Why don't dr's want to do the DS, and other Q's
NoMore B.
on 2/18/12 1:30 am, edited 2/18/12 1:31 am
on 2/18/12 1:30 am, edited 2/18/12 1:31 am
Why don't more doctors do the DS?
1. It's a big time commitment, both from training to do the surgery, time of actual surgery, and follow up witht the paitents. Insurance reiumbursement does not correspond with their time.
2. Learning curve, it is a MUCH more difficult procedure to perform
3. To a certain extent, they believe the myths that are out there about the DS. Done properly, by a vetted DS surgeon, the "chaiend to the bathroom" thing you heard about is very rare, and most times can be controlled by what you eat.
Why should you get a DS over an RNY?
1. With as much weight as you have to lose, I would ONLY be considering the DS. The RNY (gastric bypass) is considered a success at 50% long term weight loss. That will still leave you 150 pounds overweight, still morbidly obese, and likely not cure your comorbidities. The DS is more likely to have an average of 85% excess weight loss.
2. The RNY has a high rate of long term weight regain. Contrary to what people think, this is not due to people "falling off the plan" - it is a real physical response to how the RNY affects glucose levels, causing reactive hypoglycemia and real, instiable hunger. That is a big reason why most people revise from an RNY to a DS.
3. The DS allows you to keep your pyloric valve. This is important because it controls how food passes from your stomach to your intestines. Without it, you stand a chance to get "dumping syndrome", ie sick from eating certain foods. You also are not able to drink with your meals.
4. The DS offers a better quality of life. You are able to eat a wider variety of food, and more of it. DS patients are much more satisfied.
5. Dont let the vitamin thing scare you. Every WLS patient needs to take vitamins, DS'ers just need more and need to be more vigilent about labs and supplements. Easy tradeoff for me.
BTW, most "true" DS surgeons get the difference and stopped doing RNY's, at least as the main surgical choice - , and would NEVER suggest an RNY for someone with your BMI. I would keep looking for a surgeon. I see you're in Upstate NY - I live outside of Albany. Send me a PM if you want some other recommendations, but if you want a DS you will have to travel to NYC, Philly, or NJ.
1. It's a big time commitment, both from training to do the surgery, time of actual surgery, and follow up witht the paitents. Insurance reiumbursement does not correspond with their time.
2. Learning curve, it is a MUCH more difficult procedure to perform
3. To a certain extent, they believe the myths that are out there about the DS. Done properly, by a vetted DS surgeon, the "chaiend to the bathroom" thing you heard about is very rare, and most times can be controlled by what you eat.
Why should you get a DS over an RNY?
1. With as much weight as you have to lose, I would ONLY be considering the DS. The RNY (gastric bypass) is considered a success at 50% long term weight loss. That will still leave you 150 pounds overweight, still morbidly obese, and likely not cure your comorbidities. The DS is more likely to have an average of 85% excess weight loss.
2. The RNY has a high rate of long term weight regain. Contrary to what people think, this is not due to people "falling off the plan" - it is a real physical response to how the RNY affects glucose levels, causing reactive hypoglycemia and real, instiable hunger. That is a big reason why most people revise from an RNY to a DS.
3. The DS allows you to keep your pyloric valve. This is important because it controls how food passes from your stomach to your intestines. Without it, you stand a chance to get "dumping syndrome", ie sick from eating certain foods. You also are not able to drink with your meals.
4. The DS offers a better quality of life. You are able to eat a wider variety of food, and more of it. DS patients are much more satisfied.
5. Dont let the vitamin thing scare you. Every WLS patient needs to take vitamins, DS'ers just need more and need to be more vigilent about labs and supplements. Easy tradeoff for me.
BTW, most "true" DS surgeons get the difference and stopped doing RNY's, at least as the main surgical choice - , and would NEVER suggest an RNY for someone with your BMI. I would keep looking for a surgeon. I see you're in Upstate NY - I live outside of Albany. Send me a PM if you want some other recommendations, but if you want a DS you will have to travel to NYC, Philly, or NJ.
-
Sooooo what your saying is I should stick with the RNY? LOL thanks everyone. I think what I learned with this thread is that Dr. O'Malley is not my only option ..... maybe. I'll have to see what my insurance will cover. But as of now my next will will be busy looking into surgeons and seeing what my insurance will cover. I have heard it expanded recently so lets hope. Thanks Des
Today I am me, as I will be tomorrow, just an improved version.
YOu know in your heart and in your own mind that you need DS.
RNY is fine for many people, but many people don't lose 300 lbs. with RNY. In fact, somewhere around a 100 lbs. seems more likely.
Not to say people with RNY don't lose way more sometimes, but why risk less weightloss than you need?
Please reconsider, and get the DS.
RNY is fine for many people, but many people don't lose 300 lbs. with RNY. In fact, somewhere around a 100 lbs. seems more likely.
Not to say people with RNY don't lose way more sometimes, but why risk less weightloss than you need?
Please reconsider, and get the DS.
Thanks Sally, I'm now set on the DS. I just can't wrap my head around the RNY, it makes no sense for me. Now I need to find a DR. who will take my insurance and find the best one I can in the NY, NJ, PA area. I feel like if I am going to take the risk why now make it worth it, something that give me a chance of actually having a normal bmi for the first time in my life.
I haven't read the 25 or so responses you got but I will tell you some reasons why you don't want an RnY:
www.obesityhelp.com/forums/amos/4454843/Considering-the-RnY- Please-educate-yourself-These-threads/
www.lenoxhillhospital.org/press_releases.aspx
www.dssurgery.com/procedures/compare-surgical-procedures.php
If your surgeon does 10 DS surgeries a year and has done them for 5 years there would be 50 people who had a DS from him. I've never seen ONE much less 50. I don't believe for a minute that he does 10 DS surgeries a year.
Get yourself to a vetted DS surgeon and get the ONLY surgery you should even consider at your BMI.
~Becky
www.obesityhelp.com/forums/amos/4454843/Considering-the-RnY- Please-educate-yourself-These-threads/
www.lenoxhillhospital.org/press_releases.aspx
www.dssurgery.com/procedures/compare-surgical-procedures.php
If your surgeon does 10 DS surgeries a year and has done them for 5 years there would be 50 people who had a DS from him. I've never seen ONE much less 50. I don't believe for a minute that he does 10 DS surgeries a year.
Get yourself to a vetted DS surgeon and get the ONLY surgery you should even consider at your BMI.
~Becky
Thanks Becky, I have met a few DS'rs from Dr. O'Malley through his support group and he is listed on DS facts.com. My big thing is I would LOVE to go to Dr. Pomp in NYC but i don't know that my inurance will pay for it. I think the 6 hour trip is well worth it, I'm going to be making alot of calls tomorrow. Another thing that confuses me is that when I look up Cornell Bariatrics it has no center of excellence symbol and it's not listed on the BCOE web site, but I keep finding articles saying they have been appointed a level 1a center of excellence. Hmm, well I will find out when I call them tomorrow. That is one thing my insurance is set on, has to be a center of excellence. And your right, at my BMI I don't want to consider anything else unless it's a last resort.
Today I am me, as I will be tomorrow, just an improved version.
Dr. Pomp/NYP Weill Cornell is a Bariatric COE as per this list: Medicare/Medicaid Approved COE's
Page 38 is where it is listed if sorted by state.
Liz
Page 38 is where it is listed if sorted by state.
Liz
Duodenal Switch (Lap) 01-24-11 | Surgeon: Stephen Boyce | High weight: 250 in 2002 | Surgery weight: 203 | Lowest weight: 121 | Current weight: 135 | Goal weight: 135
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