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Diary of a WLS Junkie!

The daily thoughts, ramblings, trials and tribulations of the journey to weight loss surgery.

Something Other than Waiting!

Alright, so, I heard back from the WLS coordinator at SWMC and we found out that for sure the insurance covers 85% and not 100% so from here on forward this is what we know for sure.

  • Insurance will cover NOTHING pre-operative.
  • Insurance will cover surgery, up to $25,000 Lifetime Maximum so long as all three, Surgeon, Anesthesiologist and Facility are all in network. Insurance will pay 85% of contracted rate, after I’ve met my $300 deductible, up to $25,000.
  • Insurance will NOT cover complications
  • Insurance will NOT cover Post Operative Follow-up

So this is what I have to work with. Now the good news! The journey is REALLY beginning! I have to go in for blood work on Saturday, July 10th, and then I have my first series of appointments on Wednesday July 14th. From what I understand I have quite a bit to do on my appointment on Wednesday, they said I will probably be there for the better part of 4 hours. I’m going to be going to two classes, meeting with the physician and meeting with the nutritionist.

We went over the list of things that my insurance requires I do before they will approve surgery, and the surgery has to be approved before hand or they wont pay, but most the things they require me to do are the same things that SWMC requires that you do within their program. So after my appointment on the 14th, I can expect to have to meeting with a psychiatrist as well. I was also told that I would probably have more appointments with the Nutritionist because I’m going to have to lose a bit of weight before they will send me to the surgeon, my BMI has to be under 60%, and that’s probably going to be about 45lbs I need to lose.  We’ll see what they have to say on the 14th.

My quit smoking date was March 25th so I won’t meet the 6 month no nicotine requirement until September 25th,  so I have a bit of time to get down to what they require, I’ve crash dieted before and been successful, so I have faith that I can do it.

I feel like a huge weight has been lifted off my shoulders knowing that I am finally getting somewhere with this. Thank goodness. I have a few new recipes that I tried out last week that I want to share, but I’ll work on getting those up later this week. Jason is taking the 14th of work to go with me, so that’s awesome.  I’m eager to see what comes next. None of it his happening fast enough, I feel like it’s taking forever, but I know I’m further into the journey than I have ever been before and I’m finding a lot of contentment in that.

The Waiting Game

This is my first post on this blog and I’ve pretty much spent the entire day getting this site up, getting the design done, playing with the little fatty graphic you keep seeing all over the place. What do you guys think of it? I’m debating whether or not I am going to put up pictures of myself right now. I haven’t decided yet. I’ll talk to my “Support System” and see what they all have to say about it.

Today I’m waiting; I do so much of that. But I’m waiting on a few things right now and I will update as things progress.  First I’m waiting to hear back from the weight loss surgery coordinator at SWMC because she was going to be double checking with the insurance company on whether they pay 85% or 100% of the contracted rate on the gastric bypass surgery because we both got told something different when we spoke to them. Next I’m waiting for July 12th to come, at which point I will be attending another WSL surgery orientation seminar over at OHSU. I haven’t really decided for sure who I want to go with yet, since it looks as though SWMC and OHSU both meet my insurance’s criteria where the Surgeon, Anesthesiologist and the Hospital must *all* be in network for them to pay out at all on the procedure.  OHSU is closer, I’m a lot more comfortable driving there, and if I went there Jason would be able to go to more of my appointments with me. SWMC on the other hand, I’ve already started with, I already have a relationship with some of the staff and overall if I went with SWMC I could probably get through the process a bit faster than at OHSU and get my surgery sooner. I’m trying to weigh out the pros and cons of each place, but I want to go to the OHSU seminar and meet the surgeon, that might help me make up my mind a bit more. I have a few things I want to share with you about the last week of my journey but I want to hit them one at a time because some of them seem very significant to me and I feel like it’s important to spend a bit of time on them.  I can’t do it all in one day though, or I will get burned out and won’t want to keep updating this page!

Today I am cooking Low Calorie Black Bean Soup for the first time – if it comes out good I will share the recipe, if it sucks, you can all laugh at me! This is the first time I’ve cooked beans in my entire life. I always hated beans growing up. I’m also making some homemade Tahziki Sauce today, so if that comes out good I will share it as well, it is yummy for dipping veggies in and for using instead of mayonnaise on sandwiches and stuff.

I’m waiting for my knee to stop hurting so I can get back to exercising again. It was feeling a lot better yesterday but Heather and Jason both really stressed that I should let it heal a bit more before starting up again and Jason says we pretty much need to adjust my work out a bit so that I’m not doing the exercises that are putting stress on my knees. I’ll talk more about the exercise program I’m following later this week as well.

Off to the kitchen to check on my dishes and get out some chicken for dinner tonight.

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Author: Pandora Williams

Author of Desperately Seeking Slender

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