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Re: Anybody had/heard of the Lap-band?From: anonymous@obgyn.netThu, 8 May 2003 00:20:33 EDT
I am already approved, persistence paid off, they denied me 7 times, but I was determined, I called and talk to the head person over the insurance. I go for the seminar on June 1st and after that they will schedule me for my surgery. Keep on sending your letters for your request. I know you are probably tired of me saying that but it helps. If you have to do it a million times keep it up. Here is a sample of the letter, I based my letter sent to appeal my insurance, I hope this may help guide you a little better on what to appeal next Good Luck: To whom it may concern, My name is __________ and I am a 20 year old female who is 5 foot 3 inches tall and weigh 305 pounds. My body mass index is 54. Therefore, I am classified as being severely obese. I am having significant adverse symptoms from my obesity. I have difficulty standing, and in doing any kind of exercise, even walking more than a short distance. I have difficulty performing any daily activities, and in participating with my family in recreation activities. I am borderline diabetic, a morbid and lethal disease. Gastric bypass has been shown to cure diabetes, and in my case would prevent the process of being a diabetic. I also suffer from high blood pressure. Essential hypertension, the progressive elevation of blood pressure, is much more common in obese persons, and could lead me to develop heart disease, damage to the blood vessels throughout the body, causing strokes, kidney damage, and hardening of the arteries. If hypertension is not under control, many complications can occur as a result of continued high blood pressure. The weight loss attained by gastric bypass surgery will cure hypertension. Also, I have high cholesterol which will eventually cause me to have atherosclerosis. Atherosclerosis causes most heart attacks. I become short of breath on any exertion. I cannot even climb one flight of stairs without stopping, and have a very difficult time performing the ordinary day-to-day duties of living, such as shopping, cleaning, and getting in and out of cars or chairs. I once was physically active, but at this time I find that I am unable to perform any recreational activities. Climbing stairs or even walking short distances makes me become short of breath. Losing weight will cure my respiratory problems. I have chronic skin problems. I am in constant battle with yeast infections and chronic rashes in folds of my body. My obesity causes these skin folds so that skin rubs on skin and the moisture trapped in those creases cause the infections and rashes. I also suffer from polycystic ovary syndrome, edema in both of my legs, menstrual problems and acid reflux because of my weight. Because of my weight I am depressed. Seriously overweight persons face constant challenges to their emotions: repeated failure with dieting, disapproval from family and friends, and what really hurts me the most is the sneers and remarks I get from strangers in public. I cannot enjoy theater seats, cannot fit into theme park or carnival rides, or ride a bus or airliner, otherwise I cannot enjoy life to the fullest. There is no wonder, that anxiety and depression might accompany the years of suffering from the effects of a genetic condition. I suffer from depression related to obesity. Having this surgery will help me be healthy. I am only 20 years old and cannot lead a young persons life because of me being morbidly obese. All of my symptoms from being obese would be cured from having gastric bypass and would let me live healthy again. I do not want the surgery just so I can look great. I need it for health reasons, as you can see. Sincerely, John Doe XXXXXX History of diets letter: April 15, 2002 To whom it may concern, This is a list of my dieting history. Weight Watchers, 15 years of age, August to December of 1996, 18 pounds lost Nutra System, 17 years of age, January to May of 1999, 19 pounds lost Dexatrim, 15 years of age, March to June of 1997, 14 pounds lost Dr. Atkins Diet, 19 years of age, August to October of 2000, 20 pounds lost Oriental Diet, 19 years of age, Febuary to April of 2001, 17 pounds lost Slimfast, 20 years of age, September 2001, 4 pounds lost As you can see, I can lose some weight, but then I gain it all back and more. Sincerely, John Doe XXXX
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