thank you all so much...i did borrow a couple of things from it & also had help from a friend here it is see what you think... Dear Panel,
I am writing in the hope I can appeal to you to reconsider your previous decision.
In your letter you declined me on the grounds that you are unable to find evidence of “exceptionality“. With a body mass of 52.5 I believe I am an exception as this size is not the “norm” You also state that I am unlikely to gain significantly any benefit from the intervention than might be expected from the average patient but surely everyone is an individual and should be assessed on their own merit. I believe your comment to be an assumption as this could not be proven without having the surgery. In my belief having bariatric surgery can only be a positive move towards my weight management after trying for so many years myself, and with the pharmacological interventions.
The National Institute for Clinical Excellence states the risks of having a BMI over 30, there is a 50% chance of mortality, and with a BMI of over 35.4 the chances are therefore doubled again. My Grandfather died of heart disease, and my father has currently suffered 3 heart attacks and continues to be unstable, with the input of stints. I fear with the family history that I’m also at risk. The NICE guidance continues to discuss that woman with a BMI of 29 or more are 3 times more like to suffer with this.
Growing from a child into adolescence, my weight had significant detriments on me making friends, therefore I found it hard to socialise and I isolated myself. Now into my adulthood I have battled with my weight without success, which I feel may cause me significant health problems in the future. Cancer and heart disease is hereditary in my family and also morbid obesity is a life threatening disease which would then in turn put extra financial strain on the NHS in years to come.
Due to my obesity I have found it hard to maintain physical activities with my children, and maintaining a job. I feel I have a high potential of suffering either of the above in the future, and that if my excess weight can be minimised quickly, this potential would be greatly reduced. Having such a weight problem effects my mental health as well as the physical I suffer from Low self-esteem, anxiety, lack in confidence and no will power. At times I feel withdrawn from life, depressed about my weight, with no interest in socialising or completing tasks.
On a few occasions during pregnancy and other medical appointments, several different health professionals has asked if I would consider bariatric surgery, so in theory they must have thought that I was an ideal candidate in order to address my weight.
At the moment I do suffer with minor ailments such as varicose veins and Plantar Fasciitis which is restricting the amount of exercise I can do which is contributing to my weight problem. I’m in a lot of pain all of the time, which no pain killer seems to have effect, a doctor within my surgery said my weight hasn’t helped the situation. I haven’t got diabetes and nor have I been tested for this or sleep apnoea, but my weight does exaggerate these current symptoms.
As I mentioned in my previous letter to the panel, over many years I have seeked the help from my GP and have tried many of diets with groups such as: slimming world, weight watchers and prescribed diet pills (Oralstat/Xenical) with no sufficient stable outcomes. Although I have maintained my weight now for many years, I have real concerns about the risk of contracting heart disease, type II Diabetes and other health conditions which are associated with Morbid Obesity.
I want to be a mother for my children, and be there for them and as it stands now my weight is preventing me in doing so. I’m afraid to say I may not be around long enough to watch them grow up into the fantastic people I know they will become, so I would like you to re consider and review my case, please. I’m hoping the above information will result in a positive decision, and I’ll look forward to hearing from you soon.
Yours faithfully
