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description= Travels through life as an obese woman and the process of bariatric surgery.;
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onday and the insurance company still showed my pre cert request as pending so the doctor requested my surgery be pushed a week to 3 14 as it can take up to 15 days to receive a determination ugh my need for patience grows with each passing hour i cannot get my pre op ekg and blood work until i get approval because they will not pay for the workup so i wait and wait and wait some more i got tired of waiting we had a snowstorm here on 3 7 so i called my insurance company knowing my doc s office would be closed i was told that additional information had been requested the previous saturday say what by fax and they hadn t received anything in response i was told some vague information about needing more evidence of prior treatments tried well that was something i could get on with my mom being a nurse at my gyn s office and my gyn being the one to document the rash which is the medical need for me to have this surgery i called her up and she got on it when she got to the office the next day after the storm i received a letter from the insurance company on thursday stating that they needed the pictures snail mailed in addition to the extra documentation i immediately picked up the phone and called k the surgery scheduler to see if this was something i needed to handle i left her a message but didn t hear back from her that day so more waiting friday k called me that she was on hold with the insurance company for an hour transferred 3 times and eventually wound up in a voicemail when she got a return call she advised them that she needed to email the pictures i mean c mon people it s 2018 it should not be that hard and that i d already been rescheduled once and they didn t want to have to do it again i let her know that i d been in touch with the other doc s office and they had prepared documentation of other treatments used she gave me her direct fax number so there d be no delay and then there s more waiting because it s the weekend monday rolls around and i lose track of time until the surgeon s office was closed so i picked up the phone and called the insurance company again thankfully i ve gotten some incredible people shy one every time i ve called this was no different if anything it was better i got a wonderful customer service cs rep who said that my account still showed that they were waiting for information for real i m supposed to have surgery in two days and the requested information isn t there the cs rep stayed on the line and called utilization management um she helped me talk to her and the cs woman asked the um woman if there was a place in their department where things sometimes got lost sure enough the um woman found the pictures and documentation praise god the um rep said she d send my case along to a nurse reviewer with expedited status but that it could still take 48 hours i didn t have 48 hours when the um woman hung up the cs rep asked me if i d like her to check on my case first thing the next morning it s like she was an angel after an incredibly restless night with very little sleep i climbed out of bed and took the phone into the shower with me because don t all important calls come through when you re in the shower well not this one sigh it s tuesday and i don t know if i m having surgery the very next day i know that the hospital would call between 2 and 5 to let me know what time to show up the next day i also had an appointment that would have me away from the house from 1 30 5 00 and my anxiety was through the roof 11 15 am tuesday comes and the phone rings it s the surgeon s office i anxiously picked up the phone to hear k on the line saying that it was approved the insurance company neglected to mention that the 15 day clock reset when the new information arrived thankfully the power of prayer is strong and it was put through in 18 hours i had a huge adrenaline rush and was super excited then it hit i m having a massive surgery the very next day i d put so much time and energy into getting it approved that the reality of it didn t hit until that moment before i left the house at 1 30 the cs rep at the insurance company called and told me that it had been approved she gave me numbers that i needed and i was so touched and impressed that she followed through on what she said she d do there is a time difference so when she called i did already know but i didn t tell her that i was just so impressed that she went that extra mile the hospital did call and let me know that i had to be there at 12 30 pm it wasn t ideal but at that point i would have shown up at 2 am or 6 pm fasting mind you if they told me to keith and i arrived at the hospital early in part because that s my personality and in part because we have to travel a road which is constantly under construction unpredictable and generally known for being horrible so it s always necessary to allow extra time when we travel on this road i gave my information to an admin person went back to the room and spoke with the nurse who checked me in and then i changed into the gown and got my iv i reviewed a wide array of information with no fewer than 4 people when did you last eat drink take each med supplement vitamin blah blah blah they were all very efficient and things were moving smoothly then people kept coming in asking if the doctor had been in yet i repeatedly had to say no they called him and said he d be over any minute he arrived and it was almost as if i heard a choir of angels he sat down and started to go over a list of questions i d sent back in january if you ve had surgery you know they will draw on you so everyone is in agreement before the surgeon makes a cut he started to do that and then then he got to the sagging skin he lifted it up and the rash the whole reason i need the surgery was too infected for him to operate it s exactly where he d be making the incision and the risk of an infection getting into my system something i d be dealing with for months was too high there was no room for negotiation the risk outweighed the benefit at that moment i tried my best to not lose it in front of him he was visibly upset telling me i ve known him for years and we ve shared some very heavy conversations he said he d put me on a 10 day course of antibiotics and an anti fungal and advised me to take impeccable care of it until we schedule again for 2 or 3 weeks i asked for 2 weeks but of course it depended on when there was a time slot available in the or the nurse couldn t come in fast enough to yank out my iv so i could put on my street clothes and get out of there i just wanted to go home if you recall any of the story of my bariatric surgery it was the same outcome of a failed attempt that time however i was under anesthesia and my blood pressure plummeted to the point where i nearly died the pumped meds into my iv for 40 minutes trying to get it back to a normal level but it never leveled out when i woke up and was asked if i was in any pain i was pleasantly surprised to say that i wasn t only later did i find out why and i was devastated i had been working towards that day for 4 months and done 2 weeks of a liquid diet only for it to fail this was just reminiscent of that one thing the doctor hadn t told me at my initial consultation was that in his experience only 1 in 30 or 40 people get approved for insurance coverage that s about 2 3 i m not sure if it was the amount of information put in front of the reviewer or the content but it worked i feel so thankful and so blessed to have had k and my mom advocating on my behalf let me say if this is a procedure in your future or that of a loved one please see a doctor often and make sure there is consistent documentation of the issues your excess skin is causing don t be discouraged by the numbers above be consistent with getting those medical issues documented i m convinced it s what made the difference what had me in that 2 i hadn t gotten home yet and k had called leaving a message that she put me on the schedule for 4 6 i just had to call her to confirm when i did she reiterated that the doctor was really upset and that she was shocked after all we d been through to get the approval if you re a prayer warrior i d love any prayers for my patience during this time and as i struggle with understanding why the disappointment if positive thoughts are more your style i ll happily take those so now i wait again i d like to think that i m not waiting alone i d like to think that anyone reading this blog is waiting with me i d like to think that my little blog can be far reaching the goal of my transparency with this little blog is to impact others i want to be there to answer questions to offer encouragement not only with my bariatric journey but in general but if you know someone having bariatric surgery or considering it don t hesitate to give out my blog information reach out to me have someone with questions reach out to me if you ve read my blog for any length of time you ll see i m somewhat of an open book with many difficult topics i try to be intentional with what i share and sit back and hope that it touches someone better yet lots of someones make comments ask questions reach out posted by jen b at 9 55 pm 4 comments email this blogthis share to x share to facebook share to pinterest labels abdominoplasty anxiety gastric sleeve incision infection insurance journey obesity panniculectomy prayer skin removal surgery sleeve gastrectomy wednesday february 7 2018 how do you feel i often hear the statement you must feel so much better wow define better if you would please do i have a stamina for physical activity i lacked at 326 pounds without a doubt do i feel less ashamed by my appearance especially when meeting new people or seeing people i haven t seen for years for sure am i relieved to not be the proverbial and literal it felt like elephant in the room while being totally invisible all at the same time you bet but do i feel better that s a loaded question in my world you see i feel i feel deeply i feel pain i feel the pain of fibromyalgia i feel the pain of a mental illness i feel the pain of being a trauma survivor losing nearly half of my weight well that doesn t change those feels in fact i can no longer try to eat away those feelings i can t shove a bag of candy down my throat in an attempt to turn off feeling all of that there is no box of cookies to numb that losing nearly half of my body weight doesn t make me able to work again it doesn t shut off all the reasons i became disabled in the first place it s easy to assume and i choose to presume a very innocent thing to tell me how much better i must be feeling but if i m being honest this is probably the hardest thing i ve ever done so in some ways i feel worse this isn t an easy fix none of it is i know around any corner is a monster waiting to steal from me not in the physical sense not having my wallet taken or my car broken into but stress is a thief for me stress is a direct arrow shooting towards a decline in my mental health stress is everywhere and i work hard to manage it but i remain aware of the damage it can do to me in no time flat i don t harbor ill feelings towards anyone who says that to me who assumes i m fixed because of having lost so much weight i walk away frustrated by the ignorance our society holds regarding so many of the issues i had at my highest weight issues that didn t disappear when the weight did i work with a trainer twice a week do i feel like getting up and going to work out not usually i don t feel energetic enough lately to get out of bed and pushing my body to its limits in fact i d rather do just about anything before going to that gym but i do it it doesn t feel good i do it because i know i need to i do it because i ve worked too hard to gain back the weight i ve lost this may sound like a bit of a pity party and it s not i assure you i will say that at my highest weight getting up in front of a group of people to work my direct sales business felt more overwhelming than there are words in the english language to describe i have gained confidence both from losing weight and from having a successful business but let me define success because it s not the same for any individual who s reading this for me working my business staying an active consultant helping people that is success i was a social worker it s in my blood to help people now helping just looks different than it did i help people find solutions to problems i help a local food bank or cancer center by doing a fundraiser that that is success will i ever be able to go as far in my education as i d hoped it s not likely i was going to get my psyd possibly simultaneously getting my jd so i could be an advocate for those who can t advocate for themselves but because of my chronic illnesses furthering my education is unlikely i have had to redefine success i want to inspire people help people prompt positive change in people that is success for me has my weight loss story been a successful one if you ll allow me to use the word in a different context i d like to think so in fact exactly one month from today i m scheduled to go in for a panniculectomy to have excess skin removed from my abdomen pending insurance approval praying for insurance approval a surgeon doesn t even consider that procedure if someone hasn t been successful in their weight loss journey it s a long and tedious operation it carries some risk but he sees it as a good thing for me he feels confident that insurance will approve the surgery am i at my goal weight yet not exactly although i m a matter of a few pounds away from being half of what i was i ll lose a few pounds of skin and that s a good thing i don t have pictures to show since i last wrote in fact i ve had a few difficult weeks and have put some food in my body that s not ideal i won t get on the scale i won t let those few bad weeks define my journey my success but this surgery feels like the next step so i hope you accept my honesty and bluntness but know that assuming anyone feels so much better because of no longer being super obese the actual bmi category when my number was over 54 isn t a safe assumption there was more to me than my 326 pounds and there is still so much more to me than my 167 pounds do i feel better that s complicated posted by jen b at 8 51 pm 6 comments email this blogthis share to x share to facebook share to pinterest labels anxiety bariatric surgery bipolar bmi depression eating embarrassment emotional eating food gastric sleeve obesity pain panniculectomy personal trainer skin removal surgery sleeve gastrectomy tuesday january 9 2018 time marches on i can t believe it happened again i ve gone months and seemingly ignored this blog although i haven t forgotten about it honest since i last posted life has been rather hectic a couple of weeks after my last entry i drove myself 7 1 2 hours to columbus oh for thirty one s annual national conference i was admitted...
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