Pissed off at Duke, once again!
Thank you so much for the info. I will definitely keep that in mind. I can request specific people for the pysch consult and such then?
I was told Dr Sudan's nurse's name is Barbara, is she nice? Knowledgable? Will she throw a fit if I request specific people for nutrition/psych?
I haven't technically finished the 6 months, my last appointment is next week, but I will DEFINITELY stay on top of them for insurance approval.
Do I have to have all the psych/nutrition stuff done beforehand? Are there other labs? I've tried to get this info out of Duke, heh. Maybe I should be more of a PITA. :D
I was told Dr Sudan's nurse's name is Barbara, is she nice? Knowledgable? Will she throw a fit if I request specific people for nutrition/psych?
I haven't technically finished the 6 months, my last appointment is next week, but I will DEFINITELY stay on top of them for insurance approval.
Do I have to have all the psych/nutrition stuff done beforehand? Are there other labs? I've tried to get this info out of Duke, heh. Maybe I should be more of a PITA. :D
This is vitalady's recommended lab list. This is the one that Dr. Sudan thinks is too extensive, so I'm bypassing him and having my PCP do them all and will take the results to my 6 month appointment with Dr. Sudan. I'm not sure how he'll like me going around him, but it's my body and my health and so while I don't want to **** him off, I really don't care if he's annoyed with me or not.
Not to be construed as medical advice, this list includes labs we have had performed as gastric bypass patients. The first group, every 3 to 6 months for life, as we are able. The second group, annually, as long as the first year results were comfortably within normal limits. 1st Group *80053 Comprehensive Metabolic profile: (sodium, potassium, chloride, glucose,BUN, creatinine, calcium, total protein, albumin, total bilirubin, alkaline phosphatase, aspartate aminotransferase) (10231) * 84134 Pre-albumin: * 7600 Lipid profile: (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio) * 10256 Hep panel: includes ALT (SPGT) & GGT) * 84100 Phosphorous – Inorganic: (718) * 83735 Magnesium: * 84550 Uric Acid: (905) * 7444 Thyroid panel: (T3U, T4, FTI, TSH) (84437; 84443; 84479; 84480) * 85025 Hemogram with platelets: (1759) * 7573 Iron: TIBC, % sat * 83550 Ferritin: (457) * 84630 Zinc: (945) * 84446 Vitamin A: (921) * 82306 Vitamin D: (25-hydroxy) (680) * 84052 Vitamin B-1: (Thiamin) (4052) * 84207 Vitamin B-6: (Pyridoxine) * 7065 Vitamin B-12 & Folate: (82607; 82746) * 83970 Serum intact: PTH * 83937 Osteocalcin: * 84597 Vitamin K: * 85610 PT: * 85730 PTT: 2ND GROUP * 593 LDH: * 31789 Homocysteine, Cardio: * 83921 MMA: * 367 Cortisol: * 84255 Selenium: * 84590 Vitamin E: * 82525 Copper: For diabetics: *496 - HEMOGLOBIN A1C
POSSIBLE DIAGNOSIS CODES 269.2 Hypovitaminosis 268 Vitamin D deficiency 275.40 Calcium deficiency 266.2 Cyanocobalamin deficiency (B12) 281.1 other B12 deficiency anemia 281.0 Pernicious anemia 280.9 Iron-deficiency anemia 281.2 Folate deficiency anemia 285.9 Anemia, unspecified 269.3 Zinc deficiency 244.9 Hypothryoidism 250.0 Diabetes 401.9 Hypertension 276.9 Electrolyte and fluid disorders 272.0 Hypercholesterolemia - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - *579.3 Surgical malabsorption* *579.8 Intestinal malabsorption * * Bands or sleeves should not use these codes as they are not accurate. *Some insurance companies will not pay for any procedure that uses these codes.
Barbara has been nice to me, but I've dealt a lot more with his admin assistant, Cathy. She's the one that has made my appointments and whatnot. When they go to schedule your psych and nut appointments, I'd see who they are with. If you don't get who you want, then I'd say that you prefer the other one and have them make your appointment with them.
Do you live in the area? Truffles (another of Sudan's DSers) and I both have appointments with him on 5/17 and we are going to ride down together. (We're both in VA.) Terri N (another of Sudan's hopeful DSers) is going to meet us for lunch that day before our appointments. You are more than welcome to join us if you'd like.
Not to be construed as medical advice, this list includes labs we have had performed as gastric bypass patients. The first group, every 3 to 6 months for life, as we are able. The second group, annually, as long as the first year results were comfortably within normal limits. 1st Group *80053 Comprehensive Metabolic profile: (sodium, potassium, chloride, glucose,BUN, creatinine, calcium, total protein, albumin, total bilirubin, alkaline phosphatase, aspartate aminotransferase) (10231) * 84134 Pre-albumin: * 7600 Lipid profile: (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio) * 10256 Hep panel: includes ALT (SPGT) & GGT) * 84100 Phosphorous – Inorganic: (718) * 83735 Magnesium: * 84550 Uric Acid: (905) * 7444 Thyroid panel: (T3U, T4, FTI, TSH) (84437; 84443; 84479; 84480) * 85025 Hemogram with platelets: (1759) * 7573 Iron: TIBC, % sat * 83550 Ferritin: (457) * 84630 Zinc: (945) * 84446 Vitamin A: (921) * 82306 Vitamin D: (25-hydroxy) (680) * 84052 Vitamin B-1: (Thiamin) (4052) * 84207 Vitamin B-6: (Pyridoxine) * 7065 Vitamin B-12 & Folate: (82607; 82746) * 83970 Serum intact: PTH * 83937 Osteocalcin: * 84597 Vitamin K: * 85610 PT: * 85730 PTT: 2ND GROUP * 593 LDH: * 31789 Homocysteine, Cardio: * 83921 MMA: * 367 Cortisol: * 84255 Selenium: * 84590 Vitamin E: * 82525 Copper: For diabetics: *496 - HEMOGLOBIN A1C
POSSIBLE DIAGNOSIS CODES 269.2 Hypovitaminosis 268 Vitamin D deficiency 275.40 Calcium deficiency 266.2 Cyanocobalamin deficiency (B12) 281.1 other B12 deficiency anemia 281.0 Pernicious anemia 280.9 Iron-deficiency anemia 281.2 Folate deficiency anemia 285.9 Anemia, unspecified 269.3 Zinc deficiency 244.9 Hypothryoidism 250.0 Diabetes 401.9 Hypertension 276.9 Electrolyte and fluid disorders 272.0 Hypercholesterolemia - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - *579.3 Surgical malabsorption* *579.8 Intestinal malabsorption * * Bands or sleeves should not use these codes as they are not accurate. *Some insurance companies will not pay for any procedure that uses these codes.
Barbara has been nice to me, but I've dealt a lot more with his admin assistant, Cathy. She's the one that has made my appointments and whatnot. When they go to schedule your psych and nut appointments, I'd see who they are with. If you don't get who you want, then I'd say that you prefer the other one and have them make your appointment with them.
Do you live in the area? Truffles (another of Sudan's DSers) and I both have appointments with him on 5/17 and we are going to ride down together. (We're both in VA.) Terri N (another of Sudan's hopeful DSers) is going to meet us for lunch that day before our appointments. You are more than welcome to join us if you'd like.
I thought of you the other day, because when they transferred me to Barabara, her voicemail said, "Please do not leave more than one message about the same issue." - BUT when I called back 2 days later to see if the doctor's fax had been received, it had been changed. But it made me chuckle. :D
I think Cathy is supposed to be calling me, I will probably call her Monday because I think it's possible we were playing phone tag. I'm not sure when they will be scheduling those appointments, if they do insurance approval first, or after, or what-not. I'm nervous about insurance approval, though!
I'd love to see you guys on 5/17, just let me know details.
I think Cathy is supposed to be calling me, I will probably call her Monday because I think it's possible we were playing phone tag. I'm not sure when they will be scheduling those appointments, if they do insurance approval first, or after, or what-not. I'm nervous about insurance approval, though!
I'd love to see you guys on 5/17, just let me know details.
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