Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 Oh Sharon, my heart goes out to you. Have a very good cry (if you haven't already) and then get MAD and FIGHT BACK! Hugs and blessings, Ann Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 Oh Sharon, my heart goes out to you. Have a very good cry (if you haven't already) and then get MAD and FIGHT BACK! Hugs and blessings, Ann Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 In a message dated 4/30/2003 8:32:59 PM Central Daylight Time, roseofsharon_ps121@... writes: > So I have to get mad... > thanks for being a good friend, > Shaton in Onyx > who- shit, shit, shit, cant get these water works to stop.... > Sharon, As one who cried in Walmart last week when she looked in the full mirror, I can understand....Seems the more I lose the worse it looks to me. Shit, by the time I lose a hundred pounds I will be so vain noone will stand me....LOL. Get mad and fight them. I understand it is considered reconstructive if you lose more than 100 lbs, so find out how others did it. And why the hell is dr. K and the other docs word not good enough?? I mean, who are they to tell you who should treat your rashes....LOL??? Get mad and Get even Girl!! in Bama http://hometown.aol.com/mdl1031/myhomepage/profile.html Surgery- RNY to DS revision on12/6 -377.5 12/17 - 346.5 ( minus 31lbs) 01/15- 338.1 (minus 39.1lbs) 02/12-330.0 (minus 47.5 lbs) 04/06- 324.3 (minus 53.2 lbs) 04/25- 315 (minus 62.5 lbs) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 > Sharon, I hate insurance companies! You let a stranger look at naked pics of you and then get told it is cosmetic. Kee-ripes. Hey, start documenting. You can get I will be documenting after reading what you wrote. Marta > I know, I cant even believe after what he saw, that he could actually sit there and say it was cosmetic....like I was having my nose redone or something.. I wish he could for just one day carry around these things on my legs, try to walk fast, or sleep on his side...just one day. I am in total amazement. I do have documentation about my rashes. My gyno, and Dr. K before surgery. But they want it from my pcp, who I havent gone back to since he told me I was to weak of mind to diet. heavy sigh. I am going to appeal. Sharon in Onyx who is getting her dander up, just thinking about someone looking at those pics laughing and saying she lost all that weight just to look like this... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 > Sharon, I hate insurance companies! You let a stranger look at naked pics of you and then get told it is cosmetic. Kee-ripes. Hey, start documenting. You can get I will be documenting after reading what you wrote. Marta > I know, I cant even believe after what he saw, that he could actually sit there and say it was cosmetic....like I was having my nose redone or something.. I wish he could for just one day carry around these things on my legs, try to walk fast, or sleep on his side...just one day. I am in total amazement. I do have documentation about my rashes. My gyno, and Dr. K before surgery. But they want it from my pcp, who I havent gone back to since he told me I was to weak of mind to diet. heavy sigh. I am going to appeal. Sharon in Onyx who is getting her dander up, just thinking about someone looking at those pics laughing and saying she lost all that weight just to look like this... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 > Sharon, I hate insurance companies! You let a stranger look at naked pics of you and then get told it is cosmetic. Kee-ripes. Hey, start documenting. You can get I will be documenting after reading what you wrote. Marta > I know, I cant even believe after what he saw, that he could actually sit there and say it was cosmetic....like I was having my nose redone or something.. I wish he could for just one day carry around these things on my legs, try to walk fast, or sleep on his side...just one day. I am in total amazement. I do have documentation about my rashes. My gyno, and Dr. K before surgery. But they want it from my pcp, who I havent gone back to since he told me I was to weak of mind to diet. heavy sigh. I am going to appeal. Sharon in Onyx who is getting her dander up, just thinking about someone looking at those pics laughing and saying she lost all that weight just to look like this... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 In a message dated 4/30/2003 9:41:45 PM Central Daylight Time, roseofsharon_ps121@... writes: > The first thing that went thru my mind was he isnt to bright > insulting a woman that is 3 times his size, heck I was thinking I > could take him out in a heartbeat, but then I wouldnt have got my > referal to Dr K. So I behaved, and he still lives. > hugs back, > Sharon in Onyx > OMG Sharon, A woman after my own heart!! in Bama http://hometown.aol.com/mdl1031/myhomepage/profile.html Surgery- RNY to DS revision on12/6 -377.5 12/17 - 346.5 ( minus 31lbs) 01/15- 338.1 (minus 39.1lbs) 02/12-330.0 (minus 47.5 lbs) 04/06- 324.3 (minus 53.2 lbs) 04/25- 315 (minus 62.5 lbs) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 In a message dated 4/30/2003 9:41:45 PM Central Daylight Time, roseofsharon_ps121@... writes: > The first thing that went thru my mind was he isnt to bright > insulting a woman that is 3 times his size, heck I was thinking I > could take him out in a heartbeat, but then I wouldnt have got my > referal to Dr K. So I behaved, and he still lives. > hugs back, > Sharon in Onyx > OMG Sharon, A woman after my own heart!! in Bama http://hometown.aol.com/mdl1031/myhomepage/profile.html Surgery- RNY to DS revision on12/6 -377.5 12/17 - 346.5 ( minus 31lbs) 01/15- 338.1 (minus 39.1lbs) 02/12-330.0 (minus 47.5 lbs) 04/06- 324.3 (minus 53.2 lbs) 04/25- 315 (minus 62.5 lbs) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 In a message dated 4/30/2003 9:41:45 PM Central Daylight Time, roseofsharon_ps121@... writes: > The first thing that went thru my mind was he isnt to bright > insulting a woman that is 3 times his size, heck I was thinking I > could take him out in a heartbeat, but then I wouldnt have got my > referal to Dr K. So I behaved, and he still lives. > hugs back, > Sharon in Onyx > OMG Sharon, A woman after my own heart!! in Bama http://hometown.aol.com/mdl1031/myhomepage/profile.html Surgery- RNY to DS revision on12/6 -377.5 12/17 - 346.5 ( minus 31lbs) 01/15- 338.1 (minus 39.1lbs) 02/12-330.0 (minus 47.5 lbs) 04/06- 324.3 (minus 53.2 lbs) 04/25- 315 (minus 62.5 lbs) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 > Ahhhh Sharon....shit. > > > Wrapping my heart around you while you cry. Lets have a good cry, > get it out of the system so you can make room for the anger to fight > the mean nasty stupid insurance company. > > Christ this is the year 2003 not the 1800's...what woman needs or > wants an apron or saddle bags? Especially ones made of skin....geez > > Hugging you tight > Jo The only place for saddle bags is on a horse. And my Nona wore an apron, but a pretty one... thanks for the hug...I have to stop crying now as my DH will be home soon and it hurts him when I cry. So I have to get mad... thanks for being a good friend, Shaton in Onyx who- shit, shit, shit, cant get these water works to stop.... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 > Ok Sharon > > First of all..you do not look obscene! ::I will send you pics to prove it. lol no, it would ruin your youth, cnat do that. You are absolutely gorgeous and any flaws are always hidden by your beautiful personality and smile. (Believe me - Aussies dont say nice things if we dont mean it!) I am sorry this has happened but I beleive you will get the surgery when the time is right..keep fighting. > > You are a lovely person and we all care about you deeply..please dont be too upset. Call on us for support whenever you need to! > > Love > Kristy Thanks for being a good friend, Kristy, I will keep smiling as soon as I can get these water works to stop. I care about you too, go to the Dr. Did you get your card? I will fight them sob's you better believe it! thanks for the encouragement... love you too, Sharon in Onyx who knows that aussies dont sugar coat anything! Just tell iti like they see it. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 > Are you able to have that surgery if you have a hernia repair? ::I do not have a hernia, if I did the cost for the panni and sadllebags would be minimal and I could self pay. I am 16 months out and probably wont get a hernia now if I did try. I wish I could give you a hug.... I don't feel like an email could > comfort you as well. I have seen miracles happen for people who get > denied a procedure and I hope for that for you. I also hope that you will take pictures of these rashes you get and perservere. :: My DH will be taking pics tonite. And email comfort is good enough for me. thank you for the hugs and encouragement. I will fight this, and not give in so easily. My best wishes and prayers to you, > Kinsey thank you for the prayers, I know the evil one is messing with me, as I am working a Christian retreat starting tomorrow, and as my DH reminded me, I always get attacked just before these weekends...so It isnt over yet. thanks again, sharon in onyx who isnt crying anymore... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 > Are you able to have that surgery if you have a hernia repair? ::I do not have a hernia, if I did the cost for the panni and sadllebags would be minimal and I could self pay. I am 16 months out and probably wont get a hernia now if I did try. I wish I could give you a hug.... I don't feel like an email could > comfort you as well. I have seen miracles happen for people who get > denied a procedure and I hope for that for you. I also hope that you will take pictures of these rashes you get and perservere. :: My DH will be taking pics tonite. And email comfort is good enough for me. thank you for the hugs and encouragement. I will fight this, and not give in so easily. My best wishes and prayers to you, > Kinsey thank you for the prayers, I know the evil one is messing with me, as I am working a Christian retreat starting tomorrow, and as my DH reminded me, I always get attacked just before these weekends...so It isnt over yet. thanks again, sharon in onyx who isnt crying anymore... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 > Are you able to have that surgery if you have a hernia repair? ::I do not have a hernia, if I did the cost for the panni and sadllebags would be minimal and I could self pay. I am 16 months out and probably wont get a hernia now if I did try. I wish I could give you a hug.... I don't feel like an email could > comfort you as well. I have seen miracles happen for people who get > denied a procedure and I hope for that for you. I also hope that you will take pictures of these rashes you get and perservere. :: My DH will be taking pics tonite. And email comfort is good enough for me. thank you for the hugs and encouragement. I will fight this, and not give in so easily. My best wishes and prayers to you, > Kinsey thank you for the prayers, I know the evil one is messing with me, as I am working a Christian retreat starting tomorrow, and as my DH reminded me, I always get attacked just before these weekends...so It isnt over yet. thanks again, sharon in onyx who isnt crying anymore... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 First of all! Regardless of what YOU think, your hubby thinks you're beautiful and so do we! You may see big thighs and an overhanging panni, but we see this woman with a gorgeous smile, sparkling eyes and someone that we're really glad to know! As for your insurance company..I've heard that it's pretty standard for insurance companies to deny PS on the first request, so definitely APPEAL. Do you have a direct contact or can you get a direct contact in your insurance companies medical management/pre-authorization department so you can fax the information directly to them and you're not just an anonymous statistic ? *hugs* Anita in Denver > Hi all > Well I just got off the phone with and UHC denied my > reconstructive surgery. He said it was cosmetic. lol ....He saw > my pictures with my apron hanging and these saddle bags hanging and > said it was cosmetic, can you believe it. I am trying not to cry... > said I needed Dr. proof that these rashes I get wont go > away with antibiotics etc, extensive Dr. reports. Well I never went > to a dr. for these rashes, I have always just dealt with them. My > immobility due to these things on my legs, well what could a dr do > other than suggest they be removed, which is why I went to Dr. Bae > after Dr. K suggested it. > Well at least one good thing came out of it. I found that I am more > scared to live with these abnormalities, then of having the > surgery. Before I was just scared of the surgery. > I am totally heart sick, and sick to my stomach...I cant believe it > wont happen on may 23rd....I just cant believe it. > I look obscene, and now it seems like I will be forever disfigured. > YUCH!!! And my poor hubby gets to see this every nite before he goes > to bed, all I can think of is the nightmares it must cause. Great > foreplay, huh? > sigh... > Sharon in Onyx > ok, who is now crying, for heaven sake...this is ridiculous! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 First of all! Regardless of what YOU think, your hubby thinks you're beautiful and so do we! You may see big thighs and an overhanging panni, but we see this woman with a gorgeous smile, sparkling eyes and someone that we're really glad to know! As for your insurance company..I've heard that it's pretty standard for insurance companies to deny PS on the first request, so definitely APPEAL. Do you have a direct contact or can you get a direct contact in your insurance companies medical management/pre-authorization department so you can fax the information directly to them and you're not just an anonymous statistic ? *hugs* Anita in Denver > Hi all > Well I just got off the phone with and UHC denied my > reconstructive surgery. He said it was cosmetic. lol ....He saw > my pictures with my apron hanging and these saddle bags hanging and > said it was cosmetic, can you believe it. I am trying not to cry... > said I needed Dr. proof that these rashes I get wont go > away with antibiotics etc, extensive Dr. reports. Well I never went > to a dr. for these rashes, I have always just dealt with them. My > immobility due to these things on my legs, well what could a dr do > other than suggest they be removed, which is why I went to Dr. Bae > after Dr. K suggested it. > Well at least one good thing came out of it. I found that I am more > scared to live with these abnormalities, then of having the > surgery. Before I was just scared of the surgery. > I am totally heart sick, and sick to my stomach...I cant believe it > wont happen on may 23rd....I just cant believe it. > I look obscene, and now it seems like I will be forever disfigured. > YUCH!!! And my poor hubby gets to see this every nite before he goes > to bed, all I can think of is the nightmares it must cause. Great > foreplay, huh? > sigh... > Sharon in Onyx > ok, who is now crying, for heaven sake...this is ridiculous! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 First of all! Regardless of what YOU think, your hubby thinks you're beautiful and so do we! You may see big thighs and an overhanging panni, but we see this woman with a gorgeous smile, sparkling eyes and someone that we're really glad to know! As for your insurance company..I've heard that it's pretty standard for insurance companies to deny PS on the first request, so definitely APPEAL. Do you have a direct contact or can you get a direct contact in your insurance companies medical management/pre-authorization department so you can fax the information directly to them and you're not just an anonymous statistic ? *hugs* Anita in Denver > Hi all > Well I just got off the phone with and UHC denied my > reconstructive surgery. He said it was cosmetic. lol ....He saw > my pictures with my apron hanging and these saddle bags hanging and > said it was cosmetic, can you believe it. I am trying not to cry... > said I needed Dr. proof that these rashes I get wont go > away with antibiotics etc, extensive Dr. reports. Well I never went > to a dr. for these rashes, I have always just dealt with them. My > immobility due to these things on my legs, well what could a dr do > other than suggest they be removed, which is why I went to Dr. Bae > after Dr. K suggested it. > Well at least one good thing came out of it. I found that I am more > scared to live with these abnormalities, then of having the > surgery. Before I was just scared of the surgery. > I am totally heart sick, and sick to my stomach...I cant believe it > wont happen on may 23rd....I just cant believe it. > I look obscene, and now it seems like I will be forever disfigured. > YUCH!!! And my poor hubby gets to see this every nite before he goes > to bed, all I can think of is the nightmares it must cause. Great > foreplay, huh? > sigh... > Sharon in Onyx > ok, who is now crying, for heaven sake...this is ridiculous! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 Rocky, You need a new PCP since you can't give your current one a swift boot to the head! I'm sure you can find a better one! *hugs* Anita in Denver My gyno, and Dr. K before surgery. > But they want it from my pcp, who I havent gone back to since he > told me I was to weak of mind to diet. > heavy sigh. I am going to appeal. > Sharon in Onyx > who is getting her dander up, just thinking about someone looking at > those pics laughing and saying she lost all that weight just to look > like this... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 Rocky, You need a new PCP since you can't give your current one a swift boot to the head! I'm sure you can find a better one! *hugs* Anita in Denver My gyno, and Dr. K before surgery. > But they want it from my pcp, who I havent gone back to since he > told me I was to weak of mind to diet. > heavy sigh. I am going to appeal. > Sharon in Onyx > who is getting her dander up, just thinking about someone looking at > those pics laughing and saying she lost all that weight just to look > like this... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 Sharon...besides taking pics of rashes and getting into your PCP to document them (and even if he prescribes antibiotics, fill the prescription but you don't have to use them then keep going back complaining the rash isn't going away) Plus...could you get a specialist to exam you and write it up that because of the apron and saddle bags it changes your gait/stride/walk and is doing damage to your back? At the very least start complaining of back pain and the tripping when you walk. Make sure your pcp documents your complaints.....Anything that can be related to the apron and saddlebags causing problems...complain, complain, complain. Jo Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 Sharon...besides taking pics of rashes and getting into your PCP to document them (and even if he prescribes antibiotics, fill the prescription but you don't have to use them then keep going back complaining the rash isn't going away) Plus...could you get a specialist to exam you and write it up that because of the apron and saddle bags it changes your gait/stride/walk and is doing damage to your back? At the very least start complaining of back pain and the tripping when you walk. Make sure your pcp documents your complaints.....Anything that can be related to the apron and saddlebags causing problems...complain, complain, complain. Jo Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 Sharon..APPEAL APPEAL APPEAL!!! Most insurance companies turn down requests automatically, hopeful that the patient doesn't know their rights and will quietly fad into the sunset. There is ALWAYS someone over the person that denied you...keep going!!!!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 Sharon..APPEAL APPEAL APPEAL!!! Most insurance companies turn down requests automatically, hopeful that the patient doesn't know their rights and will quietly fad into the sunset. There is ALWAYS someone over the person that denied you...keep going!!!!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2003 Report Share Posted May 1, 2003 Does anyone know how hard it is to get skin fixed with medicare or am I going to have to fight them to get it done? Or wait forever until Tom finishes school(2 yrs) and gets a job and the waiting time is up?? in Bama http://hometown.aol.com/mdl1031/myhomepage/profile.html Surgery- RNY to DS revision on12/6 -377.5 12/17 - 346.5 ( minus 31lbs) 01/15- 338.1 (minus 39.1lbs) 02/12-330.0 (minus 47.5 lbs) 04/06- 324.3 (minus 53.2 lbs) 04/25- 315 (minus 62.5 lbs) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2003 Report Share Posted May 1, 2003 Does anyone know how hard it is to get skin fixed with medicare or am I going to have to fight them to get it done? Or wait forever until Tom finishes school(2 yrs) and gets a job and the waiting time is up?? in Bama http://hometown.aol.com/mdl1031/myhomepage/profile.html Surgery- RNY to DS revision on12/6 -377.5 12/17 - 346.5 ( minus 31lbs) 01/15- 338.1 (minus 39.1lbs) 02/12-330.0 (minus 47.5 lbs) 04/06- 324.3 (minus 53.2 lbs) 04/25- 315 (minus 62.5 lbs) Quote Link to comment Share on other sites More sharing options...
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