Julie's Journey

Thursday, January 27, 2011

STRESSED



I finally got into the gastroenterologist, it took me 3 weeks to get an appointment, while I was steadily geting worse each day. I have gotten to the point that I am barely eating/drinking for the pain. Now I am so weak I can barely stand for more that a minute or two at a time.

I figured they were going to jerk me around... "Here, try this med and come back in a month" type of thing. But she was like "I can get you in tomorrow for an endoscopy" This would have been at the local hospital but admitting was already closed for the day, so we made an appointment for tomorrow at 11 AM at the Kaiser office downtown.

She will be looking for an ulcer or stricture, though she told me she doubts it is either of these things. I told her of my weight gain fears without a band and asked her if I truly have gastroparesis (basically your stomach muscles aren't working to push the food through... it just sits there and rots) if a bypass would fix it (that seems to be one of the few things that works for people).

She told me that if she doesnt find anything tomorrow she is going to call Natalie (the head of bariatrics) and suggest she refers me to Dr Metz for exploratory surgery and a bypass. She said she feels that this is being caused by something structural, and I will definetely have to have exploratory surgery, so they "might as well do a bypass while they are in there".

I am reallly freaked out about needing X surgery. And if I can't have a band I will take the bypass.

Now I'm stressing thinking that Kaiser will not want to pay for the bypass, since they tend to have a lot of hoops to jump through before they will pay for bariatrics. I am hoping that they will not deny this since:

1). This would be done to alleviate a very real, dangerous stomach condition. And,

2). I have "proven" myself and my commitment already by losing 113 pounds with the band.

Of course, now (for the first time in probably 20 years) I am under a 40 BMI. This may come into play also.

I didn't elect for bypass in the first place because of the risks and more danger associated with it.... but I guess the risks of ballooning up to over 350 pounds are pretty high too.


Figures..... I decided on who I was going to go to for my PS, and to have my boobs done too. Now this is most likely going to be put on the back burner for quite awhile.


Best case scenario: She finds an ulcer, and I am all better after 6 weeks of meds. I can get my band refilled and have my lower body lift.

Second best case scenario: Kaiser pays for a bypass, I quickly lose even more weight, and look even better after my LBL.

The last scenario: Kaiser refuses to authorize the bypass. Dr Metz removes the band and I see how much it would cost for me to pay cash for a sleeve while he's in there. There goes my plastics money..... OR ..... I go to Mexico for a sleeve or the new sleeve plication. Again, bye bye plastic surgery .

I'll post when I know more.

Later...

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