Question:
Has anyone been approved for WLS having Pseudotumor Cerebri as your main diagnosis?
My opthomologist says that WLS would be the best course of treatment but is it really considered a comorbidity? He wrote a letter of medical necessity stating I could possibly go blind if something wasn't done immediately. Wish me luck. Ginger — sweets1224 (posted on January 27, 2003)
January 26, 2003
YES its a co-morbidity and YES it is enough to deem this medicaly needed!
however there is a possiablity that loseing the weight will not help this
condition....but it makes you better able to handle some of it ...since you
do feel better having lost the weight..
bekka
PTC dx1996
lost color vision and large amount of periphal vision
lpshunt 97
got some color vision back
12 spinal taps 3 blood patches ...
vertical banded gastroplasty 10/26/2001 120 lbs lost at goal i still have
presure spikes but my shunt functions randomly and seems to manage....what
med are you on ...be sure that you can still take them if the weight loss
does not improve your ptc...that why we chose the VBG becausee i needed to
be able to take and absorb high doses of diamox and lasik if the weight
loss did not help the PTC
bekka
— bekka K.
January 26, 2003
Yes this is comorbidity and like the other poster said that the weight loss
may not correct the problem. I am having RNY and my neurologists thinks
that I should be able to off the Diamox early on. My surgeon also stated
that Diamox is ok to continue taking after surgery. I have BCBS of New
Jersey and had no problems getting aproved. Best wishes and good luck to
you.
— Marcy S.
January 26, 2003
Yes! That was my main thing on my letter from my surgeon. I have had 2
spinal taps and was told that when it was time for the 3rd, they were just
going to put in the shunt. I was on acetazoloimide (which I have been told
is the generic Diamox) for about 7 years. I was told that my pseudotumor
was more likely than not, a result of my weight. Since my VBG, I have not
taken any (per my neuologists instructions) and lucky me, haven't had any
problems with pressure since.
— salymsmommy
January 27, 2003
Remember that not all Insurance Companies require co-morbidities. It is
also dependent upon your BMI. I don't actually have any strong
comorbidities, yet I was approved by a very strict Health Insurance Co. I
was denied the first time. See my website for more details.
www.diaryofafatlady.com
Good Luck,
Julie
— Julie B.
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