Dietitian Appointment & Where I am now

Nov 05, 2010

Well...another early morning drive to Johns Hopkins Bayview to see the dietitian.  I had to pay for the 90 minute visit out of pocket...it was $311.  Ouch, I know.  The lady I spoke to on the phone said that I could pay half the day of the appointment and get billed for the rest...BUT...of course a sub was at her desk when I came in and didn't know anything about paying later.  So, I just paid the whole thing.  I figure if $311 is all I pay for this procedure I should count myself blessed.

The appointment went well. I really liked Margaret...she seemed like a very nice, sweet lady.  We talked about what I'm doing now as far as food.  I've been making healthier choices lately so my answer to her questions weren't bad.  I had to own up to my sunflower seed addiction.  AT LEAST 1 bag a day most days...AT LEAST 1, if not more.  It's terrible.  I'm eating healthy meals and then killing it with a bag of sunflower seeds. *sigh*

Anyway, she was nice and easy to talk to.  I told her about my history and then she went over what is expected before and after surgery.  Most of what she told me, I knew already but she did throw in some tidbits I didn't know about.  She told me about a product called "My Diet Dinnerware".  It's supposed to be utensils that help you slow down your eating.  Pretty inexpensive.  I think i'll buy some.  She recommended Greek yogurt because it's higher in protein.

She told me some other good information but I can't remember it all right now. 

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I'm slowly (well slowly to me) getting everything that I need done for my insurance approval.  I would like to submit for approval before the end of the year. 

5 yr history of obesity - Received paperwork from Kaiser that shows me weighing 259 in 2005 and I was diagnosed with Obesity.  I have other medical records showing the continued high weight recordings.

6 month diet history - I did Weight Watchers online in January 2009.  I was on the diet until September and I lost 36.6 pounds in that 8 month period.  I have the weight tracker data and my gym receipts from that time.  Hopefully this is enough. If not I have already started the 6 month diet classes at Johns Hopkins just in case I need them. 

Cardiac Clearance/Evaluation - EKG done and normal.  Stress test done and onsite doctor said it looked normal.  I have a follow up appointment with my cardiologist for clearance on Monday.

Nutrition Evaluation - Had it done today.  It went well.

Lab work - Completed by PCP.

History and Physical - Completed by PCP.

Still to be done

Letter of Medical Necessity - Already wrote most of it...I just need some results back before I finish it and send it to my PCP to sign.

Drug and alcohol screening - Still need to get done.  Got the information for a walk-in lab.

Psychiatric Evaluation - I have an appointment scheduled for Dec. 2.  I am contacting other psychiatrist's to get an earlier date. 

Sleep Study - Scheduled for Monday, Nov. 8th. (Insurance doesn't require but I want to know if I can add Sleep Apnea to my list of co-morbidities)
 

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About Me
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31.8
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Surgery
02/17/2011
Surgery Date
Oct 10, 2010
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