- HEALTH TRACKER
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The entire staff at Cahaba Valley Surgical Group is amazing. Once I arrived for my initial consultation, the nurse seated my mother in a comfortable sitting room where I would return to watch an informative video. The nurse took me to weigh, get height and to check my blood pressure. I went back to watch the video with my mother and was put into a room promptly. Dr. Gardner came in and introduced himself. He gave very detailed information regarding his training and experience. He covered all aspects of the surgery including the risks. He explained what to expect during and after the surgery. I would recommend him to anyone in the Central Alabama area. They were very quick in sending me the medical records, and this was appreciated.
Latest Surgery Support Comments
Contact Beth Merchant at firstname.lastname@example.org to be added to the 2007 Bama Board Cruise -Carnival Connections- Board to receive regular updates on this event.
Welcome to my journey!
I am 31 years old, divorced with no children and have battled with my weight my entire life. I have tried Medifast, Weight Watchers, Diet pills, and physician supervised diets only finding myself to gain the weight back within the year. I have spent a lot of money on diets. For the past 4 years I have been researching Gastric Bypass Surgery, in addition to using other methods to lose weight. It's time to send in the paperwork for a consultation appt.
As of 12/27/04, I am 32 years old and have found an employment opportunity that has insurance that will pay for wls. I will begin my new career on January 17, 2005.
8/2/04 One of my best friends called me this evening and told me that she found me on this site. She is researching and hopes to be having the surgery too. Although she will be using a different doctor and hospital, I hope that we can have it around the same time. We are so much alike, it is scary.
8/3/04 I have had a wonderful day. My PCP wanted to see me before she would write a referral letter for the wls. I made an appt yesterday afternoon and met with her this morning. She did an EKG, blood work and is in the process of checking my cholesterol. The results should be back in 2 days and she will write the letter.
8/4/04 My PCP's office called to say that all lab work came back fine. However there were traces of protein in the urine which could mean a sign of diabetes. Not a good sign. I have my consultation tomorrow morning!!!!
8/5/04 I had my initial consult today with Dr. Gardner at Cahaba Valley Surgical Group. He is such an awesome Doctor. Made me feel very comfortable. I know that I have chosen the right Dr. & Surgical Group.
8/9/04 I couldn't stand it any longer. This entire weekend, I have prayed and prepared for an appeal if my insurance denied due to the exclusion. I made up my mind that I would call the insurance company this morning. I called Anthem Blue Access and explained that my surgeon was sending a letter. Would they cover the Gastric Bypass Surgery for Morbid Obese patients with a BMI of 50. I was put on hold and waited for a couple of minutes. When the girl returned she explained that if my surgeon used the diagnosis for 'Morbid Obesity', that it would not cover the surgery due to the exclusion. They have also not received the paperwork from Dr. Gardner's office yet.
Dear God, I need a miracle. Amen.
8/10/04 I felt like my insurance company was missing me, so I thought that I would give them another call today. (I've always heard that persistance pays off). Well, they still have not received my doctor's paperwork. Jennifer at Anthem stated, 'well you just called on 8/9 and your policy has an exclusion' (ya'll know the spill). Again, I explain the way that I felt about this being very nice about all of it. After all, today I received an e-mail back from my HR department saying that they could do nothing about the exclusion.
8/11/04 I was denied
8/13/04 A little off of the subject... I have been traveling for business this week in the Tampa, FL area. I was able to speak with Ivy at New Port Richey Community Hospital who gave me some fabulous information in reference to dealing with my insurance company, etc. Anyway, my trip was cut short due to Hurricane Charley that came in today. I had traveled to Orlando yesterday to spend the night and was able to fly out of Orlando into Bham later this afternoon in order to beat the storm. My prayers go out to all Floridians who are toughing this one out.
8/16/04 I am still working on the appeal for Anthem Access of KY. I did get my medical records today from Bariatrics- Medifast at Brookwood & from Dr. Gardner's office (surgeon). I could not believe that in 2 months when I did Medifast, I paid over $800 on that program. OMG. That is ridiculous. And I AM NOT made out of money.
8/20/04 I am still in the process of gathering information for my first appeal. I received a call from my PCP, and I have a sleep study scheduled at Shelby on Oct. 1st. Anything to provide supporting evidence for this procedure. I hate to admit that I snore- but I also have a difficult time sleeping too. Last night I woke myself up from snoring. I have almost been working on this entire process for a month, and still have not received the denial letter from the insurance company. Maybe I should give them another call.
8/21/04 I am exhausted. Exhausted from working with the insurance companies. I am still waiting to get medical records together in order to file an appeal. At this point I do not know if I should keep fighting the insurance or find a job that has better insurance that will cover the procedure. I am looking at all options.
8/24/04 Today was just horrible. I was returning from my business trip and at the airport. A Representative from Southwest Airlines came up to me and asked me if I was aware of their policy. If you can not fit into an airplane seat and lower the armrest, you have to purchase a separate ticket. She took my boarding pass and I had to purchase a second ticket. She already knew that there were going to be plenty of seats open (40 of them to be exact)- but she still put me through the ordeal of this. I have flown 8-10 times in the past 3 months and this is the first time in my life I have ever had to be a second ticket. Southwest Airlines is not on my good list right now.
8/29/04 On Friday, I received yet another secured E-mail from Anthem insurance. I am not able to receive e-mails because of the unsecured access, so I call Member Services. Upon reaching member services, I was transferred to a supervisor, Ms. Hornback. I was wondering why I had not received an official letter of denial. Ms Hornback searched the computer and told me that she did not see where a precertification request had ever been sent in to the insurance company. She put me on hold and came back to tell me that my case was one that she reviewed this morning and she forwarded it to review immediately.
8/30/04 Called Anthem today at 3pm to speak with the supervisor since she had promised that she would follow up with me today. She was not at her desk, so a message was left. I pray that my patience pays off!
~~~~Dear God, Please fight this battle for me so that I can use my energy on You! A-men~~~~
9/1/04 Happy September!!! I am starting this month off on the wrong foot. I called in sick today. I woke up this morning with so much acid in my throat that I thought it was going to be a hole inside of me. I am going to a new Primary Care Physician today and hoping that she will will do a work over on any potential health conditions and support the wls as well. I still have not had any luck with Anthem however, I feel like this is going to be my month. With God ALL things are possible!
I am back from my doctor's appt with Dr. Walters. It was my first time seeing her and I really liked her alot. She has me scheduled for an abdominal ultrasound and chest x-ray tomorrow. Then next Thursday, I am scheduled for an echocardiagram.
9/2/04 I had my ultrasound and chest x-ray today. I am sure it will be a few days before I hear the results. Anthem called me this afternoon and advised that the review board had denied my original request for the gastric bypass surgery. I asked why? She said that the surgery excludes treatment of obesity. I explained to her that my diagnosis is 'Morbid Obesity'. She said it was the same and they didn't cover it. I explained again that if they weren't going to cover Morbid Obesity, they should have stated it in the exclusion. She kept arguing with me. It was pointless. I have never felt so powerless before in my life. It reminds me of that Capital One commercial where there is a boss doll that says NO.
9/3/04 I went back to work today. I still felt bad but I needed to be back. I have only called in two times in the past 5 years and I hate to do it.
9/5/04 Well it's official. I have received my formal DENIAL letter from Anthem. What was supposed to take them 48 hours took them 22 days. I have a 240 page appeal letter ready to send out. I am still deciding if I need an attorney at this point.
9/8/04 I mailed my appeal packet off to Anthem today with a HUGE PRAYER. It was 240+ pages. KY Dept of Insurance was also mailed a copy.
9/10/04 I tracked the package to the insurance company and it was received today. So according to my certificate of coverage benefits book, I should receive a decision within the next 30 days. My echo on Thursday was ok. It wasn't what I was expecting. They have to put a lot of pressure on your chest so that the probe will separate your ribs in order for it to take pictures of your heart. It took my breath many times. I can deal with pain too, so I was glad to get this test over with. I pray that the results come back with good news.
9/13/04 I received a letter from Kentucky Department of Insurance today. They are going to review my policy to see if the procedure is excluded from the plan and will get back with me. I pray that they get into the technicalities of obesity vs morbid obesity.
9/14/04 I received a BLESSING today. Thank you God! Thank you all for praying for me!
9/20/04 Wow! Hurricane Ivan was something else! I left on Wednesday (9/15) and went to my Dad's. That's when the party started! It didn't end until last night when we had the 'End of the Hurricane' Dinner. Our lights went out at 8:00 on Thursday morning and came back on yesterday about 1:30. My family got together and had a great time of fellowship. I definitely did not want to come home last night.
9/21 Happy Birthday to my ex-hubby!!!
9/22 I called Anthem today and was advised that they mailed out a letter yesterday stating that my appeal had been denied. My next step is an external review. I am keeping my fingers crossed.
9/23 I received the denial letter today and Anthem is not offering me an external review. They only advised that I could request a review by the KY Dept of Insurance. That is my next step. I do not know if it will help, but I will do it. TOMORROW IS FRIDAY!!!!
9/26 THE FIRST ANNUAL BAMA BASH was so much fun! I met so many wonderful people from the Alabama Board. The hard part was people had done so wonderful on their weight loss, they didn't look like their posted picture on the site. It was so motivational to speak with the losers. I spent 4 hours talking to the pre and post-ops as well as their families. I met some great people yesterday; people that I can call FRIENDS!
9/30 Here it is the last day of September. I was really hoping that this was going to be the month that I got approved, but it just isn't time yet. What is the greatest thing that happened to you this month? I would have to say that it was the time that I got to spend with my family the weekend that Hurricane Ivan came through. We had a good time in a bad situation. I have always been close to my Dad~ however spending this time with him just reminded me just how important our parents are. And how valuable time is.
10/1 Wow!!! I came home from work today and my mail box was full of support e-mails. You all know that K-Man had something to do with it. He is such a true friend. There are so many 'good people' here on the OH site. The kind words that everyone shared with me today will never be taken for granted.
I can't wait to share the news when I am approved. The only way that I will not be approved is if it IS NOT God's will. That is the only way. I have too many prayer warriors out there fighting for me.
10/2 What a beautiful Saturday!!!! The apartments that I am living in is getting a complete outside renovation. YEAH!!! They are putting in new windows today. I am looking forward to the entire project being completed. It is going to look so great.
10/5 I went to the Comedy Club tonight to celebrate my friend's birthday. There was a group of us and we had such a good time. They had about ten different comedians and they were all so funny. Well one got carried away with some rough language ~ but overall it was a good show. Nothing like getting away and laughing your head off every now and then.
10/7/04 Tomorrow I am having gall bladder surgery at Shelby Baptist. My family is more nervous than I am. I have so much to do before I leave tomorrow morning at 5 a.m. That is so early. I know I am going to feel better though.
10/12 I just want to say that Dr. Gardner at Shelby is the greatest. I was at such ease with my gall bladder surgery. My case was a very difficult one. I had only planned on being an outpatient. My gall bladder was full of gall stones and was infected. It was still done laproscopic, but I had to be put in the hospital for a day. I had the dreadful drain. This was the worst part. As soon as Dr. Christopher's assistant moved the drain I was so much better.
10/16 I came back home today after spending the week with my aunt. My incisions have healed up very well. I have one spot that I am having to monitor closely. I am having to catch up on the boards and read my mail. So much can happen in a week.
10/18 My nephew is walking!!!! I talked to my sister today and she said that he started taking steps (up to 12 steps). Yeah. He will be a year old next month.
10/20 Today is my last day off of work. Thank goodness there are only 2 days till the weekend. LOL. I had a really great day today.
10/24 Where do the weekends go????? I went back to work on Thursday to try to get back into the swing of things. Friday went ok too. But once Saturday started, Sunday was over! I went to my Dad's house this weekend and spent some quality time with my family. We went to a 'Stone Soup' Party and met with different people in the community. Today my Brother & Sis in law came down from North Alabama.
10/27 I am still patiently waiting for a decision from the KY Department of Insurance. I have time though.
10/31 Well, I didn't dress up. But I did win a Wet-Dry Shop Vac at Bingo this weekend at Randolph School. Yipee! I love to win.
11/1 Today I visited Walter at Shelby. He is in ICU due to having to be readmitted from his wls last week. Walter was such an inspiration to me tonight. After everything he IS GOING THROUGH he said that he would still do it over again. His chance of living was just as good as dying - and he would redo it. That means that my fight is worth everything that I can put into it. If God makes the way, then I can walk it.
When I visited Walter tonight, I took him a print out of a support page from OH members. There were 115 responses in the card that I made for him. I am so excited for Walter to see the support of the great group on this board. I really hope that he will join us as soon as he is back home.
11/7 I am back home after a great weekend at my Dad's house. Yesterday we went to my sister's, her husband & baby's home. Their Baby turned 1 year old yesterday. I had a great time spending the rest of the weekend with my Dad & my aunt. I love being in the country. There are so many deer this year and I see so many of them on each of my trips home.
11/11 Happy Veteran's Day!!! And actually today WOULD HAVE been my 3 year anniversary. I have done a lot of reflecting on the past today. I have thought about what all I have accomplished as well as the hardships that I have endured. I will always say that God is so good. He has made me a stronger person even though I still don't understand some things. I know that God has a great sense of humor and one day I will understand.
11/13 Today I received a gift from my secret Pal!!! Thank you Secret Pal for the inspiring card and beautiful Harvest Scarecrow candleholder. This means so much to me. The Scarecrow also has a special meaning for me.
In 1999, my best friend & her daughter was killed in a car accident by a drunk driver. About 2 weeks before she died she sent me a card thanking me for a gift and told me that 'the scarecrow' was Dorothy's best friend in the 'Wizard of OZ' and I was her scarecrow.
I have the candleholder on my mantle in my living room to enjoy throughout the fall season. Thank you so much for your loving thoughts and THANK YOU FOR BELIEVING IN ME!!!
11/14 ***I am an Angel!!! Friday, Mela Abaied is having surgery and I am honored to be her Angel. I am so excited for Mela and hope to serve her well.
11/17 Everybody PUSH (Pray Until Something Happens)! I called the KY Dept of Insurance yesterday and was advised that my case has gone to their attorney (they only have one) to review. Once the attorney makes their decision it will come back to the review dept and if they disagree with the attorney's decision they can change it. I still have faith that if wls is the right thing for me that it will happen.
11/21 Wow!! I had a great weekend. I went to a Mary Kay party Friday night, watched the Auburn & Alabama football game Saturday, and went to a Christmas auction this afternoon with my family. I am so excited about Thanksgiving and being able to go home and enjoy it with my loved ones. I hope that all of you share your special day with a special someone too.
11/22 I received a gift today from my secret pal along with a beautiful Thanksgiving card. He/She sent me two colorful notepads. Each was in the shape of my initials. (Thank you Secret Pal). This is so much fun!
11/28 I had a wonderful Thanksgiving with my Family. I spent the entire weekend helping my aunt with the auxiliary's project at the Nursing Home and shopping. I am looking forward to the OH Birmingham December Dinner that is coming up this Thursday. We have 18 people coming so far. It is going to be a great night out.
11/30 I still do not have an update on the insurance status. I am waiting patiently and working on other alternatives. Please keep praying for me. Today is the last day of November and I have so much to be thankful for. This month I have talked with so many people via e-mail from the Bama Board while preparing for the Dinner coming up on Thursday night. I have really enjoyed getting involved with this great group. I can not believe that December will be here TOMORROW.
12/1 Happy December! This has been such an awesome day! First I received a job offer from a great company. It is pending a screening so I am waiting for the final thumbs up! I have had so many wonderful people praying for me.
When I arrived home tonight I had THE LETTER. It was the denial letter from the KY Dept of Insurance. Which is ok by me because I will not have this insurance for long.
God will open the door if it needs to be opened. Just be patient.
12/2 Wow! Tonight was the Birmingham Christmas Party at On The Border. We had 19 people to show up and I had a great time. I can't wait for Paperdaisydog to send out the pictures. Everyone is going to be so surprised to see how the members have changed during their journey.
12/12 I am Kristy P's angel! She has received her surgery date of December 28th. I am so excited for her.
12/16 I had dinner with D M tonight at Outback. It was great to see her again. She is looking so wonderful since I had seen her at the Bama Bash Picnic.
12/22 Last night was the OH Cullman dinner. Dolores, Diane & Sandra rode with me and I had such a great time. I was able to meet so many of the legends on the board. Even Mary Mapes was there. Thanks to Stephanie for putting this together. It was so much fun.
12/27 Wow! I had a wonderful Christmas. As I left Thursday (23rd) to go home for the holidays, I checked my mail and found that I had received a job offer that I have been working on for several months. I will begin my new job on January 17th.
12/28 Kristy P had her surgery today at Princeton. I had dinner with one of the most exciting and fun people I have met, Pruetty Chic tonight. We visited Kristy afterward. Kristy was doing well and hopes to be coming home in 2 days.
1/1/05 I have started out 2005 by spending it with my Dad and Aunt. This month I have the Birmingham Dinner, The OH Convention in Atlanta, I start my new job, and I am going to Glenn & Brenda's for Dinner on Jan 24. This board has definitely given me a social life.
Happy 2005 everyone! I definitely believe my surgery is just around the corner.
1/4 Only 2 more days until the January Dinner in Birmingham. There are close to 30 people coming and I am so excited. There have been a lot of new faces on the board in the past week. I can't wait to meet all of them at our activities.
1/10 We had an impressive number of members at the Birmingham Dinner on Thursday Night. There was a total of 36 people there. Playing the White Elephant Gift Exchange was a lot of fun. We had several new members. Between all of the OH Members there, there was a loss of 2076 pounds total. UNBELIEVABLE!
1/15 Today was the convention in Atlanta. It has been so much fun. There were over 150 people here. I roomed with Dollie-Girl, Pruetty Chic & Tina I. Can't wait to share the pics.
1/18 My new job is going GREAT! I have so many new things to learn. It is overwhelming right now. I will just have to take one step at a time. It is all going to be great once I understand all of it.
1/19 HERE I GO!!!!
1/24 It has been such a busy week. On top of starting a new job (which is fabulous), I have had a family Christmas Party (in January) and had an OH Dinner at Glenn's house last evening. There were over 40 people there and they have a beautiful home. They did so much to prepare for everyone.
1/27 I had a follow up appointment with my doctor and we talked more about my supervised diet. I explained my insurance and she just loves the fact that I have to try to be a FAILURE in order to get the wls - and this is even after an adult life of morbid obesity. My motto - "You have to be a FAILURE in order to be a LOSER". Folks, this is exactly why we have to have a psych consult for this surgery.
The best thing that happened to me this month: Starting my new job on The Farm :)
2/2/05 Happy February! Life has been coming at me very fast. I have the Birmingham Dinner tomorrow night at O'Charley's and am expecting about 20 people. That is about the number I had at the first dinner. Pruetty Chic is helping me out with some of the details.
My new job is going great. I am loving every bit of it. I have a lot of studying to do -- Education never goes to waste.
2/7 Life is still beautiful. I have been very busy though. Since I have been on a diet for the past couple of months- I knew that I needed to increase my activity. Well Friday, I pushed myself too far. I walked around the building and took a flight of stairs. My breathing got really bad. I was wheezing and grasping for whatever air I could find. Very embarrased - and hoped that I could make it to the bathroom before passing out. I went to the doctor yesterday and have now been referred to a pulmonologist. I will go there in about 2 weeks. This was really scary for me. I don't want to get SICK! This diet is not working well- I am only down just a couple of pounds. I know the lack of exercise doesn't help any, but I am trying.
2/15 This has been such a busy month. In the midst of my supervised diet, I have been to the doctor and found out that I have asthma and am being treated for that. The steroids is causing me to expand and my feet swell. However - I can breathe and God is good.
2/22 If you are reading this, I hope that you have a few extra minutes to write some letters. Please help those of us who have not had the surgery yet. The fight with the insurance companies is critical. I need your help!
George W Bush
Governor Bob Riley
Lieutenant Governor Lucy Baxley
The Honorable Jeff Sessions
The Honorable Richard C Shelby
Alabama Dept of Insurance
2/28 Today is the last day of the month. It has been so busy. Diane, Lindy, Dixie & I started planning for the 2nd Annual Bama Bash at Oak Mtn State Park. I would like to say a BIG THANK YOU to all of the Members who were so generous with giving door prizes and donations for this event. It is going to be so much fun!
3/1/05 I PASSED!!!! I am so excited. On Feb 16th, I had to take the SC Adjusters Exam. I found out today that I passed! Praise God - HE is SOOO good!
Please continue to pray for me. This could be a miracle!!!!
3/7 I received an answer from my employer. They stand behind BCBS's guidelines. So as it stands right now, I still have to have all of the requirements completed before I can move forward. I am going to see my surgeon on 3/24 to have him submit all of the paperwork so that I can get in writing what needs to be turned in for approval that I do not already have.
3/15 I feel like I am putting on weight and not even trying to.... I weighed today and it shows that I have gained 10 lbs in the past month. My doctor is going to kill me. I have been walking what amount that I can but my weight is still going up.
3/21 It has been a rough day. I feel like my brain and my feet were going forward, but there was a rope around my waist holding me back. Of course it has been a Monday. While some things get difficult at times - I know that "this too shall pass".
3/22 There has been so much going on that I just can not keep up. Since I have been working two jobs, I found that I was not being any help to the group planning the Bama Bash. I did not feel like it was appropriate for me to receive any of the glory for the hard work that the two ladies in Opelika have done. Unfortunately, because of this and other reasons I had to pull away from my obligations. Kudos to thosewho are working & contributing to the Bama Bash to make it a huge success.
3/28 I had a follow-up review appt with Dr. Gardner on last Thursday, 3/23. Our visit was just like the first - reviewing the film and discussing the surgery and the complications. I explained to him the new prerequisites that the insurance requires. I still need to get a psych eval. I am a little confused about where I stand at this stage in the game. After going to my 2nd full month supervised diet visit, I was just ready to get back to work and forget all of the hooplah. I know that in God's timing, it will be.
4/6 Happy Birthday Dollie-Girl!!!!
April is flying past me and I have yet to post. It is a very busy week. Saturday is the infamous Bama Bash. Lindy and Dixie have worked SUPER HARD in making this a special event for all of us. All of you have donated and given unselfishly to help them with the planning. Now it is time for us all to go and enjoy. I can not wait for the Secret Pal reveal!!!
As far as an update on me... I have a sleep study scheduled for May 1. Still waiting and fighting.
4/9 Yesterday was the BEST BAMA BASH!!! My Dad and Aunt came up from the country and I was able to spend the day with my closest friends and their families (Diane and Dolores). I had been looking forward to the secret pal reveal ever since it started. I was the secret pal to Dolores. When I found out, I began the monthly Bham dinners and she came to the first one. She, Diane and I became very close. We went to the OH Atlanta Convention and roomed together. We went to support groups together, shopped together, dined together and even visited each others homes. I carefully had to plot where I would send her gifts from because we share the same zip code. Fortunately I was able to send the gifts from my Dad's address. There was even a couple of times that she visited my home (ex. Valentines Day) and I had the gift laying on the table. It was a spur of the moment visit and she admired the gift. So I was able to do some more shopping. Our friendship became so close I had to be careful what I had lying around. LOL. There are so many fun moments... for example when we were in our hotel room in Atlanta, I had the hotel to bring a gift up to the room for Dolores... she was so excited to know that her secret pal was there in Atlanta. Little did she know her secret pal was also in the room with her.
4/24 Thanks to those of you who have kept in touch with me via e-mail the past couple of weeks... Dollie-Girl, Diane, Elle, Amanda Sawyer, Tegan Angel & Susan SP. Your kind words and thoughts really mean a lot to me. I have been very busy and continue to work the two jobs. I have tried to stay away from trouble and lately that appears to be the board. I will be back when things get back to the purpose and reason for the board. I am presently waiting for the insurance to make a decision regarding the surgery based on the information that I sent to my employer last month. My surgeon has also sent in a packet. It will definitely be worth the wait.
5/5 I submitted a 12 month diet that I did in 2001 to BCBS of IL (which is one of their requirements) and they denied stating that it was not enough documentation - although the doctor did notate the weight that I lost and that I was exercising (walking) it was still not enough. I can appeal and my health insurance is an ERISA plan.
I went for a sleep study Sunday night and went back for the results today. I do have Mild-Moderate obstructive sleep apnea. I hope that these records may assist in the appeal that I send in to the insurance.
5/20 Wow! I am going to have to do better than this. I haven't posted in a while. I am getting back on my band wagon. I went for my 4th month weigh in and lost 4 lbs this month. I have my psych eval with Craig Boden at Freeman's Office on Tuesday (Yeah)!!! Once I get the records from this, my sleep study, my proof of asthma and sleep apnea and my weight records for the past 4 months to go along with all of my previous weight loss history- I am going to submit my appeal to State Farm and pray for a miracle. I know that it can happen.
5/22 On Tuesday, I will have my psych consult with Craig Boden at Dr. Freeman's office. Once I get the results from that I will prepare my appeal to State Farm/ BCBS of IL. I will continue to keep my eyes on the prize....:)
6/12 Happy June! Sorry it has been so long since I updated. My Dad and I went to Bloomington IL this past week for my job where I attended a class.
While there, I handled what I set out to do. I presented my 200 page appeal to my employer. In the next 60 days, My employer will reply with their decision.
I know that there have been a lot of prayers going up for me. I feel that I presented my case well and know that from here out EVERYTHING is in God's Hands!
I had a lot of time to talk to my Dad this past week about the surgery. He even helped me get my appeal ready. We talked about the risks and what would happen in the worst case scenario.
He knows how bad I want this as well as need this.
Please keep the prayers flowing. I only want this if it is the Lord's will. With God, ALL THINGS ARE POSSIBLE.
6/21 It has been such a busy weekend! My nephew Jake was involved in an ATV accident on Friday afternoon at 1 and was taken to Children's. On Friday, he had 2 brain surgeries and they were not expecting him to live. After the second surgery, and inserting the trach and putting him on a vent, his condition improved and they had a third surgery on Saturday morning. Since Saturday, Jake has made a miraculous recovery. Today they removed the paralytic meds and he began to respond to pain. In a couple of days that will reduce the sedatives and begin to wake him up.
6/29 Jake is going home tomorrow. He has had a miraculous recovery and will be put into the Childrens Hospital 'Book of Miracles'.
7/1 Happy July!!!!
7/12 I called the benefits office today and was advised that my appeal goes before the Formal Appeal Committee next week and I should hear the decision shortly afterward. I have worked so hard in making my case, and there have been A LOT of prayers said for me and with me. I am hoping that next week I will have wonderful news to share.
7/14 Last week I paid a visit to the doctor that I used to see when I was married. During 2001 I was on a one year supervised diet and BCBS had recommended that I visit the doctor to get him to provide more supporting documentation because the medical records did not seem to provide enough.
7/19 It's Tuesday. This week I am waiting to hear about a promotional opportunity at my current job and the decision of the appeal that I hand delivered. I sent an e-mail to our benefits department this afternoon asking for a status. I am keeping my eyes on the Prize. God watches out for me and I know that if it is His will - this will be. I can't wait to let you all know the update.
7/20 I found out that the appeal committee meets tomorrow. Benefits told me that they should be in touch with me the first of next week. I will be in touch with them on Friday. (Praying)
7/26 My employer and insurance company will not disclose their decision over the telephone. I will have to wait for the letter to come to me by mail. So I patiently wait, claiming my approval.
8/1 I received my letter from my employer this evening. They agree with BCBS and denied my request to have the gastric bypass surgery. Reason being that my 12 month failed diet was completed in 2001-2002 and they require it to be covered the the past 24 months.
11/18 I am about to complete my 10th month on the 12 month diet. I will be making that visit next week. I am really looking forward to being able to resubmit my paperwork to BCBS in January. I sat down with my boss today and explained that I was planning on having the surgery and prepared her for a 2 week absence in January/February. I am really glad that all of the holidays are here and maybe that will keep my mind occupied until the time comes.
11/29 I finally made it to my 10 month weight check yesterday. Due to the holidays and illness I had a hard time getting into see the doctor.
12/14 I am working on my paperwork to send to BCBS next month. I will be going to my 11th doctors visit on Friday at 2:30. I might just have to bump up that 12th visit from 1/27 to 1/16. It is only 11 days difference.
12/18 I had a wonderful Birthday. Yesterday, Diane (Pruetty Chic) came to see me. She had really outdone herself. She had bought a gift for me for each hour that we were able to spend together. I had such a hard day on Friday and was a bit down in the dumps. Just being able to get out and spend time with her was the best gift of all. Sometimes the business of life takes our attention away from the people that do so much for us.
12/26 I hope that everyone has had a wonderful Christmas. I really had a nice time with my family and even went to some of the After-Christmas sales today. One of the good things is that my family celebrates Christmas around the first of the year. So it is always fun shopping at the after-Christmas sales.
12/27 Today I received an e-mail from Kristine who also works at the same company that I do. She received notification today from BCBS of IL that she had been approved after doing her 12 month diet.
12/28 On Monday, Jan 2 - I will go for my 13th visit (12th full month) of dieting as required. I did go to the surgeon consult (for the 3rd time) today. These are the last two steps before I resubmit my paperwork. On Tuesday, the mail will send all of my documentation to Dr. Gardner's office so that Susie can attach them with the surgeon's notes from today. They will then be sent to BCBS of IL for review.
12/31 It's the last day of 2005! This has been a very good year for me with my new job. I am very happy in my position.