Today Begins the New Me
mindytilley
Posts: 5 Member
I have struggled with body image my whole life, and the last 12 years sitting between 185 and 258.
Over the last 18 months, I gained weight just to qualify for surgery, about 10 lbs.
Yesterday, insurance denied surgery for a gastric sleeve. Not one person in the last 10 months in the program told me counseling and medication were recommended by the psych for my anxiety and depression (which have been under excellent control for about 2 years!). I could have lied and said I was taking medication and going to counseling, the insurance liaison said, that they could appeal it if I just fibbed. I told her I could have actually been doing those things for real if I knew about it. She said it wasn't her business to look at my personal medical history, just as long as she got the "all clear" on her paperwork for me to move forward in the program, which she did.
I could have been less than honest about what I was eating and how I was exercising. The dietitian told me to follow keto, but then said just keep doing what you're doing, you can't lose weight or you won't qualify.
The docs didn't tell me I had GI disease which I could have done something about, they said every single test was normal. On paper, besides my weight, I am the picture of health.
I maintained weight because they told me to qualify for insurance I couldn't lose any weight, even when I was motivated to do it. It is so much harder to maintain weight when you're fat than it is to lose a few pounds. They said I didn't track my eating, but i did, just not every single day. I was diligent for months at a time.
18 months, wasted, and hopes dashed for help that I felt I desperately needed, help that would have come in just 2 weeks time, because insurance just looks at notes and numbers on paper and not me as a person and the doctors somehow failed to inform me.
I'm furious. I'm sad. I feel betrayed by the whole system. I feel left behind, the one who is always forgotten, not important enough to inform. how could I have known to ask any of those questions? I can't take the steps to change when I don't know that certain things are expected but not communicated. It sickens me that they asked me to be deceitful. That is not my character, and I will not compromise my integrity to suit their ability to appeal. As much as I wanted this, I will not sacrifice my honor.
I am not going to let this ruin me. Nobody decided my future, but me. I am the captain. I am in charge. I decide my fate.
Highest weight 258
Current weight 247
Goal weight 165
Over the last 18 months, I gained weight just to qualify for surgery, about 10 lbs.
Yesterday, insurance denied surgery for a gastric sleeve. Not one person in the last 10 months in the program told me counseling and medication were recommended by the psych for my anxiety and depression (which have been under excellent control for about 2 years!). I could have lied and said I was taking medication and going to counseling, the insurance liaison said, that they could appeal it if I just fibbed. I told her I could have actually been doing those things for real if I knew about it. She said it wasn't her business to look at my personal medical history, just as long as she got the "all clear" on her paperwork for me to move forward in the program, which she did.
I could have been less than honest about what I was eating and how I was exercising. The dietitian told me to follow keto, but then said just keep doing what you're doing, you can't lose weight or you won't qualify.
The docs didn't tell me I had GI disease which I could have done something about, they said every single test was normal. On paper, besides my weight, I am the picture of health.
I maintained weight because they told me to qualify for insurance I couldn't lose any weight, even when I was motivated to do it. It is so much harder to maintain weight when you're fat than it is to lose a few pounds. They said I didn't track my eating, but i did, just not every single day. I was diligent for months at a time.
18 months, wasted, and hopes dashed for help that I felt I desperately needed, help that would have come in just 2 weeks time, because insurance just looks at notes and numbers on paper and not me as a person and the doctors somehow failed to inform me.
I'm furious. I'm sad. I feel betrayed by the whole system. I feel left behind, the one who is always forgotten, not important enough to inform. how could I have known to ask any of those questions? I can't take the steps to change when I don't know that certain things are expected but not communicated. It sickens me that they asked me to be deceitful. That is not my character, and I will not compromise my integrity to suit their ability to appeal. As much as I wanted this, I will not sacrifice my honor.
I am not going to let this ruin me. Nobody decided my future, but me. I am the captain. I am in charge. I decide my fate.
Highest weight 258
Current weight 247
Goal weight 165
6
Replies
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hi, I can see how frustrated you are but admire your integrity. that's why I decided to join your site.
so how is it going today? how long have you been doing MFP? This is about my 5th time participating and I'm committed all the way. my husband told me I was fat! yep fat. I already knew that, why did he feel the need to say it? well screw him, I decided to do MFP for ME. NOT him. (although I really did need a push). if I stay my daily calorie is 1670 but if I stay under 1300 I can loose weight. it's been 4 days and so far so good.
Highest weight 245
Current weight 231
Goal 1652 -
@mindytilley That really really sucks!! I know that a rat-race run-around the medical system can be. (mostly from working in healthcare, luckily I've been pretty healthy and not needed much from the system so far. So, Are you still going to pursue getting weight loss surgery, or are you going to switch tracks to this? (or pursue both). Whatever you decide, I wish you good health, happiness and good habit. Hopefully you will get a chance now to focus on the diet you want, and make the attempts a weight loss that make sense to you, not your insurance company.
1 -
@kacahill320
Thank you for such a kind response. Today has been emotional, and the old me would have said forget it and ate a donut! But I have stuck to my plan for the last 5 days and I am determined!
That was very rude of your husband. I hope he treats you good normally, though.
I have been on THIS tracking goal since Friday, but I have done MFP on and on since 2010. I think I was just so desperate for some other entity to fix me (hence the surgery) because I kept trying and failing on my own. I would love if you both would be my friends on here and we can help motivate each other. I am not close with my family, I don't have time for friends (full-time student and mom of 4!) and my husband works out of town and is only home weekends. I need support!1 -
@xrj22
I am giving up on surgery. I am not dealing with this ever again. Thanks for such a nice reply!1 -
@mindytilley yes, happy to be friends. I am going to try to figure out how that works. Others have friended me (some that I dont even think I know), but I haven't friended anyone yet.0
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Actually, it seems that friend requests are "temporarily disabled". : (0
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I am really happy to be on your friend list.
MFP is really working for me this time. I suppose I got the kick in the pants I needed, although I am doing this for ME. I love seeing the scale move downward and am motivated to stay on track. I am worried if I gain a pound or two back I'll be crushed and say screw it. I'm trying to keep my eye on the prize! A thinner me and as a bonus I'll be healthier.
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I have no idea how to request friends either on here. If you guys figure it out, let me know.0
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