Pre Op, weighing choices

texasrigdiver
on 10/14/12 3:44 am, edited 10/14/12 10:26 am - TX
DS on 11/29/12
People that are getting the DS, are you getting it as a standalone procedure or are you getting it in conjunction with the RYn or VSG or even the lap band?


*** I WANT TO MAKE SONETHING CLEAR FROM MY ABOVE POST***

Dr. Carlos Ferrari is on staff at Hermann Memorial and was recommended by them. After meeting with him I'm completely comfortable with him as the surgeon to perform this Dr. Ferrari has excellent recommendations and I haven't seem anything negative. I've only met with him one time. theres a much larger chance that I misunderstood what he said then he doesn't know the difference of the surgeries since he's been doing bariatric surgeries for about 14 years including the DS.

"...the sun is the same in a relative way but were older, shorter of breath, and one day closer to death..." Pink Floyd 

LilySlim Weight charts

M1(22);                                        

    

    

    

clpeltz
on 10/14/12 4:38 am
On October 14, 2012 at 10:44 AM Pacific Time, texasrigdiver wrote:
I've made up my mind to have bariatric surgery. My initial research  led me to the conclusion that I wanted to get the VSG with DS. After my first consult with the doctor he said he would do the RYN with DS. he wasn't oposed to the VSG with DS but when I left his office I'm under the impression that I signed up for just the VSG.

People that are getting the DS, are you getting it as a standalone procedure or are you getting it in conjunction with the RYn or VSG or even the lap band?
WHO is this surgeon?  Any quake that would suggest a RNY with DS is an idiot!  Run fast!  The DS includes the sleeve stomach and intestinal bypass.  That is the only way it is done.  Anything else is NOT a DS!

RNY to DS Revision 4/29/2011
Dr. Henry Buchwald


"Think twice.....Cut ONCE"

texasrigdiver
on 10/14/12 5:01 am - TX
DS on 11/29/12
The Dr. is Carlos Ferrari out of Houston TX. Before I say the doctor was wrong I'm going to say maybe I misunderstood since I only have met with him once, and I've only been researching this now for about 3-4 weeks. He is on staff at Hermann Memorial and was recommended by them. After meeting with him I'm completely comfortable with him as the surgeon to perform this.
I don't make up my mind on any subject and then say that decision is absolute final. I always research and take in any new information from all sources (weighted of course) and consider my self free to alter my decision all the up to the point of having to make the final decision and taking action. The more info I can put into any decision and the more options I have available, the better the outcome will meet my expectations. I think that goes for everything, not just bariatric surgery. If I had to define success it would be "making consistently good decisions". I need to be well informed and I need to talk to other people (at least about the big decisions) that I trust and value their opinions before making the decision.
I am keeping a notes of more questions I'm going to ask the doctor at my next appt.

I appreciate your input, Clpeltz! very helpful.
smileyjamie72
on 10/14/12 5:46 am - Palmer, AK


DSFacts.com
You should read this again!!!!  VERY INFORMATIVE!!!

There are 2 surgeons listed for Texas on DSfacts.com

Texas

Erik Wilson, MD *
Email: [email protected]
UT Houston
6700 West Loop South, Ste 500
Bellaire, TX 77401
Phone: 713-892-5500
Fax: 713-871-0071


Daryl A. Stewart, MD *

Weight Loss Specialists of North Texas
Denton Surgical Group
3321 Colorado Blvd.
Denton, TX 76210
Phone: 940-382-9429



RNY 2/26/2002                           DS 12/29/2011
HW 317                                     SW 263 BMI 45.1
SW 298                                     CW 192 BMI 32.9~60% EWL
LW 151 in 2003  
TT 4/9/2003

Normal BMI 24.8 is my GOAL!!!

 

 

 


 

 

 

GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**

texasrigdiver
on 10/14/12 6:32 am - TX
DS on 11/29/12
Smiley,
Thanks for the great resource in DSfacts.com!
I went through several of their pages and will be headed back for more info. One thing I did look at is the selection process for surgeons mentioned on the site. It looks like the whole web site is an evolution  of someones research that morphed into what it is today. They select surgeons for their list by people like you and I requesting that they look into a surgeon. It didn't go into too much of what their exact standards are or if the yardstick they measure all surgeons against is a standard metric as far I could see but I'll look at lot more closely for that too. I did however submit all of Dr. Ferrari's contact information and requested that the look at his credentials and qualifications and eventually sign off on him, depending of course whetehr he does actually meet the standard of DSfacts.com

Great resource, thanks again!
A. C
on 10/14/12 5:01 am
The easy way to think of it...

An RNY is a bypass before the stomach... The DS is after the stomach.  WIth what the surgeon said to you, I would run as well.  People who have had a RNY and it failed, will return to do the DS Surgery.


The surgeons are growing.........There are only a handful of surgeon's who do this surgery across the country.

I was also a virgin Bariatric patient.  Please research this surgery before making up your mind.  It's a lifelong committment.  If you don't follow the rules, then it's out the door to heaven.  You can always do a sleeve (vertical gastrectomy)  Even a Dr on the dsfacts.com website, doesn't tell you everything because I went to one of those.

The DS is with a sleeve.

If you get a sleeve, it can always be converted to a DS.

MsBatt
on 10/15/12 4:36 am
On October 14, 2012 at 12:01 PM Pacific Time, ButterflyHope wrote:
The easy way to think of it...

An RNY is a bypass before the stomach... The DS is after the stomach.  WIth what the surgeon said to you, I would run as well.  People who have had a RNY and it failed, will return to do the DS Surgery.


The surgeons are growing.........There are only a handful of surgeon's who do this surgery across the country.

I was also a virgin Bariatric patient.  Please research this surgery before making up your mind.  It's a lifelong committment.  If you don't follow the rules, then it's out the door to heaven.  You can always do a sleeve (vertical gastrectomy)  Even a Dr on the dsfacts.com website, doesn't tell you everything because I went to one of those.

The DS is with a sleeve.

If you get a sleeve, it can always be converted to a DS.

Butterfly, I really wish you'd focus on learning more about WLS before you start trying to educate others. The RNY is not "a bypass before the stomach". What would be bypassed, in that case? The esophagus?
Valerie G.
on 10/14/12 5:02 am - Northwest Mountains, GA
 OMG!!!  Run far, far away from this surgeon...seriously.

There is no such thing as a RNY with DS.  What he's selling you on is a distal RNY or ERNY, which will give you all of the problems of living with a pouch along with the challenges of the DS nutritionally.  This isn't good at all.   Lapband with DS -- scary as hell, all of it.


Find yourself a true DS surgeon and don't trust anyone else.  You'll find them on dsfacts.com

Valerie
DS 2005

There is room on this earth for all of God's creatures..
next to the mashed potatoes

celticfaery
on 10/14/12 5:16 am - Walker, LA
DS on 10/11/12
Yeah...  I'd be a little worried about this guy too.  There are a few surgeons in the Houston area that do the DS.  I'm in Houston now (from Baton Rouge, Louisiana and came here for my DS).  Mine was with Garth Davis and he did it at Herman Memorial.  There is another surgeon in Denton, Tx.  Dr. Stewart, I think.  I've heard good things about him too. 

I had the VSG 5 years ago.  They easily converted me to the DS since I was already sleeved.  The sleeve is the stomach part of the whole DS procedure.  The DS "bypass" portion is completely different than the RNY "bypass". 

Most people do a full DS - Stomach and intestines.  I don't think that surgeries like these are interchangeable. 

Sleeved 6/2007 - Switched 10/2012 

    

southernlady5464
on 10/14/12 6:49 am, edited 10/14/12 9:13 am
The DS is not the same as what your doctor is suggesting. He is talking about the Biliopancreatic diversion (BPD), or Scopinaro procedure.

Scopinaro BPD, you have a very large pouch, distal RNY. It looks like this:



A true DS (sometimes called a BPD with DS/duodenal switch) looks like this:



RUN AWAY from this surgeon...I don't CARE how comfortable you are with him...he is NOT doing a DS.

IF you still want to go with him...ask him which method he is using. If he says Scopinaro then it is NOT a DS but a Distal RNY!!!

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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