My great and wonderful appointment today was pretty much a waste of time. I spent all night fasting, only to find out that I needed to pay $75 to the retail-ish (looked more like a store than a medical office) office before I could have a test done to find out if I even needed the surgery. The test is to see if my pouch has been stretched, which I know it hasn’t from the endoscopy done in 2009. The only part of the whole thing that is stretched is the stoma (the part that connects it to my intestines) and I don’t think that a capacity test could figure that out. If I couldn’t afford that, then I could pay $30 to see the nutritionist.
I found that funny because according to Medicare:
Medical nutrition therapy services are also covered for people with diabetes or renal disease when referred by a doctor. These services can be given by a registered dietitian or Medicare-approved nutrition professional and include a nutritional assessment and counseling to help you manage your diabetes or kidney disease.
How often is it covered?
Medicare covers three hours of one-on-one counseling services the first year, and two hours each year after that. If your condition, treatment, or diagnosis changes, you may be able to get more hours of treatment with a doctor’s referral. A doctor must prescribe these services and renew your referral yearly if continuing treatment is needed into another calendar year.Who is covered?
People who have diabetes or renal disease (people who have kidney disease but aren’t on dialysis or haven’t had a kidney transplant, or for people who have kidney disease [but aren’t on dialysis]) with a doctor’s referral up to three years after a kidney transplant.
I haven’t been fully diagnosed with either, but I have been advised to tread lightly when it comes to my kidneys. I can’t have certain procedures done because I might end up with kidney failure. So, who knows?
Anyway, I can’t afford paying either of the charges, so either I’m not going to get the revision procedure or I’m not going to get it done by the doctor I had do the original surgery. Either way, I’m confused, hungry, and tired.



