Billie Jo C.
Always to good to be true...
Jul 06, 2010
~Rant-on~Just when I thought I was headed in the right direction.... WHAM!!!!
There always seems to be one person or thing to stand in your way....
My Lawyer (pro-bono) called to let me know that the attorney for DSHS (medicaid)
pulled my case and is asking for a review to over-turn the Adjudicated law judges decision of approval.
She is stating that I did not supply them with supportive evidence that I have tried the less costly and less risky alternative to treat my co-morbid conditions. I have all the proof she is saying she has never seen. It was sent to her by me and by my lawyer. She is basically lying. Why would she want to say that I have not provided evidence of the treatments that I have failed at? Only thing that comes to mind is she never even looked at my case. Who knows!
I have over 500+ pages of documentation. I have spent countless hours trying to make sure everything was covered and all my ducks were in a row. I just don't understand why they are making it so difficult for me?
I send them stuff that they ask for, and they say its not good enough, and they need more.
Aside from having my fingernails ripped out, I'm not sure what else I can do.
She has stated that all of my co-morbid conditions will not be cured or resolved with bypass surgery.
It takes me a few seconds to goggle the benefits that bypass surgery has on people who suffer from diabetes, hypertension, sleep apnea, GERD, depression, degenerative disk/joint disease etc....
She states that bypass is very risky due to stitches failing and infection! That could happen with any surgery. All surgeries have risks right? Its not rocket-science.
Am I concerned of the risks? Hell yes I am, but I would still feel the same about back surgery or any surgery for that matter.
I don't think she would recognize the truth if it bit her in the ass...I'm so very upset with the whole process DSHS (medicaid) puts a person though. Its so stressful. I feel like I'm going to go crazy if this continues. My mother did not raise me to be a quitter so I'm hanging on....I'll win my approval someday I hope.
They would rather pay for a back surgery that could go terribly wrong then pay for a laparoscopic less invasive surgery like the gastric bypass.
Mind you I have already had a failed back surgery before and it hasn't gotten any better. There is mounting evidence that this surgery would resolve most, if not all of my co-morbid conditions.
When you get into a car you put your safety belt on... right? Why?
Because you know it will save your life! Do you every think you might suffer some injuries from the safety belt? Or die if you don't wear it?
Yes! of course you do! but you still put it on.... right? Why?
because you know it will save your life and all other scars will heal in time....
Its common seance to treat peoples "common co-morbities" who would have known! ( I say common co-morbities because common people die each day from them) It was mentioned that my common co-morbid conditions have other treatments available to me and are less costly to the department. Go figure! Again I submitted well documented tried-and-failed treatments available to me.....
This whole mess makes no sense to me. What really boggles my mind is how some people can claim the job title "attorney" and get away with it.
Calling yourself an attorney and Acting like one is two different things.
To earn the respected job title "attorney" you are required to present yourself as such...
My lawyer has been a god send to me... I hope someday I'll be able to return his kindness and generosity....
~cry~
~Rant-off~
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About Me
Spokane, WA
Location
44.3
BMI
Surgery
07/19/2011
Surgery Date
Aug 16, 2006
Member Since
