Working on Appeal

Aug 19, 2008

I feel like I've been on this darn computer for so long. I've been gathering tons of info on writing an appeal letter and writing down all of my problems caused by my weight. Someone on OH has offered to help me with my appeal. I am so grateful. The next step is to go to the Dr's office and have her document all of my problems so that when insurance calls they are in my chart.

Does the Dr's office know what they are doing?

Aug 07, 2008

Now that I've been denied for WLS, my doctor calls to leave a message stating that she would classify me as having high cholesterol. It really doesn't matter now. I still have to go through the whole appeal process. What the heck?


Peeeeed Off!!!!

Aug 04, 2008

So just as my husband and I were talking about how WLS would change my life. Ring.....my case manager calls to tell me that I don't qualify for surgery and I can appeal the decision. She said that when she called my Dr's office they said that I didn't have high cholesterol. Which is funny because my lab results said that I was 233 and anything over 200 is high. So I called my case manager back to let her know what my level was and she said that I was just bordeline. So now I'm not really sure what to do. I don't have any of the co morbidities that they require. I'm thinking of going to the shrink and letting them know how much of a burden my weight is and how much it keeps me from doing. Just for more documentation to throw at the insurance company. I'll first see my PCP and see if she has any suggestions.

Frustration!!!!

Aug 04, 2008

So my family and I went to our grand daugthers birthday party yesterday. Of coarse I was not wanting to go. We were there for 2 hours and then the thing that I dreeded would happen, happened. My husbands ex wife showed up. I instantly wanted to leave. As if her being there wasn't bad enough, my husband didn't even recognize that it was her. Why? Because she has lost 100lbs. So now I'm even more upset. I don't want to leave because then I will feel like she has defeited me in someway. But I don't want to stay there feeling all of my anxiety and being as upset as I am. We finally left after about 20 minutes. I just wasn't having anymore fun and I wasn't treating my husband very well. I know that's it's not his fault he was just the one I wanted to make me feel better, but of coarse he doesn't really understand. It wasn't so much that she was there, it was the fact that she lost 100lbs. I have promised myself not to get discouraged because of this, but it is so hard when you want instant results right now.

Dr's Appt.

Jul 28, 2008

Went to my PCP today to have her fill out my initial paperwork for my case manager. I have lost 7lbs in 10 days by just watching my carbs. 30 grams for Breakfast, 15 gram snack, 30 grams for lunch, 15 gram snack and then 45 grams for dinner. Seems to be working well so far. My doctor is very encouraging. This is the diet I followed when I had gestational diabetes. I didn't even gain a pound while pregnant 2x's.

I gained some back!

Jul 25, 2008

So after being on a diet for 5 days I weighed myself to see if eating right has paid off. I lost 7 pounds I couldn't believe it. Then 2 days later I weighed myself again and......I gained 2 back. Shame on me!!!! Just when I think I'm doing good, I eat a piece of Lemon Chello Torte and a few others things I obviously shouldn't have. It is just the reminder I need to get back on track. I can gain just as fast as I can lose.

I've been approved for the pre surgical program!!!!!

Jul 21, 2008

So as of July 18th I am now pre approved. I'm working on my first hurdle. I have to lose 5% of my body weight, 16.75lbs. I can't wait. My case manager says I have 6 months to do it. I actually believe I can do it in 1 month. As soon as I do then she will send a letter to her supervisor and the doctor letting them know my progress. Then I can see the surgeon. I of coarse have to write down all that I eat and any exercise I do. I find that the hardest part of the day is at night when the kids are asleep. That is when my husband and I usually have our little snack fest. Laying in bed watching TV. I could just feel the stress melt away. So I thought, the stress was just melting to my butt and stomach.  Now I feel more stressed than ever. We have now resorted to playing cards in bed, which believe it or not is so much more fun.

About Me
Kent, WA
Location
54.6
BMI
Jun 03, 2008
Member Since

Friends 1

Latest Blog 7
Working on Appeal
Does the Dr's office know what they are doing?
Peeeeed Off!!!!
Frustration!!!!
Dr's Appt.
I gained some back!
I've been approved for the pre surgical program!!!!!

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