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I am a 34 year old black female with 4 girls ages 16 1/2, 15, 13, and a new, unexpected, but very loved little girl born January 25, 2004. I also have a very loving fiance'. I have worked for the local government for 16 years. I have fought with obesity since having my 2nd daughter in 1989. I feel like an old woman right now. My health has been declining (high blood pressure, bad knees, high cholesterol) and something has to be done. Obesity runs in my family and I need to stop the cycle. Here is my story starting back in 2002. MY HEALTH INSURER IS KAISER PERMANENTE. I HAVE WENT THROUGH MY P.C.P. AND HAD THE SLEEP APNEA TESTING, THE PSYCH EVALUATION, THYROID TESTING, AND OTHER BLOOD WORK DONE. THE LAST THING THAT I JUST FOUND OUT THAT I HAVE TO DO IS BE SEEN BY A NUTRITIONIST FOR 6 MONTHS. THIS IS THEIR NEW POLICY. I WAS TOLD THAT IF IT THIS IS NOT DONE, YOUR REQUEST FOR SURGERY IS AUTOMATICALLY DENIED. SO NOW MY REFERRAL TO THE SURGEON CANNOT BE TURNED IN ANY SOONER THAN OCTOBER 2002. 06/06/02 I went to my second nutritionist appointment today. I switched nutritionist because the first one that I went to just acted as if I was one more fat person that she had to deal with. God helped me to hold my tongue and not tell her what I really wanted to say. This new one is very good. She had a sheet typed up for criterias that had to be met for patients seeking WLS which is something that I never even received from my primary care physician! She told me that these appointments would be better for me because they would show me how to eat nutritionally after the surgery. She also instructed me to start taking my vitamins now and to start walking and doing water aerobics whenever possible. Hopefully I can lose a few pounds before I finally get to have my surgery. 06/24/02 I received an email a couple of weeks ago from a lady on AMOS that told me she had her surgery through Kaiser in April. She goes to the same center that I do here in Springfield, VA. She told me that she did not have to go through these 6 nutritionist appointments. What is this? Different rules for everyone? She told me who her PCP was so I made an appointment to see this doctor. I go on July 15. But just in case, I'm still going to the nutritionist appointments. My third appointment is on July 5th. I just can't wait to get this all completed. I'm wondering if they are going to make me do my psych eval and other tests, etc. over again because it's been some months now since I completed them. We'll see. I'll keep you all posted. I also would like to say that I have met some really nice people on this site as well as received some very good information. I know that everyone is different and everyone will take the surgery differently, but I will go into this thing with a whole lot of knowledge and I love all you guys for it. Thanks for taking the time to let us know things, good or bad. Also I hope that people will keep posting for years after their surgery so that we will still know how things are going. http://img.photobucket.com/albums/v158/PrettieScorpio/bq1dldql.jpg"> July 22, 2002 Just wanted to come in and update my profile a little. I did not make my appointment to the nutritionist this month. So I rescheduled for August 2nd. I weighed in at the doctor for another reason on July 11th and was disgusted to see that I was up to 412 lbs. BUT, I went back to the doctor today and I am back down to 407 lbs.! 2 weeks ago I joined an online diet program call EDiets.com. I just wanted to be able to lose some weight while I'm waiting for my referral and approval. And I also wanted this nutritionist to see that I am serious about needing to lose this weight. I have been having a lot of problems over the last week with my asthma and allergies. I couldn't breath for anything. I went to the after hours care at Kaiser twice last week plus to the emergencies room Friday. Just as a precautionary measure, they tested my lungs, etc. while I was in the emergency room and my primary care referred me to the cardiologist for testing today. Peace of mind for me. But anyway, I still have 3 more appointments with the nutritionist and I should be on my way towards surgery. Pray for me! Love you all! http://img.photobucket.com/albums/v158/PrettieScorpio/bb0hojvk.jpg"> 4/9/03 It's been a while since I've updated my profile. I had gotten so discourage that I discontinue my quest toward the surgery. My PCP just seem so determined not to help me have this surgery. But I'm back!!! Well, from July 2002 until January 2003, my life was a living hell. I started to experience really bad asthma attacks (2 visits to the ER), I developed GERD but I did not experience the food coming back up as much as very bad gas in my chest and my intestines. I still have not gotten a correct diagnosis. I have an appointment with the gastroenterologist on May 8th so they can decide if they are going to put that scope down my throat to see what's going on. Has anyone else experienced these symptoms or had this procedure performed? Please email me and let me know. Then my husband just lost his mind and tried to stab me to death in January. He has since been diagnosed as being bipolar. Through all of the stress of him stalking me and threatening to kill me before he was finally arrested as well as not eating due to the gas discomfort, I started to lose weight. I have to date loss 37 lbs. I'm going to try my hardest to keep going. I also started to experience hair loss, coldness, dry skin, etc. and someone recommended that I see an endocrinologist for my thyroid. I went to that appointment today. Blood test were ordered and also the strangest thing happened. The doctor asked me if I have ever considered weight loss surgery. I told her how I have been fighting with my PCP for about 2 years now. She told me to finish my last few visits with the dietician and then she would write up my paperwork for the surgery and word it so they wouldn't deny me! I couldn't believe it. This woman was God sent. I will definitely keep everyone informed. Keep your fingers crossed for me!!!!!!!!!!! I also have been reunited with the love of my life from 10 years ago. It's has to be a sign from God to bring him back in my life during this rough time. He told me that he would stick by me through it all. Let's hope so! http://img.photobucket.com/albums/v158/PrettieScorpio/baskets-gift_1810_6710327.gif" style="FILTER: alpha(style=3, Opacity=100, finishopacity=0, starty=0, finishx=100, starty=0, finishy=100)"> 4/25/03 Hello everyone! Well, this morning I happened to call that nice Doctor who offered to put my referral into the surgeon for me. She told me that she submitted the paperwork in on 4/16 and it was DENIED on 04/21. She said that it was denied because I have not completed all of my nutritionist visits and because the nutritionist suggested in her notes that I redo my psych evaluation because it had been over a year since it was initially done. This was not my fault. They were the ones who changed the rules in the middle of everything and said that I had to have the 6 nutritionist visits!!! I'm so fed up with Kaiser, but I'm not giving up. The nice doctor told me to finish the visits, redo the psych eval, and then appeal their decision. So I have a nutrition class on 4/28, a psych evaluation on 5/27, and a nutritionist appointment on 6/9. After that I will be appealing. Wish me luck!!! 05/17/03 Well, I'm still here and still trying to get approved by Kaiser. I attended a second nutrition/weight loss class on 4/28/03 since I guess the original one that I went to was to long ago for Kaiser. I already have my appeal letter typed up to send to Kaiser. I'm just waiting until I finish these appointments before I send it in. My original denial letter did not say anything like I did not meet any other requirements or that my policy did not cover the surgery. All it said was that I needed to complete these Kaiser requirements for the surgery (nutritionist visits, class, etc.). So I am hoping that this first appeal letter will do the trick. Keep your fingers crossed for me. I want to have this surgery so badly that I can taste it! I'm tired of waiting to be on the other side.... 05/27/03 I completed my second psych evaluation today. The therapist told me that she would inform my primary care physician that she recommends that I be allowed to have the surgery. I could have kissed her!!! She whole heartedly agreed with me that it was better for me to take charge of my weight now instead of waiting until things become even worst than they are. Last week I happened to call Kaiser's member services again regarding my denial letter. The lady that I spoke to this time informed me that she could start my appeal process over the phone. She said that this would be a lot faster than sending in a letter. So she took all of my info that she needed and said that an appeals analyst would be calling me this week concerning the appeal. She told me that the appeal analyst would go over my medical history, make sure that I had completed all of the requirements and give me an answer then!!! Please keep your fingers crossed for me!!!!!! http://img.photobucket.com/albums/v158/PrettieScorpio/ba1curxd.jpg"> 06/09/2003 Hello all! I'm still on my quest to have my surgery. I called Kaiser's Member Services about 5 times last week. I'm sure that they are about sick of me but "OH WELL!". I kept getting different stories from everyone about when someone was going to call me concerning my appeal. I finally was told that the appeals analyst had my file and would be calling me and that I could also type up an appeal letter and fax it to her as well. So, I did that on Friday 6/6. Well, lo and behold, on Saturday I received a letter stating that they had received my request for an appeal of their decision and that the appeal committee would be holding a hearing on July 3rd! They said that I could just let them hold the hearing on their own, come to the hearing personally, or do a telephone conference call with the committee. I will definitely be there in person! Please pray for me that I can get this decision overturned. I would love some input from anyone who has been through this process to help me with what I should take with me to this hearing. I plan on taking a copy of my appeal letter, a letter from the nice doctor who originally submitted the request for the surgery for me, a letter from my PCP, and one from my dietician (hopefully). I am also going to get copies of my medical records showing the diets, medications I'm on, echocardiogram results, sleep apnea study results, etc. Luckily, I have an aunt who works in Kaiser medical records who can help me to get all of these things in a timely manner. But like I said any help from any of you great people who have been through the appeals hearing process would be a great help. Thanks to you all and I'll update again soon. http://img.photobucket.com/albums/v158/PrettieScorpio/baskets-gift_1810_5742047.gif" style="FILTER: alpha(style=3, Opacity=100, finishopacity=0, starty=0, finishx=100, starty=0, finishy=100)"> 06/09/03 My primary care physician called me today. I told her that I was calling because I needed a letter typed for my appeals hearing. She told me that she shouldn't have to do that! This woman is a trip!!! She told me that the nutritionist said that I need to be seen more so I need to call her back after my next appointment with the nutritionist next Monday. She just does not want me to have this surgery!!!!!!!!!!!!!!! 06/12/03 Hello everyone. I went to a doctor's appointment at Kaiser yesterday for my right knee because it has been bothering me for a couple of years. My PCP just wrote it off as deterioration of the cushioning between the bones a couple of years ago. The doctor that I went to today said that it was arthritis of the knee and he put me on an anti-inflammatory medication. He was so sweet. I told him about my quest for the surgery and he wished me luck. And I also discovered that I have gained 9 lbs. over the last couple of months and I'm up to 386 lbs. After I left his office, I decided to go up to Member Services to try to get a copy of Kaisers official requirement, in writing, for the surgery. I was guided to a a member services reps office. I told him about what I was going through with my PCP. He looked through my records/appointments, etc. And said that from what he can see, I've met all of their requirements and shouldn't have been denied. He set me up an appointment with another doctor to have a 2nd opinion done and have a letter written to take to my appeals hearing. As far as the copy of the requirements, he let me read them but it stated in their system that should not be given to patients. Isn't that a trip! I appreciated all of his help anyway. But the good news came later. I came back to work and had a phone message from the appeals analyst who is handling my appeal for the surgery. I have been trying to get in touch with her all week. I called her back. She wasn't in. Then she called me back. She was so sweet and helpful. I explain to her that I did not understand why my surgery was denied when I had met all of the requirements. She told me that she had went through my records and that I HAD met all the requirements. She told me that the reason that the Dr. that reviewed it probably denied it was because there was a gap between my fifth and sixth visits with the nutritionist. But when she received my written appeal letter last Friday, she read where I was not going to the nutritionist because I was pregnant but then I resumed after I had a miscarriage. If the information was put into my orginal referral I probably would not have been denied. http://img.photobucket.com/albums/v158/PrettieScorpio/bk1ca57y.jpg" style="FILTER: alpha(style=3, Opacity=100, finishopacity=0, starty=0, finishx=100, starty=0, finishy=100)"> 06/17/03 Hello all! Sometimes I wonder is anyone reading my profile.... But anyway, I went to my nutritionist appointment yesterday and boy was that a mess. I've been going to another nutritionist at a different Kaiser Center because my center did not have a nutritionist. Well now they do so that's who I went to see yesterday. I gave her the message from my appeals analyst about submitting my name to the gastric bypass board for their meeting on June 24h. She started off by telling me how confused she was because there was no way that she could fill out the report that she was required to do for the bariatric surgery or submit my name to the board because she had never met with me before. She rambled on for a while and I was like, look, I'm just doing what I was told to do. I'm sure that you can look in the computer at the other nutritionist's notes and see my progress, etc. And if you have any other questions, feel free to ask me. Then she proceeded to tell me that she's usually gone by now (my appointment was at 4:15 PM), like that was my fault. I took the appointment that was given to me. Kaiser is for the birds!!!!! 4/14/04 Hello all! It's been a while since I've been on this site. I was just about approved for my surgery last year when lo and behold I became pregnant. I miscarried two months later and became pregnant again. I went through a hard pregnancy, a blood clot in my leg which forced me to take blood thinner shots in the stomach twice per day, high blood pressure on and off, and just plain sick. But in the end I ended up with a beautiful baby girl to add to my other brood of 3 girls (15, 14, & 13 y.o.). Now I'm beginning my quest for the surgery again. I have a doctor's appointment tomorrow so that I can see where exactly I have to start at to get approved for the surgery again. I'll keep you informed. http://img.photobucket.com/albums/v158/PrettieScorpio/bk1dmnlj.jpg"> 08/12/04 Hello all! Long time, no posting. I've still been on my quest for the surgery. I went to a visit with the nutritionist in June and she tried to tell me that I had to start all over again with the process to have the surgery. I told her there was no way I would do that. I left her office and called the appeals analyst that I had talked to before that was helping me out. I told her my situation on her answering machine. When she finally called me back she told me that she had spoke to the doctor who is head of the approval board. He said that I did not have to start all over again with the process. YES!!!! 8/31/04 Hello all. Just wanted to update what's been going on. I went to my appointment with the nutritionist and she was extra bitchy. She started off by trying to tell me that I didn't give her my food logs, which I had. After looking through some stacks of papers that she had, she finally asked, "Oh, are these yours?" She had never looked at them since I gave them to her a month ago! Then she criticized everything that I ate and complained about how long it had been since I had completed my psych eval, etc., etc. I finally just snapped on her. I told her that I was sick of every time that I came to see her she gave me something different to do. She complained about everything and was not being fair to me for some reason. I told her that I wanted my paperwork submitted. She was not thrilled about doing it but finally said that she would. I called her that following Friday to make sure and she told me that she had done it that same night. Then today I wrote up my own letter explaining my whole situation and what had been going on with the nutritionist. I faxed it to the head of the board as well as the lady in the appeals office who had been helping me out since last year. I also called and left her a message. Well, she called me back today and told me that she was going into a meeting with the board in the next 15 minutes and she was going to take my paperwork/letter in with her. I thanked her and she said that she would get back with me. So, I'm waiting to hear something. Pray for me. http://img.photobucket.com/albums/v158/PrettieScorpio/taurus1globe.gif"> 9/1/04 Someone must have prayed for me!!!! I got a phone call back from the appeals analyst and she told me that the board decided that I had to keep my food log from today until the end of this month, see the nutritionist once more with the logs at the end of this month and I am approved! Thank you Jesus!!!!! I can't believe after all of this hard work something is finally looking up for me. THANK YOU, GOD!!! http://img.photobucket.com/albums/v158/PrettieScorpio/bi0z5vyp.jpg" style="FILTER: alpha(style=3, Opacity=100, finishopacity=0, starty=0, finishx=100, starty=0, finishy=100)"> 9/7/04 Hello everyone! Well, I received an official letter in the mail today from Kaiser's Appeal Committee saying that they are requiring me to see the nutritionist one last time at the end of this month and take her a food log for the month and then I should be approved. I am so happy!!! I hate to go and see this woman again but a sisters got to do what a sisters got to do. I spent the Labor Day weekend at Kings Dominion with my kids. They wore me out. It was so packed. There were so many people there that came up from Florida to get away from the hurricane. My knees are killing me right now. I can't wait to have the surgery so that they will be trying to keep up with me!
11/26/04
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12/27/04 I was blessed to find an Angel. Her name is Annette Moore and she is the sweetest lady. She is from Winchester, VA which is about 1 hr. from me, but she had the same surgeon that I will be using. I feel very blessed to have her as my Angel and also as a new friend. I am waiting on my scheduled call from pre-admissions at GWU Hospital. That will be another small task completed. I have ordered some unjury protein powder and a hair, skin, and nail supplement from Quixtar that I have heard works very well. Well, nothing much to report here. Just waiting. Talk to you again soon!
1/10/05 - 9:30 AM - Stress Test - Kaiser Penderbrooke (Fairfax) 1/17/05 - 11:00 AM - Bloodwork - GWU Hospital ( Wash., DC) 1/20/05 - Early A.M. - Pre-Op Bloodwork - Kaiser (Springfield) 1/24/05 - 8:00 AM - IVC Filter Placement - GWU Hospital (DC) Luckily I already had my EGD done so my surgeon already has a copy of that. I also was recently tested for H-Pylori and those results were negative. It seems like a lot but I know that this is something that has to be done to make sure everything is okay before having surgery. I also have an unrelated OB/GYN appointment on 1/18 because for some unknown reason I have had long, but light menstrual cycles for the past two months. I usually go 3 days and its over. Not now. I have been on since 12/28. hopefully its just my hormones acting up or something. I'm having my baby's b-day party on 1/22/05. Probably just a small friends/family thing at the house. We're also preparing to, right after my surgery, put my house on the market and by a SF home in Maryland. More for the money. I have lived in Alexandria, VA my whole 34 1/2 years of life and the cost of living here is out the roof! I bought my townhouse here in 1997 for $121,500. Their selling for $400,000+ now. Ridiculous. But good for me considering the nice piece of change that I will walk away with. Of course some will go down on the new house. I have found SF homes in Maryland for as low as $270,000 for a 5 BR/3 1/2 BA. That may be high to some people in different states, but everyone in this area knows that is GREAT!!! In Alexandria, a house that size would run for $650K or more. Sorry, but I've got to move on. My kids don't want to change schools due to basketball and cheerleading, plus the oldest graduates next year, so I won't make them. They can use my sister's address. Plus I prefer VA's schools anyway. Well, enough rambling for now. TTFN!
1/11/05
1. Cross my legs and look "crute". LOL
Oh and while going through all of this, I managed to sell my house and sign a contract on a new one. I go to closing on my old house tomorrow and then we have to rent back because I don't close on the new one until April 26th. I'm determined to keep pushing forward because I know that the LORD is not going to give me more than I can bear. HUGS!!!!! 04/26/05
GWU Hospital called me last week to go over surgery details for the 16th. I told the lady what was going on with Kaiser and how they didn't use Dr. Brody anymore, etc. She told me that she would call his office and tell them. Dr. Brody's office had no idea that Kaiser had dropped them!!!! Sherry, one of Dr. Brody's office assistants, called me Friday and said that they had a 3:00 PM phone conference meeting with Kaiser and she would call me back to let me know the outcome. She called back and said that the lady who they spoke with said that the head Dr. who was suppose to meet with them (Dr. Alexander - Head of the approval board) never came to her office for the teleconference meeting (what professionalism, huh?) The lady couldn't answer many of their questions but she did confirm the part about not being happy with his aftercare service. They are suppose to "meet" again today at 2:00 PM. She told me that Dr. Brody told the lady that they would have to call and cancel all of his surgeries that were already scheduled but he told them that he would still do mine. (That was nice of him) So we'll see. Sherry said that they heard from an inside source that Dr. Alexander is good friends with Dr. Lin so it's like he's trying to push more business his way which is just causing more of a backup then anything because after the consultation with Dr. Lin, a surgery date will usually be a month or 2 later. Uggghhhhh!!!!!!!!!
5/16/05
I had to rush out of the doctors office because my "Hawaiian Punch" leather sectional FINALLY showed up today after waiting a month for it. I'm on cloud 9 now! I can sit my big butt down in my living room comfortably now. 05/25/05 5/27/05 Ok, I've been through hell trying to have my surgery. I have been scheduled 3 times this year. I have been keeping quiet and lurking on the BAF board because I don't want to jinks myself. I'm surprisingly not scared at all. I am anxious though. I believe that the Lord had a reason for me waiting until this time to have surgery and he will not give me more than what he thinks that I can handle. I have taken this time to TRUELY relect on my reasonings for wanting this surgery - other than wanting to be the fly azz DIVA that I know I can be (hehe) I want my life back. I want to get rid of this FAT to be able to enjoy life the way it is intended to be enjoyed. I have read some post-op posts and it just gives me goose bumps to think of all the fun in life that I have missed over the past 18 years due to being a glutton. I can't blame anyone for this but myself. I never learned a better way to deal with any issues that I may have had. BUT, not being the one to have pity parties, my REBIRTH DAY is arriving. As of June 10th 2005, I will become a new roll model for myself, and most importantly for my 4 girls, my #2 main reason for having this surgery. The loves of my life that I need to show that they should ALWAYS consider themselves #1. Never use food as a crutch. Talk out their feelings with someone, even a professional if need be. There's nothing wrong with that. You only have one life and you should live it to the fullest. Forgive me for rambling on but I'm sitting here watching my baby girl (16 months old) sleep and I feel these emotions building up and I just want to HOLLA that I'm about to have a new start on life and I am SOOOOOOO happy. No one is going to hold me back this time!
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06/01/2005
On a down note, we came out this morning and found that someone had broken into our car overnight. The back vent window was broken out and they had went through the console and the glove compartment but nothing was taken. Someone was just looking for money. They didn't steal the stero or try to steal the car so. We have an alarm on it, but it wasn't set. I had to get on my fiance' about that. But, being that I work for the City Maintenance Shop and that's part of the things that we do, getting windows replaced in City vehicles, body work, etc. I called the company that we use and he is only charging me $60 to replace the window. It's normally $200 plus labor. No complaints from me. 7 MORE DAYS!!!!!!!!!!!!!
6/24/05 My second day in the hospital was the sweetest ever. My fiance' gave me an engagement ring and proposed to me again, right in ICU. He was so scared because everyone was in the room. He is such a sweetheart and I love him to death!!!! I got the best nurse in the world on this day also. He was so nice! He explained everything that he was doing, talked to all of my visitors and had us all laughing. Visiting hour was over at 8:00 PM but he allowed me to have visitors until about 11:00 PM. I was finally moved to a regular room at about midnight. The nurses and CA's there were all very nice. On the third day, I started walking around the floors and the nurses would just cheer me on. I had a little gas, but nothing too significant. I was getting bored then and was ready to go home. I was able to drink some water. I was so glad. On the fourth day, I was given jello, juice, and glucerna. I drank some and it was heaven. I walked some more with Jay and my drain tube was taken out. It didn't hurt, just felt weird. I was finally discharged at about 4:00 PM. Once home, I had a hard time sleeping in my bed the first night. I was fine after that. Getting the liquids and protein in has been hard. I had to go to the surgeons office on Friday, June 17th, to receive fluids. I have been doing fine since. I went to my first official follow up visit was Tuesday (6/21). Everything was fine, I was upgraded to pureed food for a week and then the following week I can try crackers with tuna or chicken salad or some other crispies items. Yes!!! I am down 22 lbs. in 8 days (since coming home from surgery)!
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I started back to work last week. I worked my normal 10 hour days without getting tired. I've been getting in more protein and liquids but I still don't think it's enough. I have moved up to any type of food that I can tolerate. YES!!!! I was |