Guest guest Posted May 2, 2002 Report Share Posted May 2, 2002 Oh Tess, I am SO sorry about your INSURANCE WOES. What stupid excuse did they give for denying the surgery. Was it the one pre op day or was it the entire surgery. When I was working for the insurance company, I was the BAD person who put thru the approvals or denials on medical procedures. A pre op day was usually pretty tough to get approved but with the clinical documentation we would present this to the the medical directors and then if they had any questions, they would contact the surgeon directly and slug it out from there. As far as the surgery portion is concerned, unless it was a policy exclusion, which I find that would be almost impossible that a T & A would be, it went thru without any further clinicals or medical director approval. Something doesn't sound quite right here. At least your doctor's office is willing to go to bat for you. Do they know how long the appeal is going to take? Believe me, sweetie, I KNOW what you are going thru. You get yourself all psyched up mentally for these procedures only to have some stranger say, " I don't think so " . I am going to say extra prayers for you tonight and yes, KEEP YOUR CHIN UP!!!!!! Yesterday was my oldest daughters 21st birthday and we went out for dinner and I didn't feel well all day and things didn't get any better at the restaurant, but I didn't want to disappoint her. I was waiting all day for two doctors offices call back with the OK for refills on pain medication and muscle relaxants. They both finally called about 4:30 PM and said yes, they were OK. After we got back from the restaurant, my knee started killing me and I couldn't fall asleep because of the pain. I finally dozed off about 1:30 AM and here I am up at 3:30 AM in more pain than when I went to bed plus I am having a really bad asthma attack. Just got off the nebulizer machine. If things don't improve within a few real fast minutes, we are off to the ER. Hang in there, my friend, prayers, love and good wishes are being sent your way. Please keep us updated. Gentle, tender, insurance sucks, angel hugs, Debs in FL Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2002 Report Share Posted May 2, 2002 I'm concerned, too, Debs. Please let us know if you had to go to the ER. Tess, I know you are probably very disappointed and frustrated right now, but a carefully done appeal can work. I'm glad the ENT is on top of it. We've got to hope for the best. Can any one of your doctors help you more effectively with your pain until the surgery can be done? Re: [ ] Chin Up? > Dear Debs...how are you? Is your asthma better? Did you have to go to > the ER? I had severe asthma from the age of 2 months old until my late > teens. I know how awful and scary it can be. Nowadays, I only get it > if I have a throat or sinus infection, cold or bronchitis. I feel very > blessed. > > The insurance rep said they didn't cover my diagnosis for the throat > surgery. She said there is a letter coming to me explaining the appeal > process, but the ENT has already started their end of it. > > I feel stuck and discouraged with this, and my hernated disks. The pain > and weird sensation in my leg is continuing. I really need some > miracles for my body & my spirit. > > Thank you so much for reaching out to me even when you are suffering so. > Hugs & prayers & much love to you, dear friend. > > Tess Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2002 Report Share Posted May 2, 2002 Tess:Sorry to but in but have you seen the add for Blue Stuff and Super Blue stuff? I know that somebody else was talking about another cream, but I have really bad disks in my neck and lumbar spine...and this stuff is like magic...I didnt believe the adds , but I got a chance to try it at the state fair.....I was VERY skeptical....but it really does work...it is quite expensive but it is worth it...I had tried everything ...I had steroid injections..PT , OT, I tried EVERYTHING....anyway if you want to try it ...I could send you some samples....if you want to try it and would like some samples you can email me rags@... way you dont have to put your address on the net...the company is close to where I live....Kathi in OK --- Tess_St_Pierre@... wrote: > Dear Debs...how are you? Is your asthma better? > Did you have to go to > the ER? I had severe asthma from the age of 2 > months old until my late > teens. I know how awful and scary it can be. > Nowadays, I only get it > if I have a throat or sinus infection, cold or > bronchitis. I feel very > blessed. > > The insurance rep said they didn't cover my > diagnosis for the throat > surgery. She said there is a letter coming to me > explaining the appeal > process, but the ENT has already started their end > of it. > > I feel stuck and discouraged with this, and my > hernated disks. The pain > and weird sensation in my leg is continuing. I > really need some > miracles for my body & my spirit. > > Thank you so much for reaching out to me even when > you are suffering so. > Hugs & prayers & much love to you, dear friend. > > Tess > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2002 Report Share Posted May 2, 2002 Kathi, My husband ordered some for me, and although it doesn't totally eradicate my pain, it certainly helps it more than anything else has! I was thinking of mentioning it just the other day. I'm purchasing some for my mom, as well. $40 is a lot for a topical cream, but it sure beats being in pain. Hugs, Carol in FL Re: [ ] Chin Up? Tess:Sorry to but in but have you seen the add for Blue Stuff and Super Blue stuff? I know that somebody else was talking about another cream, but I have really bad disks in my neck and lumbar spine...and this stuff is like magic...I didnt believe the adds , but I got a chance to try it at the state fair.....I was VERY skeptical....but it really does work...it is quite expensive but it is worth it...I had tried everything ...I had steroid injections..PT , OT, I tried EVERYTHING....anyway if you want to try it ...I could send you some samples....if you want to try it and would like some samples you can email me rags@... way you dont have to put your address on the net...the company is close to where I live....Kathi in OK --- Tess_St_Pierre@... wrote: > Dear Debs...how are you? Is your asthma better? > Did you have to go to > the ER? I had severe asthma from the age of 2 > months old until my late > teens. I know how awful and scary it can be. > Nowadays, I only get it > if I have a throat or sinus infection, cold or > bronchitis. I feel very > blessed. > > The insurance rep said they didn't cover my > diagnosis for the throat > surgery. She said there is a letter coming to me > explaining the appeal > process, but the ENT has already started their end > of it. > > I feel stuck and discouraged with this, and my > hernated disks. The pain > and weird sensation in my leg is continuing. I > really need some > miracles for my body & my spirit. > > Thank you so much for reaching out to me even when > you are suffering so. > Hugs & prayers & much love to you, dear friend. > > Tess > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2002 Report Share Posted May 2, 2002 Dear Kathi...MANY thanks! Love & Hugs... Tess Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2002 Report Share Posted May 3, 2002 Hi All, Thank you all for your expressions of concern. I did another nebulizer treatment last night and it finally kicked in. I have slept most of the day. Not being able to breathe is both painful and exerting. The pulmonologist has increased my inhaler and that seems to help. Wish I knew what triggered the attack. Hope you all have a pain free evening. Looking forward to mine being quiet! Talk to all soon. Gentle, tender,angel hugs, Debs in FL Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2002 Report Share Posted May 3, 2002 Carol: I agree with you it is like it takes the edge off....and every little bit helps...hugs back...Kathi --- Carol <carol@...> wrote: > Kathi, > > My husband ordered some for me, and although it > doesn't totally eradicate my > pain, it certainly helps it more than anything else > has! I was thinking of > mentioning it just the other day. > > I'm purchasing some for my mom, as well. $40 is a > lot for a topical cream, > but it sure beats being in pain. > > Hugs, > Carol in FL > Re: [ ] Chin Up? > > > Tess:Sorry to but in but have you seen the add for > Blue Stuff and Super Blue stuff? I know that > somebody > else was talking about another cream, but I have > really bad disks in my neck and lumbar spine...and > this stuff is like magic...I didnt believe the > adds , > but I got a chance to try it at the state > fair.....I > was VERY skeptical....but it really does work...it > is > quite expensive but it is worth it...I had tried > everything ...I had steroid injections..PT , OT, I > tried EVERYTHING....anyway if you want to try it > ...I > could send you some samples....if you want to try > it > and would like some samples you can email me > rags@... way you dont have to put > your > address on the net...the company is close to where > I > live....Kathi in OK > --- Tess_St_Pierre@... wrote: > > Dear Debs...how are you? Is your asthma better? > > Did you have to go to > > the ER? I had severe asthma from the age of 2 > > months old until my late > > teens. I know how awful and scary it can be. > > Nowadays, I only get it > > if I have a throat or sinus infection, cold or > > bronchitis. I feel very > > blessed. > > > > The insurance rep said they didn't cover my > > diagnosis for the throat > > surgery. She said there is a letter coming to > me > > explaining the appeal > > process, but the ENT has already started their > end > > of it. > > > > I feel stuck and discouraged with this, and my > > hernated disks. The pain > > and weird sensation in my leg is continuing. I > > really need some > > miracles for my body & my spirit. > > > > Thank you so much for reaching out to me even > when > > you are suffering so. > > Hugs & prayers & much love to you, dear friend. > > > > Tess > > > > > > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2002 Report Share Posted May 3, 2002 You are very welcome...Kathi --- Tess_St_Pierre@... wrote: > Dear Kathi...MANY thanks! > > Love & Hugs... > > Tess > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
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