And believe it or not, I am sort of relieved. Not because I don't want to have the surgery but because I know where I stand now. I was denied because I don't have a documented 6 month weight loss in the last 3 years. I did Phen-Fen but it was 7 years ago.
If I do the 6 months can they denie me for another reason?
What are my chances of not doing a 6 month plan and getting it overturned?
So what should I do?
Who should I write or get to write letters on my behalf? Do I write personal letter or a business type facts only letter?
It also says: instead of the sevice requested that they (Sharp HMO) recommend I self refer to a dietician or weight loss program they offer.........what do you all think about that?
What are my chances of getting this overturned? I have Sharp HMO with Sharp Comunity Medical Group.
I have my boxing gloves on so point me in the right direction cause i'm in for a KO
Here is a copy of my diet history that I believe was submitted with the request for referral.
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To whom it may concern,
My first recollection of being thrilled about weight loss was when I was 4. I got sick with Salmonella food poisoning and became quiet ill and was hospitalized. I was in the hospital on IV only with no food intake until the end of my stay when I was allowed liquid gelatin. I remember coming home and my Mother was concerned with the amount of weight I had lost during my hospital stay but what I remember feeling was pride. I had gotten more compliments on how I looked coming out of the hospital that I could recall my entire life before that. I can’t dredge up any memory of not being over weight. I was always chubby, pudgy or just plain old fat. I have documented to the best of my knowledge my life in the weight loss trap. Although I have always tried to maintain a healthy eating pattern my weight has always been an issue ……here documents my many years of yo-yo’s.
1987-88 Age 9 began seeing a nutritionalist from Jordan Hospital in Plymouth MA. Learned a lot about carbs, fats and their different calorie contents and the sort. No weight loss resulted.
1989 Age 11 Had thyroid tested and the results were normal. (Dr. Daniel Strub)
1989-90 Age 11-12 I participated in the Jenny Craig Weight loss Program. Weighed in at 200lbs and lost approximately 40 before going on maintenance. The weight steady crept back as soon as I was no longer eating their packaged food.
1992-1993 Age 15 I Started my first round of physical therapy for lower back pain. During the initial session and all subsequent ones I was told that loosing weight would help my overall back health and tighter stomach muscles would help my backs stability.
1991-1994 High school. During high school I did all kinds of over the counter products for weight loss. I used Dexatrim, and caffeine tablets, natural teas and liquid diets. I did the cabbage soup diet, the banana and egg diet, you name it-I tried it. I managed to loose weight initially with all of these fads and supplements. I gained approximately 15 lbs throughout highschool.
1997 Age 20 Was on the prescription drug Phen Fen for approximately 6 months and lost about 30 lbs. The drug was pulled. Again all weight was regained plus more. (Dr. Daniel Strub in Poway CA))
1999 Feb Age 21 I started taking Metabolife and started a modified low carb diet. I lost about 20-25 lbs. I continued until June 1999
1999 August Age 22 Started my second round of physical therapy for lower back pain. Again weight loss was stressed and I had managed to keep off about 15lbs of the weight I had lost earlier in the year but I found out I was pregnant with my second child during the treatment course and weight loss took a back burner.
2000 (fall) Age 23 Started taking the available Phen/Fen (?) from a diet clinic in Poway, CA. Continued for approximately 3 months with no weight loss.
2002 (Dec) After routine blood work was done I found out my triglycerides were 383 and I was put on a cholesterol lowering diet. A family member had successfully lowered their cholesterol by starting the Suzanne Somers eating plan so I decided to try that in hopes of loosing weight and lowering my cholesterol.
2002-2003 (Dec-Jan) Age 24 Started the Suzanne Somers diet and lost 12lbs the first month. When the weight loss stopped after the first month I started Weight watchers.
2003 (Jan-Mar) Age 26 Joined Weight Watchers Online. I kept the 12 lbs off I had lost from The SS diet and lost about 3lbs more before finding out I was pregnant. WW doesn’t have a pregnancy program so I stopped.
2003 (March) My blood work was redone and I had dropped my triglycerides to 293, almost 100 points, but not nearly below the 150 where they should be.
2004 (Feb-Sept) Age 27 Rejoined Weight Watchers Online. I lost an initial 20 lbs and plateaued for about a month then lost another 3-4. During the 6 months I really fluxuated: gained and lost but wasn’t been able at all to drop below the 24 lbs I lost initially.
2004 (Sept) I started a Slim Fast plan but found out I am lactose intolerant. I haven’t ever been a large milk drinker so the amount of milk required per day in shakes caused severe stomach upset. I stopped after 1 ½ weeks.
I started gymnastics at 2.5 and added ice skating at 4. I studied tap, jazz and ballet as a child for approximately 5 years and I played on a soccer team. In middle school I took Jazzercize classes with friends and my mother. In high school I played softball and volleyball and participated in dance, I belonged to Family Fitness and took step aerobic classes and weight trained 4-5 days a week before and after my back rehabilitation. After highschool I took up rollerblading and hiking. Up until my most recent back pain incident I rollerbladed 3 miles 5-6 days a week and walked 2.75 (or more) miles 4-5 days a week. I have started walking again (2.75 miles 3X’s a week) and joined a gym for strength training.
Please help me, I would like to take the next step as soon as possible?
Denied!
6 Month Supervised Diet
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