Update on Teena Adler

I am now back home from my 3:30 pm follow up appointment with my surgeon.

I went down my list that I made along with suggestions from you all, but some things we did not go over because I had already decided to go with another surgeon yesterday.

He stated that he told my mother that he would talk to me in a day or two to discuss what happened. My mom said that he specifically said he would be back to see me that day. Either way I had to wait a week to find out what happened. There was no apology made about this. What is done is done and it can’t be changed so I am over it.

The reason he stopped the surgery is because the damn doctor that did my original WLS screwed me up in a major way. I am hella angry about this, but it is what it is and there is nothing I can do to change it.

My short limb is only 8 cm and not as long as it should be. He said because it is so short he had no room to move it down to where it needed to be in order to do the distal bypass revision. He stated that he tried to work out a way to get what we discussed accomplished, but because of the situation he decided that it would be best to stop and discuss what my options are.

He stated that I can have the distal or DS, but because of the length of my short limb I would have major issues later on if I needed to revise the procedure due to malnutrition or too much weight loss. He said basically once it is done it can’t be undone so that is why he did not do it without me knowing this fact as that is very important and life changing.

We discussed that while I am open to the band over bypass that I did not think it would benefit me as I have restriction, but need malabsorption so the band over bypass would do nothing for me and he agreed.

He also mentioned some form of a modified BPD-DS as an option for me.

I do not have any scar tissue, adhesions, or any areas that he could see where hernias could develop.
 
He stated that my insides were perfect.

He confirmed that I was bypassed proximal with my original surgery.

He stated that he did no work on me on the inside.

Basically he stated that the procedure will be coded as diagnostic surgery.

I decided that based on cir****tances regarding my short limb that I will not use him. He is a great doctor, but due to my issues I would like to have a doctor who has more experience with complex cases.

I mentioned to him that I am scheduled for a second opinion with Dr. David Provost on September 15, 2009 at 3:45 pm and he stated that he was going to suggest that if I decided to do distal or wanted DS that I should see him. He stated that Dr. David Provost is the one who trained him and that they are friends. He also called him and advised that I would be coming next week and they discussed my case.

I have already signed release forms for my medical records so Dr. Provost can have everything he needs the day of my consult.

All in all I am fine with all of this and I now have answers to my questions.

Now I am patiently waiting for my consult with Dr. David Provost next Tuesday.