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Tina - Cabin 719, VA, USA - BMI: 39.3 Member ID: B1099328180 Web Site: http://share.shutterfly.com/action/share/welcome?i=EeAM2jNk1aMnDio&x=1 Surgeon: Marc Boustany, M.D. |
Click here for Tina's surgery support page Click here to print Tina's cards (You can print your own cards, and if you're good at it, you can help print cards for your friends as well!) |
10/13/99 265lbs
10/13/00 165 lbs
7/15/01 189 lbs
3/8/03 189 lbs
2/28/05 214.8 lbs
3/7/05 212.2
3/14/05 211
I am 6 years post op RNY and wls failure due to stapleline breakdown. I am in the process of trying to get a revision. I have had a hernia repair and Tummy Tuck. My original surgeon did not give me much guidlines to follow post op. Infact he told me it was ok to eat and rink certain foods that my nutritionist(which I found on my own) and new surgeon have said absolutely not. As with all surgeries there is a risk and the risk increase the 2nd time around.
11-22-04, Saw Dr. Boustany and we are going to do it. He tells me there is a 10% risk as opposed to 1% the first time around. Well, that means I just have 90 good ones left. As a good friend told me about this... We serve a God who specializes in Miracles and 90% might as well be 110%. So the only thing between me and that revision at this point is the insurance company. Hope approval goes through with no problems
1-1-05, Happy New Year to all. It has been a while since I updated this. I was denied revision for policy exclusion....However I appealed and have a friend of mine who is an atty involved. It seems that I got Hpylori and that is the likley cause of the stapleline dysruption. So this is a complication of a medical condition not wls. I hope I win the appeal if not I will continue to find a way to get this done. Those of you that have had this surgery know it is the best thing you ever did for you. keep praying for me.
1-6-05 Still waiting for a response from the insurance company. I am very anxious. I just need to know one way or the other. If they deny it....I move on and find insurance that will cover it. I will look into a secondary through my husbands job which has open enrollement in Feb.... Keep praying. My GOD performs miracles every day I hope he creates one here.
1-7-05 I called the insurance company today to see where we are in the process. The woman told me it can take up to 30 days and if they need more time they would contact me. she said there is no information in the system to advise me one way or the other. So I wait a little longer for God to perform his miricles.
1-13-05 Called the insurance company again.... The represenative got on the phone and found out from the nurse that it is still in review and they have 30 days but are aware of the january 18 surgery date( yea like that is going to happen) They will let me know by next thursday, keep praying for me.
1-18-05 Called the insurance company today and they told me it was still denied for noncovered services. So I asked an ulcer is a noncovered service and she said yes.... What the heck am I paying for then??????? I guess I will attempt to move on. I am beginning to feel like I will be a big fat blob 4ever.....Very upsetting to me. I will not give up though. I will find a new job or go with my husbands ins. company as a second.
2-13-05 Well still waiting for Douglas' company to get their insurance info together in hopes that I will be able to get a second to cover my revision. Some times coming to the site gets upsetting. I just want my revision and have hit a road block. I feel selfish some days when I read other peoples journeys and mine is not all that hard or successful. I went from 265lbs the day of my surgery to 165lbs in a year and then started to gain and am up to 215. Some people would love to be 215. This is when I start feeling shallow and selfish. Yet I see all my friends who have had this surgery and they did well and are small. I have friend who had the surgery in July and went from a size 22 to a size 8. I hate looking and feeling like a linebacker.
I am having a very depressed day can't you tell??? But I must live by my motto I will NEVER NEVER NEVER GIVE UP!!!!! I believe this will happen for me but I am impatient.
2-16-05 OK I am having a really HUNGRY Day!!!!!! I ate my jello, my apple and god I am starving to DEATH!!!!! I haope that the revision is around the corner before I eat my way back to 265 thousand hundred pounds. I am holding my own but man Am I hungry. not becuase I want food but really hungry. I get like this every once in a while. I did not have this problem before. I wish the legislature would look at the picture as a whole and help the rest of us who need the help but is being downed by the insurance industry
2-17-05 This is so funny I had to share. I think I mentioned that Doug wanted me to go to his insurance meeting. Well it is scheduled for Monday and guess what????? No guess.... I will be in Atlanta with Krysten for a cheer comp. We are hoping to bring home that ugly purple jacket this year. Did not intend to go but kinda got pushed into it. But I am not miserable about it though. Now I just have to call my boss in the morning and explain to her that I am in Atlanta and not at my desk. yikes!!! Me and Super Skinny Jeannie who can't eat anything. But the on the positive side, She keeps me in check about what I eat so that is super cool. Keep praying that I can get a second that will cover this. God Bless all of you.
2-22-05 URGGGHHHHH! Found out my husbands policy does not hace the rider either. I am at a dead end it seems. I either need to get another job or hope they leave the rider on the ppo my company offers. On the up side, I had a great time in Atlanta. We did get 1 second and 1 third place. But it was fun there. I spend my 40th birthday doig absolutley nothing. No really, sitting in the Georgia World Congress Center from 11:00 am until 10:00 pm. Man did I ever spend a bunch of money there though.
2-27-05 OK I think I may be off and running, finally!!!!!! I contact an insurance company who said that they do cover this and because I have a policy this would not be pre-exisiting, they said they would put this in writing and they do not deny anyone health care for anyreason. They said this is not a discount health plan and they would guarantee the premiem for 5 years. I can cancel at anytime and I am not obligated to this. We will see if I can get approved if not I am so canceling the policy. I don't know IF I should get excited or just remain calm because it just seems to good to be true.
3-2-05 Ok I think it was too good to be true. Soooo.. I canceled the policy and am out to find new employment. Eventually I will fall into the right job with the right insuance policy. I have a friend that works at Anthem and she says the policy they offer employees does not cover it at all. What a cheap A** insurance company. I can not belive they will take care of a problem but would let you die if it is related to a problem with a bypass. I will be positive about this and I WILL NEVER GIVE UP EVER!!!!!!
3-4-05 OK.... This is the plan. Since I can not get the revision I need and since legilature is slowwwww and no new job in sight with insurance to cover this I am at a stand still. A stand still I say....Not giving up... My motto... NEVER NEVER, NEVER GIVE UP. Tinkerbelle is my hero and she lives in NEVER NEVER LAND..... My pouch is still small but everything travels right through so I am hungry more often. I know how to eat and I am doing weight watchers and doing everything I should but be moving soooooo. I need to use the resources and tools I have at the moment. I have been fat most of my life and having this surgery is the greatest thing I could have done for me. So now I need to take back control of it. I still eat small amounts but more often so I know what I need to do. If ever want to see a size 12 again I getta get out there and put the effort into finding it because it will not find me.
I went to lunch today with Blue eye Barry, Lei, Carol, Jane, Cindy, Eileen, Kim and few others and got some great ideas. Switch to a ppo and try to slide through if not maybe change the code. NEVER GIVE UP
3-7-05 started weight watchers 2 weeks ago.... since.... Things are movin slow, weigh in was 214.8 YIKES!!!!! That is a lot from 165lbs because remember I started at 265 and lost to 165lbs and was at 189 when I had my tummy tuck and then I dropped a little more weight now, and may I add Ouch that hurts, but 214.8 I am on the floor in pain.. last week at weigh in I was 212.2 yea!!!!! I go for weigh in again on the 14th
3-10-05 Spoke with Dawn at Dr. Boustany's office yesterday. We are going to resubmit everything in May when I switch to a PPO and then I am going to Appeal if the Deny the claim. I f I loose the appeals then Douglas said I could self pay. I will take what I need out of the proceeds from the sale of my house. I will use the rest as a downpayment for a new house. I will put in a high yeild CD or a savings Acct or something until we are ready to buy. I have to wait for my parents to be ready since we are buying a house with them. Heck no they aint livin with me. We are making them an Apartment. NEVER GIVE UP!!
3-14-05 oK i ONLY LOST 1 LB THIS WEEK, i AM GETTING ALITTLE po'D BY THE WHOLE THING...i JUST DON'T UNDERSTAND WHY I AM HAVING ALL THIS DIFFICULTY GETTING MY STOMACH FIXED. MY ONLY SAVING GRACE IS TAHT I AM NOT TRANSECTED.... THANKNGOD
3-21-05 weight in today was 208 yeah... MUST BE THOSE STAIRS....WELL DOUG AND I WENT OUT SATURDAY NIGHT WITH THE OH GANG FROM VB AREA... HAD A GREAT TIME. LEILANI CONVINCED ME TO SING COME CLEAN....i CAN'T BELIEVE SHE TALKED ME INTO IT. IT WAS SOOOOO MUCH FUN. CHECK THE LINK FOR PICS. BUT IF YOU CHECK LEILANIS LINK YOU CAN SEE MY TATOOS.... TATA FOR NOW
3-4-05 I TALK ABOUT HER ALL THE TIME SO I JUST THOUGHT I'D SHARE HER ADORABLE SELF. I AM DETERMINED TO DO THIS SURGERY SO I AM LOOKING INTO THE POSSIBLITY OF SURGERY IN MEXICO SINCE IT IS LESS THAN $10,000. I WILL TAKE ME MOM WITH ME. IT WILL BE FUN AND SHE WILL BE ABLE TO KEEP UP WITH ME AT THE PACE I WILL BE IN. I AM GOING SHOPPING. YES IT IS A SPORT. LOL! YOU KNOW GOTTA HAVE A PLAN INCASE ANTHEM TURNS ME DOWN AGAIN IN MAY. I AM PREPARING FOR IT.....THIS IS MY GOAL IN LIFE. I NEVER COULD TAKE NO FOR AN ANSWER. WHY START NOW. JUST THE WAIT IS KILLING ME.
4-1-05 I was going to try to refinance my house and get some of the equity to go to Mexico and get the revision..... But my husband does not want me going out of the country for this. Plus now we are thinking of selling our house..... I will make up my mind one day. I have 30 more days to switch to the ppo.... Hope they will still carry the rider. If not looks like I might be self pay. Well I have been saving and saving... Not nearly enough though I am sure. I tell you this weight thing is just a never ending battle. Even though I have lost 8 lbs in the past 3 weeks It still is not good enough sine I know I am dieting. Not like when I had my surgery., But dieting.. Weight watchers only eat this many points. Hell some days I am starving and others I can not eat my points. But it is the days that I am hungry that Suck. Well enough whining for now.
4-11-05 Well I am having a pretty depressing day. Some days are worse then others. On days when I have stomach pain or other problems it is worse and I feel I will never get to have my revision. I probably should call Dr. B buttttt.... I am slow on the draw I guess. I am sure that after 6 years what I am experienceing is not weight loss related because the frequency is more and more. I diet constantly and lose very little weight. I have constant stomach pains and often experience constipation or heaviness in by behind. Occasionally there is blood in the stool but that can always be explained away by hemroids( by the way I have never had these)but there is always a start. I still keep holding out that GOD will answer my prayers. but for now all I have is prayer. Maybe it is all too depresseing since my sweet little baby boy (he hates when I call him that) turns 18 today and then went and got the ugliest priecing on the planet. I would have prefered the Tatoo.... Oh well....one day he will be a grown up and have his own children.. I can't wait til they put him through this crap. NEVER GIVE UP.
4/18/05 WOW.... I am so excited... I got a new job today and don't start until the 9th. It is for another attorney and just a small practice. I will get insurance to pay for the surgery eventually... But I will have to be patient and ride it out. I have come this far. GOD was testing my patience when he made me wait for this job. I believe he is testing it again making me wait for my surgery. I believe it will happen for me but in his time unfortunatley. I am very impatient but for today... I am a happy camper. WHOOOHOOO> I GOT A JOB !!!!! I GOT A JOB!!!! YEA YEA YEA...WHOOO HOOOO. NEW JOB NEW JOB NEW JOB YEA YEA YEA
NEVER give up because dreams do come true
5-22-05 Wow It has been some time since I Have update this. I want to start with I love my new job. The attorney is so cool. He pretty mellow most of the time. But it has been so busy being so short staffed and all. The day after I started the Litigation Paralegal/attorney in training got fired. And your truly has had to step up to the plate. It has been trying but he has been helping me along so I guess I shouldn't complain. they just don't pay me enough money for that crap. Although I am one of the higher paid parelegals there. I was talking to the office manager about my tummy tuck and havein wls and about the staple line being undone. She asked was it bad for my health. I told her for right now I am ok but I will get it fixed. She seemed ok with me having to take some time off to get it fixed. So whenever the time is right I will do it. I will try to do it right after one of my cruises if possible.
gotta go for now. Never Give up
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10/05/05 Well My boss has been paying for my insurance on the cobra benefits of my old job. I have complained and hopefully he will make the switch soon. He knows why I want the PPO and has even asked about it. I think I have another hernia too. I don't want to have it looked it because I don't want to mess up my chances of getting the whole thing fixed when I make the switch from HMO to PPO. I am still trying to pull this thing out of my ass but it is going so slow. We decided that we are going to sell our house this year and move( the neighborhood is going down hill) We are supose to buy another house but if that falls through I am taking part of the house money and paying for the surgery my self. I can't afford a loan for it since I just bought new truck with BIG FAT PAYMENTS!!! I do believe it will happen for me when God is ready to make it happen. In his time not mine. We are not always in the same time zone unfortunatley. I keep gaining weight. I have a stabbing pain just above my belly button but to the left. It is pretty consistant that Is why I think it is a hernia. Oh well
2006
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| T | Twisted |
| I | Ideal |
| N | Natural |
| A | Amorous |
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Surgeon Info:
Surgeon: Marc Boustany, M.D.
Insurer Info:
anthem
My approval was quick following an appeal for my original surgery. I need to have a revision, my surgeon says they will not cover it unless I have a BMI of 40. I am about 5 lbs from 40. I do suggest that if you are denied to appeal and let them know what it is like to be you. How your feet hurt ect. My feet hurt again I am tired quickly and it even hurts just to move some days. Be persistant. I have been denied stating they do not cover WLS. Due to other health problems we are going to keep trying
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