DreamsOfSkinny

I was being silly...like the show sister/wives

Ohhhh ok I get it now. I was like huh? Your husband is your brother? Lol! Was totally confused.

I am with Liz...I am in my prime(40's) and he has never been able to keep up with me...boy am I in trouble!

I always feel like teenager...I can't keep my hands to myself EVER (:

And my husband was again the brother/husband idea(I asked jokingly)

What do you mean brother/husband idea?

So I just remembered when I was at my lowest (160) like 6 yrs ago and my pelvic bones being more apparent... And literally being bruised when f**king. I couldn't do a lot of moves--scissors, etc. bc I couldn't take going hard... Lol!! I kinda don't even care about all that if I could just look hot again in some panties/bra and be able to have my stamina back for riding. That confidence is what I miss most about sex--it made it so much better bc I'd be willing to try anything!

thanks. just ordered one and also all the stuff i need for presurgery prep

No prob! Figured it was a good price for somebody plus everything else CVS brand was on sale too.

I had PTC. My symptoms went away with a spinal tap. I never thought about it being an issue for the sleeve. I think because I didn't have extreme issues with it it won't be a problem.

There's actually studies out now saying having the sleeve helps PTC bc of getting the weight off the patient.

Just wanted to let you guys know... 50% off all CVS brand products + additional 25% off + FREE shipping.

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Hello' date=' I also have United Health Care Choice Plus PPO as my insurance. My doctor just submitted a request for VSG. I have a BMI of 39.5 but last five years my BMI was lower. Do you know if UHC just looks at current BMI?[/quote']

All depends on your criteria under your summary plan description.

My marriage isn't the best' date=' but from what I hear, it's all about communication.

Living in the Greater Los Angeles, I listened to the Mark and Brian radio show for many, many years. Mark retired this summer and has started a podcast with his wife of 30 years, Lynda. The podcast is based around family and marriage. Give it a listen.

http://www.markandlynda.us/

Good Luck!![/quote']

Thx for the podcast info!

I have PTC. I will be having surgery on the 10th. My neuro ophthalmologist encouraged/recommended the surgery. So hopefully it will help!

That's great! I'm having to appeal for my insurance but was wanting to find others that have had the surgery and PTC. To see if any success with weight loss

How did your surgery go? Did it "cure" your pseudotumor?

Wow

You look amazing!

Hi' date=' just wanted to let you know I have UHC and went thru 2 appeals, but was approved last week but the third party MCMC. I have been fighting and jumping thru hoops for almost a year. DON'T GIVE UP! Good luck !

Adele[/quote']

Why were you being denied? Did you write your own appeal?

Well got my official denial letter from BCBS in the mail today. I have sent a personal letter hoping the will reevaluate my case. I've never been a squeaky wheel' date=' but I am prepared to "squeak" until they do what's right. Hope it helps![/quote']

Whatever was the turnout on this?

Next week we will submit the final appeal to UHC.

This level is a board of MD that ate not affiliated with UHC. I hope apnea' date=' chronic fatigue, MS, fibromyalgia, and arthritis will be enough to convince these docs that the surgery is needed and an approval is warranted. If this doesn't work, then I'm not sure what to do. Peer to peer did not work and external is final appeal. Can't take out a loan or finance the surgery. No refinancing home loan to get it. Fingers crossed these guys will see its more then just 5 years bmi of 40+. (BMI has been well over 30 for almost 10...)[/quote']

Did you do first internal appeal?? That's my next step now as peer to peer was denied. What was the conclusion from external?

So peer to peer got denied. Medical Director said I don't have BMI of over 40 for last 5 years... Although the language of my plan states "morbid obese" for last 5 years.

When I googled this I saw many medical offices and studies say morbid obesity is 35+ BMI if the patient has co-morbidity.

Does anyone know where I could find some documentation the insurance company could use to support this claim?

5'2 - 224 lbs. Fighting insurance to get this approved.

I take Vitamins daily and weight train with free weights and resistant bands with 45 minutes of cardio. I played College football and a little pro ball and I have got back on that type of training program. Thanks for the compliments and info on how to slow my weight loss down

Did you ever slow down on your weight loss?

Why did I get a little titillated when I read the subject?

I think we all thought something different haha or should I say hehehe

Awww thanks!!!! Just wait!!!!! Ima.b so fine even.you will hit on me... hahahaha... just kidding.

:-0 lol!!

.... and that is all I wanted to share!!!!

Yessssss can't wait! I was never skinny but was more "thick" than my now fat and remember how much more confident I was in bed and how more limber and easier it was. Btw, your pic is really pretty.

When you talk to your employer' date=' who do you talk to? I'm a contractor, and have insurance through the contract company. Even though it's United HealthCare, they excluded bariatric surgery from being covered at all. Not sure who to call to see if I can get an exception, or what hoops I may need to jump through. I'm afraid our HR people really don't care, since I'm 'just' a contractor... but I don't want to give up this dream!

-Carol[/quote']

I have a copy of my summary plan description and it's covered.

My surgery was rescheduled for Monday' date=' which is a few days earlier than originally scheduled. This happened today and I can't stop crying. I'm exhausted and can't sleep because I know when I do I'll be that much closer. I knew this would happen, it's my cycle of panic disorder, but I thought I'd be able to tune it out. I also started spotting today...awesome timing for emotional crap right? Any advice to get me through my 2 clear liquid days, the tears, and fears?[/quote']

Just think of the journey you've been on to get here and why you are doing this in the first place. Think about what next week, next month, next year will be like for you.

Inbox me your email addy.

Thanks. I think I'm scared I tore something with all the coughing. I'm gonna wait a little bit but if its still rlly bad by morning ill go back so sad I just want to get a descent nights sleep!

Have you called your Dr.?

So update... I went to Dr. Today to find out my weights from my primary physician were never received by them and never given to my insurance, so mu insurance only had my weights after I had lost some lbs. for 2 out of the 5 years... I had to request those files to be faxed over gain today. Dr. Wanted me to write note with all these weights documented along with stating that the BMI the medical director said I am currently is inaccurate. He was puzzled how she even came to that number. I'm 5'2 and 220 which is 40.2 --- she had said I was denied because I wasn't currently over 40 and was 37.4. :-/ I called my insurance again and they gave me benefits criteria like I knew before and said I had to have my Dr. Send in information in to request a new peer to peer review since this one never happened. I then called my work and got a copy of the REAL criteria based off of my summary plan blah blah... It doesn't say anything about co-morbidities at all! It only states I need to be 40BMI currently. Show I've been "morbidly obese" for 5 years from physicians. Over 21. And go to in-network hospital.

I meet all of those once the insurance gets my correct weights for 2 years and gets weight for my 5th year. So, there should be no reason not to be approved now, but knowing how much of an issue it's been I think the ins. Is going to say morbidly obese is 40+bmi... I just feel it coming so I looked it up and many medical practices say bmi 35+ is morbidly obese.

I also called my job to tell them the issues I'm having with insurance giving me wrong information, denying me for inaccurate information on their part, not returning peer to peer calls, not sending me denial letter until 1 1/2 weeks later and then saying I only have 14 days to request peer to peer. My job has a 3rd party company that looks into all of this to make sure I'm receiving the care I need. Specialists should call me back Monday or Tuesday next week. Hopefully then all this bs can end and just approve me because I meet all criteria and we can all move on. Sad bc I work for such a Large company so I know they don't want their employees going through this with insurance.

I'll post back again...

I hope that this can help someone else. Don't give up or get discouraged.