Surgery Update WTF

     Yeah so I would love to say I just haven't been posting everything because of my recovery, but that just isn't the case.  So when I last posted it was the start to the Labor Day weekend and I was told by the doctor's nurse that he would contact the insurance company Tuesday and she would call me with an update.  Tuesday came and by late afternoon I hadn't heard anything, so I called them.  After being put on hold for several minutes I was informed that the doctor would be calling tomorrow, the day before the surgery, because he wasn't in the office today.   I thought, "Really?!, but ok."

     The next morning I wake up and anxiously awaited the verdict.  I received the call around 10ish letting me know that the surgery has been canceled.  The nurse stated that the insurance company would not budge on their position that this surgery is exploratory and that with a procedure such as this requires medication, rest and alternative treatments before they will authorize the surgery.

     Of course it goes without saying, but I will anyway, that I was SUPER PISSED and extremely disappointed.  I proceeded to call my insurance company and vent my frustrations, which got me passed along from one person to another who could supposedly help me, I was finally transferred to a voicemail where I left all my info while thinking there is no way in hell anyone will call me back.  Little did I know that I would get a call back several hours later.  The conversation with the nurse for their medical staff, basically went back and forth just like a tennis match.  I could tell she was getting a pissed off with me because I wouldn't give in and kept on till after 20 plus minutes she finally said what the real reason they denied it.  Basically, Anthem has different procedures that no mater what have a list of things that must be tried before a surgical option will be explored.  Them denying my surgery wasn't because their doctor disagreed with my doctor its because of their policy and my surgery fit this bullshit policy.  So instead of doing what is medically necessary their policy has me jumping through hoops till they say otherwise.  

     After the conversation with the insurance company I called the nurse at my doctor's office to let them know what the ins company had to say, and that is when things start to get a little "funny" for me.  The nurse says that she is calling in a prescription to my pharmacy and will be mailing me a prescription for physical therapy that she will mail me.  I hang up and call it a day and instead of going back to work for the week, I decided to use the rest of the week to spend time with my wife, my family who were in town and for myself to just relax and decompress.  Friday my wife surprised me with a tattoo appointment because she wanted something to go right for me this week.  Only those that have tattoos and really enjoy the act of getting one just as much as the artwork involved know what I am talking about when I say that it was just the thing I needed to relieve some stress.  Wow did I feel so much better after we were all done. 

     So, fast forward a few days and this is where my head is at.

     I am beginning to think my doctor and his staff don't know what the fuck they are doing.  Sunday, a full four days after the nurse stated she was calling in my script, I stopped by the pharmacy and to my surprise there was no prescription waiting for me.  I thought to myself, maybe she meant she was mailing the script along with the PT prescription.  When Wednesday came and still nothing I decided to see just what the hell is going on.  I had to return the recovery medical supplies that I had received prior to my surgery that I wrote about here.  

     The medical supply company is located in the same office as the doctor and since I still haven't received my prescriptions for my meds and PT I thought I would kill two birds with one stone while I was there.  When I asked them about the medication and PT no one seemed to know what I was talking about.  The nurse I spoke with asked me to sit and wait till the doctor got out of a consultation so she could talk with him.  I was close enough to them that I was able to listen in on some of their conversation and when she asked him about the medication he said I don't care whatever we usually give.  After the doctor walked away, she called me back over to get everything taken care of.  After the nurse asked me what pharmacy I wanted the meds called into, she still ended up calling them into the wrong place.  I mean come on Dean, cut her a little slack, Right Aid and Walgreen's sounds exactly a like.  But I digress.  Oh, and the nurse on the phone from last week, the one that was taking care of all this, told me the insurance company needed me to have PT for 3 months and Wednesday the doctor only prescribed 6 weeks of physical therapy. WTF!  Doesn't anyone know what is going on?

     After today, I am on the fence about seeking a 2nd opinion and wondering if some of what the insurance company was blaming on the doctor was, in fact, true.

Where the Hell Have You Been

   
     Well it has been a little over a month since my last post and I want to apologize for not being more active for you all.  I have just struggling to feel any sort of being or purpose lately when it comes to my blog.  Every time I think "that would be a good topic to write about" the desire just hasn't been there for me to do it.  Ever since I was told I needed surgery I have been down in the dumps with the whole "why me" argument.  I am sure the lack of exercise that my body is use to is having an effect on my mood, but when you add in being inundated all day every day on Facebook and other blogs about others that are hitting these great milestones, running some great races and just plain enjoying life doing what they love while you can't doesn't help the situation.  Don't get me wrong, I am so happy and proud to see so many people making healthy changes in their lives, but it is hard not to fight that feeling of jealousy and anger at my situation, and I think I have let it get to me so bad that I have been disengaging from almost everything in my life.  More and more the idea of just coming home from work, sitting on the couch and doing nothing but watch Netflix has become my norm, and I don't like it.

     Since I can't run I have dusted off the bicycle and given cycling a shot.  Mandy and I have gone on a few 2-3 mile rides together, but she likes to just relax and enjoy the view when she rides, which I don't mind since we are spending time together, but to me that is the equivalent of walking vs. running.  I have managed a 9 mile and 13 mile rides at a brisk pace, which felt pretty good, despite my ass getting sore. (#) I would like to get out there more, but really the only time I have to ride, other than my day off is in the early morning when its dark, so until I spend some money on lights for the bike, that is out.

     Time to change the attitude and think more positive about things.  I am sure the last thing anyone once to read about is my fucking pity party on how I can't run right now, when there is so much more going on in the world to deal with.  I have to admit, what you are reading now is the third time I have written this post, and before deleting most of it, I think typing those previous drafts really helped.  How you ask?  Well when I read it back to myself, all I heard was a guy that wants something to come easy to him, feels like he is owed something, wants others to feel sorry for him and say it is ok to be like this.  I know this feeling well, and you know what this feeling has gotten me in the past?  I'll tell you  142 POUNDS OF PURE WASTE OF SPACE!  That's right, the last time I felt this way was before this journey ever started and when I didn't want to put in any of the effort, but gain all the results.  

     My plan for the blog's future is to do a daily or every other day post about my surgery experience and recover, but until then my post will be few and far between and may have absolutely nothing to do with running. There is a little more than three weeks till I have my surgery, so until then nothing but living life and concentrating on the positives in life! 

Thursday Weigh In At The Doctor's Office

     Well since Sunday I have managed to keep my head in the game this week with my food and my workouts.  I have had to make some minor adjustments but I have done everything in my plan except one yoga session.  I didn't have a big loss this week, but I am proud of myself for making the choice to get back on track.  

3/19/15 official weigh in

176 lbs

Total loss from heaviest:  141 lbs

Current BMI:  27.5 (overweight)

     Today was my long run, but before I got that taken care of I had my yearly doctor's appointment.  I new I was going to be asked to get some blood work done so fasting was on my menu last night.  I would like to say my appointment went great, but I got a little annoyed with my doctor's nurse.  She was doing the whole pre-consultation stuff, you know, blood pressure, pulse, height and finally weight.  She had me step on the scale, which read 182, as she was recording it, which she recorded as 192, she made mention of my weight from last year. She says you use to be 217 and that I was doing a good job now that I weighed in at 182. I responded and said thank you and that I use to weigh 317 a little over two years ago and the first words out of her mouth was "wow did you have gastric bypass surgery?".  Really?  Is that the world we live in now?  That is now the norm for weight loss in America.  Don't get me wrong, there is a place in this world for GB and those that do it have made that choice, but she seemed floored when I said no I did it all on my own.  WTF She acted like it was just crazy that someone could lose weight through hard work and dedication. 

     Again, if you are reading this and you have used lap band or gastric bypass for your weight loss, I understand your choice. God knows I have thought long and hard many times about heading down that path. Ultimately I decided that I was not the right person for that kind of sacrifice. It has taken me a long time to get the motivation to start what I did two years ago and I know it will take a lot to maintain this for years to come, but that is the path I have chosen.

     Lastly, I also picked up a copy of my lab work from 2012 that was the genesis for this journey.  I wanted to be able to compare today's blood work to where I was at back then.  I am hoping and assuming things will be good, but you never know these days.  I will keep you posted once I have the results.