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Tricare Denial..REVERSED!!



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Well, so far I've lost 7 lbs since Weds which is pretty darn good if you ask me. I'm thrilled!:cool2: I'm going to go walking with my husband after "dinner" (sorry, but a mug of nothing Soup will never constitute dinner, no matter how hard it tries).

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tomatogirl, Congratulations on the 7lbs.:blush: That is a great weight loss in just a little over 4 days. My scale is calling me, I better go close the door to the room it is in so I can't hear it. Man, this is going to be so hard not to weigh until Wednesday. By Wednesday you will probably be over 10lbs. Keep up the good work. Maggie:shades_smile:

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Ok Girls, my photos are under "post op complications". They are just of my belly. I may put my before and after photos up but it will be only so that my contacts can see them. If I haven't added you and you want to see them, just pm me and I will add you.

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You guys are so kind with me thank you so much for all your support. I'm very discoraged but I will try Travis AFB, lets see what happens. Meggie, do you have Mrs Frasier phone number? What should I tell her?

I went to my PCM and they told me they would get a letter ready for Travis AFB Surgeon's General and this was on tuesday so maybe tomorrow I will call to see if it was faxed the Travis.Who knows....

I'm very happy JWRN, Meggie and TOmatoegirl are doing OK. Can't wait to see you guys pictures later.

Keep us posted.

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As I have been downloading photos, I didn't realize how old and tired I look. I hope that goes away after weight loss, or I will be getting a facelift too!

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JWRN, OK , I am a little computer stupid. Where is post op complications?

Karina, Just sent you all the info you requested. Good luck.

Maggies:shades_smile:

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Go to the main page and click photos. I have 2 albums. A progress one and a complications one. The progress is private, but you should be able to see it. Let me know if you can't.

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JWRN, Oh my goodness, what did they do to you. You must have been in a lot of pain. And as for the other pictures you are so pretty and you look very young. I don't no where you see that you look old. And another thing you don't look like you need to lose that much weight. You must carry it very well. Who is in the picture with you? I will post some pictures in the next day or so. Maggies:shades_smile:

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Thank you. I have always been able to gain and lose 20 or so pounds and no one notice. I hope the next 30 will make a BIG difference. I have not been using my CPAP lately. I wake up with lots of air in my belly. That is my daughter in picture when she got finished with LDAC. She is now a second LT. Following in Daddy's foot steps, well, kinda. I may post a pic of him on here too, since you all are military. He is a retired special ops Blackhawk pilot (Army 160th).

Edited by JWRN

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Good Morning Everyone, You must be so proud of your daughter. You do not look old enough to have a daughter that age. I know my Kids and Grandsons bring me a lot of pride and joy. And of course my two dog kids also. Feeling even better this morning, which is great. I have my post op appt. this Thursday so I will be heading for Sacramento again. I will probably spend a couple days there. I still have not weighed myself. I keep thinking what if I get on the scales on Wednesday and I have gained weight. Surely that is not possible????? Have a good day. Maggies:shades_smile:

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The first time I stepped on the scales I was shocked! In fact, I thought it was wrong and had to find someone else's scales to double check. Hopefully you will have the same results! The first place I notices was my boobs! YIKES!

As far as the pictures, I work nights and it was a rough night. Probably taken at 3 am. Thanks for the compliments.

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JWRN, your weight loss ticker says your down 45lbs. WOW, that is great, people have got to notice that. I may weigh myself tomorrow, since that will be one week since I last weighed. I didn't get weighed in on surgery day.

I just got done drinking 1/4 cup of chicken broth and I am so full, what a strange feeling.

Karina, Have you talked to Mrs. Frazier, she should be very helpful to you.

Maggies:shades_smile:

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Hi everyone! Congrats on all the weight loss and those who finally got approved my tricare. I am waiting for tricare to see if I am approved or not. I am 5'4 and weigh 232 lbs. I think I'm over a 100 lbs overweight. I also have high blood pressure and high colesterol. Its been driving me crazy that I don't know if I qualify or not through tricare. Doctors said I was borderline with the weight. What's your guys opinion? Let me know. Thank you!

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I have lost 8 1/4lbs. the first week. I would have liked to be in the double digits but any loss is good.

Sabrina, Sounds like you are real close to being at the right weight. I believe they go by the met life tables for weight. Have you done all the testing yet? Or has it already been turned into Tricare? Maggies:shades_smile:

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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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