Next week I hope to have my doctor apply tp the insurance company to have my panniculus removed. I have researched it and am not sure Medicare will approve it. It is large enough-goes below my knees when I stand. hangs almost to my ankles when I sit. It keeps me in a wheelchair and makes it difficult to take showers.
I have spent the last month crafting a letter for my doctor to submit with his request. I have listed the major problems, emotional and physical, caused by the panniculus. I plan on getting a letter of revommendation from my general physician and my physical therapist also. I would have them already, but my wheelchair is broken and I have been housebound for weeks. My chair won't be fixed for a few more weeks, but I have arranged a ride to the bariatric doctor.
I am facing two major problems about the panniculectomy. One is the requirement that weight needs to be stable for at least 3-6 months. I have been losing weight for the last five months. The other problem is that my weight loss has stalled. I am about 12 pounds over what the doctor wanted me to reach before he requested my panniculus be removed.
Unfortunately, I don't think I will lose much more weight unless the panniculus is removed and I can get up and move around. I don't think I can lose much more weight while sitting in the wheelchair. In addition to the lack of exercise, I am becoming discouraged. It has become harder to move around as I lose weight because the pannus hangs lower. Some things have improved. I can stand about 5 minutes at a stretch. now, instead of three. And I can walk a bit more.
The change is tiny considering I have been eating carefully for two years. Even alternating my eating between higher calories for a few weeks, then lower can only work so long. I long for carbs. a bit of apple, some baked poato, a peach. Some popcorn would be nice. Unfortunately, past experience has shown me I don't lose weight when I eat high carb foods like those.
I can only hope the insurance company approves the removal of the panniculus. It will change my life.