So today I went to see my PCP to sign my letter of reccomendation for surgery and she flipped the script on me. When I started the process in October she was on board with everything. She was aware of everything needed to be done and said the letter isn't a problem. Gave me the letter in writing, I just needed to type it.

Today she tells me she's not sure if it's a good idea due to my chronic skin condition that I have (hidradenitis suppurativa). Said she mentioned it to a dermatologist I also see in her office and they both are against it now. Excuse my language but what type of shit is that??? I go in for my last weigh in and nutrition appointment next wk. Not even sure what to do now.

From what little I've read, obesity exacerbates the condition so why wouldn't surgery be a good idea?!


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From what little I've read, obesity exacerbates the condition so why wouldn't surgery be a good idea?!


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Same thing I've heard but she said they are afraid due to the stage I'm in it could be in my bloodstream and cause problems. Doesn't make sense because the dermatologist said I should get surgery on the areas with him. Doesn't make sense

That's confusing and so frustrating I'm sure. Maybe your surgeon could talk to them?

That's confusing and so frustrating I'm sure. Maybe your surgeon could talk to them?

She's suppose to be calling the bariatric surgeon tomorrow morning. I just hate that this changed all of a sudden, everything was smooth sailing but now this.

I'm sorry! I'll keep my fingers crossed for you that everything works out.


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I'm sorry! I'll keep my fingers crossed for you that everything works out.


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Thank you!

Wow, I'm so sorry to hear that. I wouldn't back down if I were you. You've come so far. I'd do my research & take it to both physicians & show why the surgery is beneficial towards your condition. Let them know how badly you need this! Best wishes ????

I too have HS and my dermatologist was the first person to recommend. She did mention that sometimes it can cause flares but once you level off the HS can go fully into remission. Considering I've been on humira for the last year even a decrease in flares sounds amazing! Hopefully once all the Drs talk they will get on the same page. I'm so sorry I'm only on my second class but I'd be super upset if this happened to me. Keep pushing!!

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Is it too late to get a second opinion? Is it possible to see another doc/dermatologist?

Is it too late to get a second opinion? Is it possible to see another doc/dermatologist?

Yes only because I am suppose to have everything by next wk so my papers can be sent to my insurance for approval. If I dont get a call back tomorrow I'll call the weight loss office and see if I just add extra months for my weigh ins and look for another PCP

I too have HS and my dermatologist was the first person to recommend. She did mention that sometimes it can cause flares but once you level off the HS can go fully into remission. Considering I've been on humira for the last year even a decrease in flares sounds amazing! Hopefully once all the Drs talk they will get on the same page. I'm so sorry [emoji20] I'm only on my second class but I'd be super upset if this happened to me. Keep pushing!!

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That's the main reason why I'm getting the surgery for remission of my HS. I can't do anything as far as working out because it's so bad. Still waiting for a call from someone. So we'll see.

1 hour ago, Ronnie0422 said:

Yes only because I am suppose to have everything by next wk so my papers can be sent to my insurance for approval. If I dont get a call back tomorrow I'll call the weight loss office and see if I just add extra months for my weigh ins and look for another PCP

Hon, I'll be praying for you. Let's hope the doc and derm have a change of mind and heart about it, ok.

I'm sorry this is happening to you. Good luck!

Hi Ronnie are you doing tge 6mos diet for insurance approval? Also does you insurance require a letter from your PCP? Im asking because Im also doing a 6mos diet for approval, and I finished my 5 appt yesterday and they said after my next appt thats it. They will send paperwork for approval. I was told a letter from your PCP is good but not a requirement. I have BCBS Anthem

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Hi Ronnie are you doing tge 6mos diet for insurance approval? Also does you insurance require a letter from your PCP? Im asking because Im also doing a 6mos diet for approval, and I finished my 5 appt yesterday and they said after my next appt thats it. They will send paperwork for approval. I was told a letter from your PCP is good but not a requirement. I have BCBS Anthem

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Hey, my insurance requires 4 months for the diet and Friday will be last visit. The letter from the PCP is required also for my insurance approval. I'm going to call the weight management office to see what options I have.