Recent Posts

MargaretMary
on 5/6/19 10:25 pm
Topic: RE: DS Friendly Doctor / Order Labs

If only it were that easy!!!!!!!!!

He doesn't understand the DS and sees no reason to order so many labs. When the results come back good for normies, it reinforces his contention that the labs aren't needed. He doesn't need to interpret the results... I can do that and always have vets to help me if necessary. I have been able to convince him to order the labs until this time. He refuses to order the complete DS labs. He told me to find a doctor that specializes in the DS. He feels that I'm not deficient, so he's not justified ordering labs for deficiency. I'm getting upset talking about it!!! He said that he'd write a referral for any doctor that I wanted that specializes in the DS. I have insurance that doesn't need referrals. He's been my doctor for 35 years and tells me every 6 months that I was as he says, "circling the drain" and wouldn't be alive today without the DS. He saw me go from 367.5 pounds to 160 pounds. He has been there for both my parents deaths, my car accident, my DS surgery.....I could go on and on and on. I taught his kids and go to his church. He refers to my surgery as Gastric Bypass. ?. I have shown him tons and tons of research, pictures, testimonies and diagrams. I've physically brought in my cases of vitamins packed for the month, so he can "actually see" how many vitamins that I take to keep my labs appropriate. I say, you didn't tell me to take these vitamins. I know to take them. I take them to keep my labs as they should be!!! As I became frustrated this last time, he agreed to order the labs for the last time. He said that I was getting too upset and he wanted to take my blood pressure because he thought that it was skyrocketing. By the way, I no longer have high blood pressure, high cholesterol, diabetes, sleep apnea or any other condition. I take no medication. I'm a success. (I've had setbacks due to noncompliance a couple times. I'm not perfect!). The doctor and I are the same age and care about each other. This is unfortunate in many ways. I live in a small town and our paths cross in some wonderful ways. "This is just a painful reality that has been coming to a head for about 3 years."

Soooo.... That's my story in a nutshell. There is more history between us that has been wonderful. I love his family. He's wonderful.... except for this!!!


    
VeronicaJ5
on 5/6/19 1:51 pm - Albany, NY
DS on 07/05/16
Topic: RE: DS Friendly Doctor / Order Labs

Why wouldn't your primary do this? Mine does because my surgeon is 3 hours away and labs there are out of network. I tell her the labs he requires for the DS and she orders them during whatever checkup I'm at. Obviously she knows what the normal levels of these things would be anyway and if I need anything she orders it.

310/190/170
sw/cw/gw
"I don't cry over spilled milk because I'm lactose intolerant"

larra
on 5/6/19 9:17 am - bay area, CA
Eliza970
on 5/4/19 7:55 pm
Topic: RE: Expert Panel on Revisions to DS

Duodenal switch in revisional bariatric surgery: conclusions from an expert consensus panel

A.E. Merza,â?--, correspondence , R.B. Blackstoneb , M. Gagnerc,d , A.J. Torrese , J. Himpensf , K.D. Higag,h , R.J. Rosenthali , A. Lloydh , E.J. DeMariaj Published Online: March 21, 2019 https://doi.org/10.1016/j.soard.2019.03.009 Publication stage: In Press Uncorrected Proof
TheWombat
on 5/4/19 2:27 pm
VSG on 06/11/18
Topic: RE: Expert Panel on Revisions to DS

I imagine it's this article, although I haven't read it yet.

Merz AE, Blackstone RB, Gagner M, Torres AJ, Himpens J, Higa KD, Rosenthal RJ, Lloyd A, DeMaria EJ. Duodenal switch in revisional bariatric surgery: conclusions from an expert consensus panel. Surgery for Obesity and Related Diseases. 2019 Mar 21.

larra
on 5/4/19 9:14 am - bay area, CA
Topic: RE: Expert Panel on Revisions to DS

Eliza, could you provide the reference for this article? Thank you!

Larra

larra
on 5/4/19 9:09 am - bay area, CA
Topic: RE: Looking for a BPD/DS doc nearest me

There is Dr. Ayoola in TX, or Dr. Dennis Smith in Fla, or Dr. Sudan at Duke in No. Carolina. These are the closest ones to you that I can think of.

The DS is the same whether done open or lap. It's the same surgery on the inside, just a different way of getting there.

Larra

NoDramaMama
on 5/3/19 5:33 pm
Topic: RE: Diarrhea and IBS

I'm 20 years post op and having the same symptoms.

B. Jones
on 5/3/19 3:40 pm
Topic: RE: Looking for a BPD/DS doc nearest me

Sorry to hear about your issues, that has to be scary. I would tell you Dr. Gary Anthone in Omaha Ne. He did an open DS on my mom 7 years ago, she's a rock star with that procedure. Wish I would have had it when I had the money, but can't complain the sleeve has worked well for me. He was a co-surgeon when I had my sleeve Laproscopically over 10 years ago. I can't say enough good things about Dr. Anthone, heard him speak on many occasions (wonderful human being) He still practices out of a small clinic here in Omaha, NE

https://omahacatholicdoctors.org/profile/gary-j-anthone-md-f -a-c-s/

It's associated with https://www.chihealth.com/en/about-us.html

Looks like it's about 950 miles from where your at in McComb Mississippi to Omaha, Ne. Do some research on Dr. Anthone, he's a great surgeon and better human being. Hope this gives you an option.

Good luck

Eliza970
on 5/3/19 3:12 pm
Topic: Expert Panel on Revisions to DS

Some heavyweight bariatric surgeons published a consensus view of when to use the DS as a second procedure. 29 surgeons contributed and the summary was written by surgeons, A.E. Merz,R.B. Blackstone,M. Gagner,A.J. Torres,J. Himpens,K.D. Higa,R.J. Rosenthal,A. Lloyd,E.J. DeMaria. You may or may not agree with their conclusions, but I think it is interesting how important they view the DS for revisions. They said it was increasingly more popular for revisions. This is the conclusion paragraph: "As a second-stage procedure, BPD/DS is most appropriate after sleeve gastrectomy (SG) for the treatment of super morbid obesity (96.7% agree) or as a subsequent operation for a reliable patient with insufficient weight loss after SG (88.5%). In a patient with weight regain and reflux and/or enlarged fundus after SG, Roux-en-Y gastric bypass is preferable and BPD/DS should be avoided (90%). BPD/DS should not be used prophylactically in patients with a history of jejunoileal bypass who are otherwise doing well (80.8%). Applicability of BPD/DS is limited by technical difficulty; 86.2% of experts would routinely recommend or consider the procedure if it were more technically feasible after failed bypass. No consensus was found on approaches to revision of BPD/DS for protein malnutrition."

Most Active
Recent Topics
×