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tinhuvielI've got the low-down dirty rotten stinking blues and I wish I knew where my mouth harp is. I'd play it badly and sing woefully to the stars.
PMS has set in, but I'm determined to keep a positive frame of mind.....starting tomorrow.
As for tonight, the oppression of the phone call from Dr. Ross' office is sinking into my bones. Dread has draped over me like a shroud. It occurred to me that, if the referral to Dr. Ross was rejected by Cigna, then Dr. Ross' referral to the lung doctor for my sleep study will also be void. This means that, not only will I have two big doctor bills to pay, but I will also have to cancel the sleep study. Oh, the setbacks! Why can't this just be easy, or at least moderately non-horrific? On a brighter note, Dr. Yost wrote my letter of medical necessity, and it's better than I could ever have dreamed.
TO WHOM IT MAY CONCERN
My patient, [the ever-so-lovely Tinhuviel Artanis], is contemplating gastric bypass surgery. She has been extremely overweight her whole life and when I first stared seeing her in 1996, she weighed [an ungodly number of] pounds. She has tried multiple diet plans and medications to help her lose weight. At times, she will have some partial success, but has been steadily gaining weight over the last few years and is at about an all-time high at the present time of [an even ungodlier, perhaps even scandalous amount of] pounds.
She currently is being treated for hypercholesterolemia with Zocor and depression with Wellbutrin. Her blood pressures have been borderline high at times. She also has [a condition that would qualify her for a carnival side-show], a family history of heart disease, diabetes and hypertension. She also has had quite a few orthopaedic problems including knee and foot problems. She currently takes Relafen 1000 mg a day for this.
Considering her long-term unsuccessful struggle with obesity, and her increasing number of co-morbidities, I believe a gastric bypass would be a strong possiblity for management of her weight. With significant weight reduction, I believe she would be able to get off of Zocor and probably reduce her use of arthritis medicine and possibly anti-depressant medicine.
Please take this into account when determining coverage of surgery for this patient.
Sincerely,
The Best Doctor on Earth
Aint't that a great big ole hoot?
Now to other hand-wrenching matters...
Of course, my sorrows for and about Llew are coming into full swing as well. He has so much on him right now and, when I try to comfort him, he just withdraws. I know that's how he is, but it's driving me crazy. I feel completely useless to him right now. YES, I know that's not the case. YES, I know he loves me. How else could he put up with me? And vice versa.... Still, just the thoughts of being unable to do much for him because of my limitations or his refusal to let me do so is plaguing me to the point of tears. There's so much uncertainty right now.
It's time to go to bed, I guess. Since I can't find the mouth harp, there's nothing more for me to do, although I'm unsure if I'll be able to sleep much this crisp and dangerous eve. My knee is singing it's own Blues tune, and it goes a little like this.
Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow
and
OW
PMS has set in, but I'm determined to keep a positive frame of mind.....starting tomorrow.
As for tonight, the oppression of the phone call from Dr. Ross' office is sinking into my bones. Dread has draped over me like a shroud. It occurred to me that, if the referral to Dr. Ross was rejected by Cigna, then Dr. Ross' referral to the lung doctor for my sleep study will also be void. This means that, not only will I have two big doctor bills to pay, but I will also have to cancel the sleep study. Oh, the setbacks! Why can't this just be easy, or at least moderately non-horrific? On a brighter note, Dr. Yost wrote my letter of medical necessity, and it's better than I could ever have dreamed.
TO WHOM IT MAY CONCERN
My patient, [the ever-so-lovely Tinhuviel Artanis], is contemplating gastric bypass surgery. She has been extremely overweight her whole life and when I first stared seeing her in 1996, she weighed [an ungodly number of] pounds. She has tried multiple diet plans and medications to help her lose weight. At times, she will have some partial success, but has been steadily gaining weight over the last few years and is at about an all-time high at the present time of [an even ungodlier, perhaps even scandalous amount of] pounds.
She currently is being treated for hypercholesterolemia with Zocor and depression with Wellbutrin. Her blood pressures have been borderline high at times. She also has [a condition that would qualify her for a carnival side-show], a family history of heart disease, diabetes and hypertension. She also has had quite a few orthopaedic problems including knee and foot problems. She currently takes Relafen 1000 mg a day for this.
Considering her long-term unsuccessful struggle with obesity, and her increasing number of co-morbidities, I believe a gastric bypass would be a strong possiblity for management of her weight. With significant weight reduction, I believe she would be able to get off of Zocor and probably reduce her use of arthritis medicine and possibly anti-depressant medicine.
Please take this into account when determining coverage of surgery for this patient.
Sincerely,
The Best Doctor on Earth
Aint't that a great big ole hoot?
Now to other hand-wrenching matters...
Of course, my sorrows for and about Llew are coming into full swing as well. He has so much on him right now and, when I try to comfort him, he just withdraws. I know that's how he is, but it's driving me crazy. I feel completely useless to him right now. YES, I know that's not the case. YES, I know he loves me. How else could he put up with me? And vice versa.... Still, just the thoughts of being unable to do much for him because of my limitations or his refusal to let me do so is plaguing me to the point of tears. There's so much uncertainty right now.
It's time to go to bed, I guess. Since I can't find the mouth harp, there's nothing more for me to do, although I'm unsure if I'll be able to sleep much this crisp and dangerous eve. My knee is singing it's own Blues tune, and it goes a little like this.
Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow Ow
and
OW
