Nikkie609
I'm 24yrs. old I have 2 children ages 6&5. They keep me busy, but it's very hard for me to keep up with them. I have been overweight for more than 5 years. I have some high blood pressure, and I have to take pills daily.
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05/28/04
I am waiting my referral to be approved by the insurance. I have scheduled a consult with the surgeon on 06/07/2004. I really can't wait. I have gotten a lot of advice from this website. I have learned a lot about my doctors from some of his patients. I was told today 05/28/04, I need to go get a psych eval, and schedule an appointment with a dietician. I will be working on that next week. Hopefully my insurance will approve my referral, and I will know something soon. I have a friend that had the open Rou Y 2 weeks ago. She had already lost 49lbs. She is doing great. I was scared at first, but I have received a lot of comfort, from this website alone. So everyone out there that reads this, please keep your fingers cross!!
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06/01/04
I have talked to my PCP and my referral has been approved. I know I have a long way to go, but this is a start. I will update my profile after my consult on June 7th, 2004.
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06/07/04
I am ready for my consultation, it's today at 4pm CST. I will update once I come back.
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06/26/04
I had my consultation with Dr. C. She told me I qualify for the surgery; she gave me my packet of details. What I need to gain approval with the insurance. I went to see my PCP on 06/25/04. He provided me with my letter stating he agrees I should have the surgery. He stated I will have to have 3 months of a Multidisciplinary surgical preparatory regimen. Once I complete that I will be able to have the surgery. So it's looking like around September I will be ready for surgery. I can't wait. So now I am looking for a good dietician. I really do think that the dietician will really help me. I am looking forward to finding someone, and learning how to eat properly. After the months... then I need is approval. I have pretty good support system, so I think everything is going to go okay. I work for
ATTENTION FOR ALL WLS PEOPLE IN
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07/9/04 I am so ready to have my surgery. I have my first appt with the dietician next week. I will update after my appointment. Also did I tell you on my last visit I gain 1lb. lol. I'm now a whooping 281.
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07/14/04 I have seen my dietician today,
She was excellent. She went over losing a little weight before the surgery, so it will be easier on me after the surgery. I'm going to her for 3 months, next month we will talk about eating after the surgery which will be very informative. I would suggest her to anyone. THere was no waiting my appt was at 9. I was sent at 905 which was great. She was very professional. I didn't feel rushed at all. She talked about aspect of gradually chaning my eating habits. She asked me what I eat on a daily for breakfast, lunch, and dinner. Instead of totally changing what I currently eat, she modified gradually. Instead of eating a large burger, eat a kids size burger for exp: The explained the amount of vegetabled and fruits I need a day, and how to incorporate those into my current (not a diet plan)plan.
Guess what??? She weighed me today, and I now weigh 284..man.. I can't win for losing. lol. I also found out today, that I need a psych eval. Do anyone know of a good one, that takes Aetna HMO!! email a sistah!
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07/17/04
This is the publication that was recvd. Regarding
Drawing on several years' experience at managing chronic diseases, some health insurers and disease management vendors are developing new disease management programs aimed at reducing the incidence of obesity, whether through diet and exercise, surgery, or both. The health insurers say they're still awaiting outcomes data from pilots, but hope eventually to charge a fee to self-funded insurers who enroll members in the programs.
These programs respond to rising concerns about the increased incidence of obesity among Americans and its impact on other health conditions, such as diabetes and cardiovascular disease, as well as on worker productivity. At the same time, some payers have grown wary of gastric bypass and other bariatric procedures, amid reports of inappropriate patient selection, inadequately trained surgeons, hospital readmissions and other complications such as gallstones and nutritional deficiencies.
A few insurers, including Aetna Inc. and Horizon Blue Cross Blue Shield of New Jersey, have chosen to build their own programs, borrowing techniques that have proven successful in addressing other chronic conditions. Others such as First Health Group Corp. are in the process of developing programs. And at least one disease management company, Cardiocom, LLC, is preparing to pilot an obesity disease management program with insurers.
Insurers say there are few, if any, mature obesity disease management programs available. "We did a pretty rigorous search of the marketplace," says Cheryl Pegus, M.D., national medical director for
In building such a program, these companies have their work cut out for them. It's notoriously difficult for many people to achieve lasting weight loss, with success rates dropping among those at higher starting weights. There also are few long-term studies on bariatric surgical techniques or professional guidelines indicating which patients should receive the treatments and how they should be managed.
As a result, insurers are divided on whether to cover surgical weight-loss procedures. For example,
Obesity disease management has a place regardless of whether the surgery is covered, says Pegus, who led development of
Aetna Launches Pilot With Employers
The high-risk group will include patients with a body-mass index (a measure of body fat) of greater than 35 who have been hospitalized or have significant multiple comorbid conditions such as diabetes or cardiovascular disease, Pegus says. At medium risk are those with a body-mass index of greater than 30 and comorbid conditions. A male with a body-mass index of 40 is about 100 pounds overweight, while women with that index are about 80 pounds overweight.
Ultimately, Pegus says, outcomes from the obesity pilot will help
"What we're trying to do here is manage conditions before someone requires surgical intervention, recognizing that programs that are comprehensive for weight loss don't really exist," Pegus says.
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07/17/04 -Also I found a clincial psycologist to do my psych eval... his name is Barry Fenton. My appointment is July 28, 2004 @11am. I will update once I go.
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07/19/04 Hey Everybody. I talked to my surgeons office today, to see if I needed to have a Stress Echocardiogram done. She told me No, since I had one done in 2002. So that's one test I don't need to get. I explained to her that my insurance is not going to cover the surgery after 2005, So I wanted to know how long was the wait for the hospital. She told me that they are doing the scheduling for Sept. right now. She also told me that she will put me on the schedule for Sept. YIPPEEE.. So once I complete my time with the dietician (which is in sept.) I can send my information to the insurance company, and I will have my approval(hopefully) within 48hrs. from that point. Once all my information is faxed over to my surgeon. I am going to my the precert dept upstairs, and have them call my surgeon, and get the ball rolling. I will know weather I am approved or denied within 48hrs. I really think I'm going to get approved. I have all my documentation. I am really going by the book/guidelines.
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07/19/04---ALSO I NEED A ANGEL!!.ANY volunteers! Also lol. What does a angel actually do. I wouldn't mind becoming one myself.
Let me know. THank you.
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07/23/04---- I had a major scare yesterday.As previously posted you know, that Kim at Dr. Capehart office, was going to see if she could get me a surgery date, without having the approval. Well I thought she could just call and do that. WHY DID KIm, submit my stuff for approval!!. I called her yesterday to see if she had a date, and she then told me she submitted for approval, and shouldn't be any problem. #1 as you know i havent't finished my 3 months work of dietician consults. So they wouldn't had all the information, and would've denied me, and appeal takes up to 180 days. So when she told me that. I just wanted to CRY!! I had tears in my voice. Anyway, I ran upstairs to pre-cert dept, and talked to one of my friends up there. She located my file, and it has been in review since 07/20/04. They have 48 hours so I would've had a denial if I wouldn't had went up there and caught it. Anyway. She put me on the phone with the person that was reviewing my file. He told he would Void it. So Thank GOD... there. So I called the surgeon's office back, and
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07/28/04--- I just wanted to update my profile... I didn't mean to come across rude, or blaming KIM for anything. I really do appericiate her for trying to get everything started. SO I wanted to give her a big APOLOGY!!. "I'M SORRY KIM". Just wanted you to understand that, and its no hard feelings at all. Everything's straight, and doing good. So it's nothing messed up. You did what you could. Anyway.... THANK YOU SO MUCH THAT!!anybody who's at dr. capeharts office, Kim does help you out alot, she was pretty much thrown in, and doing the best she can.With the info given. Thank kim, for calling me. I didn't mean to upset you.You have helped me alot so far. You have answered all of my goofy questions and all. AGAIN, I'M SORRY!! kisses&hugs ----Nikkie!!
Also I have a new date with the dietician AUGUST 4, next week is my second appt. Then I have one more left after that. Yippeee.. I can't wait. I'm so ready to get this party started.
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08/04/04---HEY FAMILY!!!
I had my second appt today with the dietician. My last appt is Sept 1,2004. Thank the lord. Then after that, all my stuff can be submitted for approval. They take 48hrs for approval,I know that's going to be the longest 48 hours ever!!. lol. Today the dietcian and I talked about how life will be after the surgery. I got a lot of informative info. I'm going to start stacking up on all my protein drinks and sugar free everything. lol. I getting excited. It's all starting to become real to me. I guess I will be worse after sept. I will have the butterflies... Oh yeah... I had a dream,(Don't laugh..lol. Please don't laugh!!) anyway. I dreamed I had the surgery and got out the first day, b/c I did so good afterwards. Anyway. I got home and forgot I had the surgery and ate a hamburger the whole thing...WHYYYYYYY!!! was I crying in my sleep yelling at my husband to take me to the hospital before my stomach bust open!!!lol. I finally woke up feeling my stomach. Did any of you have dreams??? I really would like to know about it. You can email me at [email protected] I will update Sept 1st. Unless something else happens. I getting excited, I'm ready to change my life, and become the skinny person I should be. Me and husband will finally match!I wont look like his mother, and I'm younger than him.lol. Smooches until next time.
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09/02/04
If you have been reading my profile. You would know that my Last damn appt for my dietician was 09/01/04. I went up there to James Ashton for my appt. @ 10am. I waited for about 45 mintues. Guess what my damn dietician never showed. So you guessed it that pushed me back. She said she forgot she had patients, is what the told the receptionist. So she rescheduled me, for Sept.7 @9.. She better show up to this one, or I'm coming over the counter on the receptionists a$$..lol just kidding in case the fedarally are reading this..I have no ties to ALKIDA! Anywho, My pcp visit I scheduled for friday, I had to cancel. They told me they can't see me again until Sept.14, so there you go another damn delay. She checked again for me, now my pcp can see me on the 10th. SO I guess that is better. Anyway... I'm just playing the waiting game about to cuss and bust. Please continue to keep me in your prayers, maybe just maybe one day I might get a date. Until next time. (just needed to vent).
September 7, 2004
I have officially completed my last session with the dietician. YIPPEEEEEEEE!!!! She will fax my letter over to me tommorow... Thank the LORD!. Anywho, just a small celebration.
I have my finally visit with my pcp on FRiday, maybe I can do it before than, and do a walk-in appt. I just might try it. I will also print off the letter she sends me, so everybody can get a ideal of what it should say.. lol. UnTIL next time.. hopefully by the end of next week I should have APPROVAL..I HAVE CLAIMED IT! TTFN...Also I lost 4 LBS, In my eye lids.. lol.
Sept. 08,2004-
Brief, but very special update..... I got my letter from my dietician. She worded everything perfectly. Thank Goodness!!
Sept. 13, 2004-
Okay... AHHHHHGGGG. My stuff has now been sent. So I'm awaiting approval. LAWD... LAWD. Please pray for me. I'm so nervous. My surgeon has already called, saying that the precert dept. Is requesting year 2000 and 2003. I don't have 2000, So I hope everything will still be approved. I'm WORRIED!! I will update you once I know more. UNTIL NEXT TIME.
Sept 14,2004-
Don't know nothing as of yet. The precert dept. did call my surgeon stating that I need something showing I was over weight in 2000 and 2003. My pcp hadn't sent his info in at that time. But now I have everything I hope I need to get the ball on the roll. Hopefully, I should have good news tomorrow..maybe saying I'm APPROVED> ... I will update as soon as I know more. AGAIN,... You guys pray for me!!!!
September 15, 2004
I'M APPROVED!!! GO ME.... lol. Forget the happy dance, I'm doing the Bootie HOPPP!!!lol. I'm so Happy. My date is October 4, 2004. don't know what time I need to be there yet, but the hospital will call me to make those arrangements.
THANK YOU EVERYONE For all your PRAYS!!!!I'm So Blessed. My surgeon, stated that all is need is A Echo cardio gram (stress test ) Done prior to surgery, My appt. for that is Sept. 23. so I'm on my ways guys.
Sept. 21, 04 Nothing to report. I bought some multi vitamins and iron pills. I have an appt. on Sept 30 for my stress test echo. I just waiting for that. Thank you to everyone for there prays and support. I really appreciate it. I finally told my hubby....lol.. I know that seems wrong, but I did. Now he knows. I was only telling him I was getting my gallbladder remove which is part of it. lol. Yesterday, he finally said, " I dont know why you lying about this fake-a$$ gallbladder surgery." lol. So I had to tell him. I know its a damn shame. Anyway, that's a burden off my chest.
Sept, 22, 2004
I want to Thank Carmen for becoming my angel. Also Thank you to Christyne Miranda. I have scheduled my pre-op testing for Friday October 1,2004. I will update once completed.
Again, much love and thanks to all for your support and kind words.
Sept, 23, 2004
Nothing to report, but I have 8 Dayssss!!! I will do the happy dance, until next Monday. lol.I have my pre-op testing on friday and my stress test on thursday. My pcp still haven't call in my referral. The RN there is so lazy.Anywho, keeping praying for me.Thank you. MUCH success to ALL.
Sept. 30, 2004
I have finally completed my visit with the cardiologists.
She said everything was a go. she stated my ekg was abnormal, but that should improve after the surgery. So Everything is good there.. My Pre-op testing is tomorrow. I will update.
Oct. 15, 2004
Okay I'm finally out!!! I got out on Oct.7th. I had to stay a little bit longer b/c I needed to have a bowel movement. but the surgery was a success. I'm just now getting enough energy to come and update my profile. My cut is still healing. I feel good!! I was very hard at first, but its getting better day by day.I dont know if I have lost any weight. I wont know until my 1 st 2 wks dr appt. which is schedule for next friday I think the 22nd of oct. thank you for all your prayers!! ALso a special thanks to my ANGEL CARMEN,,, who stayed and sat at the hospital with my mother. I really do apperciate it, and I LOVE YOU for that.
Oct.24, 2004I had my 2 wk.. check, which I had on my 3rd week. I have lost 30lbs. according to my docs records.. Everything is going real good. I can tolerate a lot of stuff, but I'm still scared to try some things.I'm just taking it slow. It was hard for me at first... I just didn't have no energy..lol now I have enough for me and 3 other people. My sleeping schedule is all messed.. I'm up all night, and sleep during the day. I need to get back on schedule, soon before I return to work. Again ... Thanks to everyone for all there prayers. I will post some pics soon. I need to go turn in my camera.lol.. I will certainly get around to that.
Nov. 19,2004
Went to my 6wks check up.. WL has been slow. I have lost 5lbs. I'm not complaining at all. If I hadn't had the surgery, then I wouldn't have lost anything. I'm very THANKFUL!! I know I still have alot to lose. I returned to work on Monday 11/15. they look at me like a piece of meat.. Analyzing my face, butt, neck.. I mean everything. I feel so Violated..lol. I have been released to excercise no crunches. I hit the stairs yesterday wtih my co-worker, and I feel it today.lol.. sore calfs and out thighs, but I know its well worth it. I'm a Sorry son of gun.. I still haven't got my picture developed. PROMISE.. I will do it.. Did I promise before.lol... sorry.. Charge to my head not my HEART!!.. actually my broke pocket book. Talk to you soon..
Dec.6, 2004
Nothing to really update. I haven't lost anything so far, but I can tell I'm losing inches real fast, b/c my clothes are loser in the back and stomach area. Which I'm happy about.
Jan. 10,2004
Hello everybody, I'm doing real good. I feel good. I started losing again... I had another surgery on dec 28. I had a cyst on my ovaries and they removed that, they also told my I had endometrios.. Howeever you spell it... anyway they tied my tubes, and burned the lining of my womb.. So I won't have no more periods are babies... I gain 10lbs from that, but I lost 20lbs I way 238. I still big sexy..lol.. I will post some pics as soon as I learn how...
February 3, 2004
Hello Everyone.... I'm still here and losing. I know you guys see that awful pic... I look so much better now and happy with myself. I'm 15lbs from being 200 even. I'm so happy. So I'm almost out of the 200. I wear a size 16 now. from a 22-24 to 16 bottoms and almost a 14 in tops. I built like a true sister bottom heavy, but I'm extra cute. As you can tell my confidence has sky rocketed. I about ready to choke my husband, because he is so JEALOUS!! now, and that gets on my last nerves. Anywho next time I report in. I hope to be a 14.. Wish me luck, and congrats to everybody... 289-215---total lost 74lbs. Almost at the century club, not far to go.... I CAN"T WAIT!!!!
March 28, 2005
Nothing new to report.. I'm almost under 200. I need to start excercising again.lol. I get so much attention now, and my husband hate it.. I'm starting to look alot like my old self again.. I CUTE!! lol. I will post some new pictures.. as soon as I get my funds caught up to pay for the pictures. I trying to wait.. I want a big difference to show. which I know it will. Me and my husband on the breaking point, but were going to start couseling ASAP!! I think I'm at a stand-still right now.. but APril 4 will mark the beginning of my 6 months. I will most a picture at the end of my 6 month.. and show my progress.I'm so pround of my self, and my family is pround of me too.. especially my kids, they love it. They can actually hug me and put there hands all the way around my waist.. I actually have a shape now that you can see. I have no Ta-TA's that okay.. as long as they make push- up bras I okay.. lol. LAWD knows I need it.. Cant leave home without the push up bra.. Me and girls went to
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January 20, 2006. It's been a while, and I've been having fun the whole time.... I've been so busy!! my husband hating me.. lol. Who cares! anywho... I'm a size 12-14. m-l shirts... sexy and cute as ever..lol. these darn hips.. I just found out I have some!! It's been almost a year since my last update. All is well. I'm wanting for a ppt with my plastic surgeon. I've requested an updated pic,
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December 31, 2007- It has been a while since I have last posted. I am currently holding at 163lbs. I want to still lose 13lbs and be 150lbs., but I am not stressing over it. I am waiting for the New Year to start back working out, and getting toned. I do want to have a tummy tuck and breast implants done. The girl's are lifeless!! lol... I wear a medium in shirts, pants 9-10, bra size is 36A--SO SAD!! :0( ... Anywho, I am going to start checking this site, more often.. To help people/ support people, that are now considering the surgery. If you read over my page... you will notice the change not only in age, but mind and body. If I can do it.... YOU CAN DO IT!! It can be done! PLEASE BELIEVE! Motivation is key, and Motivation should become a HABIT!! Hope all is well, and HAPPY NEW YEAR!!!!..... TTFN!
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