Just had a Upper Endoscopy
On August 6, 2009 at 1:34 PM Pacific Time, MidwesternGirl wrote:
On August 5, 2009 at 7:04 PM Pacific Time, JRinAZ wrote:
On August 5, 2009 at 12:27 PM Pacific Time, sosoclark wrote:
No I'm not a self pay but a lot of surgeons have a program fee between $4000-$12,000 dollars. But i did find a place that might be able to do the DS I just have to switch insurance to a PPO. So I should be fine after that is complete, I talked to the insurance company and they require some testing but i will have that completed this week. Thanks for being so honest."If" you can revise to a DS then you certainly can revise to a sleeve. The same "take down" of the Rny done for a DS is needed to create the sleeve or the upper part of a DS. But, it wouldn't make sense to go through that type of surgery risk without adding the lower or malabsorptive piece = DS!
An ERny will not regrow villi any more for an ERny that it would for a DS!!! We have the same lower short common channel. Villi isn't in the pouch. Some increased absorption is possible over years with either the ERny or DS.
An ERny buys you at LEAST 50 pounds but many have lost up to 200 pounds, depending on their starting BMI numbers. I lost 70 pounds and only needed to lose 40!!!
An ERny would be the least surgical risk for the most DS type result and you could very well expect to have the same long term results with an ERny that you would see with a DS. Distals around the globe (often interchanged verbage with ERny) are successfully hanging at their goal weight!!! Check out vitalady.com She's over 10 years at goal with her Distal (ERny) as is her hubby and many of their HUGE support network.
An Rny does NOT = metabolic damage as a rule. It is certainly a possibility with any rapid weight loss as in days of "Yo Yo" dieting.
AND.....not EVERY revision is destined to slow weight loss. Some of us zip right through our weight goals to the lower end!!!
Good luck! There's a lot of opinions and facts to sort through. I'm sure you'll find the best deal for you
In the OPs case a sleeve is not a good possibility. If she has regained with restriction and malabsorption what good is a sleeve going to do? Why would anyone revise from a RNY to a sleeve? That makes no sense. It's technically possible but a very poor choice.
Dr. Husted disagrees wtih you about RNY and metabolism on regain.
Nobody suggested villa were in the pouch.
ERNY doesn't seem to do much more than 50#.
If RNY has already failed her, why do it again? I remember all the problems you had with the surgery. You smelled bad and were quite ill. Your labs were horrible and you struggled a great deal.
"In the OPs case a sleeve is not a good possibility. If she has regained with restriction and malabsorption what good is a sleeve going to do? Why would anyone revise from a RNY to a sleeve? That makes no sense. It's technically possible but a very poor choice."
Yup! That's why I said "But, it wouldn't make sense to go through that type of surgery risk without adding the lower or malabsorptive piece = DS!"
As for Dr. Husted......I respect his "opinion". I also respect the opinion of the weight management specialists (surgeon's and pcps) that told me otherwise (their opinion). Just because a surgeon PAYS for an add at the top of this page does not make his word the very last on a subject. It simply means that he has the right answers for this demographic and has decided to invest in his future.
You said, "ERNY doesn't seem to do much more than 50#." doesn't seem to?? So, you expressed your opinion? No problem. I understand an opinion when stated as such but newbies may take your opinion as fact if they don't see the latest stats and research. MY opinion is that many of my peeps have exceeded over a 100 lb loss with their ERny revision and I myself lost 70. You're welcome to attend a Revision support group with your calculator!
"If RNY has already failed her, why do it again?" Because HER medical, financial or surgical options may not allow for the riskier DS surgery and because an ERny is proving to have similar results as a revision to a DS. "I remember all the problems you had with the surgery. You smelled bad (acccording to ME! according to you? Have we met recently? I mean, the last time I saw you was when you were saying that a lapband was the ONLY surgery one should have.....obviously before your sleeve) and were quite ill. Your labs were horrible and you struggled a great deal. All can read my profile for details and are welcome to pm me if they have any other questions.
thanks for expressing your concern over my very open and unfortunate post surgery complications. I have had an awful struggle getting it all pulled together so that like Kerry, who had DS, I can say that I've never felt so good in my entire life; in spite of my post surgery complications. Which are not typical of all ERny's OR DS'ers.
I do NOT champion the ERny; though it is working for me....I do however think that we all should share information responsibly.
I continue to tell Rny, Bands AND sleees that I recommend a DS 1st if their cir****tances allow for it. I give the dsfacts.com direction quite often and even have it on one of my support group flyers. I do however, think that "one size does NOT fit all" and so the other options should be represented appropriately.
Joyce Rny 2/11/03-> ERny 12/26/07-> Duodenal Switch 5/12/2010
www.dsfacts.com , www.dssurgery.com , & www.duodenalswitch.com
On August 6, 2009 at 5:13 PM Pacific Time, JRinAZ wrote:
On August 6, 2009 at 1:34 PM Pacific Time, MidwesternGirl wrote:
On August 5, 2009 at 7:04 PM Pacific Time, JRinAZ wrote:
On August 5, 2009 at 12:27 PM Pacific Time, sosoclark wrote:
No I'm not a self pay but a lot of surgeons have a program fee between $4000-$12,000 dollars. But i did find a place that might be able to do the DS I just have to switch insurance to a PPO. So I should be fine after that is complete, I talked to the insurance company and they require some testing but i will have that completed this week. Thanks for being so honest."If" you can revise to a DS then you certainly can revise to a sleeve. The same "take down" of the Rny done for a DS is needed to create the sleeve or the upper part of a DS. But, it wouldn't make sense to go through that type of surgery risk without adding the lower or malabsorptive piece = DS!
An ERny will not regrow villi any more for an ERny that it would for a DS!!! We have the same lower short common channel. Villi isn't in the pouch. Some increased absorption is possible over years with either the ERny or DS.
An ERny buys you at LEAST 50 pounds but many have lost up to 200 pounds, depending on their starting BMI numbers. I lost 70 pounds and only needed to lose 40!!!
An ERny would be the least surgical risk for the most DS type result and you could very well expect to have the same long term results with an ERny that you would see with a DS. Distals around the globe (often interchanged verbage with ERny) are successfully hanging at their goal weight!!! Check out vitalady.com She's over 10 years at goal with her Distal (ERny) as is her hubby and many of their HUGE support network.
An Rny does NOT = metabolic damage as a rule. It is certainly a possibility with any rapid weight loss as in days of "Yo Yo" dieting.
AND.....not EVERY revision is destined to slow weight loss. Some of us zip right through our weight goals to the lower end!!!
Good luck! There's a lot of opinions and facts to sort through. I'm sure you'll find the best deal for you
In the OPs case a sleeve is not a good possibility. If she has regained with restriction and malabsorption what good is a sleeve going to do? Why would anyone revise from a RNY to a sleeve? That makes no sense. It's technically possible but a very poor choice.
Dr. Husted disagrees wtih you about RNY and metabolism on regain.
Nobody suggested villa were in the pouch.
ERNY doesn't seem to do much more than 50#.
If RNY has already failed her, why do it again? I remember all the problems you had with the surgery. You smelled bad and were quite ill. Your labs were horrible and you struggled a great deal.
"In the OPs case a sleeve is not a good possibility. If she has regained with restriction and malabsorption what good is a sleeve going to do? Why would anyone revise from a RNY to a sleeve? That makes no sense. It's technically possible but a very poor choice."
Yup! That's why I said "But, it wouldn't make sense to go through that type of surgery risk without adding the lower or malabsorptive piece = DS!"
As for Dr. Husted......I respect his "opinion". I also respect the opinion of the weight management specialists (surgeon's and pcps) that told me otherwise (their opinion). Just because a surgeon PAYS for an add at the top of this page does not make his word the very last on a subject. It simply means that he has the right answers for this demographic and has decided to invest in his future.
You said, "ERNY doesn't seem to do much more than 50#." doesn't seem to?? So, you expressed your opinion? No problem. I understand an opinion when stated as such but newbies may take your opinion as fact if they don't see the latest stats and research. MY opinion is that many of my peeps have exceeded over a 100 lb loss with their ERny revision and I myself lost 70. You're welcome to attend a Revision support group with your calculator!
"If RNY has already failed her, why do it again?" Because HER medical, financial or surgical options may not allow for the riskier DS surgery and because an ERny is proving to have similar results as a revision to a DS. "I remember all the problems you had with the surgery. You smelled bad (acccording to ME! according to you? Have we met recently? I mean, the last time I saw you was when you were saying that a lapband was the ONLY surgery one should have.....obviously before your sleeve) and were quite ill. Your labs were horrible and you struggled a great deal. All can read my profile for details and are welcome to pm me if they have any other questions.
thanks for expressing your concern over my very open and unfortunate post surgery complications. I have had an awful struggle getting it all pulled together so that like Kerry, who had DS, I can say that I've never felt so good in my entire life; in spite of my post surgery complications. Which are not typical of all ERny's OR DS'ers.
I do NOT champion the ERny; though it is working for me....I do however think that we all should share information responsibly.
I continue to tell Rny, Bands AND sleees that I recommend a DS 1st if their cir****tances allow for it. I give the dsfacts.com direction quite often and even have it on one of my support group flyers. I do however, think that "one size does NOT fit all" and so the other options should be represented appropriately.
I know one of the surgeons you are referring to, he tells lots of people things that aren't necessarily true. He's not one of the better surgeons around considering he has more lawsuits against him than anyone I've ever met and I've been in medicine for 25 years. So you'll understand that I'm not going to put much stock in what he says.
I stand behind my post. You don't agree? Cool. We disagree on most everything anyway.
You said: "I know one of the surgeons you are referring to, he tells lots of people things that aren't necessarily true. He's not one of the better surgeons around considering he has more lawsuits against him than anyone I've ever met and I've been in medicine for 25 years. So you'll understand that I'm not going to put much stock in what he says."
What?!!? I am acquainted with dozens of surgeons and many who are not even from AZ. You have NO idea who I am referriing to! and "if" you've been in medicine for 25 years then you should know better than to foster inuendo.
You said: "I stand behind my post. You don't agree? Cool. We disagree on most everything anyway. " Yup!
What?!!? I am acquainted with dozens of surgeons and many who are not even from AZ. You have NO idea who I am referriing to! and "if" you've been in medicine for 25 years then you should know better than to foster inuendo.
You said: "I stand behind my post. You don't agree? Cool. We disagree on most everything anyway. " Yup!
Joyce Rny 2/11/03-> ERny 12/26/07-> Duodenal Switch 5/12/2010
www.dsfacts.com , www.dssurgery.com , & www.duodenalswitch.com
On August 6, 2009 at 8:06 PM Pacific Time, JRinAZ wrote:
You said: "I know one of the surgeons you are referring to, he tells lots of people things that aren't necessarily true. He's not one of the better surgeons around considering he has more lawsuits against him than anyone I've ever met and I've been in medicine for 25 years. So you'll understand that I'm not going to put much stock in what he says."What?!!? I am acquainted with dozens of surgeons and many who are not even from AZ. You have NO idea who I am referriing to! and "if" you've been in medicine for 25 years then you should know better than to foster inuendo.
You said: "I stand behind my post. You don't agree? Cool. We disagree on most everything anyway. " Yup!
Actually, I was referring to your own surgeon, you know... the king of lawsuits.
On August 10, 2009 at 7:44 PM Pacific Time, MidwesternGirl wrote:
On August 6, 2009 at 8:06 PM Pacific Time, JRinAZ wrote:
You said: "I know one of the surgeons you are referring to, he tells lots of people things that aren't necessarily true. He's not one of the better surgeons around considering he has more lawsuits against him than anyone I've ever met and I've been in medicine for 25 years. So you'll understand that I'm not going to put much stock in what he says."What?!!? I am acquainted with dozens of surgeons and many who are not even from AZ. You have NO idea who I am referriing to! and "if" you've been in medicine for 25 years then you should know better than to foster inuendo.
You said: "I stand behind my post. You don't agree? Cool. We disagree on most everything anyway. " Yup!
Actually, I was referring to your own surgeon, you know... the king of lawsuits.
Joyce Rny 2/11/03-> ERny 12/26/07-> Duodenal Switch 5/12/2010
www.dsfacts.com , www.dssurgery.com , & www.duodenalswitch.com
Hi-
Thought I would chime in before this gets totally out of control!
My experience: I sought out the ERNY January of 2009, in Arizona. There was a little bit of musical chairs with doctors changing offices and it worked out great because I was able to research the DS procedure and was so glad I did not go for the ERNY, though it would have been much easier route. I instead traveled to Kentucky from Arizona to have the procedure done with Dr Husted. I have had surgical complications and have had a LONG 12 weeks but happily I am on the other side and NOT regretting my decision in the least. A DS revision is a huge surgery and not one to be taken lightly but don't "settle" for a procedure just because it may seem a little more convenient. I too ran into all those surgeons who had outlandish program fees on top of what insurance pays them but Dr Husted does not do that. There are several who do not charge program fees, they just may not be where you live, which stinks!
Dr Husted was very straight forward that not every RNY can be let down to allow for the sleeve. He never knows until he actually gets in there to evaluate the scar tissue. It is extremely rare for him not to do it though. I believe he told me he had only 2 cases where he couldn't convert.
I should give a shout of gratitude to Dr Schlesinger here in Arizona for doing my follow up care with my stricture complication. I can tell he is not a believer in the RNY to DS revision, though I think he now agrees the DS is the superior of the 2 major surgeries. He is the only surgeon that I know of in Arizona that is doing "virgin" DS surgeries. Plus his staff is awesome! He is so fortunate to have them. I can't believe how quickly they moved to get me in and help me. Nobody in Arizona wanted to deal with me and I could not financially afford to go back to Kentucky for the follow up. I will give thanks where it due!
Good Luck to you!
Thought I would chime in before this gets totally out of control!
My experience: I sought out the ERNY January of 2009, in Arizona. There was a little bit of musical chairs with doctors changing offices and it worked out great because I was able to research the DS procedure and was so glad I did not go for the ERNY, though it would have been much easier route. I instead traveled to Kentucky from Arizona to have the procedure done with Dr Husted. I have had surgical complications and have had a LONG 12 weeks but happily I am on the other side and NOT regretting my decision in the least. A DS revision is a huge surgery and not one to be taken lightly but don't "settle" for a procedure just because it may seem a little more convenient. I too ran into all those surgeons who had outlandish program fees on top of what insurance pays them but Dr Husted does not do that. There are several who do not charge program fees, they just may not be where you live, which stinks!
Dr Husted was very straight forward that not every RNY can be let down to allow for the sleeve. He never knows until he actually gets in there to evaluate the scar tissue. It is extremely rare for him not to do it though. I believe he told me he had only 2 cases where he couldn't convert.
I should give a shout of gratitude to Dr Schlesinger here in Arizona for doing my follow up care with my stricture complication. I can tell he is not a believer in the RNY to DS revision, though I think he now agrees the DS is the superior of the 2 major surgeries. He is the only surgeon that I know of in Arizona that is doing "virgin" DS surgeries. Plus his staff is awesome! He is so fortunate to have them. I can't believe how quickly they moved to get me in and help me. Nobody in Arizona wanted to deal with me and I could not financially afford to go back to Kentucky for the follow up. I will give thanks where it due!
Good Luck to you!
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