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donnasgreatidea

bMI 32 Newcastle area

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Hi I’m wondering who they use Newcastle way for lap bands? Also are they only referred to as lap bands or could they be called something else . I would really like to get this fine as the orbera balloon is not for me , I’d like a permanent solution 

 

slso not sure my dr will approve as he laughed off weight loss options when I asked about help . I’m 152cm tall and weigh 73.5kg 

 

any 

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You have a BMI of about 32, have you exhausted the usual methods of losing weight?  If so, an endoscopic sleeve gastroplasty may be an option for you.   This is a procedure for those overweight but ideally with an BMI 30 to 40...there has been some people with a greater BMI who have undertaken the procedure.  It is non surgical and minimally-invasive.

It's currently not covered by medicare or public health insurance, and with a BMI below 35 you may not be approved for early release of super (but I could be wrong about that).  Current costs with support packages seem to range from anywhere between $16,000 to $20,000.

I am having my ESG via BMI Clinic so have linked to that to give you some additional information, but there are quite a few clinics and doctors/surgeons who do the ESG , ideally though you would want a doctor who has done quite a few with minimal complications (its only a fairly new procedure in Australia.  http://bmiclinic.com.au/endoscopic-sleeve-gastroplasty-faq/

There are other new procedures but I know very little about them - POSE (Primary Obesity Surgery, Endoluminal) and EndoBarrier.

Oh and lap bands are also referred to as gastric bands if that helps.  Bands are slowly becoming out of flavour due to complications that some banders have experienced, and some surgeons in USA refuse to do lapbands, they also seem to be losing their popularity in Australia with VGS and RNY being the preferred options.

 

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Hi Donna!

I'm in Newcastle and went to Tim Wright at Charlestown for my band - he was fantastic but the out of pocket was a bit high compared to other areas but seemed to be standard for the few that are here. Its generally a gastric band, lapband is a brand of the prosthesis but has become a general term :) My brand was a Midband. 

The thing is; its not up to your GP to decide whether or not this is for you. They only need to provide a referral, which you can get from any GP and its up to the surgeon to go through your options and whats available for your circumstances. I do believe there are some criteria to get a Medicare benefit (which determines a benefit from PHI) for obesity surgery and you may not fit into that - but its up to your surgeon to advise you on what that is. 

The last information I can find is: 

Please note:

For the Caucasian population, medicare 2017 will only approve bariatric surgery for patients with a BMI>40

or BMI>35 with medical problems (such as high blood pressure, diabetes, cholesterol or heart disease or cancer)

But this may not be up to date.

Personally; I wouldn't be willing to do anything not covered by Medicare as any complications around such a procedure may also be totally out of pocket. If you have PHI any admission that doesn't have a Medicare item number where you're entitled to a benefit doesn't receive a benefit and bills add up VERY quickly. While its a small risk for complications; its not one I'd be willing to risk. 

The bypass is still the golden standard of weightloss surgery, and with the sleeve has increased in popularity but personally I think that has a lot to do with how we view quality of care as a society and the cost it takes to follow up. Having WLS doesn't fix our relationship with food; it forces (often for a short time) us to adjust our eating behaviour in the hope that behaviour will be a long term commitment. Often that requires follow up and accountability with a medical professional - but there isn't any follow up for bypass and sleeve patients years after their surgeons and many band patients choose not to go. I still go back to my band clinic on occassion for a fill or unfill and its bulk billed. They're not making any money off me anymore; but I'm taking their time from a paying patient. How many medical practitioners view this as a business, not just best practice?

This study is actually pretty comprehensive in that view; but its a balanced way to look at the face NONE of them are a magic fix. A few years after these procedures many people find themselves in the same position; its up to you to make the best of the forced change while it lasts.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5897937/

"This study like any other has its own flaws and data should only be extrapolated with care. It is arguable that patients who remained in follow up were the patients who were satisfied with the clinic and had good outcomes" 

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Thanks for the reply , ok so I shouldn’t worry about my dr not giving me a referral sounds like he just writes one if I ask, I have been reading a bit on the gastric sleeve which the flow of new people having surgery seem to be going towards as there are no fills required or after care of the sleeve. I have been yoyoing for years lose 14kg put it back on I go to the gym everyday since last November , I play soccer , eat pretty well mon-fri  like a wine of a Friday Saturday night ( 3 glasses) but it’s just not moving any weight . I did or for 2 years but I just couldn’t afford it anymore , and the weight crept afterwards , I know I gave muscle but I am not happy with my size 

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Its a frustrating yoyo lifestyle, especially if you're trying hard but not seeing results. Bariatric surgeons specialise in weight loss and why people are obese and overweight; they're not going to operate if they don't think you need it or they can't help you - but I think its a conversation to have with them as a professional if your GP isn't willing to take your concerns seriously. 

Its kind of like hiring a generic handyman to replan and do the foundation pilings of your house if they're crumbling. Sure they know a little bit about it and how houses sit on pilings, but they're not a qualified structural engineer to ensure the safety and longevity of what you need to solve your problem. Even a GP at the Charlie medical centre can give you a referral to a specialist - and most of them have information seminars to give an overview on WLS in general and what the options are. I know you can't make an appointment with Tim until you've been to a seminar

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Don't worry about a referral, most clinics have a GP on the team who does all the initial stuff. Have a really good read of lots of info before you make a first appointment, that way you'll understand and take in more at the time.

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Thanks I’m going to a Tim Wright seminar next week , found out I needed to add extras to my health cover so won’t be happening for a year but I s I’ll will find out what I can

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