Question:
My BMI is 36.5, but I have reflux, achy joints, and high blood pressure...should I
even try to get approved for this surgery? — Amy S. (posted on July 1, 2002)
July 1, 2002
Most surgeons and insurance companies will consider you to be eligible for
surgery with a BMI of 35 with co-morbidities or 40 with no co-morbidities.
Co-morbidities can include:
1) Heart problems, such as congestive heart failure (CHF), angina,
hypertension or high lipids (cholesterol & triglycerides);
2) Diabetes Type II;
3) Sleep apnea;
4) Cancer;
5) Osteoarthritis;
6) Respiratory problems;
7) Chronic heartburn/reflux disease;
8) Gallbladder disease;
9) Stress Urinary Incontinence;
10) Depression;
11) Infertility
The key to determine if a specific problem is a co-morbidity is to consider
how being overweight affects the condition.
I would definitely move forward backed on the information that you have
provided.
— John Rushton
July 1, 2002
Yes, definately!!! Is your HTN controlled? Have you been tested for all
possible comorbs? check out my profile!! It is worth the try!
— ERICK B.
July 1, 2002
Go for it! I am in the exact same place. My BMI is 37 but I have
high blood pressure, acid reflux, achy joints and back and
I don't sleep well. Tried every diet known to man and some
that I just made up:) I have had a consultation, psyche eval,
and some pre-tests. Just waiting for insurance approval. If
I'm denied - I'll appeal. You do what you know is best for you
and please contact me if you want to commiserate! Bless you.
[email protected]
— Sheila T.
July 2, 2002
My BMI is 36 and my surgery is next Tuesday. Insurance companies are
getting more strict requiring co-morbidities to be very severe or life
threatening with a BMI under 40. But I am living proof that surgery can
happen for a
"lightweight". If you need help along the way including a letter
I wrote myself outlining my co-morbidities. Just ask. Good luck.
— Joanie J.
July 2, 2002
Though most surgeons will say that achey joints and GERD are not life
threatening comorbidities, hypertension IS. Therefore, you SHOULD try to
get a referral for the surgery. You do meet the National Institute of
Health guidelines for the surgery because you have a BMI of greater than 35
with a serious, life threatening comorbidity (hypertension). GO FOR IT!!
The next step you take might just save your life. Good luck. Hugs, Kathie
(in Hawaii)..........
— KathieInHawaii
July 7, 2002
Give it a shot. State your height as a bit shorter. They'll never measure
you.
— DianeN
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