Thursday, March 20, 2014

Starting the Approval Process....Again

I've put off writing this blog for most of the evening.  A part of me feels like a failure for what I'm about to write.  Another part of me feels like I'm letting down those of you who've told me I have inspired you.  But I need to make this about me, and only me.

This morning a light bulb went off in my head.  It was a combination of a costly dental appointment this morning and some emails with Sheila.  I realized I don't want to do this lap band follow-up for the rest of my life...for hopefully another 50ish years?!  In my 18 months post-op, I've had close to 30 adjustments!  Sheila used the phrase 'one and done' in her first email to me yesterday when describing the sleeve, and that's what I want.  I don't want to sacrifice financially as well as my time for this band anymore.  

That's why I decided to ask my PA today about revision to VSG...the sleeve.  I'm surprised because last weekend I was worrying she would say that was a better option than the plication (with band), and now here I am not even asking her about the plication!  Then this morning I was worried she would not want to do revision.  I have heard of doctors who think if you 'fail' at one, you'll 'fail' at them all.

Regardless, I haven't failed.  And she is completely on board with revision to VSG.  Her only concern was that insurance will have trouble covering it.  Luckily, I've already done the research and talked to my insurance company.  Here are my criteria for revision of bariatric surgery:

1)  Complications with the primary surgery
2)  Initial procedure was successful prior to complications
3)  The patient has been compliant with a prescribed nutritional and exercise program

Check. Check. Check.

So hopefully it won't be a problem and I will be approved.

If I'm not approved, it wont be the end of the world.  I'm still going to get to my goal with the band or with VSG, it just will take me longer and with A LOT more follow-up if I keep this band.

With all that being said, I just want to tell you all that I still believe in you all.  I still believe in this band.  I still can't wait for you all to get to your goal, and I will still be watching and cheering you on.  And I'll still be blogging and doing this with you--just in a different way.  The truth is I definitely would not be considering revision right now if my band hadn't malfunctioned and I need to have some type of surgery to repair it anyway.  I hope you all understand and support that, I know most of you will because you've been such an amazing support system for me over the last 18 months, words can't even convey how thankful I am to call you all friends!

I will start my first steps to insurance approval at my next office appointment on April 1.


  1. Hollee you are NOT a failure by any means at all. Like you said if you didn't have to have any part of your band fixed you would still keep on happily losing and doing what you need to do. But since you need a fix anyway, you are smart to consider all your revision options. I'm SO happy your appointment went so well. YAY!

  2. I think you are doing the right thing! :D

  3. It was the right decision for me. The longer you leave your band in, the more scar tissue will form, the more risk of damage to your esophagus

  4. I think thats the right decision! I wish I had gotten the sleeve looking back but, hey - hindsight is 20/20! Good luck - you are going to crush it!

  5. You've got to do what is right for you and you've done great so far and will continue to do well.!
    Can't wait to read more of your journey!

  6. I LOVE my sleeve! LOVE LOVE LOVE!! :) Good luck!

  7. I am so excited for you. I am sure you are coming into this surgery in a much different state of mind then I am, but I am happy for you. I am also excited that we may be getting surgery around the same time. You can be my sleeve buddy (we still need a better sleeve nick name)

  8. Yes! Awesome. You're not failing anyone!!

  9. If I had known more info. about the sleeve back when I had my surgery I would have gotten that instead of the band.
    I am in shock about how many adjustments you have had! That's crazy.
    You are not a failure and I feel you are making the right decision.

  10. I am soooo excited for you Hollee! XOXO