Feedback about banding from my doc.

Kate -True Brit
on 7/30/12 1:21 am - UK
 My routine  6 monthly check up yesterday. All still well after over six years.  

But I thought I would feed back some of the discussion I had with my medical team. These are not national stats! Just the comments of my specialist surgeon and specialist nurse about their own NHS hospital area. Note that they are salaried, not paid commission, not paid by the number of ops number of patients, type of surgery! They have no axe to grind!

We read a lot on here of people saying their hospitals are no longer doing bands. Not so with mine! They do bands, sleeve and bypass and say that all three surgeries have their place in the management of obesity.  Their stats for slips are still under 3%, removals for whatever reason still under 5%.

Most of the problems they pick up are from people whose surgery was done self pay at private hospitals and who were either poorly educated about the band or who could not afford regular aftercare and choose to keep their band tight. ( My hospital is National Health Service and so has to pick up emergency care of everyone, wherever their original surgery was done. ) They have just set up a Band Rescue Group to try to support and re-educate banded people who are struggling to lose weight.

As always, please note, I am not denying problems which are in no way self inflicted. I am simply reporting the experience of one group of hospitals.

Kate

Highest 290, Banded - 248   Lowest 139 (too thin!). Comfort zone 155-165.

Happily banded since May 2006.  Regain of 28lbs 2013-14.  ALL GONE!

But some has returned! Up to 175, argh! Off we go again,

   

Bette B.
on 7/30/12 1:47 am
  Waiting for the ****e storm to start . . . 

    

Banded 10 years & maintaining my weight loss!! Any questions, message me.

Kate -True Brit
on 7/30/12 2:41 am - UK
 Bette, hopefully not. I hope people realise I am not denying that there can be problems with the band; just reporting they are not inevitable and ubiquitous.

Highest 290, Banded - 248   Lowest 139 (too thin!). Comfort zone 155-165.

Happily banded since May 2006.  Regain of 28lbs 2013-14.  ALL GONE!

But some has returned! Up to 175, argh! Off we go again,

   

Bette B.
on 7/30/12 2:51 am
 Let's hope that YOU are able to get the message across to people! 

    

Banded 10 years & maintaining my weight loss!! Any questions, message me.

Kate -True Brit
on 7/30/12 2:53 am, edited 7/30/12 5:59 am - UK
 
I was today told something I didn't know. Apparently Dr Fielding is one of the leading band surgeons in NYC and has been banded himself for over ten years. Interesting! 

Edited to add... I know nothing about Dr Fielding. i am told he is the subject of controversy and so the fact he has been happily banded for ten years may not impress people.

Highest 290, Banded - 248   Lowest 139 (too thin!). Comfort zone 155-165.

Happily banded since May 2006.  Regain of 28lbs 2013-14.  ALL GONE!

But some has returned! Up to 175, argh! Off we go again,

   

learning more everyday
on 7/30/12 5:32 am
On July 30, 2012 at 9:53 AM Pacific Time, kate P wrote:
 
I was today told something I didn't know. Apparently Dr Fielding is one of the leading band surgeons in NYC and has been banded himself for over ten years. Interesting! 
 YEP, HE IS THE SURGEON I WOULD WANT...
http://www.nypost.com/p/news/local/horror_stories_follow_lap_band_surgery_JPHaUeuhbIANvH6orXEfeP



The state is investigating NYU Medical Center's booming weight-loss surgery practice, after three patients perished -- including a young lawyer who may have died of thirst -- following bariatric procedures, the Post has learned.

Drs. George Fielding and Christine Ren-Fielding, the glamorous husband-and-wife team in charge of the NYU unit, pioneered lap-band surgery -- in which a silicone band is looped around the stomach -- and performed it on Jet coach Rex Ryan.

"We're investigating the entire bariatric program" at NYU, said state Health Department spokesman Jeffrey Hammond.

The probe began within the last two weeks following complaints from ex-patients, a source said. The Post exposed new malpractice allegations against the Fieldings last week.

Weight-loss surgery is under scrutiny in New York, and new dangers are being alleged in litigation, including:

* At least six malpractice claims against the Fieldings -- one brought by ex-Met Lee Mazzilli, after his teenage daughter was hospitalized with stomach "perforations."

* 15 lawsuits against gastric-bypass surgeon Elliot Goodman at Manhattan's Beth Israel Medical Center in five years.

* Allegations that a Westchester hospital hid the weight of a patient -- who later died -- to qualify her for surgery.

Even as the feds consider making weight-loss surgery more accessible -- with lap bands for teens and patients on the cusp of obesity -- long-term risks are only now coming to light, nine years after FDA approval.

"The long-term risk of the band may be as high as 25 percent," said Dr. Paresh Shah, a surgeon at Lenox Hill Hospital.

Studies show the death rate for bariatric surgery is under 2 percent, but the research rarely accounts for deaths from complications after 30 days.

Christine Ren-Fielding admitted in an academic article that because some patients die months afterward, "the incidence of bariatric deaths in New York City is practically unknowable for us."

"After the surgery, [doctors] just sort of wipe their hands," said Lara Quatinetz, whose sister, Rebecca, 27, was found dead in her Stuyvesant Town apartment two months after NYU gave her a lap band in May 2008.

The young lawyer, who wanted to lose weight she'd gained while studying for the bar, couldn't swallow food or water for days on end, lawyer Howard Wexler claimed.

He claimed the band was cinched so tight -- despite adjustments made during six post-op visits -- that solids and liquids did not reach her stomach.

The Fieldings didn't respond to requests for comment, but George Fielding has claimed his NYU Program for Surgical Weight Loss, which operates on almost 1,000 patients annually, has "the lowest death rate in the world, in the history of bariatric surgery."

The Fieldings "are incredibly competent surgeons," Lenox Hill surgeon Mitchell Roslin said. "I would let either of them operate on me."

Bariatric procedures -- which are advertised in city subways and take as little as 20 minutes to perform -- are big moneymakers. NYU billed Rebecca Quatinetz more than $26,000. Surgeons say their cut is often around $4,000.

Critics worry greed has led to surgeries on patients with less-than-severe weight problems.

Joan Delango said that one clinic told her daughter, Danielle, that she didn't need a lap band but that Danielle, 25, got one at Lawrence Hospital Center in Westchester in 2008. Six weeks later, she died after collapsing in her bathroom, said Delango, who has filed a suit.

At the time of her death, Danielle weighed just 156 pounds, Delango said. Delango alleges that Danielle was listed as being shorter and fatter than she was so the surgery looked better to insurers and regulators.

On Danielle's presurgery form -- which the Post obtained -- a doctor wrote, "Do not weigh patient."

"I believe they changed her height and her weight to change her ideal numbers," Delango said. "Why else would you not want to weigh her?"



Read more: 
http://www.nypost.com/p/news/local/horror_stories_follow_lap _band_surgery_JPHaUeuhbIANvH6orXEfeP#ixzz228UrZ1el
Kate -True Brit
on 7/30/12 5:59 am - UK
 
I knew nothing about Dr Fieldng and so I cannot comment on this. I was unaware of this controversy. I won't delete my thread as that is a bit like running away! But I have amended it.

Highest 290, Banded - 248   Lowest 139 (too thin!). Comfort zone 155-165.

Happily banded since May 2006.  Regain of 28lbs 2013-14.  ALL GONE!

But some has returned! Up to 175, argh! Off we go again,

   

Zee Starrlite
on 7/30/12 7:41 am
Who would stay days on end without eating or drinking?  It happened to me but I was taking swift action (my surgeon didn't mention that he didn't live in NY and in 2005 no one would touch anyone else's Lap Band).  Mitchell Roslin, M.D. saved me when this happened.   He also thinks they are great docs at NYU and said he would let them operate on him.  Ethical I am not sure but good surgeons they are.


3/30/2005 Lap Band installed  12/20/2010  Lap Band REMOVED  
6/6/2011 Vertical SLEEVE Gastrectomy

Bette B.
on 7/30/12 6:13 am
 ANYONE being successfully banded for ten years won't impress some people.

    

Banded 10 years & maintaining my weight loss!! Any questions, message me.

learning more everyday
on 7/30/12 4:59 am
 hmmm...  http://www.thisisbristol.co.uk/Gastric-band-patients-ve-abandoned-NHS-health/story-15918830-detail/story.html

PEOPLE who had gastric bands fitted for health reasons believe they have been abandoned by the health trust that paid for their surgery.

Patients who had the weight loss surgery on the NHS have now been told that they will no longer have their routine check-ups and emergency appointments at Spire Hospital Bristol.

Just out of the blue I was told that NHS B&NES wasn't going to continue funding our care at the Spire Hospital any more.

"I had a letter from Spire saying that we would no longer be going to them for these appointments and that I would need to go back to my doctor but he said he had heard nothing."

Mr Hope, a hairdresser, said he had experienced problems with his gastric band which had required an emergency appointment and was told that had he not had the emergency procedure he could have died.

The 51-year-old was 22-stone before he had the procedure, and had tried to lose weight but struggled to shift it. He has lost five-stone since the band was fitted and his diabetes has improved.

"I think the NHS has a duty of care after they have done the operation but we don't know what is going on. We don't know what to do."

Nicki Coll, 34, was born with a disease that caused her hips to deteriorate, causing weight to be an issue for her.

She has already had hip replacement surgery and said her doctor had advised her to have a gastric band so that she did not put too much weight on her hips.

"They got me the funding to have it done because it is not about being vain but because of my hips," she said.

"I remember asking them whether this was for life, because with the cost of the operation and follow-up I would not have done it if I had thought the maintenance would not be covered.

"If I had known it would be £150 a time if there were problems with my band and to pay for X-rays I would never have gone for it."

Ms Coll, of Saltford, said that she has attempted to contact NHS Bath & North East Somerset to find out how the care and maintenance of her gastric band will be managed in the future but has not had any conclusive answers.

"NHS B&NES said to go to my GP who would put in for my funding," she said.

"But when I went to my GP they had received no notification of it at all.

"I then contacted B&NES again and they could not tell me in an emergency where to go. I've been informed that some hospitals there could be a five-six month wait and by then I could be dead."

Esther Hope, 53, had her band fitted two years ago after her doctor recommended it to help ease the arthritis she has in her knees.

The nail technician said: "Since I've lost weight I've become a lot better and I have not been to the doctors since I asked for the band.

"But the fact that we won't get the back-up and we aren't getting any answers at all.

"If they weren't going to follow it up at the same place they should have sent us somewhere else for the operation."

A spokesman for NHS B&NES said that the decision to move maintenance of gastric bands from the private hospital was made by the South West Specialised Commissioning Group after a review and all patients would be given several options of where they could have their follow-up appointments in the future.

He said: "The NHS does and will continue to look after these patients as part of our duty of care."

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