To
Whom It May Concern
He
has had many health issues in the past 3 years. This year in
particular you have denied multiple claims and denied him healthcare
that he has needed. The last straw was when my mom got an email on a
denial because of the “Affordable Healthcare Act”. I have
included a copy of the email.
This
“Healthcare Act” has done nothing but deny people vital
healthcare that they need.
My
father has lost over 25 pounds in a manner of 3 months. This leaves
him weighing 96 pounds. He is unable to eat and is in need of
vitamin supplementation in order to get his body back to where it
will be able
to function properly again.
Through
out the
process of trying to find the underlying problem his B1/Thiamine test
came back so low it was not detectable. When the doctor tried to get
him on injections you denied him.
For
a test to come back so low it is undetectable I would consider that a
critical low, I know just a little about medical issues
as
I am a certified EMT and worked Radiology. I have included a copy of
the lab results so you can see for yourself the level it came back.
What
I am asking for today is an approval for the injections he is needing
to raise his B1/Thiamine levels. With these injections His body will
have the vital vitamins it needs to function properly and help him be
able to eat again.
I
have all the information that you may need and I have permission to
speak on my parents behalf.
I
am also including some information about just what a whipple
procedure does to a patient and why it is important for the
injections, not just oral supplements.
Thank
you for your time
What is a Whipple
Procedure?
The
Whipple procedure involves removal of the "head" (wide
part) of the pancreas next to the first part of the small intestine
(duodenum). It also involves removal of the duodenum, a portion of
the common bile duct, gallbladder, and sometimes part of the stomach.
Afterward, surgeons reconnect the remaining intestine, bile duct, and
pancreas.
What
does this mean for absorption of oral medication?
Most
Whipple patients do not have the pancreatic enzymes for the breakdown
and absorption of food or oral medications following a Whipple.
Because of this most oral medications will pass to quickly through
the digestive tract and not be properly absorbed or even broken down.
Most supplements should be taken in a liquid form, but if this is a
critical low an injection would be the best way to boost the levels
quickly and then go to the oral form to keep them at proper levels.
What
can a B1/Thiamine deficiency cause?
B1/Thiamine
is a coenzyme used by the body in order to metabolize food for energy
and maintain proper heart and nerve function. Thiamine is used to
turn nutrients in food into usable energy. Without the proper levels
certain proteins cannot be properly used by the body.
A
deficiency can cause weakness, fatigue, heart complications, and
nerve damage. It can also cause rapid weight loss, poor appetite,
ongoing digestive problems, decrease in short term memory, and
confusion.
If
a Thiamine deficiency is left untreated it can lead to Beriberi.
Beriberi has 2 types: wet and dry. Wet beriberi affects the heart
and circulatory system and can lead to heart failure. Dry beriberi
damages the nerves and can lead to decreased muscle strength and
eventually muscle paralysis. Beriberi can be life-threatening
if left untreated.
Symptoms
of beriberi:
Wet:
Shortness
of breath during physical activity,
waking up short of breath, rapid heat rate and swollen lower legs
Dry:
decreased
muscle function particularly in the lower legs,
tingling
or loss of feeling in hands and feet,
pain,
mental
confusion,
difficulty
speaking,
vomiting, involuntary eye movement, and paralysis.
How
is beriberi treated? By oral or inject able thiamine supplements.
In severe cases and IV may be administered. You may have noticed
that in the symptoms listed some are in italics.
These are symptoms that my father is already having, and has been
having for a month or better. They are progressively getting worse.
Without any treatment he is headed down the dangerous path of having
major health issues. I am hoping you can understand the severity of
my fathers case. Not only is he deficient in a crucial vitamin, he
also lacks the proper digestive system to absorb nutrients the proper
way. This is why it is crucial for the injections to get his levels
where they need to be. Once they are there we can look at weaning
off injections over to oral supplements, but there is a possibility
he may need to remain on the injections if his body can not absorb
them properly.
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| Insurance denial email |
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