Fw: letter to insurance ... suggestions requested

[Guest guest]

From: " Leah (by way of ilena rose) " <lifespirit_7@...>

Sent: Tuesday, April 03, 2001 2:00 PM

Subject: letter to insurance ... suggestions requested

>

> Dear Ilena,

>

> My physician wrote a letter for me to send in for the insurance

> company(the insurance company asked for more documentations and notes and

> pictures before they can make their decision on approval or not for my

> explantation). This is how the letter goes, and I wanted to know if it

> sounded o.k. esp. about the silicone surgery to change over to saline to

> the now of explanting period with no more implants?:

>

> To whom it may concern,

>

> Leah ******** has been a patient of the ****** Clinic for the past three

> years. On her initial visit she presented with eczema that appeared

> following implantation of silicone implants. She had sought care from

> several different providers with little or no results. She has had the

> silicone implants removed and had them replaced with saline implants,

> however due to the saline implants being incased in silicon she is still

> having an allergic reaction to the silicone.

>

> She presented today for examination.

>

> S) Patient presents today for care in regard to her eczema and fatigue

that

> she has continued to have problems with. She also reports that she's

having

> a difficult time moving her left shoulder into the full range of motion

> when compared to the right. She reports that the fatigue is an ongoing

> problem. She will get 8-10 hours of sleep and still have a hard time doing

> the normal daily activities that she needs to attend to. Patient also

> reports pain and crepitus.

>

> O) On examination, there was eczema noted around the patient's face, the

> nape of her neck, down into her upper chest region, down into her abdomen

> and the upper portion of her arms bilaterally, and her feet. It is red and

> scaly in nature. On examination of the left shoulder, on active range of

> motion when compared left versus right, the left had decreased extension,

> decreased abduction, decreased flexion, and decreased adduction. On

passive

> range of motion, there was again limited range of motion. On active

muscle

> strength testing the left was notably weaker than the right in flexion,

> extension, abduction, and adduction, left versus right. Crepitus was noted

> on passive range of motion in the left AC and glenohumeral joints

> respectively. There does seem to be interference of the pectoral major

> muscle in respect to the implants. The patient had meridian stress

analysis

> performed. SHe had multiple elevated readings in both the upper and lower

> extremeties.

>

> It is my medical opinion that the above conditions are related to the

> breast implants that the patient has. I feel that it would be in her best

> medical interest to have them removed as soon as possible.