katz1975
BASIC INFO
INSURANCE-FMH/COVENTRY-HIGH OPTION (EMPLOYED BY TRUMAN MEDICAL CENTER)
According to FMH------one must have 6 consective months of supervised dieting with a physician. I am on my third month with Dr. Smith (weightloss specialist) at Truman Medical Center. FMH-----also states that you must be 2x ideal body weight and medically necessary.
COMORBITITIES--------->SLEEP APNEA, HYPERTENSION, HIGH CHOLESTROL, GERD RESULTING IN BARRETTS ESOPHAGUS, DEGENERATIVE DISC OF LUMBAR/BULGING DISC, METABOLIC X. LETS HOPE INSURANCE COMPANY THINKS THIS IS ENOUGH.
COVENTRY of Kansas City-------states that it must be MEDICALLY NECESSARY, CLEARANCE FROM PULMONARY, CARDIOLOGY, PSY. CONSULT, NUTRITIONIST.
PHYSICAL THERAPY-12/10/2008-Completed
PULMONARY Consult-Completed
CARDIOLOGY Consult-11/4/2008-Completed
SLEEP STUDY- 07/11/08-Completed
PSYCH. CONSULT- 8/28/2008-Completed
PSYCH. PERSONALITY TEST-09/2/2008 Completed
PSYCH. APPROVED-09/29/2008 Completed
NUTRITIONIST-08/28/2008 Completed
Pre-Op edu Class-12/10/2008-Completed
H-Pylori Test-10/29/2008-completed
Drug Test-10/29/2008-completed
SUPERVISED DIETING-
May-Completed
June-Completed
July-Completed
August-Completed
September-Completed
October-Completed
November-Completed
07/08/2008
.... Went to wt/loss dr. today for my 3rd month check up and I got "the lecture". Ok....I gained three pounds. Dr. asked "what went wrong......I said well Dr. it looks like I gained weight. He was not happy with my answer. I was straight with him and said Doc. I have not been fully watching what I eat and my exercise has dropped since my back started hurting. I showed him my food journal and then got the "your not where your supposed to be right now with your wt/loss compared to the the rest of my patients in program. I new i had messed up but comparing me to other patients was not needed nor appreciated. I mean I know how to loss wt so whats the problem. FOLKS CAN YOU HEAR ME WHEN I SAY "I FEEL DEFEATED" I have lost and regained so many freaken times that I feel so scared.
07/10/2008
Finally! I have been waiting for Dr. Sabapathys office to call and set up psych. consult. Now just waiting to call nutritionist. I am doing better on my crusade against soda and am happy to report drinking at least 54oz of my yummy lemon propel water. I am heading to the wizards soccer game tonight with my snuggle man so I will have to have a beer and I will enjoy every swig as well.
07/22/08
Sleep peeps called confirming diagnosis of sleep apnea. According to Dr. I have moderate apnea during normal sleep but severe during REM sleep. Dr. said i can either go with CPAP or Mouth-Guard for assistance.......both choices sound sucky!
8/28/2008
MET WITH SABAPATHY TODAY.... WENT WELL. TAKING PERSONALITY TEST ON SEPT 2.
09/02/2008
Took personality test today took about 45min. next psych appt. 9/29/2008 for results
9/4/2008
Supervised wt loss visit today two more to go!!!!! Pulmonary Consult and chest x-ray appt today.
09/29/2008
Psych approved
10/2/2008
Supervised Wt. visit.
10/26/2008
I am getting close.... tomorrow i am getting my H-Pylori and drug/alcohol test done. I am seeing the cardiologist on friday
and next tues is my last visit!!!! I am wondering how long it takes for nola to get the letter of medical necessity sent out. I am feeling
more and more nervous about the insurance outcome...
11/9/08
everything finished......dont know when nola will submit letter but i am trying to remain patient
11/14/2008
Medical/Necessity...letter...still....not....sent.
Had.MRI..of..R.Knee.today...afraid..might..have...torn...meniscus..that..sucks
11/19/2008
I think my letter went out today.
11/21
APPROVED!!!!!!!!! I AM APPROVED FOR A NEW LIFE.
11/24/2008
Dont get me wrong i am happy and grateful for all the staff has done for me at kc bariatric center but i am getting irritated with the
"i will call you back today" and no one ever calls you back....DONT TEll me you will call me if you intend on not, THis has happend four times now..I have been approved and need to set up appt witg dr. and then set up appt for surgery and time is a tickin. I am paying 500 a month for cobra and in dec i will be paying another 100 a month for my new insurance. I work at a hosptial so I have to tell them by the first week in dec.. the days i will need of so i can get PTO time. also the beginning of nov i hurt my knee and saw ortho surgeon who said I need surgery to repair MCL and medial Menensicus tear so I need surgery soon. I am just frustrated and want to take control myself. butttttttt i need to relax and see it for what it is.....
12/11/2008
so much has happened....lets see. I got to see dr hoehn on dec 8 and they scheduled my surgery for jan 20 but then i got a phone call yesterday informing me that someone canceled so they asked if i wanted to be bumped up to monday dec 15....HECK YES!!! So yesterday despite it being my chem final and anatomy and physiology final i quickly went to the pre-op education class and physical therapy class. I had pre-op blood work done which took multiple sticks and now i am preparing!!! i have many feelings right now but mostly just feeling blessed.
12/11/2008
So i found myself bursting out in tears today and i could not put my finger on why???then of course i realized that it had just hit me! BAM...i am having a life changing surgery on monday......am i ready??? I guess this is normal feeling like this. I feel like someone needs to pinch me or that i will wake up to find that this is only a dream. I dont want to jinks anything cuz i dont want this opportunity to slip by. I guess i am feeling anxious....Of course i work on the psychiatric unit so i woujld tell my patients "to explore those feelings" and then address coping skills......so This weekend i will make sure all coping skills are in place and i plan on writing myself a letter of encouragement for those times that i want to throw in the towel. I do find myself thinking about the foods that i will no longer be able to eat which does make me mourn. But then i think about training for my triatholon again and feeling the high one gets when they work out..//////which is an awesome feeling. I think about the clothes and the feeling of not having hundreds of pounds weighing me down. I think about being able to bend down and not look like a fool doing so. and of course i think about being able to have really good sex again. ok for now i start my liquid diet tomorrow eek. and of course the bowel prep on sunday...gosh i cant believe it. i am having surgery in 4 days.
12/14/2008
By this time tomorrow i will be on the surgery table ready for the next part of this journey to begin. The last two days i did the clear liquids and yes it sucked. Today around 230 i started the bowel prep. I bought the grape flavored and it reminded me of purple passion ...those of you who remember purple passion in the plastic bottle. anyway it was extremly sweat, like i had a bunch of sour patch kids in my mouth..yuck! wasnt as bad as i thought though. I started feeling like i had the stomach flu about an hour and half later which again sucked! But to be honest i have not had any major problems at all. My tummy growls and i have had some trips to the BR but nothing like i expected....I am starting to wonder if i did it wrong? I am a little nervous and honestly craving food right now. Not being able to eat normal just for the prep has really suprised me on how i would want real food even more. My sister had this done about two years ago and she has prepared me as much as should could but did remind me that this was at the beginning going to be a tough journey. thank you for all that have supported and encouraged me and i will up date when i get back home on tuesday. Peace and Love.
Katie
About Me
KS
Location
33.1
BMI
Surgery
12/15/2008
Surgery Date
Jul 08, 2008
Member Since
