Newbie
Are you on Facebook? There's an OH DS Facebook group, and another for MN DSers as well. PM me with your email if you want me to friend you/add you to the MN DSer Facebook group.
And not to diss Dr. Ikramuddin, he's a great surgeon and has some revision experience, but Dr. Buchwald (also at U of M) has a LOT of practice at doing RNY-to-DS revisions. You may also want to consider having a consult with him and see what he has to say.
And not to diss Dr. Ikramuddin, he's a great surgeon and has some revision experience, but Dr. Buchwald (also at U of M) has a LOT of practice at doing RNY-to-DS revisions. You may also want to consider having a consult with him and see what he has to say.
-EJ 
"If television's a babysitter, the Internet is a drunk librarian who won't shut up." -cat and girl
5'6" HW 325 / SW 317 / CW 214 / First Goal 190 | Century Club 09/19/2011
"If television's a babysitter, the Internet is a drunk librarian who won't shut up." -cat and girl
5'6" HW 325 / SW 317 / CW 214 / First Goal 190 | Century Club 09/19/2011
@Roxy - Thank you for the information regarding medication absorption! Btw, did you try any of the fudge you made?
@Gayle - I wondered if the pace of weight loss would be different with a revision, so I appreciate you sharing your experience. I get that it can feel frustrating if the weight doesn't come off the way we want it to, but that said, I think it is great that you have lost 73lbs so far.
@Twylashelton - Thanks for the welcome. We have have a bit of a road ahead of us, but we seem to be on the right path. :}
@Larra - Thank you so much for the post! Hearing that the lifetime risk of adhesions is 5% puts it into perspective. The insurance company sent me a copy of their policy, but it is pretty ambiguous for revisions. When I called and asked about the ambiguity, the insurance rep said it is because they approve revisions on a case by case basis. I think the insurance companies just like to play with our little pumpkin heads.
@Gayle - I wondered if the pace of weight loss would be different with a revision, so I appreciate you sharing your experience. I get that it can feel frustrating if the weight doesn't come off the way we want it to, but that said, I think it is great that you have lost 73lbs so far.
@Twylashelton - Thanks for the welcome. We have have a bit of a road ahead of us, but we seem to be on the right path. :}
@Larra - Thank you so much for the post! Hearing that the lifetime risk of adhesions is 5% puts it into perspective. The insurance company sent me a copy of their policy, but it is pretty ambiguous for revisions. When I called and asked about the ambiguity, the insurance rep said it is because they approve revisions on a case by case basis. I think the insurance companies just like to play with our little pumpkin heads.
Not quite what I said...the lifetime risk of adhesions is unknown. They don't show up on any type of x-ray of scan, so we only know about them is they cause trouble, like with an obstruction, or if you need abdominal surgery for some other reason.
It's the lifetime risk of obstruction that's 5% with DS or RNY.
Larra
It's the lifetime risk of obstruction that's 5% with DS or RNY.
Larra
Howdy and welcome.
Bowel obstructions can happen to anyone, any time, and more so after abdominal surgery. They are not necessarily fixed with surgery. As Ms. Batt's recent experience shows, they can (and fairly frequently do) resolve with good happy drugs and some gut rest, meaning you go NPO and get an NG tube for a bit.
Adhesions happen. They are not the only cause of bowel obstruction, and they don't necessarily need removing unless they cause a bad problem. The buggers recur, too. When I had my DS, I'd had two previous surgeries down there (appendectomy and hysterectomy, both open) and a lifetime-since-menarche of evil growths messing stuff up. The surgeon spent more time undoing adhesions and hunting for parts than he did on the actual procedure. He assured me that the adhesions were happily regrowing as we spoke :-p.
Once in a while I get a gut twinge that might be from something adhered to my abdominal wall, but might be a gas bubble. I don't spend any time thinking about it. If I fart and feel better, I'm happy :-).
Supplements and nutritional status: Well, **** CAN happen long term. Being vigilant with supplements guarantees nothing, but it certainly stacks the odds in your favor. Noncompliance is guaranteed to bite you in the butt eventually and in very, very bad ways. But that's true of RNY, too. Docs and patients just don't bother paying any attention to that little reality until it's too late.
Bowel obstructions can happen to anyone, any time, and more so after abdominal surgery. They are not necessarily fixed with surgery. As Ms. Batt's recent experience shows, they can (and fairly frequently do) resolve with good happy drugs and some gut rest, meaning you go NPO and get an NG tube for a bit.
Adhesions happen. They are not the only cause of bowel obstruction, and they don't necessarily need removing unless they cause a bad problem. The buggers recur, too. When I had my DS, I'd had two previous surgeries down there (appendectomy and hysterectomy, both open) and a lifetime-since-menarche of evil growths messing stuff up. The surgeon spent more time undoing adhesions and hunting for parts than he did on the actual procedure. He assured me that the adhesions were happily regrowing as we spoke :-p.
Once in a while I get a gut twinge that might be from something adhered to my abdominal wall, but might be a gas bubble. I don't spend any time thinking about it. If I fart and feel better, I'm happy :-).
Supplements and nutritional status: Well, **** CAN happen long term. Being vigilant with supplements guarantees nothing, but it certainly stacks the odds in your favor. Noncompliance is guaranteed to bite you in the butt eventually and in very, very bad ways. But that's true of RNY, too. Docs and patients just don't bother paying any attention to that little reality until it's too late.
@Healthy - thank you for the welcome and the information! You are right, being obese is a b****. With great risk can come great reward. And in this case it isn't careless risk, it is calculated risk. 
@Elizabeth - Thank you for the reply. I have read many of your posts throughout this site and I appreciate your willingness to share your experience and expertise. Ever since my RNY and gallbladder removal I have occasions where, if I move just so, I have what feels like a muscle cramp where my gallbladder was. My PCP said it is just a muscle spasm, but I am beginning to wonder if it is an adhesion. Thank you for the info!
@Elizabeth - Thank you for the reply. I have read many of your posts throughout this site and I appreciate your willingness to share your experience and expertise. Ever since my RNY and gallbladder removal I have occasions where, if I move just so, I have what feels like a muscle cramp where my gallbladder was. My PCP said it is just a muscle spasm, but I am beginning to wonder if it is an adhesion. Thank you for the info!
Hi Tina,
I saw Dr. I also, and was told to to do the 6 mo supervised diet, but at least you got the answer that he would do the OPERATION. Do you have any comoribites? I saw Dr. B after seeing Dr. I, just to try and get more clarity, Although he was a very nice man, he told me the same thing- to try 6 mo diet.
i would love to hear from you. Maybe we can keep each other company during our 6 mo supervised diet! LOL
Nicole
I saw Dr. I also, and was told to to do the 6 mo supervised diet, but at least you got the answer that he would do the OPERATION. Do you have any comoribites? I saw Dr. B after seeing Dr. I, just to try and get more clarity, Although he was a very nice man, he told me the same thing- to try 6 mo diet.
i would love to hear from you. Maybe we can keep each other company during our 6 mo supervised diet! LOL
Nicole
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