Approved, but not for Dr. R

[Guest guest]

Robynn, that is what the doc here prefers is the open..After many questions I

discovered it is really hard for Doc. To do the lap..It takes knowledge and

stamina..The open can take months to heal, and you are out of work for a

while. Call your insurance CO. And tell them no one in your network does

this surgery and they cant deny you the surgery no matter where it is if it

is on your plan. That is discriminating against you. This is much cheaper

for them to.

Trisha Lanman

praying Dr. R. will help me to the other side soon!!!

Las Vegas NV

bmi 40

[Guest guest]

Robynn, that is what the doc here prefers is the open..After many questions I

discovered it is really hard for Doc. To do the lap..It takes knowledge and

stamina..The open can take months to heal, and you are out of work for a

while. Call your insurance CO. And tell them no one in your network does

this surgery and they cant deny you the surgery no matter where it is if it

is on your plan. That is discriminating against you. This is much cheaper

for them to.

Trisha Lanman

praying Dr. R. will help me to the other side soon!!!

Las Vegas NV

bmi 40

[Guest guest]

Hey folks,

I am dazed and confused, Barbara from Dr. R's office called me at

work today, to give me good news and bad news....The good news is I

have been approved for surgery, but not with Dr.R unless I want to go

out of network, which I would have to pay 40%. But there is a Dr.

Marema, who is doing lap RNY and that would be paid in

network, which would be alot cheaper and no traveling. I looked at

his sight, and he prefers to do an open RNY and removes the

gallblader. I'm very confused, I don't wasnt open surgery. I know

that. All I need is to have my PCP give me a refferal. Well I fired

my PCP monday. oy vey! Has anyone in FLorida heard of this guy. Why

would they remove the gallbladder? any information would be soooo

appreciated.

Robynn

[Guest guest]

I've heard of Marema. He's in Ft. Lauderdale. He studied under Fobi

in California, which is why he prefers the open procedure and removes

the gallbladder.

In the open procedure, a silastic band can be placed around the

opening to the new stomach pouch to prevent it stretching out later,

which can't be done by the laparoscopic method.

The gallbladder is removed in all of Fobi's patients because rapid

weight loss often causes gallstones and with the small stomach pouch,

you don't need the gallbladder anyway (and the risk of more surgery),

because it is just a bile reservoir.

However, if he does it laparascopically, he may not remove the

gallbladder, I don't know.

If you join the Fobi one-list, there are several of Dr. Marema's

patients on there.

> Hey folks,

> I am dazed and confused, Barbara from Dr. R's office called me at

> work today, to give me good news and bad news....The good news is I

> have been approved for surgery, but not with Dr.R unless I want to

go

> out of network, which I would have to pay 40%. But there is a Dr.

> Marema, who is doing lap RNY and that would be paid in

> network, which would be alot cheaper and no traveling. I looked at

> his sight, and he prefers to do an open RNY and removes the

> gallblader. I'm very confused, I don't wasnt open surgery. I know

> that. All I need is to have my PCP give me a refferal. Well I

fired

> my PCP monday. oy vey! Has anyone in FLorida heard of this guy.

Why

> would they remove the gallbladder? any information would be soooo

> appreciated.

> Robynn

[Guest guest]

Robynn,

Gastric bypass patients are in a high risk category for gall bladder problems.

Any dramatic weight loss program puts you at risk as well. There are a lot of

surgeons who just prefer to take out the gall bladder at the same time, rather

than waiting for problems and having to perform a second surgery.

My surgeon had me have an ultra sound to check for any stones and potential

problems as well as checking out the bile ducts. I was given an 'all clear'. My

surgeon prefers to keep the gall bladder if it looks good. It does perform a

function after all. I hope I don't have an ordeal down the road, but I was glad

for the decision to keep it.

I think it is similar to when you have a hysterectomy. Some doctors

automatically take the ovaries and even the appendix for good measure. Again, I

was lucky enough to have a surgeon who checked out my ovaries and left them so I

didn't have to deal with the hormone replacement stuff at the same time as

recovering.

I would make sure my surgeon is comfortable and experienced with the LAP surgery

- I would check into why he prefers the Open method. Mine happens to prefer LAP

and would have worked with me to lose weight if I had weighed too much for LAP.

He thinks open is too messy and " you have to take out and replace all those

organs in the right place - a real hassle " . I should mention he has an

interesting sense of humor.

Anyway - research as much as possible.

Any questions I could help with, feel free......

Rgds,

Shari

Post Op LAP RNY 3/14/00

Approved, but not for Dr. R

Hey folks,

I am dazed and confused, Barbara from Dr. R's office called me at

work today, to give me good news and bad news....The good news is I

have been approved for surgery, but not with Dr.R unless I want to go

out of network, which I would have to pay 40%. But there is a Dr.

Marema, who is doing lap RNY and that would be paid in

network, which would be alot cheaper and no traveling. I looked at

his sight, and he prefers to do an open RNY and removes the

gallblader. I'm very confused, I don't wasnt open surgery. I know

that. All I need is to have my PCP give me a refferal. Well I fired

my PCP monday. oy vey! Has anyone in FLorida heard of this guy. Why

would they remove the gallbladder? any information would be soooo

appreciated.

Robynn

------------------------------------------------------------------------------

------------------------------------------------------------------------------

This message is from the Mini-Gastric Bypass Mailing List at Onelist.com

Please visit our web site at http://clos.net

Get the Patient Manual at http://clos.net/get_patient_manual.htm

[Guest guest]

Thanks Shari,

He has a clinic on Monday, I plan to attend but also plan to be armed with

lots of questions, I really wanted Dr. R. If I can find a way to do this I

will. I will e-mail you when I think of some of the questions if you don't

mind. It has been a long day so I am off to bed.

Good night all, and thank you.

Robynn

Approved, but not for Dr. R

Hey folks,

I am dazed and confused, Barbara from Dr. R's office called me at

work today, to give me good news and bad news....The good news is I

have been approved for surgery, but not with Dr.R unless I want to go

out of network, which I would have to pay 40%. But there is a Dr.

Marema, who is doing lap RNY and that would be paid in

network, which would be alot cheaper and no traveling. I looked at

his sight, and he prefers to do an open RNY and removes the

gallblader. I'm very confused, I don't wasnt open surgery. I know

that. All I need is to have my PCP give me a refferal. Well I fired

my PCP monday. oy vey! Has anyone in FLorida heard of this guy. Why

would they remove the gallbladder? any information would be soooo

appreciated.

Robynn

----------------------------------------------------------------------------

--

----------------------------------------------------------------------------

--

This message is from the Mini-Gastric Bypass Mailing List at Onelist.com

Please visit our web site at http://clos.net

Get the Patient Manual at http://clos.net/get_patient_manual.htm

[Guest guest]

I figure that this is my plan, to gather as much info as I can, so that in

an appeal letter to get them to pay for it in network, showing them that

this is a totally different surgery, and why itis not what I want. Now I

have to find a PCP.

Robynn