Kattzia

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After my 2nd rejection to change procedures from RNY to VSG, I've been pretty discouraged.  Funny how ignorance is bliss.  Before I knew VSG even existed, I was exctied to be approved for RNY.  Now, not so much.

I bit ago, My Doc had signed a letter for me requesting my RNY be re-instated.  I sent that to OHIP the other day & this morning picked up my re-approval letter.  I feel like I've failed, yet I haven't even started.  The plus side, this approval is good for 9months.  I have no doubt so many people out in the OH world would just like to kick me now cause they'd be so happy to have my approval.  But I'm not.

I just don't have the energy to fight OHIP.  I spend 8hrs of my day at work fighting with other depts and processes, that I just don't have any fight left in me for my own personal stuff.   Why is everything so difficult?!  The thing that's pushing me towards the surgery the most is as a way out of being in this shit job that pays for my house, car, golfing and all the other fun things I like to do. 

O/T: Hummm....have the surgery, be out of this shit hole for a month...paid, loose lots of weight, feel better about, then take my vacation days & hand in my resgination...wow...I almost think that would be better than the winning the lottery!

The point is, now that I have the re-instated RNY approval, it's giving me 9 more months to figure out what I'm going to do, but now, I think I have no chance of having a VSG.

a stall tactic...
Am I afraid of my future?

I consider fighting for something that I may never get.  Something that if I fight for will delay and potentially ruin my chance for continued success at health and weight loss.  Is that what I want?  Had I stuck with my original approval, I'd be 8 weeks out, 30-40is pounds lighter and on the road to health.

I believe I'll be successful with either surgery.  I don't believe I'll be successful fighting the government.

So I ask myself, is trying to fight the government my weightloss stall?

See section 28.4(2) for denial reason
Click this link:
Health Insurance Act - R.R.O. 1990, Reg. 552

2nd request for VSG denied.  F U K.

Same reason; "ministry staff have determined that the inpatient treatment requested for you out-of-country is not generally accepted in Ontario as appropriate for a person in the same medical circumstances as yourself."
Double F U K

Wrote another letter.  Showed it to my Dr.  She agrees - all valid points.  I'm in no rush and I don't want to just settle.
My personal letter approved by Dr, signed and faxed off to ministry.  Fingers & toes are crossed that a decision will be made quickly & my VSG will be Approved!

I have in my posession a letter signed by my Dr for the ministry, asking that my previously approved RNY be re-instated.

I'm a Libra, we take forever to make up our minds but once we do, we are certain it's the best choice!

I've used 3hrs of my very busy work day trying to write another letter that gives more reasons why my VSG request should be reconsidered and approved.  I've got another apt booked with my Dr tomorrow morning to discuss my options AGAIN and if I really have a chance to be approved for VSG.

I don't know what to do again.  I've made a choice, the one I think is best for me and now I'm being told no, take this or nothing.

How bad do I want to be 150 pounds?   Heck, how bad do I want to be 190 pounds?   Bad enough that I go against my decision?  Bad enough to go with a surgery that changes my 'plumbing' around instead of letting it function as it  was created yet still giving me a hand at the same time?  Do I stick it out and keep fighting to maybe be told no again. Do I start the process over by applying for VSG in Ontario, maybe even have Dr Hagen (the cause of this mess) as my surgeon?

I've got till June 11th to send something back the ministry.  Do I fight or just go with the flow and take what I'm given?  Either surgery will be good.  The result is to loose weight come off some of the meds, feel better & have a chance to live a very long comfortable life.

My request to change my procedure from RNY to VSG was denied thanks to Dr Hagen @ Humber.
The kicker...the Ministry considers my previous approval for funding of RNY CANCELLED.
Very disappointed.
 

My file is now with a medical expert, sent to the expert by the medical consultant....could there be anymore levels of people to verify this change request?

Diane at the OOC is so nice.  Said she was surprised by the request for medical expert opinion.  When I asked her to guess-t-mate how long I should wait before checking for an update again, she said she wasn't sure, since this we new to her too.

So I said I'd check back on Friday afternoon.  Funny how now that I'm psyched for this to happen, it's not.

Oh well, I'll keep believing that good things come to those who wait.

Dr approved my 2nd letter including 'compelling reasons' for surgery change that Kingston asked for.  Got a copy of Dr Pop's consult letter.  Both docs have been re-faxed.

OOC confirmed they got my fax to change procedure.  They also confirmed on Friday they sent a letter to my Dr asking for Dr Pop's consult notes & some 'compelling reasons' why the surgery should be changed.  So, 1st I called Barix to make sure Dr Pop's notes were sent to my Dr & they were.

Thanks to OH I've found some 'compelling reasons' to send back to OOC.  I'll be writing another letter today & then will book another Dr's apt for approval & signature.

Tic Toc