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,

What a fantastic strategy as well as tactful way of approaching this

insurance roadblock! I am going to copy your letter for my files

when others run into similar issues!

You are great! Thanks so much for sharing this advice!

Hugs,

Theresa

> > ,

> >

> > 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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