Topics in this digest:
1a. Re: Removing Excess Skin--low back pain
From: Ruth DeGraff
2a. Re: Two Good Reasons To Have WLS
From: Sheila Derrwaldt
2b. Re: Two Good Reasons To Have WLS
From: Dorothy M. Rosa Durkee
3a. Re: Removing Excess Skin
From: lisar320
3b. Re: Removing Excess Skin
From: lisar320
Messages
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1a. Re: Removing Excess Skin--low back pain
Posted by: "Ruth DeGraff" ruthd15@verizon.net
Date: Wed Nov 4, 2009 6:09 pm ((PST))
I had Abdominoplasty...for my insurance to cover it they had to remove my belly button. It's no big deal, because I no one ever sees it. I would get awful infections under my flap. I don't know if the doctor goofed, or what...but I have what I refer to as a man package. My pubic area is very large, and I wear long shirts and keep it under cover. I have thought about seeing another doctor, but the thought of another surgery I don't know if it's worth it. The surgery was a quick recovery, because they didn't cut muscle. Good Luck!
Ruth
[Non-text portions of this message have been removed]
Messages in this topic (2)
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2a. Re: Two Good Reasons To Have WLS
Posted by: "Sheila Derrwaldt" sderrwaldt@yahoo.com sderrwaldt
Date: Wed Nov 4, 2009 6:31 pm ((PST))
My husband, who is a radiologist disagrees. DVT patients are ultrasounded usually. They do not use MRI or CT for DVT since the radio tracer for DVT has not been available for some time. Even 450 lb men can have ultrasound he said, although it may be limited, they would likely try.
________________________________
From: Dorothy Rosa Durkee <branta@cebridge.net>
To: afterweightlosssurgery@yahoogroups.com
Sent: Tue, November 3, 2009 12:24:52 PM
Subject: [After Weight Loss Surgery] Two Good Reasons To Have WLS
If you're undecided about whether to go ahead with weight-loss surgery, please consider this:
I'm sitting here in the hospital, reflecting on my husband's brush with death, after sustaining one or more blood clots during a
10-hour flight back from Europe two weeks ago.
Early on, shortly after admission, two important MRI and CT tests - routinely administered to DVT patients of normal weight -
would have provided the physicians with important information about his health. But at 100 pounds over the maximum patient
weight for the machines, he was ineligible for those tests.
He's much improved, out of ICU and in what they call "intermediate care"; the docs say he's made "an amazing recovery" (implied:
"for a 450-pound man"). Soon we'll be looking at some time in Rehab, but not all local facilities provide bariatric care. He's been
accepted at the only one that does; had they not accepted him, he would have had to go to a facility located 90 miles from
home.
So in making your list of pros and cons of having WLS, please add the very real possibility of having to accept the possibility of
less-than-optimal care - or traveling great distances to get that care - to the "pro" side of your list.
Dorothy D.
Texas
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Messages in this topic (6)
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2b. Re: Two Good Reasons To Have WLS
Posted by: "Dorothy M. Rosa Durkee" branta@cebridge.net branta_canadensis
Date: Wed Nov 4, 2009 7:49 pm ((PST))
>My husband, who is a radiologist disagrees. DVT patients are
>ultrasounded usually. They do not use MRI >or CT for DVT since the
>radio tracer for DVT has not been available for some time. Even 450
>lb men can >have ultrasound he said, although it may be limited,
>they would likely try.
Wow! This is interesting. My HB did have ultrasonic imaging of his
legs, using a portable unit at his bedside. I'll have to ask about
this. Thanks to you and your HB for the idea - I'll definitely look
into it.
Dorothy D.
Hill Country, TX
--
Messages in this topic (6)
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3a. Re: Removing Excess Skin
Posted by: "lisar320" lisar908@comcast.net lisar320
Date: Wed Nov 4, 2009 9:06 pm ((PST))
Thank you for asking these questions.
I had WLS on 3/25/2009. As of today, I lost 87 lbs. My goal is 35-40 lbs away. I have plenty of excess skin in & around my breasts and I noticed some between my upper thigh and my backside. I know there will be plenty when I finish losing as My stomach and abdomen are slowly going down.
I'm currently unemployed and doing some consulting work when I can get it however I am a promising job interview tomorrow. I don't have health insurance and I will get it once I get a job. I'm sure I can get a breast reduction covered as I have 3 herniated discs in my neck but not sure about the rest. The info provided in response to your questions is VERY helpful.
Lisa
NJ
3/25/2009
260/173/135-140
--- In afterweightlosssurgery@yahoogroups.com, "belliesmom@..." <belliesmom@...> wrote:
>
> Hi,
>
> I had gastric bypass surgery almost eight months ago and am doing great. I have lost 110 pounds and am feeling better than I have ever felt before. I met with a plastic surgeon yesterday to begin formulating a plan to remove the excess skin, as there is a lot. I wanted to give myself plenty of time to save up for what I knew would be an expensive surgery(s). Much to my surprise the surgeon said that it is extremely rare for insurance to cover any part of the surgery aside from breast reduction, if I can qualify for it. So, I am wondering if any of you have had the surgery and, if so, were you able to get it covered by insurance.
>
> Thank you!
>
> Aime
>
Messages in this topic (13)
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3b. Re: Removing Excess Skin
Posted by: "lisar320" lisar908@comcast.net lisar320
Date: Wed Nov 4, 2009 9:10 pm ((PST))
Terri,
Thank you for sharing all that information!
Lisa
NJ
3/25/2009
260/173/135-140
--- In afterweightlosssurgery@yahoogroups.com, Terri Bailey <terri.bailey56@...> wrote:
>
> Hi Aime,
>
> I am actually going through the process of trying to have my stomach and my breasts reduced following WLS. I just got a packet from the surgeon I'm having a consultation with in two weeks. The criteria, which I know my Community Blue accepts, follows:
>
> Abdominoplasty - you must meet ALL these requirements
> 1) Documented weight loss of at least 100 pounds or the panniculus must hang below the level of the pubis
> AND
> 2) The panniculus is so large that it causes uncontrolled intertrigo (which is unresponsive to conservative therapy including topical drying agents, corticosteroids, and appropriate antibiotics), or skin ulceration, or skin necrosis, or chronic intractable low back pain (for PHP insurance you must be able to present pictures (frontal and lateral) that have been taken showing chronic skin changes
> AND
> 3) Sufficient time has elapsed (a minimum of six months) so as to ensure maximum weight loss and weight stability
>
> Breast Reduction - you must have documentation at your physician's office of two or more of the following clinical indication and physical findings:
> 1) Pain
> a) Documented pain in the neck and/or shoulders or postural backache which must be of long-standing duration and increasing intensity AND
> b) Failure of a minimum of three months conservative therapy, including an appropriate support bra, exercises, heat/cold treatments and appropriate steroidal anti-inflammatory agents or muscle relaxants
> 2) Ulceration of the skin of the shoulder or should grooving not responding to conservative treatment
> 3) Intertrigo between the pendulous breasts and the chest wall that has not responded to dermatologic treatment
> 4) Lordotic posture
> 5) Ulnar paresthesias
>
> In addition to the above clinical indications, BOTH of the following criteria must also be met:
> 1) The patient must be old enough that the breasts are fully grown
> 2) The amount of breast tissue removed from each breast must be equal to or greater than the 22nd percentile cutoff weight for body surface area (to be determined by physician if you meet this)
>
> I looked up a couple of terms I wasn't familiar with:
>
> Lordosis is defined as an excessive inward curve of the spine. It primarily affects the lumbar spine, but can occur in the neck (cervical).
> When found in the lumbar spine, the patient may appear swayback, with the
> buttocks more prominent, and in general an exaggerated posture. Lumbar lordosis
> can be painful, too, sometimes affecting movement.
>
> Ulnar neuropathy is an inflammation or compression of the ulnar nerve,
> resulting in paresthesia (numbness, tingling, and pain)
> in the outer side of the arm and hand near the little finger.
> Hope this helps and isn't information overkill.
> Terri
>
>
>
> --- On Wed, 11/4/09, belliesmom@... <belliesmom@...> wrote:
>
> From: belliesmom@... <belliesmom@...>
> Subject: [After Weight Loss Surgery] Removing Excess Skin
> To: afterweightlosssurgery@yahoogroups.com
> Date: Wednesday, November 4, 2009, 6:50 PM
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> Hi,
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> I had gastric bypass surgery almost eight months ago and am doing great. I have lost 110 pounds and am feeling better than I have ever felt before. I met with a plastic surgeon yesterday to begin formulating a plan to remove the excess skin, as there is a lot. I wanted to give myself plenty of time to save up for what I knew would be an expensive surgery(s). Much to my surprise the surgeon said that it is extremely rare for insurance to cover any part of the surgery aside from breast reduction, if I can qualify for it. So, I am wondering if any of you have had the surgery and, if so, were you able to get it covered by insurance.
>
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> Thank you!
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> Aime
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Messages in this topic (13)
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