What's On Your Tuesday Menu, RNYers?

NYMom222
on 2/16/16 7:09 pm
RNY on 07/23/14

Ummmm we tried but her job got in the way.

Cynthia 5'11" RNY 7/23/2014

Goal reached 17 months. 220lb Weight Loss
Plastic Surgery Dr. Joseph Michaels - LBL and Hernia Repair 2/29/16, Arm Lift, BL, 5/2/16, Leg Lift 7/25/16

#lifeisanadventure #fightthegoodfight #noregrets

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Grim_Traveller
on 2/16/16 7:17 pm
RNY on 08/21/12

That stinks. She needs to get her priorities straight.

Maybe when you get your surgery.

6'3" tall, male.

Highest weight was 475. RNY on 08/21/12. Current weight: 198.

M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.

karenp8
on 2/16/16 6:42 am - Brighton, IL

It's about 32 and gloomy here in Illinois but I think Lily and I will head to the park in a bit since the snow is gone for now. I don't know how far well go as her leg is still bothering her a bit but I will do 4 miles total somewhere or other. Also will do 30 minutes on the bike at some point. My weight is up today but I think it is because I am having issues with my RA and my joints are swollen because my clothes don't fit any differently. I recently changed my insurance and they do not want to authorize my injectable for my RA that I have been on for 5 years. It is the only option because I can't take any NSAIDS now but I have been a month and a half with no meds at all while my doctor and the insurance figure it out. I am going to have to call today and get something for pain because I am miserable! I don't know why people who don't know your medical past think they can do things like this!  Oh,and when I appeal in writing they will let me know in 60 days. And the last thing the robot all said was to have a nice day! Enough ranting here's my eats   1/2 c steel cut oats with protein and peanut butter added L 1 c chili D 31/2 oz ribeye and 1/2 c Brussels sprouts S hard boiled egg. Have a good day everyone and make smart choices.

   

       

melissasue1982
on 2/16/16 7:20 am
RNY on 04/06/15

I am so sorry your insurance company is being jerky!  I hope you get something for your pain today!  (((gentle hugs)))

HW: 328 Program start weight: 309 SW:275.8 CW: 154.6 (12/14/16)

mschwab
on 2/16/16 8:29 am
RNY on 11/21/14

Have you formally appealed the insurance decision?  Ask for a copy of their approval criteria and craft your appeal specifically around how you meet the criteria. Don't depend on your doctor to do it. My experience (and I chaired an appeal committee for 8 years) is that physician offices are pretty terrible about filing appeals. 

The other option is for your physician to have a physician to physician conversation with the insurance company's medical director. A verbal, as opposed to written, conversation can do wonders, but it must be with the medical director. Good luck and don't give up!

 Height: 5'7".  HW: 299, Program starting weight: 290, SW: 238, CW 138 - 12 pounds under goal!  

     

karenp8
on 2/16/16 10:52 am - Brighton, IL

I am fortunate that he will fight the company for me. We did it once before when I had the same carrier before. I have had RA for 30 plus years and nothing but the biologicS will work for me. I have a call in now to get something called to the local pharmacy for pain and inflammation because all my joints,even my wrists are swollen and sore.

   

       

Capogirl
on 2/16/16 9:22 am

Insurance companies make it so difficult.   Sorry you are having to deal with this.

 
  

Grim_Traveller
on 2/16/16 9:43 am
RNY on 08/21/12

6'3" tall, male.

Highest weight was 475. RNY on 08/21/12. Current weight: 198.

M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.

stacyrg
on 2/16/16 10:00 am
VSG on 05/12/14

I am going through the same insurance hassle right now.  I developed severe GERD after my surgery (I'm the sleeve interloper) and am on PPI 2x a day.  First, they will only approve 1x a day, which would be fine if a generic did anything for me (it doesn't).  My doctor switched me to another med and the insurance co. graciously approved 1 month but has advised they won't approve any further refills.  Luckily my surgeon LOVES to fight insurance companies and has already set up a peer to peer review.  He also was able to use his connections with other doctors at the hospital and got me a 40 day supply that hopefully will carry me through until the appeal is resolved.  Good luck with your issue, Karen.

snow_white
on 2/16/16 6:44 am
RNY on 11/11/14 with

Hello everyone!  I'm finally home and feel pretty good.  Still a bit sore and sicky but otherwise good.  I'm ready to get back in the swing of things but I'm not exercise or lifting for 2 weeks boohoo.  We have no food in the house so I guess it's good I'm not that interested. 

B tea with milk carbmaster yogurt

S fit frappe chai 

L tuna packet

S cheese

D atkins dinner kids are ordering pizza

I haven't added it up yet so I may need to play with things and truthfully I may not be able to eat all of that but I'll try

Rny 11/11/14 HW 285 CW 130 GW 130

155 pounds gone forever

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