Ok, so I went to the appt I made for the 6 month diet plan. It was with Dave from Indian Creek family medical. Same place that Tim , Will, and Russell have been seen. Autumn has not yet needed a dr. Anyhow, when I called to make the appt, Dave was the one they said I should see. Funny guy, really nice dr, and genuinely seems interested in patient care. He didn’t give me any grief on why I would want the surgery. He said that by this point he trusted that I knew what I wanted and had researched it enough to make my own descision. Whew. I wasn’t sure what to expect, but I was fully prepared to look for another dr if this one was going to give me a hard time. So basically I showed him the insurance papers that said what I needed to get approval. I thought he might give me some written diet plan and extensive program. Nope. He pretty much said we will do what we need to do to make the insurance company happy. He knows that I’ve been on diet after diet. He knows that I’ve struggled with this for a long time. He’s not going to make me do anything drastic or strict. We talked about maintaining and gaining health in preparation for the surgery. He wants me to walk on the treadmill and build some lean muscle mass. Eat healthy and basically get my body in the best health I can so I will be ready for surgery. I need to weigh myself once a week and then once a month check in with him and give him those numbers. He is also referring me to a nutritionist so as to cover that as far as the insurance goes. Just covering all our bases. Also, next week I am going to do a fasting blood draw to get suger, lipid, thyroid, and all that stuff checked and charted. So – moral of todays post is I feel good. I feel good about what I have to do and I’m no longer discouraged. I am going to use the next 6 months to prep myself to get the best outcome for the surgery. Oh, and I am going to learn to quilt! woohoo! After my appt I went next door to the quilt store and signed up for a beginners class that starts in september. See – all kinds of stuff to keep me busy!
Encouraged but Discouraged. July 23, 2007
Is there such a thing? I’ve been waiting to find out if my insurance covers this. I just found out it does with certain criteria met. I have to do a medically supervised diet for 6 months. I am happy my insurance will cover the surgery, but I am a super impatient person. 6 months seems to be forever. And now I am worried that somewhere along this diet I am going to get myself disqualified. The insurance paper work gives specifics, but it doesn’t say what will happen if my BMI goes lower. It’s 40 right now. I’ve made an appt with my PCP – it’s this friday. I want to get this ball rolling so as not to waste any time.
I’m just feeling dicouraged. Like I haven’t already gone through nearly 30 years of weight issues – I’m supposed to prove I can do it for another 6 months???
Faxed July 19, 2007
I just faxed over to Dr. Oakley’s office the info I got from my insurance today. It’s about 10 pages of explaining bariatric surgery and coverage. I read it through,but of course I don’t think I totally understood it. But it sounds like it can be covered. One word that scared me was ‘reimbursment’. So, that means I pay up front for the surgery and they reimburse me?? That can’t be right.
I am feeling so yucky lately. My sleeping pattern is horrible. I stay up late, sleep a couple of hours, get up and eat and play on my computer and watch tv, then go back to sleep for a couple of hours. It leaves me exhausted. I just wish I could sleep through the night. Even with a sleeping pill it’s not wonderful. I’m tired all the time, have heartburn and just a constant dull achey feeling. No energy. 😦
Medical necessisty July 18, 2007
Dr. Oakley’s office sent me a copy of the letter of medical necessisty that is to be sent to the insurance company. Yesteday I had a small taste of what dealing with an insurance company is like. I never would have thought that fax numbers and yes or no answers would be so difficult to get. They really do make it hard. But, the good news is that I found out that yes, the insurance does cover the surgery if I’ve met the criteria. I’m sure it’s not that easy and I’ll probably have to jump through a thousand hoops to get there. That’s ok. As long as the doors don’t completely slam shut. Persistence on things I want is not my weak point. I’m also very happy so far with the Dr office staff. Jennifer (office manager) has been very helpful and answered all my emails quickly. My appt with Dr. Oakley was more than I could have expected. He was kind, compassitionate, experienced, and took his time going over all the information and answered every question I asked. He even commented that I asked more questions than the typical patient. Well duh!!! I told him my husband tells me the same thing. Anyhow, I am very comfortable so far with everything this office has done for me. I think the sucess of the surgery really has a ton to do on your doctor. Of course once it is preformed properly and you’ve recovered, the rest is up to you. He told me that of the people who have this has failed for – it has been through their own noncompliance. The people who tend to have more complications (or die -as so many skeptics like to point out) are typically older men, VERY obese people, people who already have very serious medical issues, basically anyone who is very unhealthy to begin with. Not that being over 100 lbs overweight is not unhealthy, but I am still a fairly young, ‘healthy’ woman. The surgery for me is much less risky than the forementioned. Anyhow, I think some of the things I been through before have been as much if not more risky. I was so horribly sick with my gallbladder diesese, had 3 difficult births, kidney stones, diabetes, high blood pressure, high tryglicerides, the list goes on. I have come to the realization that this weight problem will never go away. As I age, the comorbidities will increase and become more severe. Yes, I can diet and excersise – still have to after the surgery. But I am seriously considering adding RNY as a tool in my fight. People say the surgery is too risky. I say that staying fat (or losing it and then gaining it back like before) is more risky.
Reason for this blog July 17, 2007
Since I am about to embark on a weightloss journey, I wanted to keep a journal of my updates, progress, and thoughts. I have a feeling this is going to be long process before I actually check in for surgery. I’ve been doing a lot of reasearch and have already met with the surgeon I want. As of now I am completely at peace with the choice for RNY. I haven’t told any family or friends yet (except for Tim of course). I have a feeling that they will all be against it and just be very worried for me. But I have to make this decision on my own – not based on someone elses feelings. I know it scares Tim too, but I think over time he will become comfortable with it.