounds. I did and was still approved. You can
read more about it in my profile if you like. K
— Kimberly S.
June 15, 2004
If you do not want to take Meridia, so be it, but find a diet you can live
with if you want the help from your PCP to get your 6 mos. supervised diet
documented. I do not agree with WLS surgeons insisting upon it, but some
believe that it's an indication of your willingness to follow the rules
post-op. Not meaning to be harsh, but if you've done this for 5 mos. and
not lost any weight, can you really follow instructions post-op? and
believe me, following instructions post-op is crucial to your
success--because you're going to have to do that for the rest of your life.
— Cathy S.
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