RE: disappointed

November 9, 2000

Robin,

Man, I hate to hear that. Maybe I will have to redo

some of my information as well. I'll let you know.

--- Robin wrote:

> Hi everyone, Especially Joyce, I thought I would

> let you know that

> Dr R called me this morning and pretty much rejected

> everything in my

> packet. He said I needed to redo my patient letter,

> the info from my

> PCP wasnt complete enough. I got my boyfriend to

> write my support

> letter because he is my biggest supporter and we

> live together so he

> is going to be the one to help me with everything

> and be there for

> the surgery but Dr R asked me if I didnt have some

> family, so I guess

> I need to get an actual relative to write the

> letter. I am so

> upset. I was so hoping for a date in dec but that

> doesnt look like

> that is going to happen. Is there anyone who can

> forward me a

> patient letter that they have written recently and

> gotten approval

> because I dont really know what he wants and what

> else I can write.

> I already feel like I repeated myself a hundred

> times on the last

> letter. Thanks so much for anyones help.

> Robin

> Virginia

> rmartin@...

>

November 10, 2000

What psy evaluation??? Does this apply on packets sent during November or

only those sent after Dec 1???

Ft Wayne

November 10, 2000

Robin,

Could you E-mail me your letter maybe I can help.

Metrishal@...

November 10, 2000

Oh man Robin I am sooo sorry to hear that your letter got rejected!! OUCH!!

I am scared that will happen to me as well. I went back after we talked last

Saturday and added some MORE to my pt letter. It is now 10 pages.. BUT the

font size is 14 and the margins are alittle bigger.... and now I read an

email from him that we can't do that!! I have no idea what to add to this

stupid letter.. i am all out of ideas!!! Did anyone ever send you a copy of

one that was approved to look at?? If so I would love to take a look at it

and see what I am missing here.

What was wrong with you history and Physical info.. if I may ask?? I mean

doctors pretty much know how to do those and I don't see why it would be a

big problem!

did you see the deal with needing a Psy evaluation for those packets sent in

after Nov???!!!!

Will this rollercoaster ride ever end!!

Spunky

aka cindy

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November 10, 2000

Here is an exact quote of what was on my e-mail:

" Hi,

We have been trying to call you for several days.

I rejected your application because your form says

that you have Polycystic ovary disease, arthritis

edema and 4 surgeries and your history and physical

exam lists none of these that I can see.

Sorry

RR "

I wish you could see my packet, I really spent a lot

of time getting it ready. I felt like I went above and

beyond what was requested at times. Maybe everyone

else does too. I don't know. All I know is I listed 3

surgeries - laproscopic for endometriosis in 97,

Laproscopic to check for kidney stones in 94, and

Hysterectomy for polycystic ovary disease. I also

stated that I have had problems with joint and back

pain. All of these surgeries were preformed by

previous specialist. When my doctor prepared my

history she did not list these. That's all I can

tell...

Now, what am I doing about it? I e-mailed Dr. R. and

made positively for sure that he has my work number

that has voice mail so I won't miss a telephone call.

I gave him my home number as well. I called my primary

doctor and sent her a copy of the e-mail from Dr. R.

She is going to verify my surgeries and put something

in writing. That's all I know to do. When I get that

I will fax it, mail it and then wait some more. If

anyone has input I welcome it.

Tired of Being Obese in Ohio

--- hsmotherof4 wrote:

> Oh man Robin I am sooo sorry to hear that your

> letter got rejected!! OUCH!!

>

> I am scared that will happen to me as well. I went

> back after we talked last

> Saturday and added some MORE to my pt letter. It is

> now 10 pages.. BUT the

> font size is 14 and the margins are alittle

> bigger.... and now I read an

> email from him that we can't do that!! I have no

> idea what to add to this

> stupid letter.. i am all out of ideas!!! Did anyone

> ever send you a copy of

> one that was approved to look at?? If so I would

> love to take a look at it

> and see what I am missing here.

>

> What was wrong with you history and Physical info..

> if I may ask?? I mean

> doctors pretty much know how to do those and I don't

> see why it would be a

> big problem!

>

> did you see the deal with needing a Psy evaluation

> for those packets sent in

> after Nov???!!!!

>

> Will this rollercoaster ride ever end!!

> Spunky

> aka cindy

>

> ____________NetZero Free Internet Access and

> Email_________

> Download Now

> http://www.netzero.net/download/index.html

> Request a CDROM 1-

>

___________________________________________________________

>

November 10, 2000

Dear Dr. R.,

You haven't " met " me yet but I am preparing a package and working on

insurance approval at this time. My name is Michele. I'm from Akron, OH and

heard about you through a post op here in town. I doubt I will get my

package in by Dec 1 and have a question about the psych evaluation. Before

giving me a referrral for my insurance company, my PCP required 3 sessions

with a psychiatrist to find out " why i ate too much " . My psychiatrist

explained to him that obesity is not a mental illness and that I was fully

cognizant of the surgery I was requesting and recommended that as a medical

doctor he write a referral for it. Will this constitute a " psych eval " or

will I need to do more? Thank you in advance for your input.

Michele

November 10, 2000

We are back to needing a psych eval NOW??? Well thats just really great.

I tell you Im really getting pretty sick of all of this. When he called me

on the phone he said the margins were to big and my fonts was to large

therefore I really didnt have the 10 pages....I really think he is being

petty and an asshole....excuse my language. As far as the PCP goes....he

wants the dr to follow the exact sample he has on his website I guess

because he said my PCP didnt write enough. Well I dont have any health

problems at the moment but HTN and joint problems so how much could he

write??

This is all really beginning to get pretty ridiculous if you ask me. A

woman wrote me who has a date with Dr R and said that a friend of hers went

to another dr in durham and had the MGB. This Dr studied under Dr. R and

the only thing he requires is a consult with him. THe only thing is, he

hasnt done that many surgies yet but she is supposed to be getting me her

friends name and email address. I really want this surgery but Im getting

very sick of all the rule changeing. Everytime you turn around something

has changed before you can even get your packet in. I guess you can tell

Im a little pissed huh???

I do have one letter that I will forward you. Take care and keep in touch.

Robin

At 12:43 PM 11/10/00 -0500, you wrote:

>Oh man Robin I am sooo sorry to hear that your letter got rejected!! OUCH!!

>

>I am scared that will happen to me as well. I went back after we talked last

>Saturday and added some MORE to my pt letter. It is now 10 pages.. BUT the

>font size is 14 and the margins are alittle bigger.... and now I read an

>email from him that we can't do that!! I have no idea what to add to this

>stupid letter.. i am all out of ideas!!! Did anyone ever send you a copy of

>one that was approved to look at?? If so I would love to take a look at it

>and see what I am missing here.

>

>What was wrong with you history and Physical info.. if I may ask?? I mean

>doctors pretty much know how to do those and I don't see why it would be a

>big problem!

>

>did you see the deal with needing a Psy evaluation for those packets sent in

>after Nov???!!!!

>

>Will this rollercoaster ride ever end!!

>Spunky

>aka cindy

>

>____________NetZero Free Internet Access and Email_________

>Download Now http://www.netzero.net/download/index.html

>Request a CDROM 1-

>___________________________________________________________

>

November 10, 2000

And Of course I got a letter from telling me how he just keeps

everyone jumping through hoops on purpose so everyone will kiss his

feet....LOL

Robin

At 12:43 PM 11/10/00 -0500, you wrote:

>Oh man Robin I am sooo sorry to hear that your letter got rejected!! OUCH!!

>

>I am scared that will happen to me as well. I went back after we talked last

>Saturday and added some MORE to my pt letter. It is now 10 pages.. BUT the

>font size is 14 and the margins are alittle bigger.... and now I read an

>email from him that we can't do that!! I have no idea what to add to this

>stupid letter.. i am all out of ideas!!! Did anyone ever send you a copy of

>one that was approved to look at?? If so I would love to take a look at it

>and see what I am missing here.

>

>What was wrong with you history and Physical info.. if I may ask?? I mean

>doctors pretty much know how to do those and I don't see why it would be a

>big problem!

>

>did you see the deal with needing a Psy evaluation for those packets sent in

>after Nov???!!!!

>

>Will this rollercoaster ride ever end!!

>Spunky

>aka cindy

>

>____________NetZero Free Internet Access and Email_________

>Download Now http://www.netzero.net/download/index.html

>Request a CDROM 1-

>___________________________________________________________

>

November 10, 2000

Re: disappointed

> What psy evaluation???

We are reinstituting the Psych Eval.

> Does this apply on packets sent during November

No.

> or

> only those sent after Dec 1???

Only those received after Dec 1st.

RR

>

> Ft Wayne

>

November 10, 2000

RE: disappointed

> Oh man Robin I am sooo sorry to hear that your letter got rejected!!

OUCH!!

>

> I am scared that will happen to me as well. I went back after we talked

last

> Saturday and added some MORE to my pt letter. It is now 10 pages.. BUT the

> font size is 14 and the margins are alittle bigger.... and now I read an

> email from him that we can't do that!! I have no idea what to add to this

> stupid letter.. i am all out of ideas!!!

Hi,

For the letter type a page on each of the main topics:

New Process Steps - Patient Letter:

Patients are required to write a letter that demonstrates their

understanding of the issues related to the Laparoscopic Gastric Bypass

Required Letter Contents:

Understanding the Risks of Obesity

Understanding Morbid \ Clinically Severe Obesity

Understanding Why the Operation is Performed

Understanding How the Operation is Performed

Understanding the Expected Benefits of Surgery

Understanding the Expected Risks of Surgery

Understanding of the Alternatives to Surgery

Understanding the Post Operative Diet Changes

Understanding the Possible Depression After Operation

Understanding the Need for Long Term Follow Up

Understanding the Billroth II vs. the Roux-en-Y and the risks of

stomach Cancer

http://clos.net/patient_letter.htm

>

> What was wrong with you history and Physical info.. if I may ask??

It was a few comments on a form.

> I mean

> doctors pretty much know how to do those and I don't see why it would be a

> big problem!

>

> did you see the deal with needing a Psy evaluation for those packets sent

in

> after Nov???!!!!

>

Yikes.

> Will this rollercoaster ride ever end!!

> Spunky

> aka cindy

>

RR

Rutledge, M.D., F.A.C.S.

The Center for Laparoscopic Obesity Surgery

4301 Ben lin Blvd.

Durham, N.C. 27704

Telephone #:

Fax #:

Email: DrR@...

************************************************

Please Visit our Web site: http://clos.net

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Mini-Gastric Bypass Community at

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Get the Mini-Gastric Bypass

Patient Education Manual

http://www.clos.net/get_patient_manual.htm

November 10, 2000

Trudy,

So glad to see you back posting-it was quiet and lonely without you. I

followed your progress every day, waited with you and Jude for your

surgeries, and prayed for your safe recovery. You have a delightful sense of

humor, and seem so warm and kind. Now I'm anxious to hear how you're

doing--how do you feel physically and mentally? Any regrets? I can't

imagine life as a post-op. My best to you. Tennessee Sharon

November 10, 2000

" Understanding the Billroth II vs. the Roux-en-Y and the risks of

stomach Cancer "

Is this something new as well??

I didn't have that listed in my manual. I have covered that topic under

" Risk for surgery " already.... guess I will have to redo my letter...

AGAIN.

_______________________________________________

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November 10, 2000

Hey,

You're doing the correct thing.. just keep doing it. Dr. Rutledge is nothing if

he is not thorough... Honey, he is the best. A little short on words sometimes,

but he means well.

He won't do anything that might put your health in anymore risk than it has to

be with the MGB, and if he says he needs something, give it to him.

Trudy

RE: disappointed

Here is an exact quote of what was on my e-mail:

" Hi,

We have been trying to call you for several days.

I rejected your application because your form says

that you have Polycystic ovary disease, arthritis

edema and 4 surgeries and your history and physical

exam lists none of these that I can see.

Sorry

RR "

I wish you could see my packet, I really spent a lot

of time getting it ready. I felt like I went above and

beyond what was requested at times. Maybe everyone

else does too. I don't know. All I know is I listed 3

surgeries - laproscopic for endometriosis in 97,

Laproscopic to check for kidney stones in 94, and

Hysterectomy for polycystic ovary disease. I also

stated that I have had problems with joint and back

pain. All of these surgeries were preformed by

previous specialist. When my doctor prepared my

history she did not list these. That's all I can

tell...

Now, what am I doing about it? I e-mailed Dr. R. and

made positively for sure that he has my work number

that has voice mail so I won't miss a telephone call.

I gave him my home number as well. I called my primary

doctor and sent her a copy of the e-mail from Dr. R.

She is going to verify my surgeries and put something

in writing. That's all I know to do. When I get that

I will fax it, mail it and then wait some more. If

anyone has input I welcome it.

Tired of Being Obese in Ohio

--- hsmotherof4 wrote:

> Oh man Robin I am sooo sorry to hear that your

> letter got rejected!! OUCH!!

>

> I am scared that will happen to me as well. I went

> back after we talked last

> Saturday and added some MORE to my pt letter. It is

> now 10 pages.. BUT the

> font size is 14 and the margins are alittle

> bigger.... and now I read an

> email from him that we can't do that!! I have no

> idea what to add to this

> stupid letter.. i am all out of ideas!!! Did anyone

> ever send you a copy of

> one that was approved to look at?? If so I would

> love to take a look at it

> and see what I am missing here.

>

> What was wrong with you history and Physical info..

> if I may ask?? I mean

> doctors pretty much know how to do those and I don't

> see why it would be a

> big problem!

>

> did you see the deal with needing a Psy evaluation

> for those packets sent in

> after Nov???!!!!

>

> Will this rollercoaster ride ever end!!

> Spunky

> aka cindy

>

> ____________NetZero Free Internet Access and

> Email_________

> Download Now

> http://www.netzero.net/download/index.html

> Request a CDROM 1-

>

___________________________________________________________

>

November 10, 2000

Robin,

You're right about one thing... you're pissed right now.

That would be the only thing I see that you have said in your post that is

correct.

I'm sure if you feel it is too much trouble to do the things expected of you

from Dr. Rutledge to be accepted for surgery, you can always find some other

surgeon to take your money and give you their version of what Dr. Rutlege does

so expertly.

In my opinion you're not ready for weight loss surgery. I've just had it (one

week today), and I know for a fact it takes alot of patience and effort to

adjust to the new life style. You seem to be lacking both.

Like I said this is only my opinion, take it as just that.

Trudy/Indiana

Post Op 339

one week 325