Question:
What makes you

I am terrified that somewhere during all these evaluations I will be denied for WLS because I am "unqualified" for surgery, despite the fact that my BMI is 46 and need to lose about 150lbs, my health is generally good, no significant medical comorbidities, however I do suffer from depression and binge eat. Has anyone ever been told they are unqualified and why?    — Michelle F. (posted on August 30, 2001)

August 30, 2001
With a BMI of 40 or more, the NIH recommends WLS as a treatment for your obesity. At that high a BMI, the obesity itself is the morbid condition. A family history of weight related medical problems is also significant. Even though you feel healthy, you may have problems you've simply ignored, like hip, back and knee pain. Also you may be in danger of becoming diabetic and your cholesterol is probably high. You may not be as "healthy" as you think. On the other hand, if you aren't healthy enough to survive the surgery, that CAN disqualify you. Are you worried about qualifying with insurance or the surgeon? These are two different issues. However, from what you describe, you sound qualified to non-expert me.
   — kcanges

August 30, 2001
Michelle, My BMI was 46 and my only comorbidity was high blood pressure, but it was under good control with minimal medication. I too needed to lose close to 150 pounds. My approval for insurance was practically over night. Absolutely no trouble qualifying at all. I'm now 15 months post op, down 139 pounds. It's wonderful!
   — BethVBG

August 30, 2001
If you are diagnosed with binge eating they may require conceling to get this under control first, depending on the insurance you have. Your BMI qualifies though usually without co-morbiites
   — [Anonymous]

August 30, 2001
Hi, I understand your situation - - believe me I did not get my size by eating small portions, I was a binge eater. I had seen a psychiatrist for over 3 years and was using medications to help curb my binge eating. NOTHING AND I REPEAT NOTHING STOPED THE BINGE EATING EXCEPT MY ROUX N Y. Please feel free to read my profile. I can't I believe that with this surgery pschological help before during and AFTER THE SURGERY is very important. I would consider changing surgeons if someone told me to stop binging first. That was why I had a BMI of 62.7. If we could have done this ourselves we WOULD HAVE ALREADY. Please look for a doctor who understands obesity and it's disease. I was also severly depressed at 343 pounds 5'2", I was unable to do anything. My surgeon and the psychologist that is in his office would be understanding to your plight. So I hope you can find that where you live...Best of luck and keep me posted. Many Regards,
   — Karen Renee