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About Christina_TX

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  1. I am having significant abdominal pain. I had RNY bypass 5 years ago. I have done a number of tests, including swallow tests and EGD and they are unable to find the cause of pain, but he thinks it may be something he's not able to see on the scans. He wants to go in for exploratory laparoscopic to check since all the tests have come back negative. I'm miserable. The office was trying to get me scheduled for surgery today (Monday 3/6) but they had to get pre-certification. The nurse called to check on my pre-certification, and she said I would most likely be declined for the surgery. She says they do not cover bariatric procedures. I called and explained this isn't a weight loss surgery, but due to abdominal pain and she (very rudely I might add) said it doesn't matter, they won't cover any complications either. I have a secondary insurance policy, I also called them. They stated they only cover 1 bariatric surgery per lifetime (even though they didn't initially cover mine), and again when I explained it's not weight loss she basically said the same thing. At this point I was crying hysterically because I am afraid that I'm going to have to live with pain and there is something wrong that they can't fix. She said they only cover "removal." I'm not sure if that's reversal or if they are talking about like removing a band. I haven't got to the process of appeals yet because I don't officially have the denial, but I talked to the nurse case manager and she pretty much said yeah it's under review but you are going to get declined. I had NO idea this would happen! I knew that it was difficult to get insurance to cover bariatric, and I was lucky with my original plan that did cover it. But now that I have changed insurance due to my job, I didn't realize that none of my potential complications would be covered. I don't know what this means for me. I am so upset, and had I known this, I would have NEVER got this surgery! I didn't do my research well so I can't blame anyone but myself. Help, advice, anything?
  2. I think I messed something up..

    Still hurting, and still no call from my doctor I do have an appointment on Monday for my regular follow up, so I guess I'll just have to wait until then to talk to them. So frustrated.
  3. I think I messed something up..

    I headed to the ER, because my doctor's office STILL has not called me back. They did a contrast CT scan, said it all looked good, blood work looked good... I called my doctor AGAIN this morning because I'm still in pain, and again no call back. I'm at a loss of what to do now.
  4. I think I messed something up..

    Thank you! I think what I'm going to do is call that office of the surgeon that took over for my deceased one and just bite the bullet and go see them. Or maybe I'll head to an ER close by where they do have a weight loss program in the hospital. I know I'm going to get a lot of crap from the office about not following up... if they haven't discharged me already as a patient. But I'm so desperate, this hurts and I don't even want to eat.
  5. So I'm several years out from gastric bypass and I honestly didn't have many problems. Although I never got to my goal weight, I got to a comfortable weight that I'm happy with. Well, last night I think I messed up. We went to Chilis and I ordered fajitas. I didn't eat the tortillas, but I did eat the chicken and veggies that comes on the skillet for the tortillas. I must have ate too much, because I got EXTREMELY sick like dumping syndrome. I had nausea, pain, fast heartbeat, dizziness, the works.. It passed a bit, but now I just don't feel right at all. I can't really eat right now, it hurts too bad and makes me sick. I am able to drink liquids okay. I don't technically have a surgeon right now to call. The surgeon who did my bypass passed away, and the guy who took over his practice I REALLY don't like, so I haven't gone to the follow up there. I know that's bad. I'm not sure if I should maybe go to the ER or what I should do right now. This is so awful.