Saw the patient advocate today. At first they said they couldn't do anything, maybe I could buy my own insurance. Told them that wasn't an option and I was staying till they came up with something better. The idiot clerk said he didn't put much stock in reports, even after I told him it was written by the VA, the organization HE works for. Don't think I got through. He did talk to surgery and said he would get back to me tomorrow. We'll see. Looks like a long fight ahead.
Cheyenne,
I have written to the VA for that info, should hear back this week. Today I am going to the patient advocates office to file a complaint against the hospital for only treating my obesity in a way that even they say is ineffective and refusing to even discuss the treatment that they say works.
WEIGHT LOSS
For adults with a BMI greater than or equal to 40 kg/m2 there is good evidence from numerous high
quality systematic reviews that bariatric surgery is the only effective therapy for promoting clinically
significant weight loss (ECRI, 2005; Maggard et al., 2005; Shekelle et al., 2004).
Morbidly obese patients (i.e., those with BMI greater than 40) do not usually achieve substantial weight
loss as a result of lifestyle modifications and drug therapy. Only bariatric surgery has been
demonstrated to consistently result in profound and long-term weight loss for the morbidly obese.
valdis, the biggest challenge is they do not want to do the surgery at all. They do not do it here in salt lake but there are other hospitals around the country that do. I found out that they are required to transport me to one and put me up while in town if i'm not actually in the hospital. My weight loss dr will support me to get the surgery but she is a pharmacist and can not give me a consult. She wants to use my working with her to replace my taking the move class. I see my shrink next week and will ask him for a consult and to give my psyche exam. I learned todayi meet all the criteria for the surgery so now all i have to do is get to talk with the surgery dept. I can do the pre-op here by teleconference. I have found plenty of documents online that back up my claim if they want to deny me.
I sent my previous doctor's supervisor the documentation I found online about how the VA itself says eating less and exercising more does not provide long tem results for someone as fat as I am and bariatric surgery is the ONLY thing they say actually works. He called me up and we got into a heated argument. He said he disagreed with what the VA said but didn't want to argue with me. I asked ho why the VA continues to use a treatment that they themselves say doesn't work. He could not answer me. He also said the VA doesn't provide the bariatric surgery even though I gave him proof that they do. He must have one incredible ego. I did get him to put in a consult for the surgery that he claims the VA doesn't do so I can move on to the next step. Got my blood flowing this morning