Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 In a message dated 4/24/01 10:41:43 AM, duodenalswitch writes: << So, what i will be getting on May 11th, is a sleeve gastrectomy & then i will come home to lose about 100lbs which should take a few months at my current weight of 384.4 (yes, i have lost 14.2lbs in the last couple of weeks) I was trying to make more room in there for my surgeon. In late fall of this year I will be returning for the " switch " part of my surgery. I am very pleased that we are taking this approach. I was a bit risky for a long time under anesthesia & this way I should be only under for the first part about 1 1/2 - 2 hours--so will reduce respitory complications. >> Ogretta: How WONDERFUL for you! I'm so glad that the Mt. Sinai team offers this as an option. YOu may want to contact Terry -- she had the first part done last year and is hoping to have the intestinal part done this June! her e-mail is TEngelbert@... She's on this list, too! all the best and congrats to you, lap DS with gallbladder removal Dr. Gagner/Dr. Quinn assisting/Mt. Sinai/NYC January 25, 2001 94 days post-op and still feelin' fab! pre-op: 307 lbs/bmi 45 (5'9 " ) now: 265 lbs/bmi 40 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 In a message dated 4/24/01 10:41:43 AM, duodenalswitch writes: << So, what i will be getting on May 11th, is a sleeve gastrectomy & then i will come home to lose about 100lbs which should take a few months at my current weight of 384.4 (yes, i have lost 14.2lbs in the last couple of weeks) I was trying to make more room in there for my surgeon. In late fall of this year I will be returning for the " switch " part of my surgery. I am very pleased that we are taking this approach. I was a bit risky for a long time under anesthesia & this way I should be only under for the first part about 1 1/2 - 2 hours--so will reduce respitory complications. >> Ogretta: How WONDERFUL for you! I'm so glad that the Mt. Sinai team offers this as an option. YOu may want to contact Terry -- she had the first part done last year and is hoping to have the intestinal part done this June! her e-mail is TEngelbert@... She's on this list, too! all the best and congrats to you, lap DS with gallbladder removal Dr. Gagner/Dr. Quinn assisting/Mt. Sinai/NYC January 25, 2001 94 days post-op and still feelin' fab! pre-op: 307 lbs/bmi 45 (5'9 " ) now: 265 lbs/bmi 40 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 In a message dated 4/24/01 10:41:43 AM, duodenalswitch writes: << So, what i will be getting on May 11th, is a sleeve gastrectomy & then i will come home to lose about 100lbs which should take a few months at my current weight of 384.4 (yes, i have lost 14.2lbs in the last couple of weeks) I was trying to make more room in there for my surgeon. In late fall of this year I will be returning for the " switch " part of my surgery. I am very pleased that we are taking this approach. I was a bit risky for a long time under anesthesia & this way I should be only under for the first part about 1 1/2 - 2 hours--so will reduce respitory complications. >> Ogretta: How WONDERFUL for you! I'm so glad that the Mt. Sinai team offers this as an option. YOu may want to contact Terry -- she had the first part done last year and is hoping to have the intestinal part done this June! her e-mail is TEngelbert@... She's on this list, too! all the best and congrats to you, lap DS with gallbladder removal Dr. Gagner/Dr. Quinn assisting/Mt. Sinai/NYC January 25, 2001 94 days post-op and still feelin' fab! pre-op: 307 lbs/bmi 45 (5'9 " ) now: 265 lbs/bmi 40 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 Ogretta You have such a happy and healthy attitude! I wish you well on your surgery as the day is fast approaching! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 Ogretta You have such a happy and healthy attitude! I wish you well on your surgery as the day is fast approaching! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 Ogretta You have such a happy and healthy attitude! I wish you well on your surgery as the day is fast approaching! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 At 11:13 AM +0000 4/24/01, om55@... wrote: >... > on Friday, I decided 2 parts would be fine if that was the >recommendation. ... > >So, what i will be getting on May 11th, is a sleeve gastrectomy & >then i will come home to lose about 100lbs which should take a few >months... In late fall of this year I will be returning for >the " switch " part of my surgery. ... Ogretta, Dr. Elariny holds a briefing for several candidates at once at his initial consultations. He explained to us that recent analysis of outcomes (by Dr.Gagner, i believe) revealed that serious complications, including death, increased with BMI (or was it simply weight?). Therefore, past a certain BMI or weight threshold, they thought it most prudent to do it in two steps. Dr. Elariny just did a first step on a young man who was about 500 pounds about a month ago. So, I think it makes a lot of sense for you to do the two-step. In my case, I am just borderline (BMI ~50) and 61 years old, and Dr. Elariny said that it probably makes most sense to do it in one step for me because who knows what could happen in my life by the time I took off 100+ pounds. If I were a lot younger, he might have chosen to do mine as a two-step, also. Best of luck, Steve Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 It is almost funny that this came up today. I had my consult with Dr. Elariny yesterday, and he recommended that I do the DS/BPD in two parts as well. I have to admit that although I know his rationale (even though I'm younger, 29, I'm 5'8 " ish and 420ish, BMI 65), it bummed me out a bit. I have this part of my brain that keeps thinking that i just want to get it OVER with, and that doing it in two parts will just prolong the agony, so to speak. In addition, I'm a bit concerned about the insurance, and if they will cover it if it's done in two parts like that. I saw an email address of someone that had it done, and am sending them a note - are there any others here that had the two-part one? Thanks and take care, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 It is almost funny that this came up today. I had my consult with Dr. Elariny yesterday, and he recommended that I do the DS/BPD in two parts as well. I have to admit that although I know his rationale (even though I'm younger, 29, I'm 5'8 " ish and 420ish, BMI 65), it bummed me out a bit. I have this part of my brain that keeps thinking that i just want to get it OVER with, and that doing it in two parts will just prolong the agony, so to speak. In addition, I'm a bit concerned about the insurance, and if they will cover it if it's done in two parts like that. I saw an email address of someone that had it done, and am sending them a note - are there any others here that had the two-part one? Thanks and take care, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 : I had my surgery in one part. Got it over with, so to speak. And had horrible complications. My BMI was 48, nothing like as high as yours. Some of us just get the short straw. I assume that the primary reason your surgeon is suggesting a two parter for you is to cut back on the risk of complications. I have to say that if there is any way to do that, GO FOR IT. Certainly there is a risk of multiple anesthetics but the risks of complications are clearly higher in the mind of the surgeon. If your surgeon recommends the surgery in two parts it is pretty much his job to get the insurance company to approve it. And if they refuse to approve it, it still can be done all at once, if indeed they'll even approve that. I'd leave that part of it up to him. So while I can certainly understand your desire to get it over with I feel that the recommendation of the surgeon should be what you go with. Good luck however things proceed. Regards. Joe Frost, old gentleman, not old fartSan , TX, 60 years oldSurgery 11/29/00 by Dr. Welker Lateral Gastrectomy with Duodenal Switch340 starting weight, currently 250http://www.duodenalswitch.com/Patients/Joe/joe.html Re: surgery in 2 parts > It is almost funny that this came up today. I had my consult with Dr.> Elariny yesterday, and he recommended that I do the DS/BPD in two parts as> well. I have to admit that although I know his rationale (even though I'm> younger, 29, I'm 5'8"ish and 420ish, BMI 65), it bummed me out a bit. I> have this part of my brain that keeps thinking that i just want to get it> OVER with, and that doing it in two parts will just prolong the agony, so to> speak. In addition, I'm a bit concerned about the insurance, and if they> will cover it if it's done in two parts like that. I saw an email> address of someone that had it done, and am sending them a note - are there> any others here that had the two-part one?> > Thanks and take care,> > > > > > > ----------------------------------------------------------------------> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 : I had my surgery in one part. Got it over with, so to speak. And had horrible complications. My BMI was 48, nothing like as high as yours. Some of us just get the short straw. I assume that the primary reason your surgeon is suggesting a two parter for you is to cut back on the risk of complications. I have to say that if there is any way to do that, GO FOR IT. Certainly there is a risk of multiple anesthetics but the risks of complications are clearly higher in the mind of the surgeon. If your surgeon recommends the surgery in two parts it is pretty much his job to get the insurance company to approve it. And if they refuse to approve it, it still can be done all at once, if indeed they'll even approve that. I'd leave that part of it up to him. So while I can certainly understand your desire to get it over with I feel that the recommendation of the surgeon should be what you go with. Good luck however things proceed. Regards. Joe Frost, old gentleman, not old fartSan , TX, 60 years oldSurgery 11/29/00 by Dr. Welker Lateral Gastrectomy with Duodenal Switch340 starting weight, currently 250http://www.duodenalswitch.com/Patients/Joe/joe.html Re: surgery in 2 parts > It is almost funny that this came up today. I had my consult with Dr.> Elariny yesterday, and he recommended that I do the DS/BPD in two parts as> well. I have to admit that although I know his rationale (even though I'm> younger, 29, I'm 5'8"ish and 420ish, BMI 65), it bummed me out a bit. I> have this part of my brain that keeps thinking that i just want to get it> OVER with, and that doing it in two parts will just prolong the agony, so to> speak. In addition, I'm a bit concerned about the insurance, and if they> will cover it if it's done in two parts like that. I saw an email> address of someone that had it done, and am sending them a note - are there> any others here that had the two-part one?> > Thanks and take care,> > > > > > > ----------------------------------------------------------------------> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 , I just read your post & wanted you to know that I was also concerned about getting the 2nd procedure approved by insurance after I had the first part--my doctor said that my bmi would still be above what it should be--he calculated it if I lost 100lbs prior to the 2nd part & my bmi would still be at 43. While I did not really want to have it done in 2 parts--I would choose this, in hopes of averting complications. I do have a recent medical history & feel that this decision is in my best interest. I trust my surgeon & his recommendation for me. I luckily, now get to have my surguries lap--I had already convinced myself they would be open. I guess what I am trying to say here, is that we each are individuals & have our own set of so called " baggage " --with my weight comes congestive heart failure & a recent stroke at the age of 45--as well as other co-morbidities--we should all be knowledgble, educated consumers & then make the decision that is best for us..look at all of your options & then make the choice that is right for you. There is now right or wrong way to do this thing--because it is your choice. good luck as you make your decisions & take good care. ogretta pre-op may 11th dr inabnet > It is almost funny that this came up today. I had my consult with Dr. > Elariny yesterday, and he recommended that I do the DS/BPD in two parts as > well. I have to admit that although I know his rationale (even though I'm > younger, 29, I'm 5'8 " ish and 420ish, BMI 65), it bummed me out a bit. I > have this part of my brain that keeps thinking that i just want to get it > OVER with, and that doing it in two parts will just prolong the agony, so to > speak. In addition, I'm a bit concerned about the insurance, and if they > will cover it if it's done in two parts like that. I saw an email > address of someone that had it done, and am sending them a note - are there > any others here that had the two-part one? > > Thanks and take care, > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 , I just read your post & wanted you to know that I was also concerned about getting the 2nd procedure approved by insurance after I had the first part--my doctor said that my bmi would still be above what it should be--he calculated it if I lost 100lbs prior to the 2nd part & my bmi would still be at 43. While I did not really want to have it done in 2 parts--I would choose this, in hopes of averting complications. I do have a recent medical history & feel that this decision is in my best interest. I trust my surgeon & his recommendation for me. I luckily, now get to have my surguries lap--I had already convinced myself they would be open. I guess what I am trying to say here, is that we each are individuals & have our own set of so called " baggage " --with my weight comes congestive heart failure & a recent stroke at the age of 45--as well as other co-morbidities--we should all be knowledgble, educated consumers & then make the decision that is best for us..look at all of your options & then make the choice that is right for you. There is now right or wrong way to do this thing--because it is your choice. good luck as you make your decisions & take good care. ogretta pre-op may 11th dr inabnet > It is almost funny that this came up today. I had my consult with Dr. > Elariny yesterday, and he recommended that I do the DS/BPD in two parts as > well. I have to admit that although I know his rationale (even though I'm > younger, 29, I'm 5'8 " ish and 420ish, BMI 65), it bummed me out a bit. I > have this part of my brain that keeps thinking that i just want to get it > OVER with, and that doing it in two parts will just prolong the agony, so to > speak. In addition, I'm a bit concerned about the insurance, and if they > will cover it if it's done in two parts like that. I saw an email > address of someone that had it done, and am sending them a note - are there > any others here that had the two-part one? > > Thanks and take care, > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 In a message dated 4/24/01 3:43:38 PM, duodenalswitch writes: << He explained to us that recent analysis of outcomes (by Dr.Gagner, i believe) revealed that serious complications, including death, increased with BMI (or was it simply weight?). Therefore, past a certain BMI or weight threshold, they thought it most prudent to do it in two steps. >> Steve: I recall Dr. Gagner mentioning that higher bmi was the factor, not necessarily weight per se (or necessarily distribution of that weight). This is why the Mt. Sinai practice is beginning to perform the procedure in two steps from what I understand on those who would benefit. all the best, teresa lap DS with gallbladder removal Dr. gagner/Dr. Quinn assisting/Mt. Sinai/NYC January 25, 2001 94 days post-op and still feelin' fab! pre-op: 307 lbs/bmi 45 (5'9 " ) now: 265 lbs/bmi 40 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 In a message dated 4/24/01 3:43:38 PM, duodenalswitch writes: << He explained to us that recent analysis of outcomes (by Dr.Gagner, i believe) revealed that serious complications, including death, increased with BMI (or was it simply weight?). Therefore, past a certain BMI or weight threshold, they thought it most prudent to do it in two steps. >> Steve: I recall Dr. Gagner mentioning that higher bmi was the factor, not necessarily weight per se (or necessarily distribution of that weight). This is why the Mt. Sinai practice is beginning to perform the procedure in two steps from what I understand on those who would benefit. all the best, teresa lap DS with gallbladder removal Dr. gagner/Dr. Quinn assisting/Mt. Sinai/NYC January 25, 2001 94 days post-op and still feelin' fab! pre-op: 307 lbs/bmi 45 (5'9 " ) now: 265 lbs/bmi 40 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 In a message dated 4/24/01 3:43:38 PM, duodenalswitch writes: << He explained to us that recent analysis of outcomes (by Dr.Gagner, i believe) revealed that serious complications, including death, increased with BMI (or was it simply weight?). Therefore, past a certain BMI or weight threshold, they thought it most prudent to do it in two steps. >> Steve: I recall Dr. Gagner mentioning that higher bmi was the factor, not necessarily weight per se (or necessarily distribution of that weight). This is why the Mt. Sinai practice is beginning to perform the procedure in two steps from what I understand on those who would benefit. all the best, teresa lap DS with gallbladder removal Dr. gagner/Dr. Quinn assisting/Mt. Sinai/NYC January 25, 2001 94 days post-op and still feelin' fab! pre-op: 307 lbs/bmi 45 (5'9 " ) now: 265 lbs/bmi 40 Quote Link to comment Share on other sites More sharing options...
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