Well, I am going to go to see a cardiologist on Sept 10. The insurance is got me in the catagory of being not medically necessary beacuse my symtoms are being controlled by medications. I guess it does not matter that they are starting to affect my liver and who knows what else. And they have a big thing about you need to have heart issues. Well how can they think that some one who has all the medical issues I do and a BMI and weight as me, not have heart issues? I do have a family history of heart issues, so I hope that a recommedication from a cardiologist saying that it is medically neccesay will be what they need to finally approve me. I am so angry about this. I should have had this surgery back at the end of 2oo7. I should be 2/3 of the way to my goal by now. But instead I am in even worse condition than ever. AAAUUUUUGGGGHHHHHHHHH!!!!! Oh well, I can only go foward from here. I hope this will do it.
I am still trying to get approval for GBS. I will be filling an appeal with the state soon. It's so frustrating. As my health declines while they jerk me around. Wish me luck.
Well they denied me again, but they said that I should get a follow up on my sleep apenea, I have never gotten one, I got my machine in 1999, and have used it just about every night since. And they want more blood work to show diabetes stats and BP readings and they claim they only received 5 months of Nut counseling, I have continued going and just had my 10th visit with her so at least that part is done already. They did say I was not compliant with my diet since I did gain a couple of pounds over the 6 months, but hey I obviously have over eating issues. I will be starting on getting these things done and will resubmit. I don't know if they are just going to jerk me around again after that or if this will do it. I will post again when I get an answer.
I received my letter from insurance stating that surgery was not medically necessary. They claim my medication is controlling my symptoms, so I am ok. I about fell over. I have High BP, High Cholestrol, Sleep Apenea, Type 2 Diabetes, BMI of about 55, and also Thyroid issues. I am the freakin poster child for this surgery. If I don't need it, who do they think does? So I am going to appeal. It is such B.S. that I even have to be bothered doing this stuff. I did everything they asked prior, 6 months nutrition counseling, Psych eval, had my PCP write a letter, I wrote my letter, Informational seminar. Everything they required I had done.
I am 45 years old and at this point am waiting on insurance approval. I hope to have RYN done by early November 2007. I have been heavy all my life, however, it seems to have just escalated and I have lost total control and am at my heaviest ever. I am 5'9 and 371 lbs. I am at the point where my body is just about unable to support my weight much longer. I need to have this surgery not only to save my life, but to be the mother I want to be and the mom that my daughter deserves. I was blessed to become pregnant at 41 after 16 years of trying. I had finally told myself that I needed to accept the fact that it was just not going to happen. Then out of the blue I was pregnant. I gave birth just before my 42nd Birthday. But I am missing out on so much and so is she. I do not want to be the fat mom at her school, after all I am already the oldest, which does not matter to me in the least, it's the fat mom I can't accept. I want her to be proud of me. She is only 3 now, so I can have this surgery done now, and the only way she will remember me as being fat is in pictures. Which are not that many, because I hate this body so much. I have taken a few though, because she will want these pictures when she is older, and she does not see me as fat, I'm just mommy to her and she loves to have her picture taken with me. She has no idea of my inner turmoil over this, and I have to somewhat accept that this is me and I wont be able to go back in time to take them again so I have no choice I had to have some taken. I am looking foward to the future with my daughter, I am so ready!