Psy. evaluation, depression, medication post-op

[Guest guest]

Seeing a " shrink " has nothing to do with being crazy. Being depressed,

having PTSD, being under great stress, and having emotional pain happen to

people during life. Seeing a professional for these can make some sense.

Suggesting that anyone who sees a mental health professional is " crazy " is

a

barbaric notion. I'm sure that you wouldn't intentionally insult the many

people on this list who seek such professional help.

in Seattle

DS 1/5/01 295# BMI 47.6

4/5/01 240# BMI 38

Dr Welker - OHSU

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Does anyone know if current treatment for depression is a disqualification

for WLS? I'm currently taking antidepressants and will most likely need

them post-op too. I wonder how effect the medications will be post op

given the malabsorption effects of the surgery?

jvaszil@...

[Guest guest]

Dear ,

A further comment on some of the things you said sort

of in defense of the surgeons like Emma who

don't have the wisdom to ignore these psychometric and

psychiatric hoops that the NIH recommends. If you

think about it, the person that is in the best

position to make that evaluation in the professional

community may not be the psychiatrist that the patient

selects to have a preop interview with but the

patient's PCP. This is true in the case of potential

transplant patients, too.

I question the idea that the surgeon is in any way

responsible if his patient doesn't eat right or take

the proper supplements. A patient who is noncompliant

has no business trying to sue the surgeon for trying

to help him out surgically according to the patient's

desires to have him do so.

I try to live my life without bullshit and having to

follow these guidelines is bullshit. They are not

legal because the federal government has stuck its

nose where it cannot constitutionally be.

Some surgeons just love to be in a position to play

god with a patient and reject him if he doesn't quite

fit the mold. If you talk to , who has

exposed Dr. Rutledge for his loop bypass, this doctor

uses these psychological techniques to not just select

the right kind of patient but create feeling of

dependence mixed with fear and feeling of inadequacy.

lcp

PS. How many obese people die before they can pass all

these dubious tests and retests? How many don't get

the surgery because their shrink or surgeon doesn't

like them or their attitude?

The use of the MMPI and other psychological tools

> > for the pre op WLS is pure

> > nonsense. Except that if the post op patient

fails

> > to do what is needed to

> > stay healthy the surgeon can't be sued for this.

> > After all, they relied on

> > another professional for this information. The

> > professional literature

> > indicates that there is no relationship between

the

> > results of these tests

> > and WLS outcomes. Reliance on these rather than a

> > thorough personal

> > interview with the patient is indicative of how

> > little most surgeons know

> > about the mental health profession. Some of the

> > surgeons ask for a simple

> > letter from a professional saying that the patient

> > understand the surgery,

> > has realistic expectations regarding outcomes, has

> > no apparent personality

> > issues that would impair compliance, and is able

to

> > make this decision.

> >

> > Seeing a " shrink " has nothing to do with being

> > crazy. Being depressed,

> > having PTSD, being under great stress, and having

> > emotional pain happen to

> > people during life. Seeing a professional for

these

> > can make some sense.

> > Suggesting that anyone who sees a mental health

> > professional is " crazy " is a

> > barbaric notion. I'm sure that you wouldn't

> > intentionally insult the many

> > people on this list who seek such professional

help.

--- Montgomery marym@...> wrote:

> There are many WLS folks who take antidepressants

> pre and post op. And the

> continued clinical response post op will determine

> if your antidepressant is

> working.

>

> Just a note of advice.. talk with your surgeon and

> arrange to take your last

> pill the day before surgery and restart ASAP

> afterwards. Most people are

> taking SSRIs and can have a rather nasty withdrawal

> syndrome if they stop

> cold turkey for a few days.

>

> in Seattle

> DS 1/5/01 295# BMI 47.6

> 4/5/01 240# BMI 38

> Dr Welker - OHSU

>

> >

>

;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;

>

;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;

> > Does anyone know if current treatment for

> depression is a disqualification

> > for WLS? I'm currently taking antidepressants and

> will most likely need

> > them post-op too. I wonder how effect the

> medications will be post op

> > given the malabsorption effects of the surgery?

> >

> >

> > jvaszil@...

>

>

>

>

----------------------------------------------------------------------

>

[Guest guest]

Dear ,

A further comment on some of the things you said sort

of in defense of the surgeons like Emma who

don't have the wisdom to ignore these psychometric and

psychiatric hoops that the NIH recommends. If you

think about it, the person that is in the best

position to make that evaluation in the professional

community may not be the psychiatrist that the patient

selects to have a preop interview with but the

patient's PCP. This is true in the case of potential

transplant patients, too.

I question the idea that the surgeon is in any way

responsible if his patient doesn't eat right or take

the proper supplements. A patient who is noncompliant

has no business trying to sue the surgeon for trying

to help him out surgically according to the patient's

desires to have him do so.

I try to live my life without bullshit and having to

follow these guidelines is bullshit. They are not

legal because the federal government has stuck its

nose where it cannot constitutionally be.

Some surgeons just love to be in a position to play

god with a patient and reject him if he doesn't quite

fit the mold. If you talk to , who has

exposed Dr. Rutledge for his loop bypass, this doctor

uses these psychological techniques to not just select

the right kind of patient but create feeling of

dependence mixed with fear and feeling of inadequacy.

lcp

PS. How many obese people die before they can pass all

these dubious tests and retests? How many don't get

the surgery because their shrink or surgeon doesn't

like them or their attitude?

The use of the MMPI and other psychological tools

> > for the pre op WLS is pure

> > nonsense. Except that if the post op patient

fails

> > to do what is needed to

> > stay healthy the surgeon can't be sued for this.

> > After all, they relied on

> > another professional for this information. The

> > professional literature

> > indicates that there is no relationship between

the

> > results of these tests

> > and WLS outcomes. Reliance on these rather than a

> > thorough personal

> > interview with the patient is indicative of how

> > little most surgeons know

> > about the mental health profession. Some of the

> > surgeons ask for a simple

> > letter from a professional saying that the patient

> > understand the surgery,

> > has realistic expectations regarding outcomes, has

> > no apparent personality

> > issues that would impair compliance, and is able

to

> > make this decision.

> >

> > Seeing a " shrink " has nothing to do with being

> > crazy. Being depressed,

> > having PTSD, being under great stress, and having

> > emotional pain happen to

> > people during life. Seeing a professional for

these

> > can make some sense.

> > Suggesting that anyone who sees a mental health

> > professional is " crazy " is a

> > barbaric notion. I'm sure that you wouldn't

> > intentionally insult the many

> > people on this list who seek such professional

help.

--- Montgomery marym@...> wrote:

> There are many WLS folks who take antidepressants

> pre and post op. And the

> continued clinical response post op will determine

> if your antidepressant is

> working.

>

> Just a note of advice.. talk with your surgeon and

> arrange to take your last

> pill the day before surgery and restart ASAP

> afterwards. Most people are

> taking SSRIs and can have a rather nasty withdrawal

> syndrome if they stop

> cold turkey for a few days.

>

> in Seattle

> DS 1/5/01 295# BMI 47.6

> 4/5/01 240# BMI 38

> Dr Welker - OHSU

>

> >

>

;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;

>

;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;

> > Does anyone know if current treatment for

> depression is a disqualification

> > for WLS? I'm currently taking antidepressants and

> will most likely need

> > them post-op too. I wonder how effect the

> medications will be post op

> > given the malabsorption effects of the surgery?

> >

> >

> > jvaszil@...

>

>

>

>

----------------------------------------------------------------------

>

[Guest guest]

Dear ,

A further comment on some of the things you said sort

of in defense of the surgeons like Emma who

don't have the wisdom to ignore these psychometric and

psychiatric hoops that the NIH recommends. If you

think about it, the person that is in the best

position to make that evaluation in the professional

community may not be the psychiatrist that the patient

selects to have a preop interview with but the

patient's PCP. This is true in the case of potential

transplant patients, too.

I question the idea that the surgeon is in any way

responsible if his patient doesn't eat right or take

the proper supplements. A patient who is noncompliant

has no business trying to sue the surgeon for trying

to help him out surgically according to the patient's

desires to have him do so.

I try to live my life without bullshit and having to

follow these guidelines is bullshit. They are not

legal because the federal government has stuck its

nose where it cannot constitutionally be.

Some surgeons just love to be in a position to play

god with a patient and reject him if he doesn't quite

fit the mold. If you talk to , who has

exposed Dr. Rutledge for his loop bypass, this doctor

uses these psychological techniques to not just select

the right kind of patient but create feeling of

dependence mixed with fear and feeling of inadequacy.

lcp

PS. How many obese people die before they can pass all

these dubious tests and retests? How many don't get

the surgery because their shrink or surgeon doesn't

like them or their attitude?

The use of the MMPI and other psychological tools

> > for the pre op WLS is pure

> > nonsense. Except that if the post op patient

fails

> > to do what is needed to

> > stay healthy the surgeon can't be sued for this.

> > After all, they relied on

> > another professional for this information. The

> > professional literature

> > indicates that there is no relationship between

the

> > results of these tests

> > and WLS outcomes. Reliance on these rather than a

> > thorough personal

> > interview with the patient is indicative of how

> > little most surgeons know

> > about the mental health profession. Some of the

> > surgeons ask for a simple

> > letter from a professional saying that the patient

> > understand the surgery,

> > has realistic expectations regarding outcomes, has

> > no apparent personality

> > issues that would impair compliance, and is able

to

> > make this decision.

> >

> > Seeing a " shrink " has nothing to do with being

> > crazy. Being depressed,

> > having PTSD, being under great stress, and having

> > emotional pain happen to

> > people during life. Seeing a professional for

these

> > can make some sense.

> > Suggesting that anyone who sees a mental health

> > professional is " crazy " is a

> > barbaric notion. I'm sure that you wouldn't

> > intentionally insult the many

> > people on this list who seek such professional

help.

--- Montgomery marym@...> wrote:

> There are many WLS folks who take antidepressants

> pre and post op. And the

> continued clinical response post op will determine

> if your antidepressant is

> working.

>

> Just a note of advice.. talk with your surgeon and

> arrange to take your last

> pill the day before surgery and restart ASAP

> afterwards. Most people are

> taking SSRIs and can have a rather nasty withdrawal

> syndrome if they stop

> cold turkey for a few days.

>

> in Seattle

> DS 1/5/01 295# BMI 47.6

> 4/5/01 240# BMI 38

> Dr Welker - OHSU

>

> >

>

;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;

>

;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;

> > Does anyone know if current treatment for

> depression is a disqualification

> > for WLS? I'm currently taking antidepressants and

> will most likely need

> > them post-op too. I wonder how effect the

> medications will be post op

> > given the malabsorption effects of the surgery?

> >

> >

> > jvaszil@...

>

>

>

>

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>