Topic: RE: HEART BROKEN
As Kat said the alcohol must stop and stop now. You know alot of people think that this surgery will make a bad marriage good. There were issues when you had this surgery and it just made things worse. I suggest a couple of things 1. go to a county clinic (mental health) not sure if you take meds for you bipolar disorder and get looked at. 2. get in to some couseling. you need it.
3. STOP THE ALCOHOL. IT ONLY NUMBS YOU AND DOESNT MAKE THE PROBLEM ANY BETTER. ( I wont give it too you nice a sweet. This does not require nice a sweet.)
4. get off you butt and go to edd ( unemployemnt on Monday) get help looking for work. 5. go to department of social services to apply for assistance. if you or in your marriage you particiapted and paid into some system hopefully you can get something back.
So, get up get moving and do it. If you think it you can do it.
I am full of tough love. You need to do these things for yourself. These are suggestions and I hope that you see fit to follow thru.
Too many times suggestions are made here in situations like this and the person does not follow thru.
I wish you the best. Hope you can come back with a glimmer of hope.
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: Day 1 of the 5-DPT!!
I have had 3 protein shakes today some broth at lunch. Water WAter WATER AND MORE WATER. I just had some egg drop soup. I kinda fell off the wagon there with the dinner soup. I am so full I feel like I may just explode. I was sooooooooooooooooooooooooooooooooooooooooooooooo Startving. I drove the girl to the airport again she is on her way to Seattle. No school for her this week they are on break. I ran out of my water 2 bottles 32 oz each. But boy I also had to peeee.. Traffic sucked too...
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: 5-DPT Starts Monday!!!
I am on for it
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: I'm going for a bike ride...
Went on a nice 27.8 mile ride today. It was really nice and HOT!!!!!!!!!!! Started at 0700 and finished at 0945.
Have fun.
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: Any one from the AV??
Me. I work at lch too.
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: LEts wish Our own little LULU Happy Birthday
I am surLuana had a great day off. Knowing her she found a friend to go on a walk or hike. I hope that maybe she went somewhere and brought a picnic lunch and totally enjoyed the solitude. She is my soul sister...you know like the sister I have never had..
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: WOW
An oldie checking in with another oldie!!!!!!!!!! How are you doing?
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: constipation advice, please
Cindy,
Do not take that Cuz you may pooooooooooooooooop for ever. NO seriously you dont want to risk it. I had pts take 1 -2 tbsp magnesium citrate just like Darlene said... Increase you liquids,
You can drizzle a bit of olive il on your veggies. you can also get flax seed oil and put into your protein drinnks.
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: MOMO went HOME !
You know Ronda I know someone who forged forward with faith. 4 years ago. When I was going to Hawaishe to run the first Marathon I was talking to a fellow OH'er and she sadi I need to get a life. I told herr to come with me. she and I met maybe very casually at a party. Said maybe 5 words to one another. We would talk back and forth on OH. So with that being said Luana came on faith and we have been close friends since. She is the sister I have never had. So I do understand. MoMo is that special person that has come into your life.
Glad you had a good time.
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: I am a marathoner!
Congrats and welcome to the club. That fwy was pretty tough as well as the nature preserve over by sea world. Ithink that was the worst part for me.
COngrats
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: Miracles do happen!
Lena,
Wow that was awesome. You said it all. Anyone who has come from where we were and to do what you and the rest of us has done knows what you are saying. The generosity of strangers out there banging pots and pans together sititng outside there house cutting fruit. Knowing you are running in areas where bad things happen at times. Again the humanity out there. My god you said it so well I cant say it enough. Reading this I had tears streaming down my face. I felt every step with you. I wanted to be out there with you that day so bad. Again so very very proud of you. The picture speak more than 1000 words. You are a true hero. Know one thing that have joined an elite group. Those who have run marathons are less then 1% population of the world.
Lena my friend you are now an ATHLETE and a HERO.
Well, with that being said I left my house this moring a bit after 5 a ran for 3 miles. Decidede I need to run LA next year 25th anniversary baby.
Congrats.
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: Good Sunday Morning
I am up too can't seem to sleep. Today we are having Lindsey's graduation party. You see we only get 5 tickets and need minimum of 12. So that no one gets hurt feelings like my mil we are having a luncheon out in Simi Valley today and that way we only bring our immediate family.
That is my day its also windy out here I thought maybe Iwould ride in an hour for a bit but, do not want to deal with the wind.
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: punched in the gut...or something just as pleasant
Call to the doc is in order. you could have an ulcer do not mess with it. all the answers we give ate great but see or call the surgeon.
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: I could not be more bummed out!
:( crap. that sucks. My hard drive crashed about 2-3 weeks ago. It was still working so I went to the store and got one of those external hard drives that like a trilabyte. I took all my phots and put them on there....Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: why is my protein shake making me sick?
1. yes you could be dumping
2. you may also have become lactose intolerant.
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: magnesium caltrate
Ok listen to me . This is how I tell the patients to take it. Get it very cold. Put it over ice and then use a straw to get past the flavors. You just gottat get it gone. this is the last carbonated drink you will have. dont enjoy it but slug it back
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: Happy TGIF GAng
Sorry I missed your anniversary. Hope that you are feeling better soon. That would be great not to have to drive into BH. I hate driving there. Yuk. As for me its work. Its been pretty stressful so looking forwarde to that. to be done. After work off to DMV its that time to renew. SO its real wt and new pic. Out for a nice dinner with hubby and probably Lindsey.
Then, tomorrow up before the b ut crack of dawn. We are going to ride around lake elsinore up into glen ivy and then to a car show in lake elsinore. we are hoping to start our ride about 5 or 530. we both have lights and tail lights too.
Early moring bike ride on sunday and then some laundry..
Have a great day and to all stay hydrated and be good to yourselves.
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: HELP! TRIWEST - CA does NOT COVER LAP FILLS?
Well, this is what i can tell youYou shouel contact Lauries office they have been paid for the surgery and you should at least be covered under the global period for the surgery within the first 90 days. I suggest you call and ask to speak to the office mgr. I think his name may be David. They got paid they need to more than likely cover you for the 90 fay globabl period..
Good Luck
Liz
.
Adjustment of Gastric Band after Bariatric Surgery
Bariatric Surgery falls under a Medicare National Coverage Determination (NCD 100.1, ref. 1.) All bariatric
surgeries which are payable by Medicare must be performed in an approved facility. Gastric banding (e.g. “Lap
Band”) is one of the covered types of bariatric surgeries. There are a series of specific CPT codes for gastric
band placement, revision, replacement, port removal, and other related surgeries (CPT codes 43770-43774 and
43886-43888). Specific local coding guidance for bariatric surgery is provided in NHIC’s Local Coverage
Determination (LCD) for Bariatric Surgery (ref. 2). This guidance provides details of coverage which are not
available in the NCD.
Gastric Band Adjustment
There is no specific code for an adjustment of the gastric band. Note that within 90 days of the original surgery,
adjustments fall within the (bundled) global period for post-operative management. There is no separate new
payment for staged adjustments that fall within the surgical global period.
Medically necessary adjustments outside the 90 day global period may be coded with CPT code 43999, unlisted
procedure, stomach. State "Gastric band adjustment” in the comment field for this unlisted code. Do not use
CPT code 90779, because this code is specifically for “intra-arterial or intravenous” injections.
Fluoroscopic guidance, if used, may be coded as CPT code 76000 {Fluoroscopy (separate procedure), up to 1
hour physician time}.
Evaluation and Management (E/M) associated with Gastric Band Adjustment (43999)
An E/M service may be charged (using modifier 25) if it is separately identifiable from the actual adjustment. For
example, an appropriate evaluation of the patient’s new complaint(s) or management issues, interval history,
physical examination, medical decision-making, etc, is payable along with the adjustment procedure itself. If the
patient had such a visit and decision-making previously, and is simply returning for the procedure, a separate
E/M service should not be charged.
Editing of Gastric Band Adjustment (43999)
Claims for gastric band adjustment are not edited as stringently as the primary bariatric surgery. For example,
the site of service does not have to be a bariatric-approved hospital and the ICD-9-CM code(s) may be different
than the original surgery (for example, the patient in question may no longer have symptomatic diabetes as he
did before the original surgery one year earlier.) Gastric band adjustment is not part of either the NCD or LCD
on bariatric surgery, and therefore reasonable community standards apply for medically necessary adjustments
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: Congrats! Candi and Cyndi!!!!!
COngrats to you Candi
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: Happy TGIF GANG
Janine,
Good Morning. Have a safe and uneventful surgery. You know I wish you well. Take care and you will do well.
Hugs N Love
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: OT: Check out what I just won
Congrats hope you have fun. My daughter watches that silly show he is on with the plastic over inflated bimbos it sporbably but the show but I find him ick!. Hope that you have a great time.
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: Genetics Appt at Stanford..
Jenn,
I have a nieve with Turners Syndrome. She is short for her age. She has done growth hormones. She goes down to Childrens Hospital in LA. They have told my brother and his wife that she is probably sterile. She is now a sophmore in high school. They screen her for cardiac problems and renal problems. I hope that all turns out well for Chloe.
Hugs to you
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: Finally- ONE-DERLAND!
yipee! I am so thrilled fot you..
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: RE: Yea . . . it's Thurday Cali!
Heather,
I should ride my bike to your house. I live in Palmdale. I have been saying I am going to ride to wrightwood. It cant be as bad as riding up the road to the Punchbowl! I will think about this and venture out. Not sure when but I am thinking about it.
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
Topic: Update on Lu's sister DD
Hey sorry I am not typing this until now. I spoke with Luana last night. DD had a bunch of tests done last night and they are still observing her. They have not taken here back to surgery yet to fix the aortic dissection. This is below the original site from December. The big issue is DD's lungs. As Luana stated to me the tops of her lungs are dead. So we talked and I did tell her to ask the Dr about maybe pulmonary rehab to help get the lungs stronger.
Luana really sounded exhausted last night when we spoke. Please keep them in your prayers and thoughts today.
Liz
The future belongs to those who believe in the beauty of their dreams.
Liz
