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About droose
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Rank
Intermediate Member
About Me
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Gender
Female
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Occupation
Court Clerk
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City
Spokane Valley
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State
WA
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sassfordays reacted to a post in a topic: Anestesia coverage
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njlimmer reacted to a post in a topic: Anestesia coverage
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It appears to be resolved! I fought with appeals for 10 months to get approved for my surgery, the big hurdle was weight loss surgery wasn't included in my coverage. I won my final appeal because the surgery was my only viable option to properly repair my hiatal hernia. I called insurance, they told me it was automatically rejected based on my coverage, they will process it again and it should be fine.
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GreenTealael reacted to a post in a topic: Anestesia coverage
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SummerTimeGirl reacted to a post in a topic: Anestesia coverage
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droose started following Anestesia coverage
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Had my surgery on 3/10/21, this getting my denial overturned on 3rd appeal. I am now getting a bill for the full cost of anesthesia that states "we do not offer coverage for this type of sedation" . . .WHAT!? I don't even know where to go from here, how can this be something new?
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droose started following How long a postponement?, Having trouble eating!nothing tastes good, Any March Surgeries? and and 2 others
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Nanagrrl3 reacted to a post in a topic: Having trouble eating!nothing tastes good
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droose reacted to a post in a topic: Any March Surgeries?
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Any March Surgeries?
droose replied to Hopefulin2021's topic in PRE-Operation Weight Loss Surgery Q&A
Maybe try a protein water? -
Having trouble eating!nothing tastes good
droose replied to Nanagrrl3's topic in Gastric Sleeve Surgery Forums
I was told we should get 48-64 oz. take care. -
Having trouble eating!nothing tastes good
droose replied to Nanagrrl3's topic in Gastric Sleeve Surgery Forums
You need to keep your fluids up, dehydration can explain dizzy and forgetfulness, if possible maybe use a protein water. Try canned chicken instead of tuna. I bought those little wieners in a can and some canned tamales. My nutritionist said soft foods is anything you can cut with "this" as he held up a toddler plastic fork. That discussion was as he told me I could eat shrimp as a soft food..... I really hope things get better for you. -
droose reacted to a post in a topic: Any March Surgeries?
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Any March Surgeries?
droose replied to Hopefulin2021's topic in PRE-Operation Weight Loss Surgery Q&A
Doing well! I haven't posted since well before surgery, just been plugging away at life! 12 days post-op, I'm feeling great. Haven't taken pain meds since day 2, I struggled hard with the anesthesia which kept me nauseous for a solid 48 hours. Once that was out of my system things were looking up. How are you feeling now? -
droose reacted to a post in a topic: Any March Surgeries?
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droose reacted to a post in a topic: Any March Surgeries?
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Studio54 reacted to a post in a topic: RNY because of GERD, not weight loss?
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Lahela reacted to a post in a topic: Any March Surgeries?
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droose reacted to a post in a topic: Any March Surgeries?
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droose changed their profile photo
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Any March Surgeries?
droose replied to Hopefulin2021's topic in PRE-Operation Weight Loss Surgery Q&A
After fighting insurance for 10 months my surgery is scheduled for March 10th. So excited! -
RNY because of GERD, not weight loss?
droose replied to AmandaQB's topic in Gastric Bypass Surgery Forums
I am doing the bypass for my Hiatal Hernia which caused GERD and Esophageal Spasms. Due to my weight the standard procedure is not an option. As my insurance coverage does not cover "weight loss surgery or medications" it was a 10 month multi appeal process to get my surgery approved. I do hope your post surgery is going well! Mine is scheduled for March 10th. -
droose reacted to a post in a topic: Corona delaying weight loss surgery dates? Anyone?
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droose reacted to a post in a topic: Dr has NOT submitted my Insurance Appeal 2 months later.
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droose reacted to a post in a topic: Dr has NOT submitted my Insurance Appeal 2 months later.
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Dr has NOT submitted my Insurance Appeal 2 months later.
droose replied to droose's topic in Rants & Raves
Still waiting for the insurance company, they haven't given a decision yet. -
Cia2020 reacted to a post in a topic: Dr has NOT submitted my Insurance Appeal 2 months later.
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droose reacted to a post in a topic: Dr has NOT submitted my Insurance Appeal 2 months later.
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ChubRub reacted to a post in a topic: Dr has NOT submitted my Insurance Appeal 2 months later.
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Dr has NOT submitted my Insurance Appeal 2 months later.
droose replied to droose's topic in Rants & Raves
I hope you find the right fit! Keep me posted. -
droose reacted to a post in a topic: Dr has NOT submitted my Insurance Appeal 2 months later.
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Dr has NOT submitted my Insurance Appeal 2 months later.
droose replied to droose's topic in Rants & Raves
Thanks He comes highly. Yesterday I received a call that he "wrote a beautiful 4 page letter" and the appeal was submitted. I am relieved that the process has started moving again. -
GreenTealael reacted to a post in a topic: Dr has NOT submitted my Insurance Appeal 2 months later.
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When my surgery was scheduled (would have been Wednesday), we knew it would be denied but my doctor and nutritionist were confident it would go through on appeal with the proper paperwork. The denial came back, there was some delay getting information and giving the information to my Dr. before COVID put a hold on surgeries. When I ask about the status I am told "it's on his desk" and "he needs to write up the information for submission" it has been 2 months with no progress. All I want is for them to finish submitting everything so that when surgeries are allowed again (possibly as early as 2 weeks) I am ready.
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Corona delaying weight loss surgery dates? Anyone?
droose replied to MaybeMeow's topic in PRE-Operation Weight Loss Surgery Q&A
Always here for you, I do understand. I am blessed enough that most people involved in my day to day life understand how real this is. I did loose 70 pounds once.... found it all and since have been completely unable to loose anything. The surgery was recommended to me as the best option for repairing my hiatal hernia/GERD/esophageal spasms. Once I did my homework I feel that it really is the best option for every aspect of my life. As for the co worker, they haven't walked in your shoes. Hang in there, our time will come! -
Corona delaying weight loss surgery dates? Anyone?
droose replied to MaybeMeow's topic in PRE-Operation Weight Loss Surgery Q&A
In Washington this is one thing our Governor addressed with an "Emergency Order". All non essential surgeries (that are not emergencies or will not do harm if it were to wait 3 months) have been banned until May 18th unless he extends it later. Really sucks, my surgery was scheduled for May 13th. We are not selfish to feel disappointed, this is a very emotional topic that will change our lives, we will get through this together. -
How long a postponement?
droose replied to It's time.'s topic in PRE-Operation Weight Loss Surgery Q&A
I'm scheduled for mid May, haven't heard of changes yet. With the current situation they will need to keep all available beds and ventilators open I'm guessing until we see the curve going down. It is extremely frustrating to be told we have to wait. I do pray you are able to get re scheduled as quickly as is possible. I pray you and everyone stay healthy and safe from the virus.