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Poll
Question: Do you get your upper and lower scopes done during one visit to the GI?
Yes, both done while under sedation - 8 (88.9%)
No, insurance forces my GI to do them separately - 1 (11.1%)
Total Voters: 8

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Author Topic: POLL: Do you get upper and lower scopes at the same time?  (Read 4965 times)
Jon Olis
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« on: March 25, 2009, 03:46:00 PM »
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Today I just had my signmoidoscopy and tomorrow I go in for my EGD.¬  Its a pain that I need to do these on separate days.¬  I'd really like to get them done together but my doctors office claims they get short changed and insurance will not pay them for both procedures.
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Jon Olis
Diagnosed 6/04 Stage III CC, 7/16 Nodes, FAP
Subtotal Colectomy 6/04 failed, Ileostomy 6/04
6 months of chemo Folfox 4
Ileostomy Rev 1/05
Laser Endoscopy 8/05 perforated duodenum
Emergency surgery to repair perforation
Currently 4.5 years NED!
Brenda B
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« Reply #1 on: March 26, 2009, 09:48:57 AM »
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Hi Jon, I have probably had at least 20 combined procedures since May 2005.  They never do them on two different days. My health insurance is United Health Care, a PPO, and I do not have any problems with getting them paid. There is no reason to put your body through the procedure on 2 different days. Brenda
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1975 Total Colectomy; 1989 BCIR
Jon Olis
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« Reply #2 on: March 26, 2009, 02:09:36 PM »
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Well my Doc just claims that they won't for the materials and time for both procedures if they are done at the same time so they won't it it.  A haven Anthm, PPO.

In fact, I'm just home here now from my upper scope feeling nice and drugged up.
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Jon Olis
Diagnosed 6/04 Stage III CC, 7/16 Nodes, FAP
Subtotal Colectomy 6/04 failed, Ileostomy 6/04
6 months of chemo Folfox 4
Ileostomy Rev 1/05
Laser Endoscopy 8/05 perforated duodenum
Emergency surgery to repair perforation
Currently 4.5 years NED!
Brenda B
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« Reply #3 on: March 26, 2009, 10:09:41 PM »
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Hi Jon, hope your test results were good. That does not sound correct about the procedures. I sell group health insurance and I would recommend that you phone the 800 number on the back of your insurance card for approval. It would save the health insurance company money -- paying for you to be put to sleep only once, procedure room charges, etc for one time would be less. It could be that the doctor and clinic want to do the procedures on two different days so they can make more money??? I would challange their response. Have a good rest.
Let me know if you have any questions for next weekend. Brenda
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1975 Total Colectomy; 1989 BCIR
Jon Olis
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« Reply #4 on: March 26, 2009, 10:21:33 PM »
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Well it is my doctor who chooses not to do them together because of the fact that they get paid less when they do them together.  Not sure who's the bad guy.  The insurance for not paying for both at the same time or the doctor for not being willing to accept less.   Huh
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Jon Olis
Diagnosed 6/04 Stage III CC, 7/16 Nodes, FAP
Subtotal Colectomy 6/04 failed, Ileostomy 6/04
6 months of chemo Folfox 4
Ileostomy Rev 1/05
Laser Endoscopy 8/05 perforated duodenum
Emergency surgery to repair perforation
Currently 4.5 years NED!
Charlie
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« Reply #5 on: March 31, 2009, 06:28:22 PM »
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Yup, I get both of mine done at the same time. Always have.

As Brenda says, no reason to stress your body out twice when you can do it all at once........plus it makes more "time" sense and your already "out" for the lower/upper and can do the one with the other procedure. I think if it were me, I'd demand my Doctor do both at the same time.....somehow he needs to work more efficently and do it all at once.

Hope all went well.  Smiley
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FAP Diagnosed 7/28/04
First Step 8/10/04
Take Down 12/14/04
Highly Modified Whipple Procedure - 9/26/11
Jon Olis
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« Reply #6 on: March 31, 2009, 09:25:19 PM »
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I don't think my doctor is going to budge on this.  Its a money thing.  I guess I could switch doctors but I'd rather not do this.

Jon
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Jon Olis
Diagnosed 6/04 Stage III CC, 7/16 Nodes, FAP
Subtotal Colectomy 6/04 failed, Ileostomy 6/04
6 months of chemo Folfox 4
Ileostomy Rev 1/05
Laser Endoscopy 8/05 perforated duodenum
Emergency surgery to repair perforation
Currently 4.5 years NED!
Brenda B
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Posts: 218



« Reply #7 on: April 01, 2009, 09:42:11 AM »
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Jon, I can understand you not changing doctors--I have doctors I use out-of-network that I feel they are so great. How often do you have your procedures? Hope the other test results are good too.
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1975 Total Colectomy; 1989 BCIR
Jeannie Payne
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« Reply #8 on: April 01, 2009, 03:36:14 PM »
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I do mine at the same time, but if my dr insisted we do them separate then I would.  Once you find the dr you like and trust, making those type of concessions seems worth it.

How did your scopes go last week?

-Jeannie
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11/2007 - dx with FAP
4/2011 - total colectomy with IRA; right adrenalectomy
Charlie
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« Reply #9 on: April 01, 2009, 05:24:18 PM »
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I don't think my doctor is going to budge on this.  Its a money thing.  I guess I could switch doctors but I'd rather not do this.

Jon

Well if your happy with your doctor and it's a non issue for you, cool! Smiley

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FAP Diagnosed 7/28/04
First Step 8/10/04
Take Down 12/14/04
Highly Modified Whipple Procedure - 9/26/11
Jon Olis
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« Reply #10 on: April 02, 2009, 12:27:17 AM »
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I do mine at the same time, but if my dr insisted we do them separate then I would.¬  Once you find the dr you like and trust, making those type of concessions seems worth it.

How did your scopes go last week?

-Jeannie

Called the nurse today to get the results.  Rectum was completely clear (think I already mentioned this) and that's a first for me.  Nothing at all to biopsy.  Duodenum had a few tiny bumps with about 5 biopsies. Only one of the biopsies they took came back as adenoma.  Stomach was all hyperblastic, not adenomas.  All in all, its was the best scope I've had since diagnosies in 2004.  Guess I'll keep climbing 200,000 feet a year on my mountain bike because it that's the only thing I did different last year.

Jon
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Jon Olis
Diagnosed 6/04 Stage III CC, 7/16 Nodes, FAP
Subtotal Colectomy 6/04 failed, Ileostomy 6/04
6 months of chemo Folfox 4
Ileostomy Rev 1/05
Laser Endoscopy 8/05 perforated duodenum
Emergency surgery to repair perforation
Currently 4.5 years NED!
Brenda B
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Posts: 218



« Reply #11 on: April 02, 2009, 05:09:59 PM »
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Congratulations Jon!!!! Great news. Keep up the mountain biking.
Brenda
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1975 Total Colectomy; 1989 BCIR
Jeannie Payne
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« Reply #12 on: April 03, 2009, 08:59:25 AM »
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That's wonderful news, Jon!  Keep it up.

-Jeannie

[/quote]

Called the nurse today to get the results.¬  Rectum was completely clear (think I already mentioned this) and that's a first for me.¬  Nothing at all to biopsy.¬  Duodenum had a few tiny bumps with about 5 biopsies. Only one of the biopsies they took came back as adenoma.¬  Stomach was all hyperblastic, not adenomas.¬  All in all, its was the best scope I've had since diagnosies in 2004.¬  Guess I'll keep climbing 200,000 feet a year on my mountain bike because it that's the only thing I did different last year.

Jon
[/quote]
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11/2007 - dx with FAP
4/2011 - total colectomy with IRA; right adrenalectomy
Jon Olis
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« Reply #13 on: April 03, 2009, 09:06:44 AM »
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Thanks Jeannie and Brenday!   Grin
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Jon Olis
Diagnosed 6/04 Stage III CC, 7/16 Nodes, FAP
Subtotal Colectomy 6/04 failed, Ileostomy 6/04
6 months of chemo Folfox 4
Ileostomy Rev 1/05
Laser Endoscopy 8/05 perforated duodenum
Emergency surgery to repair perforation
Currently 4.5 years NED!
Charlie
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« Reply #14 on: April 03, 2009, 03:49:17 PM »
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Glad you got good news Jon!  Grin
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FAP Diagnosed 7/28/04
First Step 8/10/04
Take Down 12/14/04
Highly Modified Whipple Procedure - 9/26/11
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