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Boy, Tess, you really have done your research.

Thanks for the information. It was very helpful.

Noreen

[ ] bariatric surgeries

The surgery most talked about today is the " gastric bypass " . In this

surgery, also called a Roux-En-Y (Carni , Al Roker) or Fobi Pouch

(Randy ), the stomach is made into a " pouch " holding

approximately 1 ounce. The pyloric valve is done away with. There are

proximal, medial, and distal gastric bypasses, each limiting more and

more absorption respectively. Folks who have a gastric bypass often

experience a phenomenon known as " dumping " when carbs are eaten as the

carbs are " dumped " 'as is' from the new pouch as no digestive process

has happened in the pouch. " Dumping " can consist of vomiting, the

shakes, weakness and sweating, and/or diarrhea.

In the " duodenal switch " the left side of the stomach is removed and the

stomach becomes banana shaped, holding anywhere from 4 - 6 ounces. Your

stomach is still a fully functional stomach as the pyloric valve is left

in place. The " switch " part is creating one limb for food

transportation and one limb for bile and other chemicals to be

transported to an area of " common channel " where both limbs meet and

digestion occurs. The length of common channel is usually between 80

and 100 cms, though some surgeons go down to 50 cms. The less common

channel equals the less absorption. If problems arise, though the

stomach cannot be returned to it's regular size, the common channel can

be lengthened to stop or limit the degree of malabsorption.

I've got friends with gastric bypasses (Roux-En-Y's, and Fobi Pouches -

named after the surgeon who originated that surgery), Lap Bands, and

Duodenal Switches, most of whom are having great success. Some surgeons

are still doing outdated bariatric surgeries such as the VBG and BPD

(the BPD is the first half only of the bileopancreatic diversion with

left side partial gastrectomy and duodenal switch commonly called the DS

or BPD/DS - which is the surgery I'm having.) The Lap Band has been

done a great deal more in Europe and Austrailia with the US lagging

behind. The DS or BPD/DS is being used in Europe to " cure " Type 2

diabetes in non-obese people (with a much closer to normal absorption

rate) as the " switch " part of the surgery is where the effect on

diabetes happens.

It is wonderful that we now have different types of bariatric surgery to

choose from for each person's specific needs. The " one size fits all "

notion is most often a false notion.

Toni & I are both embarking on a HUGE journey! It is so exciting, but I

must admit I've had a little nervousness lately. I have been looking

into this as you all know for over 2 years now...and suddenly it's just

11 days away!

It really steams me when people (such as good ol' Dr. Phil) say that any

of these surgeries are " taking the easy way out. " EXCUSE ME?????

Though I suppose there are some folks for whom bariatric surgery is a

means to serve their vanity, most folks I know realize these surgeries

are TOOLS, not cures or magic pills. Most folks I know want very much

to become healthier! These surgeries give us some help, but we still

have to do the hard work of changing many things in our lives. I would

never consider any surgery as " taking the easy way out. " Lord knows if

we could get the weight down WITHOUT surgery most of us would have done

so by now.

I'm also interested to see if a major weight loss and healthier eating

has any effect on RA and other immune system disorders, other than the

obvious - less stress on the joints. Remember Tina who won " Survivor -

Austrailia " ? She says her RA was never better than when she was eating

less on the show.

Well, I could jabber on about this forever! Toni, keep us posted! I'll

keep you all posted, too!

Love & hugs always...

Tess

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Tess,

Thank you!!!! You post said it all. I also get pissed off when

people tell me all you need to do is get up and exercise!!! I even

have a friend that is also 100 lbs plus overweight and still believes

that if she gets up and exercises she will be fine!! She also is

diabetic and getting worst very fast. Every few months her doctor is

increasing and adding more meds. She is even seeing kidney damage.

All this and she is only 28 yrs old.

This is such a big decision and a big life changing decision. No one

with sense at least takes this decision lightly! But the rewards if

you follow the plan are a longer, healthier and more active life!!!

Tess, you know I am here for you!! Please feel free to e-mail me

personally. I am also on obesityhelp.com. If you e-mail me

privately we can exchange info so you can find me on the site. We can

share info so we are no re-inventing the wheel. I am taking all the

advice I can from my peer group that my surgeon has.

Have you found protein suppliments and vitamins yet? I am just

beginning to search. I was given a list of acceptable vitamins and

proteim suppliments. I also found a place on the website where you

can sign up to get free samples from many of the suppliment

companies. I am getting my ducks in a row as fast as I can..cause I

know when the approval comes my doc is ready to go and I need to be

ready too. The fact is that I will be 4 hrs away from home itself is

scarey.

Take care

Toni

> The surgery most talked about today is the " gastric bypass " . In this

> surgery, also called a Roux-En-Y (Carni , Al Roker) or Fobi

Pouch

> (Randy ), the stomach is made into a " pouch " holding

> approximately 1 ounce. The pyloric valve is done away with. There

are

> proximal, medial, and distal gastric bypasses, each limiting more

and

> more absorption respectively. Folks who have a gastric bypass often

> experience a phenomenon known as " dumping " when carbs are eaten as

the

> carbs are " dumped " 'as is' from the new pouch as no digestive

process

> has happened in the pouch. " Dumping " can consist of vomiting, the

> shakes, weakness and sweating, and/or diarrhea.

>

> In the " duodenal switch " the left side of the stomach is removed

and the

> stomach becomes banana shaped, holding anywhere from 4 - 6 ounces.

Your

> stomach is still a fully functional stomach as the pyloric valve is

left

> in place. The " switch " part is creating one limb for food

> transportation and one limb for bile and other chemicals to be

> transported to an area of " common channel " where both limbs meet and

> digestion occurs. The length of common channel is usually between

80

> and 100 cms, though some surgeons go down to 50 cms. The less

common

> channel equals the less absorption. If problems arise, though the

> stomach cannot be returned to it's regular size, the common channel

can

> be lengthened to stop or limit the degree of malabsorption.

>

> I've got friends with gastric bypasses (Roux-En-Y's, and Fobi

Pouches -

> named after the surgeon who originated that surgery), Lap Bands, and

> Duodenal Switches, most of whom are having great success. Some

surgeons

> are still doing outdated bariatric surgeries such as the VBG and BPD

> (the BPD is the first half only of the bileopancreatic diversion

with

> left side partial gastrectomy and duodenal switch commonly called

the DS

> or BPD/DS - which is the surgery I'm having.) The Lap Band has been

> done a great deal more in Europe and Austrailia with the US lagging

> behind. The DS or BPD/DS is being used in Europe to " cure " Type 2

> diabetes in non-obese people (with a much closer to normal

absorption

> rate) as the " switch " part of the surgery is where the effect on

> diabetes happens.

>

> It is wonderful that we now have different types of bariatric

surgery to

> choose from for each person's specific needs. The " one size fits

all "

> notion is most often a false notion.

>

> Toni & I are both embarking on a HUGE journey! It is so exciting,

but I

> must admit I've had a little nervousness lately. I have been

looking

> into this as you all know for over 2 years now...and suddenly it's

just

> 11 days away!

>

> It really steams me when people (such as good ol' Dr. Phil) say

that any

> of these surgeries are " taking the easy way out. " EXCUSE ME?????

> Though I suppose there are some folks for whom bariatric surgery is

a

> means to serve their vanity, most folks I know realize these

surgeries

> are TOOLS, not cures or magic pills. Most folks I know want very

much

> to become healthier! These surgeries give us some help, but we

still

> have to do the hard work of changing many things in our lives. I

would

> never consider any surgery as " taking the easy way out. " Lord

knows if

> we could get the weight down WITHOUT surgery most of us would have

done

> so by now.

>

> I'm also interested to see if a major weight loss and healthier

eating

> has any effect on RA and other immune system disorders, other than

the

> obvious - less stress on the joints. Remember Tina who

won " Survivor -

> Austrailia " ? She says her RA was never better than when she was

eating

> less on the show.

>

> Well, I could jabber on about this forever! Toni, keep us posted!

I'll

> keep you all posted, too!

>

> Love & hugs always...

>

> Tess

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((((((Tess))))))I know that you are nervous, but it will be OK, and

remember we are all here for you praying for you. Your always in my

thoughts, and you are such a strong woman. You have really took time

to know what is best for you, and not jump into anything. Dr.Phil

is a pest, and he don't know what he is talking about. He needs to

get a wig,lol sorry.

You and Toni are making changes for the better, it's all about

health, and that is what is important. I am so happy for both of

you, and I think it takes a lot of courage.

So, remember we are all here with our love and caring thoughts, and

prayers, lots of hugs, Tawny

> The surgery most talked about today is the " gastric bypass " . In this

> surgery, also called a Roux-En-Y (Carni , Al Roker) or Fobi

Pouch

> (Randy ), the stomach is made into a " pouch " holding

> approximately 1 ounce. The pyloric valve is done away with. There

are

> proximal, medial, and distal gastric bypasses, each limiting more

and

> more absorption respectively. Folks who have a gastric bypass often

> experience a phenomenon known as " dumping " when carbs are eaten as

the

> carbs are " dumped " 'as is' from the new pouch as no digestive

process

> has happened in the pouch. " Dumping " can consist of vomiting, the

> shakes, weakness and sweating, and/or diarrhea.

>

> In the " duodenal switch " the left side of the stomach is removed

and the

> stomach becomes banana shaped, holding anywhere from 4 - 6 ounces.

Your

> stomach is still a fully functional stomach as the pyloric valve is

left

> in place. The " switch " part is creating one limb for food

> transportation and one limb for bile and other chemicals to be

> transported to an area of " common channel " where both limbs meet and

> digestion occurs. The length of common channel is usually between

80

> and 100 cms, though some surgeons go down to 50 cms. The less

common

> channel equals the less absorption. If problems arise, though the

> stomach cannot be returned to it's regular size, the common channel

can

> be lengthened to stop or limit the degree of malabsorption.

>

> I've got friends with gastric bypasses (Roux-En-Y's, and Fobi

Pouches -

> named after the surgeon who originated that surgery), Lap Bands, and

> Duodenal Switches, most of whom are having great success. Some

surgeons

> are still doing outdated bariatric surgeries such as the VBG and BPD

> (the BPD is the first half only of the bileopancreatic diversion

with

> left side partial gastrectomy and duodenal switch commonly called

the DS

> or BPD/DS - which is the surgery I'm having.) The Lap Band has been

> done a great deal more in Europe and Austrailia with the US lagging

> behind. The DS or BPD/DS is being used in Europe to " cure " Type 2

> diabetes in non-obese people (with a much closer to normal

absorption

> rate) as the " switch " part of the surgery is where the effect on

> diabetes happens.

>

> It is wonderful that we now have different types of bariatric

surgery to

> choose from for each person's specific needs. The " one size fits

all "

> notion is most often a false notion.

>

> Toni & I are both embarking on a HUGE journey! It is so exciting,

but I

> must admit I've had a little nervousness lately. I have been

looking

> into this as you all know for over 2 years now...and suddenly it's

just

> 11 days away!

>

> It really steams me when people (such as good ol' Dr. Phil) say

that any

> of these surgeries are " taking the easy way out. " EXCUSE ME?????

> Though I suppose there are some folks for whom bariatric surgery is

a

> means to serve their vanity, most folks I know realize these

surgeries

> are TOOLS, not cures or magic pills. Most folks I know want very

much

> to become healthier! These surgeries give us some help, but we

still

> have to do the hard work of changing many things in our lives. I

would

> never consider any surgery as " taking the easy way out. " Lord

knows if

> we could get the weight down WITHOUT surgery most of us would have

done

> so by now.

>

> I'm also interested to see if a major weight loss and healthier

eating

> has any effect on RA and other immune system disorders, other than

the

> obvious - less stress on the joints. Remember Tina who

won " Survivor -

> Austrailia " ? She says her RA was never better than when she was

eating

> less on the show.

>

> Well, I could jabber on about this forever! Toni, keep us posted!

I'll

> keep you all posted, too!

>

> Love & hugs always...

>

> Tess

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Guest guest

Tess, Oprah had a show about bariatric surgery a few weeks ago. One

thing that they emphasized was that it was not the easy way out! Don't

worry about the naysayers; they have nothing to do with you. You have

done your homework, and I'm sure that you will do great! You know what

you're doing; just hang in there a few more weeks, and the surgery will

be behind you. Sue

On Saturday, April 3, 2004, at 07:55 PM, Tawny wrote:

> ((((((Tess))))))I know that you are nervous, but it will be OK, and

> remember we are all here for you praying for you. Your always in my

> thoughts, and you are such a strong woman. You have really took time

> to know what is best for you, and not jump into anything. Dr.Phil

> is a pest, and he don't know what he is talking about. He needs to

> get a wig,lol sorry.

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