Tuesday Pity Party

Mary, I am so sorry you are struggling like this.    I will be there in LESS than two weeks.   I promise to help you sit down with you and all of your paperwork and structure your appeal.   We can do this together.     I have files, on appeals and I am not sure if they are packed to be shipped to my storage unit or the house... but I also have some great contacts online that will be good to speak with.  

If you need me to go with you when it is time to confront your original PS, If I can be.... then I am there.   Side by Side we can get this done.    and trust me..... YOU ARE NOT A WIMP.    You are a strong, caring, confident and intelligent woman.  You are just very let down right now... and you need your friends here.    Its time now for everyone to be there for you, like you are always there for us! hugs, Jill

Wow, can you help me, I have been denied 2 times by my insurance company and am at the end of my rope with it? Mary, you hang in there we are all feeling your pain, I do it all myself and then feel like a loser because of it!

Patti.

Hi Patti, I will do whatever I can... maybe we could all get together for an "Appeals"  meeting and all put our heads together.     Each insurance company is different and has a different process.   Depending on your job too, it will change.   If there is a human resource contact at your job, then they can be invaluable.     There is also so much material online.   I had BC/BS.     The dr's offices will also be helpful because they want the $$, so they want to help you to get in for the most part. 

When I had my BL I had to prove it was medically necessary... (and it was!) but this is almost an unheard of approved covered procedure.    I did not give up.    You have to be willing to just keep at it.    Sometimes it takes getting very irritated to get very motivated, and that is what it took me. I wish I didnt have all this stuff packed away, because i had some pretty good letters written, but I will do what I can.   This could be a 'topic of discussion' at one of the support group meetings, maybe?     Gosh.... I wish I could get my legs taken care of and medically covered.. but they are only painful to my eyes..... lol. see you soon! Jill

OK Here I go.  I am not going to yell at you, pity parties are necessary because it gives us a chance to prove to ourselves just how strong we are.  You will pick yourself up and dust yourself off.  Kathy is right, you are a strong person!  To go through what you have been through and still be here is testiment to that!  Comments to your problems: 1.  It is a shame that you two are not friends anymore and HER lose, not yours.  It is sad when a friendship ends but you have TONS of people who think the world of you. 2.  I am sorry for the denial, were all of the denied!  You said yesterday that there were 5 requests.  I would fight it and I would talk to that other PS and make them write a letter saying that it needs to be done again. 3.  The only thing that the food you are eating is going to do it cause #4.

4.  You have gained 2 lbs, SO WHAT!! As soon as you get through this you can work it back off.  A weight gain of 2 lbs is not that big of a deal right now.  Plus it could just be water weight! 5.  Whine all you want, you deserve it.  It has been a rough road for you, I would be whining too.  I was whining in Dr Harvery's ofc yesterday because I am tired of going in there and being turned into a pin cushion.  I am tired of looking like I am 6 mths pregnant.  He mentioned the drain again and I told him to do it, it was a light week and this was the time to do it.  I think he is still going to turn me into a pin cushion, I have to go back tomorrow for more draining. 6. Confront away, grow a set, stand up for yourself and let him have it! Of course after you get what you want.  That is one problem I think a lot of people who are/were over weight have, we do not stand up for ourselves.  Well guess what, whether you look as wonderful as you do or your 500 lbs, you deserve to stand up for yourselves and demand the TT you should have gotten. 

So  if this is a lecture, there  it is.  Remember, through all of this, you have people that think and know you are wonderful and count you a VERY good friend.  I should know, I am one of them.

Julie

 

 

 

 

 

 

 

 

 

Okay Mary, time for my 2 cents worth.....first of all, you have made so many wonderful friends, don't let number 1 get you down....it is definitely HER loss. As for the denial...time to appeal.  You have time anyway because you aren't going to have it until next March is you have to self-pay, so lets work on the appeal aspect.

#3....boy I feel your pain.  I have been eating for 2 for absolutely no logical reason. #4...I recommend a little extra-cirricular activity.  It helps with the weight and is fun to boot .  Seriously, you know the weight will come back off.... #5...YOU ARE NOT A HUGE WHINER....you are a good, nice person who has been through a lot and your friends are here for you.... #6...I think you and Towanna need to band together to work on this problem.  Also, go back to what the lady on the plastics board suggested...

And last, but certainly not least, remember we love you and are here for you. 

This is would be my solution to your pity party...   1.  Have a beer 2.  Go Belly Dance to BCBS CEO.... 3.  Throw all the bad stuff out in your house and have only good things. Then you don't have to feel so guilty about eating so much.   4.  Go take a dump.  5.  Whine all you want....that's what we are here for.  Also take an ativan..... 6.  I love to confront people....I'll come help you....I love confrontations....I'm getting good at them since Feb.  Most of all,   smile.....if it don't kill ya it makes you stronger.... You are loved by all of us....

Rachel, those were freakin' hysterical!!  I am in a great mood and it made MY day!!!   I love # 2 & 4!!! ~Melissa

Mary, I dont have a big lecture for you, but I am sending you some big hugs! ~Melissa

MARY!!!!!!!!!   I LOVE YOU I hate you are having a yucky day.  I wish I could turn everything around for you and make your day great because we all know that you deserve it.  "Don't sweat the small stuff" Can't wait for next weekend!!!!! 

Mary, Sorry to hear that your having troubles. Stand strong and let doc know that the PS is not what he promised and you are not satisfied with less than the best. I know its tough to stand up for yourself, but you have come too far to let other make poor choices for you, when you know better. Its ok to whine for a little while, but climb back up on the wagon and move on down the road.  Remember that there is always someone worst off than you are:  http://www.obesityhelp.com/forums/amos/a,messageboard/action ,replies/board_id,4856/cat_id,4456/topic_id,3402396/ Herb