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09-27-2007, 09:18 PM
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#1 (permalink)
| | Cub Reporter
Join Date: Mar 2007 Location: IL
Posts: 74
Weight Statistics 03/03/2008 Surgery Date:
5' 4"
Height:
276 lb Start Weight:
160 lb Current Weight:
145 lb Goal Weight:
116 lb Weight Loss:
15 lb Lb Left to Lose:
42.0289855072 % % Lost:
10/2009 Goal Date:
Body Mass Index47.3701171875 BMI Start:
27.4609375 BMI Current:
24.8864746094 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
 |  OMG Further Irritation, talk about making you feel bad
My PCP's office was suppossed to fax their letter over, but when I called I got the answering service. I figure no problem, I will call the surgeons office and ask. What a big mistake. The girl asks what the fax is so I tell her, and tell her I will have 2 more tomorrow. I also asked how long it takes to put the file together to send to insurance. She told me 1 week I thought not too bad. So I tell her when the letters are faxed tomorrow I am going to ask the file to be submitted. She said those letters won't make any difference. You did not lose the weight they ask for. Duh I can read the insurance company requirements. They don't say anything about a certain weight must be lost. Then I told her last month I did not eat much thats how I lost what I did. She says can't you have SF jello, or broth, with the SF popsicles. Oh I am so mad, upset, and ready to spit nails. She really made me feel like I will not get approved so why bother. I am still going to have them submit, and will appeal if I get denied until I can't appeal anymore. Then if I can't get approved I guess it wasn't meant to be. Thanks for letting me vent. 
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09-27-2007, 09:45 PM
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#2 (permalink)
| | Seasoned Veteran
Join Date: Aug 2006 Location: WADING RIVER (Long Island), NY
Posts: 5,122
Weight Statistics 7/16/07 Start Date:
7/16/07 Surgery Date:
4' 11"
Height:
230 lb Start Weight:
130 lb Current Weight:
115 lb Goal Weight:
100 lb Weight Loss:
15 lb Lb Left to Lose:
43.4782608696 % % Lost:
12/31/08 Goal Date:
Body Mass Index46.4492961793 BMI Start:
26.2539500144 BMI Current:
23.2246480896 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Cherri I Cant Believe She Had The Nerve To Say That To You!!! She Shouldnt Of Done That!!!! Wow When I Was Reading Your Thread It Just Got Me Soooo Mad!!! Dont Listen To Her And You Submit It And Fight Anyway. Like You Said Unless It States It Somewhere In The Insurance Policies You Fight Girl!!!!!!!!!!!
Good Luck Hun
__________________ 230 lbs 7/2007 & 130 lbs 2/2009    | |
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09-27-2007, 10:03 PM
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#3 (permalink)
| | Cub Reporter
Join Date: Mar 2007 Location: IL
Posts: 74
Weight Statistics 03/03/2008 Surgery Date:
5' 4"
Height:
276 lb Start Weight:
160 lb Current Weight:
145 lb Goal Weight:
116 lb Weight Loss:
15 lb Lb Left to Lose:
42.0289855072 % % Lost:
10/2009 Goal Date:
Body Mass Index47.3701171875 BMI Start:
27.4609375 BMI Current:
24.8864746094 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
|  Left feeling like a failure
Thanks Boots! You know that nurse left me feeling like such a failure. I asked my hubby why would she talk to me like that? I am a nice person, and I don't cause anyone problems. He said they are probably used to seeing obese people and hearing their excuses as why they did not lose. Wether they are true or not, he said they most likely don't believe you if you can't lose. That they figure you are eating as usual. My hubby knows how I eat, and being on the Gluten Free diet it has been less and less. I just want to cry. He says screw them just tell them to submit, and when I get to see the surgeon again to let him know how they treated me.
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09-27-2007, 10:38 PM
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#4 (permalink)
| | WLS Guru
Join Date: Jun 2007 Location: Arizona in the winter - Colorado in the summer
Posts: 454
Weight Statistics about age 12 the first time Start Date:
8/29/2007 Surgery Date:
5' 4"
Height:
268 lb Start Weight:
135 lb Current Weight:
140 lb Goal Weight:
133 lb Weight Loss:
-5 lb Lb Left to Lose:
49.6268656716 % % Lost:
a year from Christmas Goal Date:
Body Mass Index45.9970703125 BMI Start:
23.1701660156 BMI Current:
24.0283203125 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Definitely let the surgeon know how you were treated - I don't care if they are a Nurse, Dr or office staff a certain amount of respect is owed any client! You hang in there and don't let anyone elses opinions be more important than your own.
Judy
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09-28-2007, 04:18 AM
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#5 (permalink)
| | Seasoned Veteran
Join Date: Jan 2006 Location: SOMEPLACE LONG ISLAND, NY
Posts: 6,809
Weight Statistics June 1, 2005 Start Date:
5' 5"
Height:
310 lb Start Weight:
167 lb Current Weight:
159 lb Goal Weight:
143 lb Weight Loss:
8 lb Lb Left to Lose:
46.1290322581 % % Lost:
Body Mass Index51.5810650888 BMI Start:
27.7872189349 BMI Current:
26.4560946746 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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((HUG))
total bummer moment for sure!
hang in there ~~~~
and good luck and fight all this
and make ur GOAL of having surgery
a reality!
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09-28-2007, 06:41 AM
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#6 (permalink)
| | Seasoned Veteran
Join Date: Apr 2007 Location: NY
Posts: 10,174
Weight Statistics 4/19/2007 Surgery Date:
5' 9"
Height:
260 lb Start Weight:
152 lb Current Weight:
165 lb Goal Weight:
108 lb Weight Loss:
-13 lb Lb Left to Lose:
41.5384615385 % % Lost:
Body Mass Index38.3910943079 BMI Start:
22.4440243646 BMI Current:
24.36357908 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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wow i cant believe they spoke to you like that. i too would let the surgeon know. and dont let it get you down. stick by your decision and fight until the very end.
__________________  KenyaR.  Lap RNY 4/19/07 | |
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09-28-2007, 08:24 AM
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#7 (permalink)
| | Seasoned Veteran
Join Date: Jun 2007 Location: North Texas
Posts: 5,236
Weight Statistics I've lost/gained my whole life!!! Start Date:
Aug 1, 2007 Surgery Date:
5' 8"
Height:
280 lb Start Weight:
154 lb Current Weight:
150 lb Goal Weight:
126 lb Weight Loss:
4 lb Lb Left to Lose:
45 % % Lost:
Summer 2008 Goal Date:
Body Mass Index42.5692041522 BMI Start:
23.4130622837 BMI Current:
22.8049307958 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Be a duck...let it roll off your back and blow right past her! Where there's a will, there's a way!
Good luck and keep us posted!
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09-28-2007, 08:50 AM
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#8 (permalink)
| | WLS Master Guru
Join Date: Apr 2007 Location: Near St. Louis, MO.
Posts: 961
Weight Statistics 04/17/2007 Start Date:
April 30, 2007 Surgery Date:
5' 5"
Height:
296 lb Start Weight:
160 lb Current Weight:
150 lb Goal Weight:
136 lb Weight Loss:
10 lb Lb Left to Lose:
45.9459459459 % % Lost:
05/21/2008 Goal Date:
Body Mass Index49.2515976331 BMI Start:
26.6224852071 BMI Current:
24.9585798817 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Quote:
Originally Posted by Trulykath  Be a duck...let it roll off your back and blow right past her! Where there's a will, there's a way!
Good luck and keep us posted! | EXACTLY!!!!!! I can't believe how RUDE she was!!!! But like Kath said, let it roll off and let THAT be your motivation to not give up!!!!!!
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09-28-2007, 09:02 AM
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#9 (permalink)
| | Seasoned Veteran
Join Date: Jan 2007 Location: Davenport, IA
Posts: 1,848
Weight Statistics 12/28/06 Start Date:
May 14, 2007 Surgery Date:
5' 5"
Height:
253 lb Start Weight:
191 lb Current Weight:
150 lb Goal Weight:
62 lb Weight Loss:
41 lb Lb Left to Lose:
24.5059288538 % % Lost:
Body Mass Index42.0968047337 BMI Start:
31.780591716 BMI Current:
24.9585798817 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Hang in there! Just remember that the person who answered the phone at the Dr's office is not the insurance company. Keep pressing on.
__________________ Jeanne   | |
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09-28-2007, 09:33 AM
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#10 (permalink)
| | Super Moderator
Join Date: Nov 2005 Location: Tokyo, Japan
Posts: 24,703
5' 5"
Height:
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Awww(((((HUGS)))))
And, yes, let the surgeon know. If the staff is not compassionate to the patients, it isn't right.
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