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I can't believe this happened!

My surgeon missed the Peer-to-Peer review to discuss my case!!!!!!!!!!!! SHE MISSED IT!!!! No one could find her -- they couldn't even find her PA. Now they can't reschedule it until May 20. I'm sooooo upset!!!!

I have a lap band which has malfunctioned, but because I have a bmi of 38.6 and no "listed" co-morbidities other than asthma, pedal edema, and a major case of GERD, the insurance company denied my initial request for revision to gastric bypass. I've had a bilateral mastectomy and kidney cancer as well within the past 3 years, along with a knee replacement. So a Peer-to-Peer was scheduled for today and SHE MISSED IT!!!!

Edited by Bobbe

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  • Bobbe Schu
    Bobbe Schu

    Yes, I'm in the healthcare profession. One usually lets staff know where he's going to be. But you're right. It's best not to assume anything and to just be patient. Thanx for the advice.

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  • Author

This makes me very sad because I love her so and she's one of the best!!! I'm just so totally upset right now!

Edited by Bobbe

Emergencies happen all the time in healthcare. Until you know differently, it's best to assume she didn't miss it on purpose. Have faith that everything will work out in the end. May 20 isn't very far away.

  • Author

Yes, I'm in the healthcare profession. One usually lets staff know where he's going to be. But you're right. It's best not to assume anything and to just be patient.

Thanx for the advice.

Edited by Bobbe

I'm sorry. That stinks! Emergency or no and I know that is disappointing. :(

  • Author

Yes, it stinks. I'm better today though. I'm learning patience through this whole ordeal even though I have massive GERD. Can't take anymore medication for it because what I'm taking causes bone loss -- so I'm not eating 3 hours before bed, sleeping at an angle, and taking mylanta. I'm just miserable.

  • 4 months later...
  • Author

My dr missed my peer to peer as well yesterday. Now I have to weight until next Friday 9/25

Waiting is the hardest part!!! Your health continues to deteriorate while you "WAIT"! It's horrible!

@@Bobbe Schu what happened with your peer to peer

  • Author

@@Bobbe Schu what happened with your peer to peer

My p2p was last May. They approved lb removal but denied revision. That's when I hired Lindstrom Obesity Advocacy. Since then, I've had another denial; currently awaiting the second; then we will request an external review whereby my case MUST be reviewed by a subject matter expert and NOT a plastic surgeon or other physician totally uneducated in bariatrics. Just more waiting! I hate UHC!!!!

Thanks so much for the update. I am so sorry you still don't have this resolved. Were you able to have the band removed while you are waiting or does this hold up the band removal, too?

  • Author

Thanks so much for the update. I am so sorry you still don't have this resolved. Were you able to have the band removed while you are waiting or does this hold up the band removal, too?

The plan is to do it all at once so I don't have additional costs, more time off work and additional anesthesia.

Oh no I'm so sorry I've never had an issue with uhc but this is my first and hopefully last surgery

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