RE: the deal

[Guest guest]

I went through the EXACT same thing with actually going to my first consult

and then having to pay for it myself because I didn't know that I HAD to

have the consult approval. Like you, I don't have THAT many problems, but

what I did give to my new PCP was my co-morbids and my diet history and made

sure she sent this with my referral.

pre-pre-op Dr. Rabkin - consult June 14th

Here's a copy:

Co-Morbidities:

Chronic pain in feet, ankles, knees and lower back

Edema of ankles, feet and hands

Pressure Incontinence

Exercise Induced Asthma

Insulin Resistance

Irregular menstrual cycles

High Cholesterol

Frequent Heartburn/Acid Reflux

Diet Attempts:

Starting weight: 160

Ending weight: 275

HerbaLife 1991

lost: 20 pounds

regained: 35 pounds

Slimfast 1993

lost: 25 pounds

regained: 32 pounds

American Weight Loss Center (Las Vegas) 1994-1995

lodt: 22 pounds

regained: 50 pounds

Dr. Atkins New Diet Revolution 1996-1997

lost: 40 pounds

regained: 82 pounds

exercise: 24 Hour Fitness, 3-4 times a week for 1 hour (aerobics classes)

Weight Watchers 1998 (6 months)

lost: 6 pounds

regained: Unknown (Started new plan right away)

exercise: Workplace gym, 4-5 times a weekBike - 20 minutesStairmaster - 20

minutesElliptical trainer - 20 minutesWeights - 20 minutes

Deal a Meal 1998

lost: 13 pounds

regained: 47 pounds

exercise: " Getting Down the Pounds " tape, 2-3 times a week

Protein Power (through Dr. Leib) 1999-2000

lost: 35 pounds

regained: 30 pounds

exercise: Jazzercise, irregular about twice a week

the deal

Okay this is the deal! I had a consult with Dr. E on May 14th, but I had to

cancel because I did not have authorization to go to it from my insurance,

so I am in the midst of having my pcp call my insurance and get approval for

me to go to a consult (okay) then the insurance company tells my pcp that

they will need a letter of necessity and they will have to decide if this is

something that I need done. Well, I have not had complications with my

health (Thank God!) that is noted in my health records nor have I ever been

tested for anything, so basically all my pcp can possibly write are the

basics, missed periods, weight (of course) swelling, varacose veins, aches

and pains....bla bla bla....

My question is this> Is this the right direction and what comes next?????

Anyone! What is the best things to have the pcp put in the letter?

in Pa.

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