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,

Quick question ...I am also going to see an RNY doc locally (if I can ever

get in!!), and the reason I'm seeing one is so that I can have my DS with

Dr. Hess ... haha ...

I need something to kick Cigna in the ass to get them to let me go out of

network for the DS rather than stay in-network with an RNY. I thought that

if an RNY doc would see me, agree that FOR ME, the DS is better, then Cigna

couldn't refuse the request for authorization for out of network benefits.

My question is ... How did you broach your RNY guy? Should I tell him up

front what I'm doing? What's the best way to get him to see my point and be

willing to back my decision to Cigna?

Any input would be appreciated!!

Bye,

Donna

>From: mkf5t@...

>Reply-To: duodenalswitch

>To: duodenalswitch

>Subject: my " talk " with Gagner (long)

>Date: Thu, 25 Oct 2001 22:17:12 -0000

>

>After I met with the surgeon in town this morning, I can now say that

>I LOVE Gagner. I only went to the in-town guy today because I wanted

>to get his official support for the D/S because the local insurance

>company values his opinion so much. He gave it to me but was so

>completely disinterested in me and everything I had to say. It

>really looked like he was having a hard time staying awake. Here's

>the meat, though: I asked him if he had ever thought about doing

>(learning--HA!) the D/S and how come he already wasn't doing it. He

>said " I don't know; I just don't do it. " And then something about

>how what he's been doing has been fine and that he's had no

>problems. Then he quoted some older Scorpinaro (sp?) research and

>mumbled something about more pronounced nutritional issues. The jerk

>either doesn't know anything or was treating me like I couldn't

>understand anything. I was so angry at his responses (I waited

>almost 2 hours for this shit; Gagner, only 20 minutes) that I wanted

>to run out into the waiting room and tell the other 70 some odd

>patients (it is a total cattle call in there; maybe there is

>something to the claim about these RNY doctors making a quick buck)

>waiting for him to RUN: GO FIND ANOTHER SURGEON AND SURGERY! It is

>downright irresponsible for him not to be educating his patients

>about their options. Later, my mom goes in to see him for her

>consultation. She asks about what happens to the rest of the stomach

>left inside; does it just rot? (My mom is obsessed with this idea!)

>Instead of answering his question he says " We've never had any

>problems. " I am so mad that I want to knock him flat! God help the

>people who let him touch them. Here's what's weird, too: my shrink

>(MD) says that he's heard wonderful things about him, fine surgeon

>etc. and Gagner and he refer to each other by first name.

>

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Hi, Donna!

This is what I would say to your RNY guy:

I've heard such great things from (find people!) so and so about what

an excellent surgeon you are. (Try to find something specific about

him and what he does). I was completely unwilling to let anyone else

do my WLS except for you. But then I became so scared about the

complications like ulcers and dumping that I decided just to check

out what the D/S was all about. This D/S is really better for me

because I already have heartburn issues (and ulcer history? and

family history of bad ulcers?) and I am scared to death of dumping

because I know what a severe hypoglycemic reaction feels like--it

makes me panic! I know that the nutritional deficiences can be more

apt to occur with this surgery, but I am totally dedicated to taking

my vitamins (say something here that's specific and shows how much

you know about supplementation and similar issues being present with

the RNY anyway, etc.) So, since you don't do the D/S, I'm thinking

that I might go to Dr. Hess, although I really wanted to stay here

with you. Problem is my insurance. They all seem to know who you

are and what you do. If I had a letter or even a verbal willingness

from you to support that D/S is best for me, I wouldn't continue

having these insurance problems; I know that they'd approve me. I

know that you're busy and that I'm asking of you a favor even though

I'm not using you as my surgeon, but please help me with this!

Hope this helps!

> ,

>

> Quick question ...I am also going to see an RNY doc locally (if I

can ever

> get in!!), and the reason I'm seeing one is so that I can have my

DS with

> Dr. Hess ... haha ...

>

> I need something to kick Cigna in the ass to get them to let me go

out of

> network for the DS rather than stay in-network with an RNY. I

thought that

> if an RNY doc would see me, agree that FOR ME, the DS is better,

then Cigna

> couldn't refuse the request for authorization for out of network

benefits.

>

> My question is ... How did you broach your RNY guy? Should I tell

him up

> front what I'm doing? What's the best way to get him to see my

point and be

> willing to back my decision to Cigna?

>

> Any input would be appreciated!!

>

> Bye,

> Donna

>

>

> >From: mkf5t@v...

> >Reply-To: duodenalswitch@y...

> >To: duodenalswitch@y...

> >Subject: my " talk " with Gagner (long)

> >Date: Thu, 25 Oct 2001 22:17:12 -0000

> >

>

> >After I met with the surgeon in town this morning, I can now say

that

> >I LOVE Gagner. I only went to the in-town guy today because I

wanted

> >to get his official support for the D/S because the local insurance

> >company values his opinion so much. He gave it to me but was so

> >completely disinterested in me and everything I had to say. It

> >really looked like he was having a hard time staying awake. Here's

> >the meat, though: I asked him if he had ever thought about doing

> >(learning--HA!) the D/S and how come he already wasn't doing it.

He

> >said " I don't know; I just don't do it. " And then something about

> >how what he's been doing has been fine and that he's had no

> >problems. Then he quoted some older Scorpinaro (sp?) research and

> >mumbled something about more pronounced nutritional issues. The

jerk

> >either doesn't know anything or was treating me like I couldn't

> >understand anything. I was so angry at his responses (I waited

> >almost 2 hours for this shit; Gagner, only 20 minutes) that I

wanted

> >to run out into the waiting room and tell the other 70 some odd

> >patients (it is a total cattle call in there; maybe there is

> >something to the claim about these RNY doctors making a quick buck)

> >waiting for him to RUN: GO FIND ANOTHER SURGEON AND SURGERY! It

is

> >downright irresponsible for him not to be educating his patients

> >about their options. Later, my mom goes in to see him for her

> >consultation. She asks about what happens to the rest of the

stomach

> >left inside; does it just rot? (My mom is obsessed with this

idea!)

> >Instead of answering his question he says " We've never had any

> >problems. " I am so mad that I want to knock him flat! God help

the

> >people who let him touch them. Here's what's weird, too: my

shrink

> >(MD) says that he's heard wonderful things about him, fine surgeon

> >etc. and Gagner and he refer to each other by first name.

> >

>

>

> _________________________________________________________________

> Get your FREE download of MSN Explorer at

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

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