Finally!?!?!?!? - kinda long - sorry!

Laurie J.
on 8/10/09 3:21 am - St Croix Falls, WI

Ok, I know this sounds strange, but I am SOOOOO happy. I finally got another topical yeast infection in my bellybutton.

Ok, I had several of them the first summer/fall after surgery, but last summer...NOTHING!  So far this summer...nothing...UNTIL Friday.  I noticed that I had some pain (very mild) around the area where my pants button...I have had it where the button will press into the excess skin and cause pain, but this felt different...I checked it out...and I had a lovely yeast infection in ther! YEAH!  I ran to get my camera and take a picture of it right away....

So...how long do I have to document this?  I am putting a prescribed ointment that I had from pre-surgery for this same type of thing in a different location.  Should I take pics of it every day, every other, just when one starts, what?  I would like to get documentation of these things so I can take them to my PCP and he can make a recommendation for PS....

From my fingers to God's ears, this will happen sooner rather than later....but insurance won't do anything unless medically necessary.

I do have one other medical reason I may need this - I am having GREAT difficulty getting my portal for my insulin pump and the divice for the sensor inserted into my abdomen/hip/butt area due to the loose skin...that may be a bigger decider than the yeast infection, but every little bit helps, I say.

I just had to share - and ask that one question...sorry this is so long...I know...I'm rambling!

 
309/295/154.6/150 = Highest/Surgery Date/Current/Goal
happy girl
on 8/10/09 3:40 am
hey Laurie, you should check your individual health plan to see what the requirements are.  I have heard anything from 6 months of documented rashes to 12 months.  I would go to the PCP and get a new prescription and have your PCP document it too.

I know my health plan had a number of requirements I needed to meet before being approved!

good luck!

2003 RNY, 2007 Revision Distal RNY
April 17, 2009 ~ fleur de lis TT w/Muscle Repair, Medial Thigh Lift, Ventral Hernia Repair 


  

 

Laurie J.
on 8/10/09 3:45 am - St Croix Falls, WI
I'm just so glad that I got another one that can be documented...as I wasn't documenting before...

I have to see my PCP for other stuff as well, and have an appt. with him next Wednesday (the 19th). I will check with him on documenting this and a few other things as well....
 
309/295/154.6/150 = Highest/Surgery Date/Current/Goal
happy girl
on 8/10/09 4:03 am
Can you believe it's a good thing to get a rash?   I will tell you, plastics is like nothing else you will ever go through, but it's worth it...I can finally say it's worth it

2003 RNY, 2007 Revision Distal RNY
April 17, 2009 ~ fleur de lis TT w/Muscle Repair, Medial Thigh Lift, Ventral Hernia Repair 


  

 

Diamond Girl
on 8/11/09 11:31 pm - Ham Lake, MN
From those I know that have gotten PS covered due to medical necessity, it is all about documentation. Run to your PCP for every thing and have them document it in your chart. Take the pics, but make sure an MD notes it! Get the new prescription also. That is part of the documentation.

As for the insulin pump/port, make sure your PCP notes that also. Or, if you see an endocrinologist for your diabetes, it may be better documented by him/her, or they may be willing to write a letter of support as well, stating how critical it is to your health to have your pump working correctly and the skin is preventing that.

Good luck!





Laurie J.
on 8/11/09 11:53 pm - St Croix Falls, WI

I don't see an endocrinologist, but my PCP is an internal medicine doctor that has a minor specialty in diabetes...so he is pretty knowledgable in that area. 

I will definately tell him about the issues with getting my port inserted and with the sensor that I have too...can't use it like I should be able to because of the skin issues.

Thanks for the support!

 
309/295/154.6/150 = Highest/Surgery Date/Current/Goal
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