11/03/09

Just checking in.

Friday I visited a cardiologist I was sent to earlier this year. I suddenly started getting heart palpitations and my PCP wanted to rule out anything "wrong". I would be sitting on the couch watching tv with Hubby and my heart would go from its resting rate of 65 up to 140. It was ANNOYING. Nothing was ever wrong. But in an effort to try and provide comorbidities last month I mentioned this at my first appt. It wasn't a comboridity they were interested in - but now I needed to get the cardiologist to approve me for surgery. I went in almost two weeks ago to explain my case and he had me come back last Friday for a stress test.

I was given the stamp of approval. I was actually told that I "have the heart of a very fit person". I like hearing stuff like that! (since I think I'm fit and all...)

Yesterday I went in for my follow-up with the Ph.D. Psychologist. I'd been in there two weeks earlier to do the testing for my psych consult. I could have been back sooner but I was scared to schedule appts last week as I had jury duty.

I live in Galveston county. In Galveston county they get their jury pool and put everyone on call. We can be sent out to any of the district courts or we can be sent out to any of the justices of the peace. I never did get selected but I had to call in every night at 6PM and find out what I may or may not be doing the next day. I took a gamble with scheduling an appt for Friday but it worked out.

Anywho - so the follow-up with the Psychologist was pushed back until this week.

And he proclaimed me "normal" yesterday.

Did anyone else worry about that?

I don't think I'm in danger of any bad diagnosis there, but it worried me nonetheless. Do "abnormal" people pursue this above and beyond ordinary?

Thursday I go in for weigh in number two. And I have zillions of questions that have formed over the last month.

I'm hoping they can help me with some information that will help my husband and I decide which route to take with the insurance. We are hesitant to be switching back and forth between his and mine. We know that what my employer is offering is better long term - it just isn't helpful with this procedure. It seems like the sooner we make the switch the better off we are. But do we wait one year? Do we bite the bullet? I had been thinking along the lines of my deductible is going to be outrageous based on the self-pay price. However, my insurance provider has negotiated prices on about everything they will pay out on - and since they will pay out on this - that self-pay price is not my price. So that might change what I would pay as a deductible to reasonable. And if that's the case, we are better off switching.

So it's back to information research mode as we try to find the balance between what's best for next year AND the long term.

Does anyone else know anything about Aetna's requirements? When I read their document there is talk of a six month program AND a three month program. I am wondering which of those programs is most like the one I am currently doing. Right now, for Cigna, I am doing six months of once a month check-in's. I am trying to do a lower calorie diet and for me, I'm trying to start mimmicking what I will have to do post-band (although there is still some cleanout of the pantry going on, so it's not there yet). I am also doing an exercise program. I keep track of this on paper and turn this in each month. So, did anyone do the Aetna requirements? And if so, how does this compare?

I am looking forward to Thursday's appt. I hope to get some answers. And I'm even down a few pounds. Not many, just a few. I want to see if I can even get some clarification on this - can I lose weight and be ok? Or do I need to try to stay steady? As of last week I was down 7. And over the weekend I did a few things to gain some of it back, on purpose. So now I'm down 3. But I'd rather be down 7.

If I weren't trying to stay steady, I'd actually be down more.

One question about switching to Aetna is about my BMI, too. Does my BMI have to be 40 when Aetna starts covering me? Or is it quite simply from the beginning of this process? Since my BMI is so close to the edge, it's making me wonder....I started with Cigna with a higher BMI and am following their requirements. But if I switch to Aetna midway - does my BMI have to be above 40 from the day Aetna gets me?

No sodas in over a week and a half. No sugar or cream in my coffee. When I want a snack in the middle of the afternoon I eat broccoli and cucumbers. Protein is something I am eating more of - and carbs less of.