I have waited a long time.....
any feed back you can helpme with I would love, I currently have RAN/AMN with the state. I have gone thru my third level appeal and the Dr denied my, bascially stating that I need to have congestive heart failure, uncontrollable diabeties or high blood pressure. none of which i have, lol I am just dealing with Osteo arthritis and spinal stenosis, make each and every day an adventure in walking. WHAT ever help assistance, guidelines, prayers you can give me i will love. I am ready to change Dr.s. I feel i have NO help in that arena. Saturday when i got hte letter, i just cried, i am so frustrated
Hi Judi-
I have shed those same tears many times, beliieve me. But never give up! I am proof of the wisdom of that advice.
First of all - have you had a sleep study? Because that is what made the difference for me. And actually, this was my second sleep study. I had the first one about 1 1/2 yrs ago - it was borderline. And stupid me did not ask for a re-do. Because the doctor's office simply included apnea in the list of my diagnoses, I assumed it was being considered. But I didn't really have a diagnosis. I wasn't being treated for it. When it finally occurred to em that my apnea was worse (my snoring was driving my huisband out of the bedroom!), I asked for another study. This time I had an appointment with a pulmonologist (Dr. Susan Madison. She ROCKS!) not only sat with me and explained everything - my apnea, the test results, the implications, and prescribed the CPAP (which helps a lot! I am much more rested), but wrote letters too. And the cardiologist saw me again, looking for anything that might help me with my appeals. In the end - the apnea did it. It is not just waking up a lot and snoring. It is dangerous.
So - maybe there is something that was overlooked or has not been considered. I was ready to bite the bullet and self-pay. It would not have been easy, but I'd take a loan for a car, so why not for my life?
Good luck - keep at it. Let me know what you decide to do.
i will ask the surgeon or my PCP for a sleep study. They tell me after teh 3rd review your done, stop whining to us and suck it up. to my luck I am getting married friday and my furture husband has wonderful federal Blue cross blue shield that even advertises a Bariatric centers. I am also going to change to Dr,. Juarez as he is in network for them so less out of pocket unless Dr., Simon wants to eat the difference ( yeah right who is in this fro free) I truly appreciate you words of wisdom as i feel I am closer and closer to a wheel chair with all of this.
thank you for your input :)