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Tricare Denial..REVERSED!!



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I mentioned it before, but I would highly recommend little baby spoons. I am used to eating very fast and taking big bites, and this helps me out tremendously!

I agree with that 100%. You can get a pack of spoons and forks (8 piece) at Walmarts for a couple bucks. It is "throwaway". I use it all the time, the plastic is pretty durable, and just the right size!!! Other than restraunts, I have not used "adult sized" silverware (or anything metal :biggrin: LOL) in 4 months!!!!!..

julie

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They had a 5 pack of color tipped ones at Walmart. They match my Magic Bullet mugs...I'm such a girl!

WTG Maggie on your surgery date. Trust me..I know it seems like a long time but it will fly by. Take this time to mental prepare and "mourn" the fried mozzerella stix, the cheese dips and the Carmel Machiotto Cappuccinos. It will be easier post op!

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Nov.5th. at 10am is the date of my banding. I wanted it sooner but beggars cant be choosers. Maggie:shades_smile:

THAT'S WONDERFUL, Meggie. So happy for you. I wish I could get mine also before Dec 22nd when my parents come from Brasil,but I don't now if it will work. TriWest told me they now have a note saying they will conclude my appela by Nov 8th (it will be 60 days). hehehehe I guess we all know it will be a denial.Well.....

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I am so glad you got your approval. I am a wife of a retired army military man. My total cost was around 700.00

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Karina, after all of this, your blood pressure should be sky high! So, after 90 days don't you have to resubmit everything? If they deny it, then what?

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Karina, after all of this, your blood pressure should be sky high! So, after 90 days don't you have to resubmit everything? If they deny it, then what?

Great question. I have no idea, I think after this THAT'S it, nothenig else. I will have to deal with it.It really sucks they are taking so long they could just say NO so I can sleep again. The only day of the week I can relax it's saturday because I know they wil not be making any decision. From mon-fri I stress and call them all the time. On sunday I'm alreday waiting for their decision maybe on monday.

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Ya, just two weeks, but it seems so long. But I guess after it took me this long to get to this point I should'nt complain. I have to go do an ekg, chest xray and blood work tomorrow for preop.

sharmon, why did you have to pay the $700.00? I'm hoping I end up paying nothing??????? Howabout the rest of you, did you have to pay anything?

Jwrn, hopefully they will surprise you with an approval. Just get you out of your misery and let you know. Fingers are crossed.

Maggie:shades_smile:

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I did my EKG, chest x-ray, and bloodwork last week. Today I had my pre-op physical and tmw I go have my post-op nutrition class. Weeeee! The chest x-ray and the bloodwork were fine (of course), but the EKG sucked. I think everyone at Barquist saw my boobs. The girl who was doing it couldn't get one of the leads to read, so she had to call in the guy who worked with her, who had to bring in a female chaperone with him, then he couldn't get it, so they called in some doctor, who got it on the first try. Good thing I've hd a kid and all my modesty was left on the delivery table. :tongue2:

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Whoa, Im losing it. In my last post I meant Karina, Maybe they will surprise you with an approval. My brain is on overload. Maggie:shades_smile:

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Hello Penny, I will be thinking about you tomorrow. Good luck and let us know how your doing.:tongue2: Maggies:shades_smile:

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TomatoGirl do you have your surgery date yet? You may have said in an earlier post but I'm to lasy to look back.

Where is Restless? Hiding again, no doubt.

Maggie:shades_smile:

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Good luck penny!

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Thanks! We have to get up at 4:30am to be there on time and I had some stuff to do before I went to bed. And, now I have decided to just stay up. I figure I will get lots of rest tomorrow.

I'm tired. I'll let you guys know how it went tomorrow.

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    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

    • NovelTee

      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 3 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

      3. NickelChip

        I think it's important to remember that the weight charts and BMI ranges were developed a very long time ago and only intended to be applied to people who have never been overweight or obese. Those numbers aren't for us. When you are larger, especially for a long time, your body develops extra bone to support the weight. Your organs get a little bigger to handle the extra mass. Your entire infrastructure increases so you can support and function with the extra weight. That doesn't all go away just because you burn off the excess fat. If you still had a pair of jeans from your skinniest point in life and then lost weight to get to the exact number on the scale you were when those jeans fit you, chances are they would be a little baggy now because you would actually be thinner than you were, even though the scale and the BMI chart disagree. When in doubt, listen to the jeans, not the scale!

    • Aunty Mamo

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      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
      I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow. 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
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      For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
      Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
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