Guest guest Posted September 25, 2004 Report Share Posted September 25, 2004 Beth, That is great news that your primary care doctor is beginning to believe in your implants being associated with your illness. I hope he comes through for you and helps you with all of the explant issues. As for healing, that will require a more natural approach for the best results, which means you won't have to rely on doctors for much more than tests....prescriptions drugs may be needed for some issues such as pain, but overall, healing is best done without reliance on drugs, as your eliminative organs need to be able to do their work unheeded. Wishing you the best, Patty"Beth S." <schaffe88@...> wrote: Hi Anita, I am fighting my LTD. I have an attorney that thinks that I was royally screwed over by them. His exact words. The insurance company diagnosed me with depression. The insurance company will only pay you two years if diagnosed with depression. After a very long year of fighting the insurance company they settled but only for depression. My attorney appealed and we won the case on it being a physical condition as opposed to be a mental condition. This means that they are responsible for paying me benefits until age 65 as long as I continue to be ill. I collected for 7 months after settlement and they cut me off. Including the retroactive pay it was exactly 2 years to the day. That includes the time it took to sue them. They again said that my diagnosis is depression. My attorney is once again fighting them and said that it could take a minimum of one year and a maximum of two years to win the case. My implants are not hard but they are beginning to hurt. Especially under my armpits. Sometimes the pain goes down clear to my elbow. It is terrible. I don't know if they are ruptured but my guess would be yes. They just don't feel the way they used to be. They are extremely soft which makes me nervous. They are not firm in any way. As far as collecting ss disability, believe it or not, I'm making too much money to qualify for food stamps and assistance in my utility bills. I don't know how anyone could live on the little bit that I currently make on ss disability but they are telling me that I make too much to qualify for any of these benefits that you mention. My primary care doctor is starting to believe that my implants are the cause of my problem. I told him about the support group and that we all have the same symptoms. Also told him about the cosmetic surgeon I went to see (this was before my LTD was cut off) for liposuction. I asked him if I would be able to tolerate the surgery since I'm so ill with Fibro and Chronic fatigue. He said that many of his patients have fibro. At the time I didn't think much of it because I didn't suspect my implants being the problem of my illness but looking back I often wonder why does a cosmetic surgeon have so many patients with fibro. My primary doctor only has a few. It really makes you wonder. Beth S.__________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 25, 2004 Report Share Posted September 25, 2004 Hi Beth, I must have missed this last post. It is my experience that the first step is to find a doctor that will say it is medically neccessary for you to have your implants removed. If your primary care doctor believes you see if he will go to bat for you and refer you to a good PS who will be able to convince medicare that explantation is medically necessary. The doctors know what to say to the insurance. Maybe your primary doc could do an ultrasound to see if they are ruptured. I don't see how they could refuse if they are ruptured. Let us know how you do with this. Love, Anita Re: Beth S. Attorneys that would represent saline implants - Anit Beth, That is great news that your primary care doctor is beginning to believe in your implants being associated with your illness I hope he comes through for you and helps you with all of the explant issues. As for healing, that will require a more natural approach for the best results, which means you won't have to rely on doctors for much more than tests....prescriptions drugs may be needed for some issues such as pain, but overall, healing is best done without reliance on drugs, as your eliminative organs need to be able to do their work unheeded. Wishing you the best, Patty"Beth S." <schaffe88@...> wrote: Hi Anita, I am fighting my LTD. I have an attorney that thinks that I was royally screwed over by them. His exact words. The insurance company diagnosed me with depression. The insurance company will only pay you two years if diagnosed with depression. After a very long year of fighting the insurance company they settled but only for depression. My attorney appealed and we won the case on it being a physical condition as opposed to be a mental condition. This means that they are responsible for paying me benefits until age 65 as long as I continue to be ill. I collected for 7 months after settlement and they cut me off. Including the retroactive pay it was exactly 2 years to the day. That includes the time it took to sue them. They again said that my diagnosis is depression. My attorney is once again fighting them and said that it could take a minimum of one year and a maximum of two years to win the case. My implants are not hard but they are beginning to hurt. Especially under my armpits. Sometimes the pain goes down clear to my elbow. It is terrible. I don't know if they are ruptured but my guess would be yes. They just don't feel the way they used to be. They are extremely soft which makes me nervous. They are not firm in any way. As far as collecting ss disability, believe it or not, I'm making too much money to qualify for food stamps and assistance in my utility bills. I don't know how anyone could live on the little bit that I currently make on ss disability but they are telling me that I make too much to qualify for any of these benefits that you mention. My primary care doctor is starting to believe that my implants are the cause of my problem. I told him about the support group and that we all have the same symptoms. Also told him about the cosmetic surgeon I went to see (this was before my LTD was cut off) for liposuction. I asked him if I would be able to tolerate the surgery since I'm so ill with Fibro and Chronic fatigue. He said that many of his patients have fibro. At the time I didn't think much of it because I didn't suspect my implants being the problem of my illness but looking back I often wonder why does a cosmetic surgeon have so many patients with fibro. My primary doctor only has a few. It really makes you wonder. Beth S. __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 25, 2004 Report Share Posted September 25, 2004 hey anita, thanks for helping, however, ultrasound's won't detect ruptrues, been there done that. Medically necessary is the KEY. I had a women dr. who was very sympythetic, she actually looked it up for me how to get the ins. to pay. These are the qualifications: capsular contracture of 2 or 3. but hopefully PS will at least say 3. Pain. Hard to detect. And autoimmune problems or fear of developing them. If general practitioner writes a strong letter on her behalf to the PS, the PS will also use this letter when making his report to ins. co. Capsualr contracture, still remains to be the most important element. hardness, pain, lumps etc. that kind of thing. God Bless you both, bye, michelle king in PGHanita kessler <AnitaK001@...> wrote: Hi Beth, I must have missed this last post. It is my experience that the first step is to find a doctor that will say it is medically neccessary for you to have your implants removed. If your primary care doctor believes you see if he will go to bat for you and refer you to a good PS who will be able to convince medicare that explantation is medically necessary. The doctors know what to say to the insurance. Maybe your primary doc could do an ultrasound to see if they are ruptured. I don't see how they could refuse if they are ruptured. Let us know how you do with this. Love, Anita Re: Beth S. Attorneys that would represent saline implants - Anit Beth, That is great news that your primary care doctor is beginning to believe in your implants being associated with your illness I hope he comes through for you and helps you with all of the explant issues. As for healing, that will require a more natural approach for the best results, which means you won't have to rely on doctors for much more than tests....prescriptions drugs may be needed for some issues such as pain, but overall, healing is best done without reliance on drugs, as your eliminative organs need to be able to do their work unheeded. Wishing you the best, Patty"Beth S." <schaffe88@...> wrote: Hi Anita, I am fighting my LTD. I have an attorney that thinks that I was royally screwed over by them. His exact words. The insurance company diagnosed me with depression. The insurance company will only pay you two years if diagnosed with depression. After a very long year of fighting the insurance company they settled but only for depression. My attorney appealed and we won the case on it being a physical condition as opposed to be a mental condition. This means that they are responsible for paying me benefits until age 65 as long as I continue to be ill. I collected for 7 months after settlement and they cut me off. Including the retroactive pay it was exactly 2 years to the day. That includes the time it took to sue them. They again said that my diagnosis is depression. My attorney is once again fighting them and said that it could take a minimum of one year and a maximum of two years to win the case. My implants are not hard but they are beginning to hurt. Especially under my armpits. Sometimes the pain goes down clear to my elbow. It is terrible. I don't know if they are ruptured but my guess would be yes. They just don't feel the way they used to be. They are extremely soft which makes me nervous. They are not firm in any way. As far as collecting ss disability, believe it or not, I'm making too much money to qualify for food stamps and assistance in my utility bills. I don't know how anyone could live on the little bit that I currently make on ss disability but they are telling me that I make too much to qualify for any of these benefits that you mention. My primary care doctor is starting to believe that my implants are the cause of my problem. I told him about the support group and that we all have the same symptoms. Also told him about the cosmetic surgeon I went to see (this was before my LTD was cut off) for liposuction. I asked him if I would be able to tolerate the surgery since I'm so ill with Fibro and Chronic fatigue. He said that many of his patients have fibro. At the time I didn't think much of it because I didn't suspect my implants being the problem of my illness but looking back I often wonder why does a cosmetic surgeon have so many patients with fibro. My primary doctor only has a few. It really makes you wonder. Beth S. __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2004 Report Share Posted September 26, 2004 Hi Beth, I suggest copying a few good articles and giving them to your dr. They seem to take those well. They usually would keep them in my file. they will read them when they make their report. Some just lack the knowledge. And you know how its easier to hear something from the calm approach? For them to read something written by another dr. isn't so threatening as a women demanding her illness is not depression and implant related. I went through the same thing. Any dr. knows better than to call it just depression with me, though I beleave it is one of the symptoms, and that the body heals all together. Mind, body and soul. Sounds horrendous how you lost your encome, or law suit. Something similar with me too. I got unemployment for awhile and then they cut me off. I've recently been awared ss disability, just a few months, but am working withoffice of vocational rehab, finishing my Master's and am about ready to work part-time. However, I will never compromise the amount of exercise I need, time for God and my mental health. For a life time I will need to live a certain way of life or I loose everything. I cannot tax myself to the fullest and expect to feel good. God Bless, Tricia Trish <glory2glory1401@...> wrote: Beth, That is great news that your primary care doctor is beginning to believe in your implants being associated with your illness. I hope he comes through for you and helps you with all of the explant issues. As for healing, that will require a more natural approach for the best results, which means you won't have to rely on doctors for much more than tests....prescriptions drugs may be needed for some issues such as pain, but overall, healing is best done without reliance on drugs, as your eliminative organs need to be able to do their work unheeded. Wishing you the best, Patty"Beth S." <schaffe88@...> wrote: Hi Anita, I am fighting my LTD. I have an attorney that thinks that I was royally screwed over by them. His exact words. The insurance company diagnosed me with depression. The insurance company will only pay you two years if diagnosed with depression. After a very long year of fighting the insurance company they settled but only for depression. My attorney appealed and we won the case on it being a physical condition as opposed to be a mental condition. This means that they are responsible for paying me benefits until age 65 as long as I continue to be ill. I collected for 7 months after settlement and they cut me off. Including the retroactive pay it was exactly 2 years to the day. That includes the time it took to sue them. They again said that my diagnosis is depression. My attorney is once again fighting them and said that it could take a minimum of one year and a maximum of two years to win the case. My implants are not hard but they are beginning to hurt. Especially under my armpits. Sometimes the pain goes down clear to my elbow. It is terrible. I don't know if they are ruptured but my guess would be yes. They just don't feel the way they used to be. They are extremely soft which makes me nervous. They are not firm in any way. As far as collecting ss disability, believe it or not, I'm making too much money to qualify for food stamps and assistance in my utility bills. I don't know how anyone could live on the little bit that I currently make on ss disability but they are telling me that I make too much to qualify for any of these benefits that you mention. My primary care doctor is starting to believe that my implants are the cause of my problem. I told him about the support group and that we all have the same symptoms. Also told him about the cosmetic surgeon I went to see (this was before my LTD was cut off) for liposuction. I asked him if I would be able to tolerate the surgery since I'm so ill with Fibro and Chronic fatigue. He said that many of his patients have fibro. At the time I didn't think much of it because I didn't suspect my implants being the problem of my illness but looking back I often wonder why does a cosmetic surgeon have so many patients with fibro. My primary doctor only has a few. It really makes you wonder. Beth S. __________________________________________________ Quote Link to comment Share on other sites More sharing options...
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