Re: Re:SOON TO BE POST-OPS

[Guest guest]

Dear Joann,

So sorry to hear of your struggle and losing your last appeal. I know we

get all psyched up for Dr R and his procedure, it is hard to think of going

to anyone else, but others have had to do it and have come out ok. Shari in

CA comes to mind, although I think she had a lap procedure. I think another

lady, maybe Dolores (??), had an RNY too and is ok.

Do you have diabetes? If so, maybe you can talk the in-network Dr. into a

referral to Dr R, who does the MGB laparoscopically. It is a much better

procedure for diabetics, because it is much less invasive and there is less

risk of infection and better & faster healing, which is a concern for us

diabetics. Plus it has so many other advantages.

I will keep you in my thoughts & prayers. Best of luck to you in whatever

you work out for yourself based on your needs and circumstances.

P. in GA

Re:SOON TO BE POST-OPS

>

>

> <<

> Hey ya'll,

>

> I talked to Debbie earlier today and I have a date with Dr. R. for

> surgery on 5/17/00 YAAAAAAAAHOOOOOO!!!!!!!!!!!!!!! Anyone else for that

> date >>

>

> Hi everyone, I wanted to give congratulations to all the new post-ops and

> pre-ops. I envy you all. It looks like I have lost my last appeal for

having

> Dr. R for my surgeon. I got the letter today. They absolutely refuse

having a

> Dr. out of network unless the in network Dr. says Dr. R is needed to do my

> surgery. Unfortunately since I went through with 2 grievance comities and

a

> board hearing without conferring with this in network Dr. now he can't

give

> me an appointment until September! I am scared to death having an open

RuenY,

> but I feel like I have no other choice.

> Bar hitting the lottery I am unable to do self pay. Please forgive me for

> this pity party, I have been crying all day since I found out. I really

wish

> you all the best and envy you being able to have Dr R. From what I have

heard

> and read he is a fine man and an excellent surgeon. You are blessed to

have

> him. Please if you might include me in your prayers I would appreciate it

> very much. God Bless.

> JoAnn ^j^

>

> " Friends are angels who lift us to our feet when our wings have trouble

> remembering how to fly. "

>

> ------------------------------------------------------------------------

> Now the best and coolest websites come right to you based on your

> unique interests. eTour.com is surfing without searching.

> And, it's FREE!

> http://click.egroups.com/1/3013/1/_/453517/_/957243975/

> ------------------------------------------------------------------------

>

> 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]

Dear Joann,

So sorry to hear of your struggle and losing your last appeal. I know we

get all psyched up for Dr R and his procedure, it is hard to think of going

to anyone else, but others have had to do it and have come out ok. Shari in

CA comes to mind, although I think she had a lap procedure. I think another

lady, maybe Dolores (??), had an RNY too and is ok.

Do you have diabetes? If so, maybe you can talk the in-network Dr. into a

referral to Dr R, who does the MGB laparoscopically. It is a much better

procedure for diabetics, because it is much less invasive and there is less

risk of infection and better & faster healing, which is a concern for us

diabetics. Plus it has so many other advantages.

I will keep you in my thoughts & prayers. Best of luck to you in whatever

you work out for yourself based on your needs and circumstances.

P. in GA

Re:SOON TO BE POST-OPS

>

>

> <<

> Hey ya'll,

>

> I talked to Debbie earlier today and I have a date with Dr. R. for

> surgery on 5/17/00 YAAAAAAAAHOOOOOO!!!!!!!!!!!!!!! Anyone else for that

> date >>

>

> Hi everyone, I wanted to give congratulations to all the new post-ops and

> pre-ops. I envy you all. It looks like I have lost my last appeal for

having

> Dr. R for my surgeon. I got the letter today. They absolutely refuse

having a

> Dr. out of network unless the in network Dr. says Dr. R is needed to do my

> surgery. Unfortunately since I went through with 2 grievance comities and

a

> board hearing without conferring with this in network Dr. now he can't

give

> me an appointment until September! I am scared to death having an open

RuenY,

> but I feel like I have no other choice.

> Bar hitting the lottery I am unable to do self pay. Please forgive me for

> this pity party, I have been crying all day since I found out. I really

wish

> you all the best and envy you being able to have Dr R. From what I have

heard

> and read he is a fine man and an excellent surgeon. You are blessed to

have

> him. Please if you might include me in your prayers I would appreciate it

> very much. God Bless.

> JoAnn ^j^

>

> " Friends are angels who lift us to our feet when our wings have trouble

> remembering how to fly. "

>

> ------------------------------------------------------------------------

> Now the best and coolest websites come right to you based on your

> unique interests. eTour.com is surfing without searching.

> And, it's FREE!

> http://click.egroups.com/1/3013/1/_/453517/_/957243975/

> ------------------------------------------------------------------------

>

> 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]

Joann, I'm so sorry. Don't despair, you might have lost the fight for Dr R,

but at least your insurance company isn't giving you a hard time about

having WLS in the first place. Things could be worse. Dr R is within

Network for me, the hospital is one of the approved ones on my list and they

denied the procedure (in appeal as we speak). But they paid my clinic fee,

go figure! If you trust this in-network physician, and he has a great track

record, then rest assured you are also in good hands. Deloris and

Shari in CA can attest that the RNY is a very viable option for you. Don't

they perform it under the laparascope where you live? Your insurance is

willing to pay for an open (i.e. expensive) procedure and won't pay for Dr

R's laparascopic? That is unbelievable.......that's like the difference

between $14,000 and $30,000. It doesn't make sense, but what about

insurance ever does.

I have many friends who have had the open RNY, and they are doing fine. I

know you wanted to choose the MGB, and for good reason, but at least you are

approved. Chin up girl, you're still going to be skinny next year. :-) I

was talking to a friend of my mom's tonight who'd had open RNY in 1997 and

she's lost 250lbs. Another friend of mine weighed in at 635 (2 years ago)

and now weighs 195. So, rest assured, it will be successful for you!!

< > I will say a prayer that you find your way to the other side

safely. :-)

fg

>

>Hi everyone, I wanted to give congratulations to all the new post-ops and

>pre-ops. I envy you all. It looks like I have lost my last appeal for having

>Dr. R for my surgeon. I got the letter today. They absolutely refuse having a

>Dr. out of network unless the in network Dr. says Dr. R is needed to do my

>surgery. Unfortunately since I went through with 2 grievance comities and a

>board hearing without conferring with this in network Dr. now he can't give

>me an appointment until September! I am scared to death having an open RuenY,

>but I feel like I have no other choice.

>Bar hitting the lottery I am unable to do self pay. Please forgive me for

>this pity party, I have been crying all day since I found out. I really wish

>you all the best and envy you being able to have Dr R. From what I have heard

>and read he is a fine man and an excellent surgeon. You are blessed to have

>him. Please if you might include me in your prayers I would appreciate it

>very much. God Bless.

>JoAnn ^j^

>

> " Friends are angels who lift us to our feet when our wings have trouble

>remembering how to fly. "

[Guest guest]

Joann, I'm so sorry. Don't despair, you might have lost the fight for Dr R,

but at least your insurance company isn't giving you a hard time about

having WLS in the first place. Things could be worse. Dr R is within

Network for me, the hospital is one of the approved ones on my list and they

denied the procedure (in appeal as we speak). But they paid my clinic fee,

go figure! If you trust this in-network physician, and he has a great track

record, then rest assured you are also in good hands. Deloris and

Shari in CA can attest that the RNY is a very viable option for you. Don't

they perform it under the laparascope where you live? Your insurance is

willing to pay for an open (i.e. expensive) procedure and won't pay for Dr

R's laparascopic? That is unbelievable.......that's like the difference

between $14,000 and $30,000. It doesn't make sense, but what about

insurance ever does.

I have many friends who have had the open RNY, and they are doing fine. I

know you wanted to choose the MGB, and for good reason, but at least you are

approved. Chin up girl, you're still going to be skinny next year. :-) I

was talking to a friend of my mom's tonight who'd had open RNY in 1997 and

she's lost 250lbs. Another friend of mine weighed in at 635 (2 years ago)

and now weighs 195. So, rest assured, it will be successful for you!!

< > I will say a prayer that you find your way to the other side

safely. :-)

fg

>

>Hi everyone, I wanted to give congratulations to all the new post-ops and

>pre-ops. I envy you all. It looks like I have lost my last appeal for having

>Dr. R for my surgeon. I got the letter today. They absolutely refuse having a

>Dr. out of network unless the in network Dr. says Dr. R is needed to do my

>surgery. Unfortunately since I went through with 2 grievance comities and a

>board hearing without conferring with this in network Dr. now he can't give

>me an appointment until September! I am scared to death having an open RuenY,

>but I feel like I have no other choice.

>Bar hitting the lottery I am unable to do self pay. Please forgive me for

>this pity party, I have been crying all day since I found out. I really wish

>you all the best and envy you being able to have Dr R. From what I have heard

>and read he is a fine man and an excellent surgeon. You are blessed to have

>him. Please if you might include me in your prayers I would appreciate it

>very much. God Bless.

>JoAnn ^j^

>

> " Friends are angels who lift us to our feet when our wings have trouble

>remembering how to fly. "

[Guest guest]

JoAnn-

So sorry this has happened to you. It is very unfair. Keep your chin up.

We are all praying for you. Have faith. Something will work out for you. I

don't know your insurance situation but is it possible for you to switch

during open enrollment to someone else who would approve you going out of

network?

Take care'

Jackie in DE

pre-op

BCBCDE

date ??

[Guest guest]

In a message dated 5/2/2000 1:06:58 AM Eastern Daylight Time,

DevineJo@... writes:

<< Please if you might include me in your prayers I would appreciate it

very much. God Bless.

JoAnn ^j^ >>

JoAnn,

I'm so sorry about you're Ins. troubles!!!! You are in my prayers and

the power of prayer is a mighty thing, so keep the faith, a lot of miracles

have happened from the power of prayer!!!

A Little Scared, but wanting

to be on the other side,

Cathy in Lenoir, NC

BMI 42

[Guest guest]

In a message dated 5/2/2000 1:06:58 AM Eastern Daylight Time,

DevineJo@... writes:

<< Please if you might include me in your prayers I would appreciate it

very much. God Bless.

JoAnn ^j^ >>

JoAnn,

I'm so sorry about you're Ins. troubles!!!! You are in my prayers and

the power of prayer is a mighty thing, so keep the faith, a lot of miracles

have happened from the power of prayer!!!

A Little Scared, but wanting

to be on the other side,

Cathy in Lenoir, NC

BMI 42