Does anyone know if Laparascopic Nissen Fundoplication is covered by Medi-cal in Fresno CA?

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george559
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Date Joined Jan 2012
Total Posts : 28
   Posted 1/12/2012 6:54 PM (GMT -6)   
I am a 25 year old who's medications have stopped working. I have taken just about everything now. I am currently taking prevacid 40mg, belladonna alka-something tablets every 6hrs, and Ranatidine 150mg at bed time. I feel like I am going crazy. I have an appointment with a gastroenterologist tomorrow. I have been in and out of the ER and there is pretty much nothing they can do. They just give me a numbing drink which stops working in about an hour. I think I wanna go ahead and have the Nissen Fundoplication surgery done. I am a single dad with a three year old son I have to care for. My mom has had to take me in since I havent been eating from all the pain. I think Im so irritated from all the acid coming up it just paralysis me. I feel worthless and guilty that I cannot take care of my self and even my son at the very least. Does anyone know if Medi-cal coveres the surgery? I dont even wanna say that I wanna die already because I know my son has no one but me on this earth. Please, please help.

couchtater
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Date Joined Jul 2009
Total Posts : 14475
   Posted 1/12/2012 6:59 PM (GMT -6)   
I don't know have you called them and asked about it?
Joy

george559
Regular Member


Date Joined Jan 2012
Total Posts : 28
   Posted 1/12/2012 7:07 PM (GMT -6)   
No, I will ask tomorrow when I see the Gastroenterologist. I just wanted to get an idea. I actually missed out this semester. I am trying to get my nursing degree but I would of never thought that this would disable me so much. I want the surgery. I have read a lot of bad things but I know some have had success. I will put my fait in god's hands.

bcfromfl
Regular Member


Date Joined Nov 2011
Total Posts : 417
   Posted 1/12/2012 7:38 PM (GMT -6)   
I'm sorry to hear of your discomfort and troubles.

I apologize for being a devil's advocate, and you may very well be a candidate for the Nissen. But you need to put the brakes on...quite a bit! Slow down, and get some tests, and second opinions! With your mindset focused on this serious surgery, you lose your objectivity, and may impulsively select a surgeon who will do what you ask without a care to your actual individual issues.

This is nothing to take lightly, and I understand that you are suffering right now, too. But remember that you have a child to think of, as well. You will do him no good if you've done yourself more harm needlessly.

-Bruce

george559
Regular Member


Date Joined Jan 2012
Total Posts : 28
   Posted 1/12/2012 7:53 PM (GMT -6)   
I understand that I may sound impulsive. I have done some research. I know that I will have to get an opinion and a second opinion even a third. I have been suffering from GERD now for 7 years. Its been two months now that meds have pretty much stopped working. I know that I have to look around for someone that has done this surgery plenty of times and what the success rates have been. I know that I need to request a motility test if I go ahead with surgery. Oh I have already had an endoscopy in the past. They said a I have a hiatel hernia. My symptoms were controlled with meds but I'm now going on for two months now with blow torch burning. I dry heave so much. Again I have never been so helpless in my life. I'm still wondering if medical covers this surgery?

bcfromfl
Regular Member


Date Joined Nov 2011
Total Posts : 417
   Posted 1/12/2012 8:02 PM (GMT -6)   
You've had an endoscopy, but have you had a pH impedence test, or a Bravo study? I'm surprised that in seven years you haven't had a manometry -- and this isn't a test that you get just as a precursor to surgery. It helps your physician diagnose what might or might not be happening in your GI tract.

Also, there are several other PPIs. Just because one or two lose effectiveness, does not necessarily mean that they all have. What sorts of diet and behavior changes have you made? All these help in reducing the severity of your symptoms. Following some simple rules will make you more comfortable, and take away some of the anxiety and impusiveness that will work against you.

-Bruce

george559
Regular Member


Date Joined Jan 2012
Total Posts : 28
   Posted 1/12/2012 8:15 PM (GMT -6)   
I havent had a ph impedence test or a bravo yet. That is what I am going to dicuss tomorrow. As for the PPIs I have taken Nexium, Prevacid, Prilosec, Aciphex etc. Dr. said that I pretty much tried everything. I even tried the Histamine pills and had reactions to all of them. I eat small meals about 6 a day. Everything I eat is pretty much bland no spices, no citrius, no chocolate, no fatty/deep fried foods. I elevate myself when I go to bed. I dont eat 2-3 hrs before I go to bed. I do everything that I am supposed to do and still no relief. As for anxiety it does get a little high when I get pain. What should I ask the Gastroenterologist tomorrow? Its a new doctor I am seeing.

bcfromfl
Regular Member


Date Joined Nov 2011
Total Posts : 417
   Posted 1/12/2012 8:33 PM (GMT -6)   
Two to three hours is not enough time for your stomach to fully empty before going to bed.  I am intolerant of PPIs, and have adopted a somewhat radical routine of not eating past 3pm, and going to bed 12-1am.  That way I can be certain that my stomach is empty, and that the Gaviscon tablets won't be diluted by food and have maximum effect.  If you're eating small meals, at least give yourself 4-5 hours.
 
How much is your bed elevated?  Six inches or so is about the maximum you can safely raise on blocks, but that's not really high enough.  10-14" is better.  Get a foam wedge from Bed, Bath, & Beyond, and build it up a bit with old towels or blankets.  It's important that the wedge goes from your hips to your head -- don't just raise your head with pillows, as this will make the reflux worse.  I understand that you're probably having reflux episodes during the day, too, but everything you do to reduce your daily exposure will help.  If you have one available to you, it actually might be a good alternative for the time being to use a recliner.
 
Prepare your history ahead of time before you visit your new doctor.  I know exactly how it is when you visit a new doctor -- you're nervous, and a lot is happening, and a lot of facts can be forgotten.  If you present a written document to him, it can become part of your file, that he can look to later if necessary, or forward on if you are referred elsewhere.  Include all symptoms, dates, medications, doctor and ER visits, etc.  If you're a good typer, it will only take a few minutes in Word, and print it out.
 
Best wishes.  Don't be discouraged if you don't get a good feel for this doctor.  Many of us, including myself, have been through several GIs before we find one who is familiar with GERD symptoms and treatment.  Keep a level head, and try to be as informed as possible.  This messageboard is an excellent resource.  Have you checked out the stickies at the top of the main page?
 
-Bruce

george559
Regular Member


Date Joined Jan 2012
Total Posts : 28
   Posted 1/12/2012 8:49 PM (GMT -6)   
Yes, my bed is elevated about 10". My main problem is day time. I'm a very heavy sleeper so I dont know what might be going on at night. I will have my history written out that is a very good idea. Did you have the Nissen Fundoplication done?

bcfromfl
Regular Member


Date Joined Nov 2011
Total Posts : 417
   Posted 1/12/2012 9:36 PM (GMT -6)   
I had the TIF procedure in August '11.

-Bruce
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