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Friday, 3rd September 2010

VOTE: Worthing woman's weight loss trauma

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Published Date:
22 July 2010
EVERY time Caroline Marshall looks in the mirror, she gets a very visual reminder of the person she used to be.
Saggy, excess skin hangs from the 28-year-old's petite frame – a leftover from when Caroline used to be heavily overweight at 25 stone.

Having spent two years working hard in the gym and eating better, Caroline now weighs 11 and a half stone, but she still feels depressed about her body.

She is desperate to have an operation to have all the saggy skin removed from her arms, stomach, thighs and chin, but NHS West Sussex has refused to fund the procedure.

Caroline, who lives in Belsize Road, Worthing, said: "It really upsets me. It makes me depressed and I just feel like I want to cut it off myself or else hide away.

"I want to feel confident, but with this skin it's like living in the past as every time I look in the mirror I still see myself as a bigger person.

"I feel like I can't move on until this skin is gone."

Funding rejected

Caroline's case was submitted to NHS West Sussex's funding panel by her consultant, accompanied by letters from psychiatrists stating why she needed the surgery, but it was rejected.

She and her family appealed the decision, but again, funding for the surgery was denied.

Caroline suffers from mild brain damage, so can struggle to understand why, despite all her hard work, she still hasn't got a body she feels confident about.

Now she is slimmer, she has also started to suffer from incontinence, which Julie believes may be down to the excess, overhanging skin.

Details of this could not be submitted in her application for funding for the surgery, as Caroline still needs to have tests to determine the cause.

Response

A spokeswoman from NHS West Sussex, said: "We recognise patients applying for individual funding are in extremely difficult positions and are coming to us seeking a possible solution.

"It is our job to help with these solutions but we must do this by reviewing all the available evidence very carefully and with expert medical judgement."

To read the full story, see the Thursday, July 22 edition of the Worthing Herald - on sale now.

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  • Last Updated: 26 July 2010 11:20 AM
  • Source: n/a
  • Location: Worthing
 
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Scrittipollitti,

Worthing 26/07/2010 16:32:36
Why, Why, Why are we yet again being asked to pay for someone's 'Cosmetic' Surgery????
Is the excess skin issue life threatening? Terminal?
No.
Without being fattest, she ate the cake, she put on the wieght, and 'good on her' she lost it, but why should the tax payer pay because she now 'needs' an operation to remove the excess skin?
I take issue with any NHS proceedure done on this basis. Its not like she's been burned in a fire or by acid and needs grafts and peices of her body rebuilding (a worthy costmetic proceedure).
Im not trying to take anything away from her very self disaplined work so far, just that the tax payer shouldn't have to pay for her 'cosmetic' follow up work.
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Alex Kal,

26/07/2010 21:39:32
I agree, Scrit.

The money should be saved for helping though with life threatening or serious long term illness - Worthing seems to have no shortage of elderly so I'd imagine there are plenty of worthier candidates if money is to be put forward.

While this could fall under the heading "quality of life", it is not an essential procedure.

Why can't Caroline pay for the work herself? The article gives no indication of how much it would cost so there's no way to know if we're talking about hundreds of pounds that could be saved, or thousands of pounds that she could never afford. Either way, if it's the former she should pay herself - if it's the latter then the money would be put to better use helping those in critical or more dire conditions.
3

Louise CB,

27/07/2010 15:38:58
I agree with both the above. Well done on her for losing the weight - but having extra skin is not life threatening. I can't see how a flap of skin can make you incontinent - but if it turns out that is the case, I am sure this lady can reapply, and the panel would take this into consideration. At the moment it would be purely for cosmetic reasons. It doesn't look that awful, anway - maybe if she bought trousers that actually fit?
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Mick Ellis,

Weymouth 01/08/2010 23:01:53
I would perhaps agree, but i am also certain that if the commentators above were in the same position as Caroline, they would not be saying these things. In fact they would be begging the local NHS to do this for them if they thought they could get it. If this lady is working and paying into the tax and NI system, then she should be given the benefit of the surgery. We do not know why she got to be 25 stone in the first place, perhaps there was an underlying medical condition that we do not know about. the fact that someone has lost 14 stone and has been left with loads of tummy flab hanging over does not strike me as being cosmetic, but heart-rendering. To think you have done all that work, and probably saved the NHS thousands of pounds in caring for you because of heart disease and diabetes problems due to the excess weight. The NHS should give her the operation, purely because in the long run, her efforts will save money for the NHS. What is a few thousand pounds now compared with the never-ending costs that would have happened later on if she had stayed at her old weight. Well done Caroline and good luck for the future. Hopefully you will be an inspiration to other over-weight people and help them to lose the weighty pounds and in doing so save the health service many thousands or hundreds of thousands of financial pounds.
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Mick Ellis,

Weymouth 01/08/2010 23:07:53
cost of op, somewhere between £2000 and £6000. cost of other treatment if not lost the weight - immeasurable as would be ongoing.
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