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Judi J.
on 6/22/07 1:04 pm - MN
Topic: RE: Dr. Howell- vagotomy??
hi danni: howell might make you sit thru his class again even if you already did it with monson. if your appt on thursday starts at 8 am, it'll be a sales pitch from the labs research people wanting you to be in their study, about an hour of doc howell describing what he does, about an hour of the nutrionist. then later in the day (and maybe this is all you have to do) a one on one with doc howell.  after my insurance was approved i had another one on one with howell, signed the paper authorizing him to do 3 things: 1. rny, 2 gallbladder, 3 vagotomy and his nurse gave me the instructions for the couple of days before surgery. warning: if you are squeamish about giving blood do NOT do the labs thing. most of it is questionnaire but they seriously took 14 large test tubes of blood out of me.  so, you might be skipping some of these steps since you started with monson. i hope they give you a date on thursday, im looking forward to having the summer to exercise. pm charlie if you don't get any responses on the main board, she is very very nice and helpful! judi
danni6371
on 6/22/07 11:53 am - ND
Topic: RE: Dr. Howell- vagotomy??
Thanks for the post.  I'm a pretty "regular" girl, if you know what I mean..lol  I do sometimes have loose bm's -tmi- so I'm really thinking a big NO on this.  I've had the reflux surgery, gallbladder removed, I've had gastroenteritis so I really don't want to mess with any extra tummy issues.  From what I've read I think I would be better off not having it.  I'm glad you now have a choice because not too long ago I don't think there was a choice.  I'm getting soooo excited for us.  Dr. Howell will be all rested up and rarin to go when he gets back!!  What did you have to do after your consult?  I'm guessing I will do my consult with Dr. Howell on Thursday and then theres a preop in there somewhere - is there anything else?  Thanks again Danni
Danni

PandaBearLover
on 6/22/07 6:08 am
Topic: RE: Waiting lists
Hello - I had my appointment with him on Tuesday.   They are booking out to the last week of July if all steps are completed right now.  Dr. Bruderer and his staff were wonderful - I think you will be very happy with them! Panda
knitter58
on 6/22/07 2:25 am - ND
Topic: RE: Insurance
Thanks Lori.  I was really concerned about the three to five years thing.  I have been over 100 pounds overweight for at least about 9 years of my life but in the last three years I did lose weight because of a medication only to put it back on. I have an appointment on the 26th of June at Mid Dakota for all the appointments and to meet the surgeon.  I will take your advice and talk the the coordinator then.  Is there anything I should definitely ask? Also, what is the psych eval like?  It seems scary. Thanks so much for your help.  This is such a big step.  I am excited but also a little afraid.
Judi J.
on 6/22/07 12:27 am - MN
Topic: RE: Dr. Howell- vagotomy??

hi danni: i copied one of my responses from quix about this:

the woman *****plied goes by Quinn's Mom here but she is due to have a baby anytime so i doubt if she is posting much:


As someone who dealt with ulcers postop (NOT related to my WLS) I opted to have a surgical procedure ...a truncal vagotomy..total severing of the vagus nerve. I've had no side effects except for some slow motility issues (slow emptying of the pouch) but took reglan (when not pregnant) and noticed that walking after I ate helped it to move along so to speak..it basically gives you some form or degree og Gastroparesis.. I never lost taste or smell or well anything with it... Always make sure you do your research before doing anything..My advice as someone who has had this procedure..talk to a gastroenterologist ..THEY will give you the best information as far as the vagotomy and then decide if it's something you want done....especially since every person has a different outcome with every procedure Good luck! Also, i guess that Charlie who is back and posting a lot on the main board had a vagotomy with her wls 5 years ago and she really seems to know her stuff. i bet if you pm'd her she'd answer. 

just think, you will finally have a date, and i will finally have surgery next week, yay! i hope doc howell had a very soothing trip! judi

danni6371
on 6/21/07 10:47 pm - ND
Topic: RE: Dr. Howell- vagotomy??
Thanks...I hadn't read any good things about having it done yet so I was glad to hear it was optional.  I will keep researching it to make sure I'm headed down the right road.  I think it was in Dr. Howell's Board comments that I had read one person regretted it.   Since mine is a double procedure with the Nissen having to be undone maybe he'll tell me I have to have it or just the opposite I can't have it?  I just like to go to these things with as much info as possible.   Your dates are getting soooooo close....woohoo!! Thanks again
Danni

Judi J.
on 6/21/07 11:33 am - MN
Topic: RE: Dr. Howell- vagotomy??
Hi Danni: He does still do it but it is optional.  I wavered and wavered and decided to go for it. A woman on Quix who no longer posts had to have a vagotomy after she had a ton of ulcers and she said she wouldn't recommend it. another gal on Quix who is a med student who has had a lot of ulcers wishes she had had it as an option. my dh had it with his rny 1 year ago and hasn't had any problems. arthritis runs in my family so i want the  option of nsaids as i get older. If you don't want it though, just tell him.  He told my dh that if he had (tmi here ) "loose stools" pre-op he probably wouldn't do it. more info than you wanted!       this board is really hopping, 3 of us!!! lol judi
disney38
on 6/21/07 10:02 am - West Fargo, ND
Topic: RE: Insurance
I also have BCBS insurance.  The way my policy reads is that if you have a BMI of 40 or above, you do not need comorbidies.  My BMI is 39 and it took me a year to get approval, but I do have comorbidities. Depending on where you would like to have this done, you probably would want to call the surgeon's office and find out what the requirements are.  The gastric bypass coordinator probably can tell you if you meet the requirements. Not to say they will be able to let you know if you will be approved, but probably could get the ball rolling with the supervised diet, psych exam, etc.  I have sleep apnea, but the way my insurance reads is if the comorbid condition is controlled with medication or CPAP, it doesn't count. I think there has to be documented history of weight for a number of years, but I can't remember if it is 3 or 5.  My approval took a very long time, and surgery for me is on July 2nd. Good Luck to you.

Lori

248/137/140
Lap RNY 7/2/07

To the world you are just one person, but to one person you are the world. 

disney38
on 6/21/07 9:56 am - West Fargo, ND
Topic: RE: Dr. Howell- vagotomy??
Hi I don't know from personal experience, but I have heard him speak at the support group meetings and he has said he does do those.  This was probably the April support group meeting.

Lori

248/137/140
Lap RNY 7/2/07

To the world you are just one person, but to one person you are the world. 

danni6371
on 6/21/07 9:48 am - ND
Topic: Dr. Howell- vagotomy??
Does anyone know if Dr. Howell still does this? Judi?
Danni

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