OMG..it might not happen!!! **LONG**

jami_faye
on 2/16/08 1:44 am - Cherry Point, NC
So I have my surgery date scheduled for March 5th and My pre-op appt. is February 18th. I was sooo very excited to hear that my surgery date is actually coming a month and a half earlier than the doctor had quoted!! ANYWAYS my predicament is....Tricare STILL has NOT approved me
I have passed everything with flying colors and the surgeons nurse said i actually have more documentation that they need!! SO i have been calling and calling and calling Tricare to see what the problem is..i kept getting it is still pending! So i finally am able to talk to the nurse that is handling my case with Tricare and she said she would have word for me Friday..they needed a few more things faxed from the surgeons office...then she would take it to her supervisor and have her sign off on them....WELL she called at 5:00pm Friday and told me that her supervisor did not feel comfortable signing off yet, and they needed to have it go to the "top guy" that wasn't in until Monday...the reason being is......The Freakin' psychologist that i saw (my surgeon wouldn't let me see my own, it had to be his) would not pass me thru because i didn't have an "EXERCISE PLAN" mind you when i saw her it was January 2nd and we JUST got back from Michigan!! She asked me about excercise and I told her that i hadn't for a few weeks because we were up north spending the holidays with family..she said I CANT PASS YOU until you come up with a "plan" (are you freaking kidding me..i was in tears) She said I didn't need to come back to see her, but call her in 1 week!!  I have, as a big girl, worked out at the gym here on base with the Marines and I have also took it upon myself to get a Gold's Gym Membership for 3 years a while back...so i am perfectly capable of an excercise plan!! But what she wanted to hear was I was walking or doing something everyday...well i guess i should have lied to her!!!! ANYWAYS so i call her back a week later, like she had told me to, with My "excercise plan" and she said it sounded great and she had already put my paperwork thru and she wanted me to stop by and show her the new me after my surgery!!! GREAT!! so i carried on with the rest of my pre- op journey....
Back to Tricare...supposedly the Therapist wrote up that i was BORDERLINE for this surgery!!!! And I believe it had to do with My not having an current excercise plan in place. Because she said that was the ONLY thing!! I TOTALLY understand that i need to exercise post op...NO PROBLEM but i wasn't gonna go running on some icy roads and I honestly did not have time for 3 weeks in December to do a darn thing other than prepare for Christmas!! *SIGH* Sooo i have to call Tricare back monday morning basically on my way to my pre-op and possibly hear that i did not get approved because of the psych eval...which she passed thru and my surgeon said it was fine!! OMG you guys i need this surgery!! This just does not seem fair!! Im sorry this is so long, but i wanted to let you know the story!! I am devastated!!  I am sooooo close and got soo excited and now I may be stuck being a depressed, unhealthy, Marine wife and mommy because of a stupid psychologist that may have just ruined my dreams of a new life!! So I really could use some prayers from you lovelies!! I guess if it was meant to happen it will! *sigh*






expecting princess Pictures, Images and Photos

AUGUST 2009

 

so_blessed
on 2/16/08 1:51 am - Jacksonville, NC
You are gonna be fine!!!  Pray and ask GOD for His will to be done, then BELIEVE that HIS will will be done!!!  I'll be praying, too!  Let me know about Monday!! Andrea


  

Shazanne
on 2/16/08 2:11 am - Currie, NC
The rotten thing about these crises is that they always seem to happen on Friday nights!  Then you have to sit tight for the weekend to go by before anyone is in their office to do anything.  Remember this approval process is the most difficult part of our journey.  You will get there.  The decision has not been rendered yet and remember that NOTHING is written in stone except the 10 commandments.  You can always appeal if you are turned down.  I sometimes think they are just trying to see if we have the tenacity to get approval before they actually grant it!  I wold suggest putting this issue in a mental shoebox and putting it on a shelf in a closet until you know more.  Which means, don't lug it around all weekend and let it interfere with your weekend!  You will have plenty to do on Monday one way or the other.  Just give this to God for the weekend.  Face it, there is nothing else you can do til Monday anyway!  Hope this helps.  Keep us posted!
jami_faye
on 2/16/08 2:20 am - Cherry Point, NC
Thank you for your reply Susan!! You have me cryin' right now!! Or maybe I have myself cryin', I dont know..LOL ABSOLUTELY it had to happen on a Friday!! You are spot on about that!  I am just a nervous wreck right now, and of course this is all I can think of!! I LOVE the idea of putting it in a shoebox and putting it away until i know more!! That is really creative advice!! As far as fighting it, Oh believe me I WILL!! I have gone through too much of a process, emotionally, physically and mentally to come this far and give up!!! I was hoping that all of my speedbumps have passed, but i ran into another one yesterday!! It just really stinks that it is sooo close and was completely in my reach, until yesterday!! I really sincerely appreciate your reply and I will take what you and Andrea have said and let God handle this, because if it was meant to be then he will make it happen! Have a wonderful weekend!!






expecting princess Pictures, Images and Photos

AUGUST 2009

 

jami_faye
on 2/16/08 2:11 am - Cherry Point, NC
Hey Andrea I just got off the phone with my mom and she just said pretty much the same thing you just said!!!  Thank you for your kind words and that's what I will do!! 






expecting princess Pictures, Images and Photos

AUGUST 2009

 

Darcie
on 2/16/08 2:45 am - Richlands, NC
First of all try to calm down, I know how frusterated you are!! Tricare cannot do anything, they are waiting on that stupid psycho to sign off, you are NOT borderline, I wish you could of used my doc because then you could of gone to the Psych in Morehead city that Tricare wants you to see, he is AWESOME and does not play head games like this woman is doing with you. I have a great feeling on Monday morning you are going to get the GREEN LIGHT, I had a similiar experience with some preop paperwork and YES it happened on Friday, try not to let this ruin your weekend, I have good vibes this will all turn around and be a GO for you!! remember you do NOT have to use Dr. Pender, if it comes down to it you CAN SWITCH!!! Im pulling for you girlfriend!!!!

Hugs
Darcie


LooseCannon
on 2/16/08 3:19 am - NC

Hey Jami - So sorry for what you're going through right now. I believe everything will be just fine. Some of these people just like to torture us, I swear!! I think you're probably worrying for nothing, but I certainly know where you're coming from with all the chaos I went through too. Just relax...breathe...Monday morning you'll get your good news and be on your way, so don't you worry that pretty little head about it.

And if for any reason it isn't good news?? You tell me where to find that nutritionist. I've got a can of "whoop ass" on the shelf I've been saving for just such an occaission! xoxo Mare Can of Whoop Ass

First visit with surgeon 2/07-383lbs  Day of surgery 2/08-336lbs  Current-226lbs


Cinderellen
on 2/16/08 4:10 pm - Winterville, NC
They use a couple of psychologists at Pender's practice.  If she ends up getting you denied, talk to Pender's office directly.  Tell them exactly what she did to you, and request to see a different one.  Pender needs to know what that idiot does to his patients.  I had to see the same one and she came across to me as insane.  At least I'm willing to bet I saw the same one, I won't post her name here, but if you PM me with it, I'll confirm. I am sure that in the end, you'll be approved.  She doesn't get the final say, she's just part of the puzzle.  You'll be in our thoughts and prayers. Take care. Ellen

Own it all, it's yours!

425/350/185/150  Highest/Surgery/Current/Goal


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