Guest guest Posted November 4, 2004 Report Share Posted November 4, 2004 Katy, Can you tell us who that doctor is? Others should know not to use him in the future. -- Lj 410/360/160 AGB Dr. Ronnie OKC 08/09/04 My blog: www.livejournal.com/users/l_stephens Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2004 Report Share Posted November 4, 2004 Good luck. I don't know many that will take patients banded by other persons these days. It's pretty toughdue to liability issues. You might go to www.lap-band.com and use the surgeon locator on Inamed's website. I wish you luck and hope your pain subsides. Did he completely unfill you? How long has he been doing bands? Sorry, you may have already given all this information before. Leatha Plano, Texas -67lbs The Saga Continues I will be looking for another doctor when it is time for a fill I was Banded 9-8-04 and have lost 40 pds to date. Has anyone ever had these syptoms before heavy feeling in chest and bruised ribs? BYW I am looking for a new doctor in the Louisiana or east Texas Area ANY IDEAS? Thanks, Katy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2004 Report Share Posted November 5, 2004 You definately need to find a new Doctor. Best of luck on the search and I hope you feel better soon. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2004 Report Share Posted November 5, 2004 I'd suggest seeing your family doc for a full physical. We sometimes neglect this when we are banded, but the surgeons and family docs are entirely different and looking at different parts of your health. You still need routine urinalysis blood tests, thyroid checks, mammograms, paps,and other stuff the surgeons are not interested in.You could have apinched nerve in your neck or back, from disc degeneration, or loyts of other non-band-related stuff. Good luck - Sandy RN > > Well, > Over the last few weeks I have been posting about pain in my chest > and under my ribs , Did go back to the " doctor " I use that loosly. > He ran bunches of test and decided it was not band related .... I > asked where do we go from here.... he left the room is where he > went.... I must say that I HAve NEVER been ill or had any type of > pain until the surgery and the doctor does not listen. He did > unfill me ( LEFT A HUGE BRUISE ON MY STOMACH) ( remember my first > and only fill was at 4 weeks and I was loosing 3 pds a week at the > point) didn't need it. I think it irrated my stomach and then the > pain began. He put me on Pain killers which I don't take. I am > feeling much better but I still have a tightness in my chest and my > ribs feel bruised. I will be looking for another doctor when it is > time for a fill I was Banded 9-8-04 and have lost 40 pds to date. > Has anyone ever had these syptoms before heavy feeling in chest and > bruised ribs? BYW I am looking for a new doctor in the Louisiana > or east Texas Area ANY IDEAS? > Thanks, > Katy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2008 Report Share Posted February 12, 2008 Good luck Dan! Glad you are on the case and fighting for your good health! Becky "dm.teal1" <dm.teal1@...> wrote: Hi,Thanks for all the positive responses. I did find a Dr. Schwartz at Buffalo General (New York), and a Dr. Lang at the Cleveland Clinic. Both do aspirin desensitizing. As I stated, my insurance company (Aetna) would not cover it. However, with a phone call from Dr. Schwartz, they agreed! So, I am going into ICU where I can be monitored and attended to. I won't be sitting in my living room waiting for a reaction.I don't know when the program is to start yet. I'll keep you posted. Don't give up. Keep fighting.Dan Sent from - a smarter inbox. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2008 Report Share Posted February 12, 2008 I found this while searching for the elusive CPT codes for Aspirin desensitization. Allergy Clin Immunol. 2007 Aug 21; : 17716716 An economic analysis of aspirin desensitization in aspirin-exacerbated respiratory disease. [My paper] Marcus Shaker , Ano Lobb , Pamela , O'rourke , Steve K Takemoto , Salil Sheth , Burroughs , Mark Dykewicz BACKGROUND: Aspirin desensitization is an effective therapy for moderate-to-severe aspirin-exacerbated respiratory disease (AERD). Desensitization also allows the use of aspirin for secondary cardiovascular prevention. OBJECTIVE: We sought to investigate the cost-effectiveness of aspirin desensitization with subsequent aspirin therapy in patients with AERD. METHODS: The Healthcare Cost and Utilization Project was used, together with average reimbursements from a large Midwestern health care plan, to model the costs of aspirin desensitization for therapeutic and prophylactic use in patients with AERD. Event probabilities were based on the published literature. RESULTS: Ambulatory desensitization for AERD cost $6768 per quality-adjusted life year (QALY) saved ($18.54 per additional symptom-free day). Aspirin desensitization for AERD remained cost-effective (<$50,000 per QALY saved) across a wide range of assumptions. When secondary cardiovascular prophylaxis was considered, ambulatory aspirin desensitization was less expensive than an alternative antiplatelet agent, clopidogrel. Clopidogrel cost $106,453 per incremental QALY saved when compared with desensitization. CONCLUSIONS: Aspirin desensitization is a cost-effective therapeutic intervention in patients with moderate-to-severe AERD. Although the incremental cost-effectiveness of clopidogrel in individuals with aspirin allergy is marginal, if available, ambulatory desensitization remains a less-expensive option for secondary cardiovascular prophylaxis. CLINICAL IMPLICATIONS: From an economic standpoint, clopidogrel is a reasonable alternative for patients with AERD requiring secondary cardiovascular prophylaxis, and therapeutic aspirin desensitization should be strongly considered in patients with moderate-to-severe disease. Now I am trying to determine what it means! Re: The Saga Continues Good luck Dan! Glad you are on the case and fighting for your good health! Becky "dm.teal1" <dm.teal1 > wrote: Hi, Thanks for all the positive responses. I did find a Dr. Schwartz at Buffalo General (New York), and a Dr. Lang at the Cleveland Clinic. Both do aspirin desensitizing. As I stated, my insurance company (Aetna) would not cover it. However, with a phone call from Dr. Schwartz, they agreed! So, I am going into ICU where I can be monitored and attended to. I won't be sitting in my living room waiting for a reaction. I don't know when the program is to start yet. I'll keep you posted. Don't give up. Keep fighting. Dan Sent from - a smarter inbox. More new features than ever. Check out the new AOL Mail! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2008 Report Share Posted February 12, 2008 What this means is really determined by the context in which you are discussing it ... it really relates to heart disease, so it would be most applicable for those needing aspirin for heart disease purposes. And it's an economically-based study, so it's determining whether a treatment has positive or negativ economic implications. The most important part is the conclusion: CLINICAL IMPLICATIONS: From an economic standpoint, clopidogrel is a reasonable alternative for patients with AERD requiring secondary cardiovascular prophylaxis, and therapeutic aspirin desensitization should be strongly considered in patients with moderate-to-severe disease. Lori > > > > Hi, > Thanks for all the positive responses. I did find a Dr. Schwartz at > Buffalo General (New York), and a Dr. Lang at the Cleveland Clinic. > Both do aspirin desensitizing. As I stated, my insurance company > (Aetna) would not cover it. However, with a phone call from Dr. > Schwartz, they agreed! So, I am going into ICU where I can be > monitored and attended to. I won't be sitting in my living > room > waiting for a reaction. > I don't know when the program is to start yet. I'll keep you posted. > Don't give up. Keep fighting. > Dan > > > > > > > > > > > Sent from - a smarter inbox. > > > > > > > > > > > > > > > > > > > ______________________________________________________________________ __ > More new features than ever. Check out the new AOL Mail ! - http://webmail.aol.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2008 Report Share Posted February 12, 2008 That's great news -- good luck to you. Good for you for pursuing this. Insurance companies automatically reject a certain percentage of claims and authorizations. One should never be discouraged by an initial appeal that goes against them. Insurance companies just want YOU to have to do the work. Very often you can get them to see things your way if a treatment has the potential to be very beneficial. Please provide their information in the database here if you don't mind -- names, locations and phone numbers would be very helpful if they do not already have an entry here. Lori > > Hi, > Thanks for all the positive responses. I did find a Dr. Schwartz at > Buffalo General (New York), and a Dr. Lang at the Cleveland Clinic. > Both do aspirin desensitizing. As I stated, my insurance company > (Aetna) would not cover it. However, with a phone call from Dr. > Schwartz, they agreed! So, I am going into ICU where I can be > monitored and attended to. I won't be sitting in my living room > waiting for a reaction. > I don't know when the program is to start yet. I'll keep you posted. > Don't give up. Keep fighting. > Dan > Quote Link to comment Share on other sites More sharing options...
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