Private facility to fund surgery / Insurance
had refused to pay for teen's bypass
By ERIC BERGER
Houston Chronicle StaffA local surgery center has offered to
donate a drastic operation that doctors say a 420-pound boy needs
for a chance at a healthy life.
Brandon Bennett is so big that he is not allowed aboard the rides
at Astroworld, and his school, Clear Lake High, routinely sends him
home because of high blood pressure and elevated heart rate.
The 16-year-old was scheduled to have a gastric bypass at Texas
Children's Hospital this month until hospital officials discovered
that his insurance company did not cover the procedure.
"This young man desperately needs this surgery," said Laurie
Cantrell, bariatric program director at Bariatric Surgery Specialists,
the facility that will donate the surgery.
Cantrell said the facility contacted Brandon 's family Tuesday
after an article in the Houston Chronicle on Sunday detailed his
health problems.
`Finally going to happen'
Pending a final medical review of Brandon 's records, she said,
Dr. Robert Marvin and an anesthesiologist have agreed to donate
their time to perform the surgery at Houston Community Hospital. The
surgery typically costs about $25,000 but can reach $100,000 if
there are complications.
Bariatric Surgery Specialists has done about 230 gastric bypasses
in the last two years, Cantrell said, but never on an adolescent.
Brandon 's father, Michael Bennett , said he has confidence in a
surgical team experienced in adult surgery because his son has the
physiology of a grown man. Brandon is 6-foot-2.
"I can't believe this is finally going to happen," Michael
Bennett said. "I didn't know people like this existed in the world.
This is wonderful."
The surgery is scheduled for the first week of November.
By electing to have the procedure done at a community hospital,
Brandon will leave a study Texas Children's is conducting to test
the safety and effectiveness of gastric bypass surgery in
adolescents and to create new guidelines for who should have the
procedure.
Until very recently, the operation, which carries a death rate of
up to 1 percent, was considered taboo by pediatricians. Their
attitude has changed as the problem of childhood obesity has
worsened.
As the costly surgical procedure has become more popular in
adults and children, insurance companies are beginning to end their
coverage, saying that keeping it in their general policies would
make rates prohibitive.
Heading to court
Cantrell said her facility, as well as other gastric bypass
providers around the country, is working with a "high profile"
lawyer to initiate a class-action lawsuit against insurance
companies.
Insurance companies say they prefer to wait for more evidence the
surgeries are truly beneficial for patients and are cost effective .
"There are ways to solve the issues and challenges that face us
in the health care industry without going through the court system,"
said Mohit Ghose, a spokesman for America's Health Insurance Plans.

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