EGD Scheduled!! = GOOD NEWS!!!
The surgeon's office in California and I have been working towards this goal for over a year. We did submit into the insurance companies right after Labor day of last year, and the insurance company sent back, not a denial, but not an approval either, last October++YES 6 MONTHS AGO++. They wanted more testing, only 2 tests, an upper GI, and an EGD.
FIALLY, after ALL THE "red tape" and just generally feeling "jerked around". My EGD is scheduled for Wednesday... the 14th.
Once the doctor's office has the report, it will be re-submitted ======== FINALLY!!!!!!!!!!!!!!!! Maybe this time, I will get a pre-certification approval
YAY!!!
-Jamie
p.s. you can read all about it in my blog as well.
RNY 2/26/2002 DS 12/29/2011
HW 317 SW 263 BMI 45.1
SW 298 CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003
Normal BMI 24.8 is my GOAL!!!
GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**
Thank YOU, Leila!!!
RNY 2/26/2002 DS 12/29/2011
HW 317 SW 263 BMI 45.1
SW 298 CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003
Normal BMI 24.8 is my GOAL!!!
GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**
That is GREAT news!!! So, are you flying to Dr. K's neighborhood for the tests?
I'll be crossing all body parts in your behalf and will timidly step forward to swing a few critters! LOL! I'm still not getting that tradition!
I haven't heard a thing back from my insurance after our appeal....I guess they have about 3 more weeks technically. But, I sent a guy over to Dr. K who has the EXACT same insurance with the same company and who needs the exact same kind of a "fix"/revision (common channel lengthened and pouch taken down so tummy can be reattaached and made into a sleeve)......He was approved and is having surgery next week! WHAT the Heck?!!!! I'm happy for him but seriously, there is something definitely wrong with that picture!!! Maybe I can use that to my advantage to get my decision turned!!!
Keep us posted! You've been diligent in the battle and definitely deserve a DS is 2010!!!!
Joyce Rny 2/11/03-> ERny 12/26/07-> Duodenal Switch 5/12/2010
www.dsfacts.com , www.dssurgery.com , & www.duodenalswitch.com
Joyce, you are MORE than welcom to pray for me, if you wish!
Well, if the other guy can get it approve, YOU SHOULD BE ABLE TO AS WELL!!!!!!!!
Wishing your appeal turns to an approval!!!
-Jamie
RNY 2/26/2002 DS 12/29/2011
HW 317 SW 263 BMI 45.1
SW 298 CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003
Normal BMI 24.8 is my GOAL!!!
GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**
WHEN LIFE KNOCKS YOU DOWN TO YOUR knees, JUST REMEMBER THAT YOU ARE IN THE PERFECT POSITION TO PRAY. HW 395, RNY 4/2/07 345, Lowest Weight 248, Revision to Distal RNY 1/13/09 278,Revision to DS 10/15/10NEVER GIVE UP!!!!! Keep fighting!!!! It is a tough, long & FRUSTRATING road, but, KEEP YOU ""EYE ON THE PRIZE"", chickie!!!!!
Take Care of YOU!!!!
-Jamie
p.s. I have been at this going on 15 months, and that was after "blaming myself as a 'failure' for 4 years before that!!! Keep going, Keep the POSITIVE attitude & above ALL...... Post & VENT here!!! We listen!!!
RNY 2/26/2002 DS 12/29/2011
HW 317 SW 263 BMI 45.1
SW 298 CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003
Normal BMI 24.8 is my GOAL!!!
GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**
