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Howell is very up front about his reasons for preferring the open RNY. He is so good that I was happy to have it done open. I think experience is vital.
Interestingly, the bariatric nurses on my floor after surgery said they see fewer of Howell's patients back with problems post op because those that had open have to be more careful and lots of the lap surgeries do too much too fast and they run into them more often.
I've heard both good and bad things about Dr. Smith, like with any doctor. Just wanted to clear up any misinformation about Meritcare's program.
I'm glad to hear that different programs in ND are changing from absolutes to recommendations for vitamins. Since people have to live the rest of their lives with the issues of vitamins, its a good idea to educate themselves on what's available and find the resources that work for them while still meeting the criteria on a daily basis.
I have talked to people from a program that does require the Optifast and are not aware that GNC products are an option. Two people I know have postponed their surgery from a program that requires it only because they couldn't afford the out of pocket costs to be on the Optifast. I'll make them aware that GNC is a much less expensive option that is approved, as I know they did not know this.
I do have a great deal of respect for my surgeon as you do yours, but since I've not had any interaction with your surgeon other than hear one of his presentations, my impressions are limited to this. I know Howell is a strong advocate of open RNY, and he says this is best for him due to this being his skillset over laproscopic methods. Since many patients have a difficult recovery from an open procedure and it involves much more risk, the patient is wise to do research on what is best for them, as was indicated in this thread.
![143793](http://tickers.myfitnesspal.com/ticker/show/14/3793/143793.png)
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I just have to ask you about the renewed/ strengthened travel alert for violence in Mexico. My best friend, who supports my getting the DS, though always leery about going to Mexico for it (she's a RN, she just can't help herself!), positively flipped out on me for not cancelling. I won't go into all of the ensueing dramatics, but suffice it to say that we were both quite upset.
How was your sense of it since you were just there? I've read the warnings & recommendations from the US Consulate, but what is your take on it since you were there?
I'm sure you've heard already, but you just missed another COLD snap - lucky, lucky!
HW / SW / CW / GW 299 / 287 / 160 / 140 Feb '09 / Mar '09 / Dec '13 /Aug '10
Appendicitis/Bowel Obstruction Surgery 8/21/10
Beat Hodgkin's Lymphoma! 7/15/2011 - 1/26/2012
Ran Half-Marathon 10/14/2012
First Pregnancy, Due 8/12/14 I LOVE MY DS!!!
I walked and walked and walked - we were at a huge resort on the Mayan Riviera South of Cancun, so it was wonderful being outside and walking. I suspect I got a ton of exercise without even realizing it...
At any rate, gone 8 days to an all inclusive resort with no scale - I am down 2 lbs. Mind you, not trying to lose any more, but had visions of gaining at this vacation.
Glad to see the message board getting more action. Hope everyone is doing well.
Lori
248/137/140
Lap RNY 7/2/07
To the world you are just one person, but to one person you are the world.
peggy: just an update for you. MC now only recommends the optisource vitamins for the first month just because it is easier for a newbie. they are recommending a variety of vitamins once folks get the hang of it now.
since I had Dr. Howell I didn't have to do the liquid diet and since I had a bunch of GNC protein powder they let me use that post-op vs. their optisource drinks.
I know you've posted before how much you prefer your surgeon over Meritcare's doctors but they have always been very willing to work with me. I honestly think they are just trying to simplify things since so many folks are overwhelmed at first
When it comes to diabetes, research shows that one probably already has it at least seven years before symptoms present themselves. With a 49 BMI, that could easily be the case. I quit my Prilosec immediately after surgery. No more acid reflux. The high BP meds were reduced in half and gone all together in three months.
![143793](http://tickers.myfitnesspal.com/ticker/show/14/3793/143793.png)
HW / SW / CW / GW 299 / 287 / 160 / 140 Feb '09 / Mar '09 / Dec '13 /Aug '10
Appendicitis/Bowel Obstruction Surgery 8/21/10
Beat Hodgkin's Lymphoma! 7/15/2011 - 1/26/2012
Ran Half-Marathon 10/14/2012
First Pregnancy, Due 8/12/14 I LOVE MY DS!!!
HW / SW / CW / GW 299 / 287 / 160 / 140 Feb '09 / Mar '09 / Dec '13 /Aug '10
Appendicitis/Bowel Obstruction Surgery 8/21/10
Beat Hodgkin's Lymphoma! 7/15/2011 - 1/26/2012
Ran Half-Marathon 10/14/2012
First Pregnancy, Due 8/12/14 I LOVE MY DS!!!
![143793](http://tickers.myfitnesspal.com/ticker/show/14/3793/143793.png)