Back again after 6 years...

majestikbutterfly
on 8/3/08 2:42 am - Temperance, MI
I had my original RNY 6 years ago.  I originally lost 70 lbs but everything stopped and for 2 years I thought that I was doing something wrong, then found out by two different doctors that my original surgery wasn't performed correctly.  Sure, they could do a revision but I needed much better insurance than the medicaid I was on.

Back then I was on disability and was very suicidal, I just went through all this for a big fat failure.  Alas, I never gave up and was bound and determined to make my life better so I could get a revision.  In the last 4 years, I went to college, got a degree, got a job with insurance and worked to do everything I could so I wouldn't put on more weight.  I succeeded!

So here I am today, wondering my next step to get a revision.  I looked into my insurance now through work and it says in big ole bold lettering, WEIGHT LOSS SURGERY NOT COVERED. 

Talk about a slap in the face.

However, this isn't your typical scenerio to having the original WLS, right?  This is a revision of that and I am having complications, I still qualify with my BMI, co-morbidites, etc.  The doctor who took on a lot of my original surgeons patients and did a ton of revisions from him is still operating his practice and looks like he is still doing what he said he could do for me 4 years ago...  a revision.

I'm calling him this week, just to make sure.

But boy am I scared, I am not sure I can handle another rejection and go through the whole life changing event again only for it not to work or come out worse than I am now.

I know the biggest thing that helped me was coming to this website.  I was one of the original visitors and was on an anniversary committee.  I stopped coming here for a very long time because it hurt too much to see everyone succeed....and I wasn't.

So I guess I am back again, hoping to have the same wonderful support I had before and hope to give others support on their own journey. 

Wow, listen to me writing a book.... dunno where I was going with this, but wanted to reintroduce myself into the community and see how much this whole site and industry has changed.  Wow!

-+=*Michelle*=+-


ginau
on 8/3/08 3:17 am - mesa, AZ

Welcome Back Michelle

we are here to support you !  Maybe your ins will cover it under medical need.  You might have more problems that  you think,  any hernia's? bowel obstruction?   best to talk to Dr and them determine whats going on. 

No matter what  your a sucess  and dont let anyone tell you differant.

marylaw
on 8/3/08 3:45 am - Winfield, KS
Dear Michelle,
So glad you're back for support and encouragement. Keep working on investigating your insurance. Check with your doctor to see what advocating he can do for you on his end. It seems like most insurance companies say no at first, just in case the no will be accepted. Don't accept the no! I really feel this will work out for you. I'll be praying for you.
Blessings,
Mary
"Don't tell God how big your storm is; tell your storm how BIG your God is!"

     ObesityHelp Support Group Leader and Support Group Coach
pepsi98
on 8/5/08 8:32 am - Norwich, CT

You mught want to consider emailing Kelley@ ObesityLaw.com.  They are helping me appeal Anthem's denial of a lap band over my old gastric stapling.  I've read many posts on this forum and others that have been helped by them.   Good luck and you've got a lot of strength to get your life back on track and this will  be no different!

Sue

 "The Joy of the Lord is your strength."  Nehemiah 8:10


START:  330         CURRENT:  274.5 lbs         GOAL:  190          TOTAL:  55.5 lbs

 



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