Please help for revision advice for a doc who IS taking new patients. I'm pretty darn desperate

If you are planning on returning to rural Iowa, I would think you'd want to have a surgery that will last you.  Have you looked into the Duodenal Switch?  This procedure will not leave you out in the cold.  My understanding is that carbs are the only drawback for some people. However, you will be able to drink and eat together and have less restrictions.  You will also have to take more supplements because of the deeper level of malabsorption. 

Not to be a PITA but if you don`t follow the pouch rules you`ll just defeat another surgery. Why not spent some energy following the pouch rules now and see what happens along with finding support groups. There are a bunch in the Lehigh Valley and all are free.
No matter how perfect your surgery if you are drinking liquids before during and soon after a meal you`ll not get the desired effect. Same with eating slider foods.

Every hospital in the Valley has a Bariatrics program and from my understanding most are pretty good. You`ll just have to start interviewing doctors and find somebody that will do the appropriate testing on your pouch to see if there is really a problem.

Alan Brader at the Lancaster General Bariatric Center is your best bet.  Caring, thorough and won't make promises he won't keep.  You can tell him we all sent you.  Good luck and health to you.  You deserve it!

Shauna

Kutzro:

I did read your doc's guide sheet and it's quite a bit different than what I got. I didn't drink with meals. But I was advanced to solid food at 6 weeks, and I did quite a bit of vomiting then. Your doc advises twice that (12 weeks) before solid food.

I liked the support groups I had with the program though. I had home numbers and all from them.