Trouble with the first I went to, How do I best approach the plastic surgeon?

I have an umbilical hernia and an incisional hernia. I was referred to a plastic surgeon and saw him last week. He was the most infuriating man I've ever met. Not only was he not concerned with the rash under my panni, he seemed to only want to discuss how "I let myself reach nearly 300 lbs. prior to having my surgery." I've lost from 252 lbs down to 117! I didn't have an appointment with him to be berated for having been obese my entire life!!! I just wanted to see if he could fix my hernias and help with insurance approval for abdominoplasty(sp?). My PCP is referring me to another surgeon. My question is how should I approach the new one to keep the focus on why I'm there and what should I say to get the best help with the insurance company? I have Aetna HMO and they were great with my RNY. It only took 10 days for approval. Of course, I heard that their guidelines have change recently, so do I have a chance? I have no doctors visits for the rash, but I do have 2 hernias.

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