HELP

[Guest guest]

Hi Gwen--

Don't panic--we'll work this out! First, look in your existing

policy--see if you can find a section regarding amendments or

addendums to the policy. Unless the company specifically reserved

the

right to make such impromptu " addendums, " then they can't! (Don't

worry--even if they reserved the right to make these types of

changes,

you can still fight them!) Your policy is a contract between you &

the insurance company, and just like you can't unilaterally decide to

change the premium that you pay, they also don't have the right to

unilaterally make changes without (at the very least) notification to

you of the change taking effect, the date of such change, etc.

You mention that Dr. R is " in-network " for you--how close are you to

Durham? I'll be in Durham next week (attending clinic on Tuesday

doing that happy dance with Dr. R on Thursday!) If it's not too far

for you, feel free to bring what you've got (the policy, the letter &

the addendum) and I'd be happy to take a look and help you write a

kick-a** letter stating your case. (btw--I'm an attorney--I actually

went to UNC School of Law--go 'heels!)

Let me know--

a

> Ok People I need some help and pray someone out there can help me.

Two weeks ago I got insurance approval via telephone, yesterday I

finally got my letter and they have only approved me for 50% up to

$4000.00. My letter came with a copy of a new addendum to our policy

stating that is the max. dollar limit on WLS.

> Has anyone had this problem? Did you or can you appeal something

like this? I need help, I am totally lost when it comes to dealing

with insurance (I believe if insurance is not the antichrist, they

should be).haha

> If I cannot change their minds, I cannot have this surgery (or any

WLS) I have a $2000 deductible and then my 20% is wiping us out as it

is.

> What is really confusing me is that the letter says they will only

pay 50% up to $4000, but Dr R is in network for me as is Durham

Regional and my policy says in network is 80/20. How can they only

pay

50% if he is in network? I have called and talked to 4 different

people and each of them have given me a different story. One lady

even

told me that I was actually paying 70%.

> Where do I go and what do I do? Helpppppp !

>

> Gwen

> Still waiting !!!!

>

> ........................................................

> iWon.com http://www.iwon.com why wouldn't you?

> ........................................................

[Guest guest]

Hsa anyone any recipes fro the following two items :

I've some but they don't fit for the profile for the child who needs these

replacements as she is allergic to tomato , egg whites, soy, and corn and is

GFCF or at least attempting it . I do remember someone about a year ago

posting a spaghetti sauce made with red peppers - I'm hoping with some

adaptation we can make a ketchup substitute - also she is " addicted " to

" ranch " type dressing for salads. I'm helping a residential school and adult

facility implement GFCF - but several of teh residents tested have

conflicting allergies - These two items would be a godsend as the young lady

in question is not eating much at present .

Again I Need recipes for :

Ketchup - (NO TOMATO, CORN< EGG WHITES OR SOY)

" Ranch type dressing " - DITTO

Thanks you can e-mail directly if you like Sue

[Guest guest]

>Again I Need recipes for :

>

>Ketchup - (NO TOMATO, CORN< EGG WHITES OR SOY)

> " Ranch type dressing " - DITTO

>

>Thanks you can e-mail directly if you like Sue

This isn't the red pepper recipe, but I season it up for my son's

spaghetti sauce....

>

@@@@@ Now You're Cooking! Export Format

UnTomato Sauce

1 16 oz can beets; drained well

2 16 oz. can carrots; drained well

2 tablespoon lemon juice

1 cup water

1 teaspoon salt

1/2 teaspoon oregano

1/2 teaspoon garlic powder

1 teaspoon basil

1/2 teaspoon sugar

Puree completely in processor. Let sit for several hours in the

refrigerator for flavors to blend. Add onion, meat (garlic and Italian

seasoning) - (if needed) for spaghetti sauce.

Contributor: Feingold 4/10/2000

@ ]])

@ ]]) aka: Toushoes

[Guest guest]

>Hsa anyone any recipes fro the following two items :

>Again I Need recipes for :

>

>Ketchup - (NO TOMATO, CORN< EGG WHITES OR SOY)

> " Ranch type dressing " - DITTO

>

>Thanks you can e-mail directly if you like Sue

@@@@@ Now You're Cooking! Export Format

Ranch Style Dressing GFCF

salad dressings

1/2 cup mayonnaise

1/2 cup milk substitute

1/2 cup silken tofu (soft)

2 tablespoon oil

1 tablespoon lemon juice

1 teaspoon parsley

1/2 teaspoon garlic powder

1/2 teaspoon salt

1/2 teaspoon basil

1/4 teaspoon paprika

1/4 teaspoon dry mustard

1/4 teaspoon white pepper

Mix .. Chill .. Serve

** Exported from Now You're Cooking! v5.36 **

@ ]])

@ ]]) aka: Toushoes

[Guest guest]

>Again I Need recipes for :

>

>Ketchup - (NO TOMATO, CORN< EGG WHITES OR SOY)

> " Ranch type dressing " - DITTO

>

>Thanks you can e-mail directly if you like Sue

This is why I sent the UnTomato Sauce recipe .....

>

@@@@@ Now You're Cooking! Export Format

Un-Catsup

1 recipe Untomato Sauce

2 sticks celery; diced fine

1/2 teaspoon cinnamon

1/4 teaspoon dry mustard

1/4 cup onion; chopped

1/2 cup white vinegar; try cider ??

1/4 teaspoon black pepper

4 tsp sugar

Add all ingredients to pan and boil until reduced and thick. Stir

frequently to prevent sticking. This usually takes about one hour.

Strain

sauce. Freeze in small portions.

Contributor: Feingold 4/10/2000

** Exported from Now You're Cooking! v5.36 **

@ ]])

@ ]]) aka: Toushoes

[Guest guest]

Thanks wendy for the red sauce - I can mess with it for ketchup - the Ranch

won't work - Eggs , Soy are out but I 'll mess with that too! Sue

[Guest guest]

...You've really had it rough...just hang in there...it will get

better and you'll feel better and be happy with life again. Try to

keep positive. It really helps!

aJ

> Hi everyone out there

> my name is karen and i am having a terrible time wishing i never

did this

> ds/lap surgery , then a emergency hernia has left me with a large

hematomac

> on my tummy to the right of my umbilius button button..has anyone

esle out

> there eperiency this?I am in alot of pain so cant write to much any

> suggestions welcomed..left a message fro gager/or service they didn

t

> respond..

>

> bye

> karen

> lap/ds june 5

> hernia repair june 18

> depressed and only lost 5 pds

[Guest guest]

Dear , I am sorry to hear that things have not gone as smoothly as hoped for. I truly hope that you get well and things get better soon. God bless. a BMI 36 Pre-op hELP Hi everyone out there my name is karen and i am having a terrible time wishing i never did this ds/lap surgery , then a emergency hernia has left me with a large hematomac on my tummy to the right of my umbilius button button..has anyone esle out there eperiency this?I am in alot of pain so cant write to much any suggestions welcomed..left a message fro gager/or service they didn t respond.. bye karen lap/ds june 5 hernia repair june 18 depressed and only lost 5 pds ----------------------------------------------------------------------

[Guest guest]

,

babe –

You

GOTTA at least get some liquids in

you. You’ve gotta try and at least

eat Popsicles or something like that – or you’re gonna end up back in that hell

hole of a hospital on I.V.s for rehydration. Honey, please try hard. Forget the weight issues. Remember that you need to concentrate on getting better

first. It takes many weeks to get

over surgery – any kind – you’ve got to take care of that first!!!

Praying

for you big time!

Dina in Aloha, OR

Age 37/BMI 61

Waiting for my consult with Dr.

Hoping my new insurance will cover it

all....

-----Original

Message-----

From: Happy2knowU2@...

Sent: Wednesday, June 27, 2001

7:59 PM

To: duodenalswitch

Subject: Help

Hi,

It is three weeks since i was switched and some of you that know me know i

had an emergency hernia 12 days later..I sady can say i lost 4 and 3/4 pounds

today and feel awful ,,,,all of this and not even 10 pds...i feel so

nauseated,,i threw up and just cannot eat a thing ,,any suggestions are verfy

welcome...

karen

nyc

gagner switched june 5th

hernia repair june 18th

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

[Guest guest]

Dear , From the hernia repair has there been swelling? I was wondering if maybe there hasn't been a weight loss for several reasons. Any time there is some sort of surgery performed (especially emergency ones) there is some sort of swelling, my question is does the swelling carry weight? Also does'nt the body go into a state of shock putting all it's resources to heal/recover from an emergency operation(the hernia repair)? Maybe the body is focused on healing the hernia? Hopefully as the hernia heals the weight drop will begin to increase! I am no medical expert or rookie just inquisitive. : ) Wishing and hoping the absolute best for you! a Pre-op BMI36 Help Hi, It is three weeks since i was switched and some of you that know me know i had an emergency hernia 12 days later..I sady can say i lost 4 and 3/4 pounds today and feel awful ,,,,all of this and not even 10 pds...i feel so nauseated,,i threw up and just cannot eat a thing ,,any suggestions are verfy welcome... karen nyc gagner switched june 5th hernia repair june 18th ----------------------------------------------------------------------

[Guest guest]

....

I've heard many people say they actually gained weight while in the

hospital and then lost that plus more later. You've now been through

TWO surgeries in a very short time and it's quite possible that your

body is actually losing pounds but you can't tell yet because of fluid

retention.

Take gentle care of yourself, stay off the scale if you can, and sip

something allllll the time. The weight will come off in its own time.

H

--- Happy2knowU2@... wrote:

> Hi,

> It is three weeks since i was switched and some of you that know me

> know i

> had an emergency hernia 12 days later..I sady can say i lost 4 and

> 3/4 pounds

> today and feel awful ,,,,all of this and not even 10 pds...i feel so

> nauseated,,i threw up and just cannot eat a thing ,,any suggestions

> are verfy

> welcome...

>

> karen

> nyc

> gagner switched june 5th

> hernia repair june 18th

>

__________________________________________________

[Guest guest]

right ! I know of 3 people who gained 15 lbs after surgery and lost it

all 2 weeks later as the weight began to fall off......

Judie

Re: Help

> ....

>

> I've heard many people say they actually gained weight while in the

> hospital and then lost that plus more later. You've now been through

> TWO surgeries in a very short time and it's quite possible that your

> body is actually losing pounds but you can't tell yet because of fluid

> retention.

>

> Take gentle care of yourself, stay off the scale if you can, and sip

> something allllll the time. The weight will come off in its own time.

>

> H

>

> --- Happy2knowU2@... wrote:

> > Hi,

> > It is three weeks since i was switched and some of you that know me

> > know i

> > had an emergency hernia 12 days later..I sady can say i lost 4 and

> > 3/4 pounds

> > today and feel awful ,,,,all of this and not even 10 pds...i feel so

> > nauseated,,i threw up and just cannot eat a thing ,,any suggestions

> > are verfy

> > welcome...

> >

> > karen

> > nyc

> > gagner switched june 5th

> > hernia repair june 18th

> >

>

>

> __________________________________________________

>

[Guest guest]

,

HANG IN THERE! You've been through alot these past few weeks. It WILL happen!

Kim B.

[Guest guest]

Dear ,

I know how sick you've been going thru the two surgeries.

Now you are home and on your way. But! Your body has gone thru some

very traumatic chances, give it time to adjust and heal. I realize

it would be great to at least see a bunch of pounds gone. It just

doesn't always work that way. Go easy on yourself. Do the best you

can. Eat as much or little as you can but drink your fluids to at

least stay hydrated.

Believe me, the weight will come off!! For sure!! Just get well

right now.

Hugs

Chrita

(from CT)

> Hi,

> It is three weeks since i was switched and some of you that know me

know i

> had an emergency hernia 12 days later..I sady can say i lost 4 and

3/4 pounds

> today and feel awful ,,,,all of this and not even 10 pds...i feel

so

> nauseated,,i threw up and just cannot eat a thing ,,any suggestions

are verfy

> welcome...

>

> karen

> nyc

> gagner switched june 5th

> hernia repair june 18th

[Guest guest]

Dear a,

thanks so much for your warm thoughts

karen

nyc

post op 3.5 weeks lost 4 pds

[Guest guest]

susana and to all

does anyone out there feel so tired and weary like they will never get back to where they were,,even restless at times, i can;t a comfortable place for myself and eating has become a horrible chore.i dont thiink i am eating enough but i am doing the best i can

thanks for listening

karen

nyc post op almost one month lap d/s

2 weeks emergency hernia repair open

[Guest guest]

I was a wreck for some time post op. I had to sleep a lot and wondered if I'd ever get my energy back. I did.. and I didn't have 2 surgeries in a row.

It takes time, .

in Seattle

----- Original Message -----

From: Happy2knowU2@...

susana and to all does anyone out there feel so tired and weary like they will never get back to where they were,,even restless at times, i can;t a comfortable place for myself and eating has become a horrible chore.i dont thiink i am eating enough but i am doing the best i can thanks for listening karen nyc post op almost one month lap d/s 2 weeks emergency hernia repair open

[Guest guest]

-

I went through that too.. just keep trying a little food at a time..

my surgeon's nurse suggested yogurt to help me repopulate my gut with

good bacteria.. I got those Yoplait " Go-gurts " .. they are small (~2

oz), and when I was bored with eating it soft, I froze them and ate it

as a frozen yogurt pop. Just keep trying things- after I was sick its

taken me 2 weeks to stop getting tired just trying to type email

responses.. sip water, gatoraide, poweraide, fruit juice, warm liquid

jello, whatever your poor tummy can handle that sounds good. It will

get easier.. I wish I could help more.. but I'll do whatever I can

from here. Hang in there, hon.

Hugs,

Liane

> susana and to all

> does anyone out there feel so tired and weary like they will never

get back

> to where they were,,even restless at times, i can;t a comfortable

place for

> myself and eating has become a horrible chore.i dont thiink i am

eating

> enough but i am doing the best i can

> thanks for listening

>

> karen

> nyc post op almost one month lap d/s

> 2 weeks emergency hernia repair open

[Guest guest]

Dear , I have felt like that because I have had other surgeries that left me exhausted and helpless(when I had foot surgery, I was on crutches for practically a year!). I wanted to ask you was if there is anyone there with you, helping you out at home during your recovery? I hope you are not alone, someone should be there even if they need to personally feed you because you are phsically weak and totally exhausted. I hope and pray that you begin to feel peace and get better soon! a BMI 36 Pre-op Re: Help susana and to all does anyone out there feel so tired and weary like they will never get back to where they were,,even restless at times, i can;t a comfortable place for myself and eating has become a horrible chore.i dont thiink i am eating enough but i am doing the best i can thanks for listening karen nyc post op almost one month lap d/s 2 weeks emergency hernia repair open ----------------------------------------------------------------------

[Guest guest]

dear dina,

thanks for your caring kind words,,,karen

[Guest guest]

Dear :

I have not wrote you until now but I can see you are not only scared but your spirit is low.

When I had my surgery in "99" with Dr. A, open lap and I do mean open. My incision was left open except for 7 large retaining stitches and I was not completely healed until Oct.

I can relate to how you are feeling, I was feeling so sick and bad for the first 12 weeks I was eating practically nothing.

My food intake for that first 12 weeks consisted of 1/4 cup of cream of tomato soup made with milk and I ate shaved ice constantly and popsicle, not diet! You don't need to be eating anything that is sugar free or fat free or low in calories. Your not taking in enough to matter and Dr. A told me he didn't care what I ate as long as I was getting something in and all the fluids I could manage. He also told me that the 1/4 of soup I was eating every 2-3 hours was good just keep the liquids up which I did my best to do.

I felt weak and yucky for quiet awhile. My walking consisted of going to the bathroom at first by holding onto the walls, I had a tub seat in the shower because I could not stand long enough to shower and even with the seat I would be totally wiped out afterwards and have to nap. By the way napping is good, you heal while your sleeping, my recliner and I were best friends during that time.

Don't worry about wasting food keep trying until you find one you like and hopefully unlike me you will like more than one! LOL After the first 12 weeks I was beginning to feel a wee bit better everyday and I knew it was because I was eating more and drinking more and I had started walking down the driveway and back twice a day.

Was it hard? Yes, it was. Some people have no problems at all and I am grateful for them, for me it seems to be from the anesthetic as I had about 3 weeks of ugly tummy after my hernia repair and TT.

Please write me and let me know what questions I can help with and if you would like my phone number so you can call and just vent I will gladly give it to you, also feel free to e-mail me privately so you can really sound off if you need to.

Huggles,

Tiger Lake

Female

160 lbs. BMI 21.7

224lbs gone

165 1/2 inches gone

6' -- 53yrs young

Dr. Anthone@USC So. Calif.

Open DS

Surgery 1/13/99 384lbs BMI 51.21

Last Visit 4/20/99 315.5 BMI 42.07

7/19/99 274.8 BMI 36.64

9/03/99 259.3 BMI 34.54

10/04/99 252.4 BMI 34.02

10/25/99 231 BMI 32

12/17/99 217.5 BMI 30.2

01/19/00 211 BMI 28

02/20/00 195 BMI 26

04/08/00 182.9 BMI 25

Hernia repair on 06/07/00 Dr. Anthone

Tummy Tuck & Breast Reduction Dr. Downey

06/07/00 160 BMI 21.7

01/08/01 164.3 BMI 21.7

Total Weight Loss! 224.1lbs GONE!

Total inches lost 154.5

[Guest guest]

,

is

right. Surgery takes it out of

you! Doesn’t matter which

kind. I had wrist surgery this

past fall – it took about 4 weeks to feel like a “real” person again. When I had my C-Section when my son was

born – I wasn’t really even up to getting out of the house until at least 5

weeks post-op – and even then, I was still shaky. Took a good couple of months before I was able to resume my

normal activites.

Try to be

patient, hon…. The whole recovery

thing *does* stink big time, but

it’s the way our bodies are made!

Dina in Aloha, OR

Age 37/BMI 61

Waiting for my consult with Dr.

Hoping my new insurance will cover it

all....

-----Original

Message-----

From: Montgomery

Sent: Saturday, June 30, 2001 9:22

PM

To: duodenalswitch

Subject: Re: Help

I was a wreck

for some time post op. I had to sleep a lot and wondered if I'd ever get

my energy back. I did.. and I didn't have 2 surgeries in a row.

It takes

time, .

in

Seattle

-----

Original Message -----

From: Happy2knowU2@...

susana

and to all

does anyone out there feel so tired and weary like they will never get back

to where they were,,even restless at times, i can;t a comfortable place for

myself and eating has become a horrible chore.i dont thiink i am eating

enough but i am doing the best i can

thanks for listening

karen

nyc post op almost one month lap d/s

2 weeks emergency hernia repair open

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

[Guest guest]

God love you darlin'. I'm sorry this has been so bad. You might want to talk to someone about some anti-depressants or a change in them if you currently take them. Feelin so down and out makes it even harder to heal! Nothing wrong with getting something to up the mood!

Reece

-----Original Message-----From: Happy2knowU2@... Sent: Thursday, July 05, 2001 9:07 PMTo: duodenalswitch Subject: HELPi m 4 weeks post op and feeling awful nauseated caant eat or drink i have tried it all, did anyone out there go thru this pleasee help. karen ----------------------------------------------------------------------

[Guest guest]

In a message dated 7/5/2001 7:08:49 PM Pacific Daylight Time,

Happy2knowU2@... writes:

<< i m 4 weeks post op and feeling awful nauseated caant eat or drink i have

tried it all, did anyone out there go thru this pleasee help.

karen >>

, Some people go through this for a while. Your body has been through

alot. My guess is that you are not feeling well because you are not

eating/drinking. Have your tried ice chips/popsicles? I found that Italian

Ices were very refreshing. You can find them in your local grocery store in

the frozen food section, usually by the ice cream. Just take it easy and keep

hydrated. The rest will come in due time.

Kim B.

[Guest guest]

kathi

sounds to me like it is a problem from your server,

for instants, yahool, aol, msn, they are not sending

the mail quickly enough, its not your comp. i have

this happen sometimes too.

dawn

--- Kathi Goodwin wrote:

> Hi everyone,

> I am having some problems with this computer and

> don't know what to do next

> to try and fix it!! For about the last week, I have

> been getting posts,

> days after they are actually posted!! For example,

> I got up this morning

> and had almost 300posts that go back to Wednseday!I

> am still getting posts

> every day but only a few!! Can anyone check

> something and see if I have

> messed something up? I hope you are all doing well!

> Thanks,

> Kathi

>

>

_________________________________________________________________

> Get your FREE download of MSN Explorer at

> http://explorer.msn.com/intl.asp

>

>

__________________________________________________