Question:
I have just been approved and find it may be 2004 before I can get in. Is this normal

   — michael M. (posted on February 24, 2003)


February 24, 2003
I don't know.. but it only took about 3 weeks from approval to surgery. I don't think it should ever take more than a month or two, in my opinion. Look around for sure!!
   — SarahC

February 24, 2003
Hi there, That seems like a really long time. If your insurace permits I would start looking around for a different doctor with a much shorter waiting list. Things happen and you may have to change your insurnace company or a number of other things that would prevent you from having the surgery. Just my opinion,
   — Jennifer M.

February 24, 2003
Hi Michael. That sounds like a real long time to wait since you already have your approval. I've heard of it taking a year from start to finish. I'd definately look around and don't think that just because a Dr. has a long wait that it necessarily means he's the "best". I found that in my search that the Dr.'s with the excessive wait often is because they are general surgeons who perform "emergency" surgeries before gastric bypass "elective" surgeries. My doc had an 8 week wait from approval to surgery. Not too bad. Good luck and congrats on your approval. ATLEAST YOU ARE ONE STEP CLOSER!!
   — denisel

February 24, 2003
Unfortunately with the rise in the number of people getting wls the wait time is getting longer and longer too.I think that alot of it has to do with the state you are in also....for example....the state that I am in only has about 7 or 8 surgeons who do the wls and they are all booked.It takes a few months just to get in to the seminar,then a few more months for a consult,then a few more months to get approved,then a few more to get an actual surgery date.The usual time length in my state is around 9 months to a year.We don't have enough surgeons here for the demand.But then again you hear about people getting there surgeries done 2 weeks after talking about it with there pcp's...but I don't think that is the norm.
   — jennifer A.

February 24, 2003
I had my consult in Aug of 02, Surgery is scheduled April of 03, That is an 8 month wait.
   — Jamie M.

February 24, 2003
I made my appointment with my surgeon back last March, the first appointment I could get was in September, and I am having surgery on April 3rd. This surgery is becoming more and more popular. My doctor's office is typically scheduling surgeries at least 4 months in advance after approval. Hang in there, it will be here before you know it.
   — tpalmer

February 24, 2003
Get on the phone and start checking around. If you don't have restrictions then even look in the adjacent states. I would not have put up with a 1 year wait after approval. <p>My surgeon is a general, trauma and WLS doctor and he manges to get people scheduled within 4-6 weeks after approval. He does 5-6 WLS a week as well as many trauma and general surgeries, not to mention seeing all the patients and he's the director of the trauma department. So if he can manage to schedule things sooner than a year, then I think all surgeons should be able to. I would think 4 months max, from approval, would be reasonable.
   — zoedogcbr

February 24, 2003
Yes, it is common for the date to be so far out. It was 10 months from my consultation to surgery date. I thought it would never get here. I will be a year since surgery and I am smaller now then I was at 17 years old, I'm 49 now. It is worth the wait.
   — Robin G.

February 25, 2003
My wait was 15 months (from the day I brought the issue of WLS up with my PCP, until my date of surgery). I don't think it's unusual, especially now with so many people trying to get this surgery, to have a wait of a year or more. Some people seem to still have short waits, but in general, most people have to plan for at least a year out of their life from pre-to-post-op. It's frustrating, but well worth it in the end. Hugs, Joy
   — [Deactivated Member]

February 25, 2003
Michael, I took a look at your profile and you say you have BS/BC, is it possible that you could go to another state with the same insurance plan, you would still be in there network, just another surgeon, or state. I think I would call your insurance company and talk to someone that could help you, some people could really be a matter of life or death, tell them that you really need to have them help you find a allternative to the year wait. Hope this helps
   — cindy

February 25, 2003
Waited 18 months, thought I would lose my mind. There is no excuse to have to wait so long for life saving surgery. Now 5 months postop and down 102#. Don't give up, hang in there, but look for alternatives ie. other surgeons, hospitals, etc.
   — Dana S.

February 25, 2003
This waiting period is not uncommon for a good surgeon. My surgeon is not taking any new patients at this point because his program is so booked. If you are satisfied that you have chosen the best (or one of the best) surgeon(s) in your area, then it is worth the wait, to get the experience/expertise you deserve.
   — Esse

February 25, 2003
Hi All. Just gonna play devil's advocate here. I know we all want surgery as quickly as possible. I think there were some comments that "there's no excuse for having to wait that long....." "you should never have to wait that long...." etc. Unfortunately there are many valid excuses for having to wait that long. Most of us tend to think of the surgeon as the whole program. However, he's just one component of it (a pretty major component but still just one piece of the puzzle). First, there has to be O.R. space. Many hospitals simply don't have enough operating rooms to do a large number of cases each day. This is true even in large hospitals. There are many, many types of life saving surgeries that take place in the O.R. each day so we can't justifiably say that one is more important than the other. There is also a critical nursing shortage in the U.S. right now. Even if you did have surgeons willing to operate late in the day you'd still have to find an O.R. team to work. There just aren't enough nurses. I am genuinely sorry that you're having to wait and I understand your frustrations completely. But, if you're with a surgeon you feel safe with, your health is reasonably good and you have insurance coverage I'd say he's probably worth the wait. I say this because I just want to be fair - we can't blast the surgeons who are generally working as fast and efficiently as they can. Possibly start attending a local support group. Also ask if you can be placed on the cancelation list and maybe you'll get a date sooner. Hang in there.......you're gonna make it!
   — ronascott

February 25, 2003
Hi Michael. I know that it's so frustrating to wait. When I had my surgery back in 2000 I had to wait approximately 8 mths from start to finish (and that's when not as many people were having it done!). My suggestion is to take this time and learn as much as you can about the procedures and what your after care is going to be like. Please take the time to learn what it's like on the "other side" that way you'll be well informed once you get there!
   — Cristy K.

February 25, 2003
Mine was also an 8 month wait, Mar 01-Nov 01. Now my surgeon has a waiting list of over 200. Their wait is over a year. I really feel for them. I thought my day would never come! I used that time to dig into researching the surgery and preparing the best that I could. Some of the wait time was b/c pre-ops had to attend mandatory nutrition classes, and of course all of the other pre-op exams needed before surgery. All of the services/classes were booked way in advance due to the influx of pre-ops. I know this is a hard waiting period, but it WILL happen for you.
   — Cheri M.

February 26, 2003
Thank goodness I live where one of the top surgeons in the state works and does WLS and I only had to wait 9 weeks start to finish. I still do not believe it has to take a year or more if you are an advocate for yourself. I already had talked to my insurance and knew what they required. I made a contact at the insurance company that my stuff could be sent to so it would not be lost 3 times first. I already had talked to my psychiatrist about doing my psych eval before I saw the surgeon. Once I saw him, Wed before Thanskgiving, the following Monday I faxed letters to 4 of my providers asking them to send office notes and letters to the surgeon documenting other medical conditions. I asked them to take care of this within 1 week and all except my internist did. The surgeon was insisting on a new sleep study so I got on the phone to my pulmonologist and asked that he get this scheduled. I told him if he needed to see me fine but it would need to be soon as I was hoping for surgery by the end of January. He ordered the study without seeing me and I got in 2 days later because I called the sleep center and explained my situation. I made sure the results of my sleep study got to the surgeon right away. Since my pulmonologist wasn't getting around to it I called the sleep center and asked them to fax it and explained my situation - they did. Once I knew that everything had been faxed to insurance I kept in contact with them. I got a letter they wanted additional information on a Saturday and the following Monday it was faxed to them. I had my approval a few days later. As soon as I had my approval I called and got my surgery date and pre-op testing info. I also had to end up having a 2nd sleep study to be fitted with a BiPAP machine. They could not get me in for 2 weeks (2 weeks before surgery) so I started calling around to other centers. While I was doing that the local sleep center was trying to call me and tell me they could get me in 2 days later. <p>The moral of my story is that it can take a lot longer if you sit back and let everyone else put things together. If you take charge and get everything arranged then it can happen very quickly. I ended up needing a Cardiolite stress test 10 days before surgery and the doctor's office said they could not find a table that would hold my 432 lbs - supposedly had tried for 2 weeks. It took me exactly one phone call to find a place and 3 phone calls to find one literally in my back yard. I am not a person who sits still for being a folder in a pile that someone will get to when they have time or feel like it. My surgeons office and surgeon is extremely busy yet he manages to get in 5-6 WLS's a week in between trauma and general surgeries. I do not think he is some super human doctor so why is it he can and others can't turn this around in a normal time period? In the world of healthcare if you want to get things done you MUST take charge yourself. My persistance paid off because I had my surgery Feb 3rd. Even if I had not pushed hard worst case with my surgeon is 3-4 months unless you have major problems with your insurance. JMO
   — zoedogcbr

February 27, 2003
I waited approximately 6 weeks for a consult appointment, then had surgery 8 weeks later. I was the one who had the need for a specific surgery date, and got lucky. From what I am reading, I think it depends how many surgeons are in your area and are on your plan. I now realize how lucky I am to be living in a city with many qualified surgeons, although I did not have to compromise in my choice to get prompt appointments. Good luck!!!
   — Fixnmyself

March 2, 2003
WOW...That dosen't seem right, I wonder why so long? I live in California and have Blue Cross PPO. I had the RNY, It took only 3 days for my approval. In fact it took me less then one month to see my Dr. get my approval and get my surgery date set. I am now 7 days post-op and so far doing great. I wish you luck and hope you get in much sooner.
   — Kathie W.

March 2, 2003
My consult was in August of 02, my approval came 3 weeks later....Surgery is scheduled April 23. . A total of 8 months waiting from consult. (I also have BCBS ppo and had NO problems getting approval, Surgeons office did all the paper work). I think the more there are applying that it would not be too much of a surprise that the wait is up till 2004. Hope you get a sooner date...Good luck, Jamie
   — Jamie M.

March 2, 2003
I just saw my surgeon for my first consult on Feb 19. I had to wait four months to see him after I made my appoinment in Oct'02. I needed a specific date for surgery beacuse I am a teacher and I was able to get the date I wanted (July 3rd). If I wanted to have my surgery in mid to late April I would have been able to. I was told that my paperwork will not be sent to insurance until mid May or early June and if I get approval it will only last for 30-60 days. So my wait to have surgery will be a total of 9 months.
   — Lisa N.




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