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About pandabear
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Rank
Expert Member
- Birthday 04/20/1980
About Me
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Biography
Regular woman, getting through life with the love of my family.
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Gender
Female
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Interests
Cooking, reading, playing video games, reading more.
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Occupation
Professional chef
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City
Rochester
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State
New York
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pandabear started following Getting My Band Tomorrow And Super Super Nervous :(, Fatty Liver?, shocked and and 7 others
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Anyone from Rochester, NY?
pandabear replied to petra1124's topic in PRE-Operation Weight Loss Surgery Q&A
Hi guys... I just wanted to say good luck to you all. I have been pretty much told by insurance that there is an ice cubes chance in hell that I will ever be approved unless I gain all my weight back and then some and then go back onto a 6 month diet, and gain a few serious co morbities because the ones I have aren't "serious" enough. So here is to me trying to diet like I have a sleeve and see how far it takes me. So you girls rock your sleeves and good luck to the ones waiting for insurance approval! Maybe I will be back around trying this again when the weight tides come rolling back in. -
Anyone from Rochester, NY?
pandabear replied to petra1124's topic in PRE-Operation Weight Loss Surgery Q&A
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Anyone from Rochester, NY?
pandabear replied to petra1124's topic in PRE-Operation Weight Loss Surgery Q&A
Congrats on being post op.. How are you feeling? -
Anyone from Rochester, NY?
pandabear replied to petra1124's topic in PRE-Operation Weight Loss Surgery Q&A
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Anyone from Rochester, NY?
pandabear replied to petra1124's topic in PRE-Operation Weight Loss Surgery Q&A
I have been denied by the insurance. I need 6 months of documented weight loss with doctor and nutritional supervision. Weight watchers doesn't count, (been there done that) my own fitnesspal doesn't count and I missed a month I between two of my appointments so now the 9 months I was going are null and void because they have to be consecutive. I am trying to wrap my mind around the bullish:t. Now I am at a 36 bmi after I lost the weight needed to get approved for the surgery so I might now not even get approved because they don't know if my previous weights will count, I might have to start over at the weight I am now. I don't want to gain the weight back just for this. I know it will happen sooner or later but I just want to fool myself and think that this weight has come permanently off. It was only 20 pounds but still... I feel better, and I look better. I just want to eat a large pizza and drink a few bottles of wine in a dark room and hide under a blanket watching really horrible romantic comedies or dr who, perhaps with a gallon of ice cream. But, I made a hummus, arugula pita instead, still contemplating on the wine though and the dr who is a given. -
Anyone from Rochester, NY?
pandabear replied to petra1124's topic in PRE-Operation Weight Loss Surgery Q&A
Been denied.... Now after going to the doctors since August, I have to start a 6 month supervised diet. Doctor supervised. I am... Beyond angry and gone into kinda numb about it. It isn't in my policy. But when you get pre authorized then it is. So I have to cancel all my appointments, And after moving heaven and earth to get help at work to cover for me now I have to go in and say "just kidding.. Boy did I get Punked into believing that they knew what they were doing". And I spent about two hours on the phone with insurance and there is pretty much nothing I can do. I am trying to be all "oh... Well I wasn't expecting to be actually approved." And "what is another 6 months?" But really I am just about crushed and I don't want people to say "oh! But you are doing so well right now, you can keep it p! You don't need the surgery". And I don't want to back slide and gain, but what if I lose too much weight? And what if I gain it back? GAH! Sorry for my little rant.. -
Ms skinniness reacted to a post in a topic: shocked
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findjoy13 reacted to a post in a topic: Fatty Liver?
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I have been diagnosed with a fatty liver, well, fat deposits or something like that. I was told that losing weight makes it better.
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Anyone from Rochester, NY?
pandabear replied to petra1124's topic in PRE-Operation Weight Loss Surgery Q&A
Blue cross blue shield of South Carolina. The biller at the drs office said the company I work for's plan is tricky to get approved. They already had someone denied two weeks ago. Just holding my breath now, still gonna go through the pre op stuff and go from there. -
Anyone from Rochester, NY?
pandabear replied to petra1124's topic in PRE-Operation Weight Loss Surgery Q&A
Hope all went well! -
Anyone from Rochester, NY?
pandabear replied to petra1124's topic in PRE-Operation Weight Loss Surgery Q&A
Got my surgery date for may 7th. I am about 40% certain that I am going to be accepted by insurance. They said my insurance is really tricky to get this surgery put through and accepted. I have lost weight by being good so I am now at a 36 bmi and it almost feels like I am going to be punished because of it. I am just a big bundle of nerves right now. -
BCBS of SC 6 month weigh ins? New policy, anyone else run into this?
pandabear posted a topic in PRE-Operation Weight Loss Surgery Q&A
I got a phone call yesterday (less than a week before my appt to schedule surgery and all the pre op stuff) saying that my dr office is missing my 6 month weigh ins and progress reports, and that this is required for surgery. Now, I have called my insurance twice (first time when I first started this process in August) and then after I got off the phone with the dr office and insurance says I don't have anything like that on my plan. One I was damn near tears because I was so angry with the office because I gave them two years worth of weigh ins with every dr that took my weight along with the three times I have been in thier office and just now they are telling me this? And the icing on this cake is that the weigh ins have to be with their office?!? How could they Not know this and have me in there every month? Has anyone else run into this? -
Anyone from Rochester, NY?
pandabear replied to petra1124's topic in PRE-Operation Weight Loss Surgery Q&A
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chilihot59 reacted to a post in a topic: Anyone From Buffalo, Ny Out There?
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Anyone From Buffalo, Ny Out There?
pandabear replied to chilihot59's topic in Gastric Sleeve Surgery Forums
Good luck Nicole..