HELP!! I DON'T KNOW WHAT TO DO ANYMORE!!! (venting and questions)

I don't know what to do and am slightly freaking out.  I talked to my PCP and she is not comfortable with me having surgery out of state cuase she says there won't be any docs down here to check me out. My mom says thats not true they have to take me. (my mom is surgical technologist) My PCP also says that becuase I am self-pay if anything goes wrong it won;t be covered under my insuracne. My mom says that that is a rsik that is going to come no matter what surgery I have. and that the hosptial like she says before has to see me and they can't come after me for the money, of course I plan to pay the bills. My Surgeon says he is worried about me not being able to see a doc if I get an RNY and suggests that I get a VSG. My mom says if I get the VSG that I might cheat and that I cna gain the weight back. I try to conivince myself that I won't cheat but I knwo myself better then that if there is even a slight chance I will probably end up doing it, sometimes even if I don't want to.  So I don't know too much about the food and after care of surgery for the VSG but I know plenty about the RNY. I see how much more people on here have losed with the RNY compared to the VSG. I just don't know what to do!!! Which one do I pick? What is better for me? What if I cheat? What if there are complications? I am just so confused. No one but me can decide this. And I just don't know.  I am having surgery in a little over two month... no idea what to do though... not - a - one... \ SO HELP! please no ridundancies, like this is up to you I already know that no need to repeat back to me what I already wrote. Sorry if that sounds *****y but I'm just stressed out.

Hey, I know exactly how you feel with the stressful decision of deciding which surgery to get and whats right for you! IT is very hard and a huge decission.  I honestly think that if you feel you need the RNY, then thats what you should go for.  You know your body best and you know what you need to make this surgery successful.  Good Luck with everything!

Of course i would recommend the RNY because that is what i opted for and have had no regrets. Knowing that the negative reinforcement I would get from dumping would help me avoid some of the eating habits that I was unable to control before surgery was a big part of my decision. I think you should consider lining up some docs in your are that can help you. Consider changing your pcp. When I moved back to AZ from the Carolinas I had to find a new one here. I asked people at a local WLS support group for recommendations and wound up with a pcp who actually used to assist in wls surgery years ago, so he is very knowledgable about my unique situation as evidenced by the kind of questions he was asking me...One thing that was hard though was finding a bariatric surgeon who would take over my post-op care. I called just about every surgeon in town and only found two who would be willing to see me. I guess I would suggest starting to call around now, because in a pinch right after getting home, you're going to want to have someone lined up so you don't have to roll the dice on who you are seen by at the emergency room....Hope that helps, I know it's hard, but I also know you are determined, so you WILL make it work!

Your PCP is very correct.  I had complications after my original surgeon / surgery center left, so I may as well have had surgery out of state, and it took LOTS AND LOTS of phone calls and begging to get somebody to take me.  The first hospital I contacted flat out refused to take me.  Now they will see me in the ER, but that is only good for so much if you don't have a surgeon who has a responsibility to take you.  I had to get my PCP to intervene and my surgeon who moved away to make phone calls, so thank goodness I wasn't on the verge of death with something immediately life threatening.  So they maybe "have to take" you, but as for getting them to, that is a whole different matter.  They don't want to be liable for some other surgeon's "mess" so to speak. So, in that respect, I think your surgeon in Michigan MUST contact local surgery centers in your area to make sure that one of them WILL take you for follow-up. And the insurance thing is what scares me most for self-pays.  I don't think people realize how fast the bills pile up.  I HAVE insurance, and this complication is going to cost me $30,000+ (a lot of that is stuff we are fighting to get the insurance to cover, but they are contesting it) by the time it is all said in done, it would have been 5 times that if I hadn't had insurance.  I don't say this to make you not have surgery - I think whichever surgery you choose will make your life limitlessly better! - but just make sure you realize that you could be putting your financial future in grave jeapordy.  You might even have trouble GETTING insurance in the future because of your WLS, and forget about getting them to pay for WLS related expenses (and I truly believe insurance companies are the money hungry blood suckers and they will do whatever they can to refuse to pay for anything they can possibly tie to your WLS).  And the medical bills CAN come after you.  They totally can.  They harass me because I can't pay the $400-500 they want a month, so instead I send them $20-30 and they still sent me to collections.  So don't be fooled, they can send you to collectors, drag you into court, garnish wages and seize assets, just like any regular creditor. I want you to think about something...is there any possible way in the near future for you to have different insurance options that might give you insurance coverage for WLS?  If someone would have told me that I needed to wait to have my WLS and start my life I know that my first reaction would be HECK NO!, but I really think it would be wise to at least explore your options.  Of course I like RNY - actually - if I had it to do over again I might get the DS, but between the RNY and the VS I would definately choose RNY because of the dumping and malabsorbtion.  I need that dumping fear hanging over my head.  But I am biased and I know people who have done well with VS.   I don't know if this is helpful or not, just my thoughts on the matter.  I wish you wisdom in making these choices!