Let me just get this out of the way-- I'm having a HATE/HATE relationship with my band right now. It just cannot decide what it wants to do! I've had ZERO restriction for 9 months and suddenly now, what, I can't even drink a glass of water without a PB episode?
It's hormonal. I was driving to my parents a few nights ago and felt so so crampy, and by the time I got there there was a tinge of blood (sorry, TMI). And that's when this trouble with my band started. Although the blood stopped, I guess the hormones are still there. I haven't eaten solid food in 5 days now.
All I want is my revision!
And much to my dismay, the nurse at my doctor's office FORGOT to submit my appeal to my insurance company. She FORGOT?!!!!
IT JUST SLIPPED HER FREAKING MIND...
I should mention that this woman is a fellow WLS patient and has been promising things she can't deliver for a couple of months. Promising me that she's not going to let me get denied, and then denial came. Then promising she was going to make sure they fought it with everything they had. Well, I'd say my doctors have done everything they can, but when the administrator forgets to submit, that's a HUGE FREAKING PROBLEM.
So what now?! I've wasted a month for NOTHING. If you all have forgotten, I have until the end of 2014 to resolve this because I can't afford to continue paying $334/month for insurance to have "better" bariatric coverage.
So we're going straight to a Peer to Peer review between my doctor and the insurance. Fingers crossed. Tomorrow I'm going to go in for an "emergency unfill" because my band is tight and it will be a stressful week at work. My study is locking and I can't physically afford to continue depriving myself of healthy nutrition. While I'm there, I intend to tell my doctor/PA that if RNY is my best chance of getting approval for revision due to the moderate reflux they saw on my last EGD, I will take it. I will do whatever it takes at this point. I need to do something. I hate this band today. I'm thankful for all of our hard work together but it's becoming really troublesome for me.