X post - RNY vs DS - any opinions? [somewhat long]

November 30, 2002

Lyn, I am a RNY...but have friends who had the DS. My friends believe it to

be a better choice, simply because they tell me ....the changing of the

eating habits is not necessary.

Etc.

I have been very happy with my RNY.

My co-morbidities (which were plenty) are all gone. Every co-morbidity that

was weight related.

I maintain my goal weight and never want for foods that I cannot have.

Good luck to your friend.

Barb B.

> I apologize for cross-posting to two lists, but I really need some input on

> choices.

>

> I have a good friend who is considering weight loss surgery. She has a

> number of co-morbidities, including diabetes and high blood pressure, sleep

> apnea and not-great cholesterol levels. She's also epileptic, and some of

> the meds for that mess up the meds for the other things. She's a smart gal

> and went off on her own to investigate the surgeries available, and is

> absolutely convinced that the Duodenal Switch is far superior to the RNY in

> terms of curing these things. She's even told her GP that if the RNY is the

> only available surgery, she probably won't have it.

>

> She is an Air Force wife, so TriCare will be footing the bill, and right

> now

> they don't want to discuss sending her to Minneapolis for a DS when they

> can

> send her to Fargo (much closer to their base) for an RNY, and they already

> have someone in the network to send her to. (Oh, and I could ask, does

> anyone have experience with either Dr. Monsoon (RNY) or Dr. Buchwald (DS)?

> The RNY doctor apparently told her that he will not do the DS procedure

> because, in her words (interpreted from what he said) it " doesn't teach fat

> people anything. " I'm taking this to mean that DS patients have a wider

> variety of foods and can eat what they want, whereas RNY patients cannot.

> Is

> this correct thinking on my part? I don't know much about the DS.

>

> I told her I would ask the people who have had these surgeries long-term

> for

> opinions. I am an RNY grad myself, and though I have re-gained, I know why

> and I am doing something about it. I am happy with the surgery I had, for

> the most part. I can send her to newbie lists, but there she will meet a

> lot

> of people in honeymoon phase who all think their surgery is the best one.

> As

> I say, I don't know much about DS, so I'm asking for experience here. Was

> it

> better? If yes, why? If not, why not?

>

> Thanks a million, folks. I learn so much here...

>

> ~~ Lyn G

>

Barb B.

November 30, 2002

In a message dated 11/30/2002 8:32:13 AM Pacific Standard Time,

butterflye@... writes:

> As I say, I don't know much about DS, so I'm asking for experience here. Was

> it

> better? If yes, why? If not, why not?

It depends on the individual, and I think it's a " double edged sword "

surgery. I opted for the DS over the RNY for a number of reasons: (1) I am

an easy vomiter and wanted to do nothing which might result in my vomiting

even easier!; (2) I was more comfortable with retaining the full stomach

function; (3) I did not want the higher incidence of dumping that RNY

patients experience - I like sugar and just wanted it not to kill me!; (4) I

knew I would need a distal procedure to maintain a weight loss - although I

could have opted for a distal RNY.; (5) I wanted to be able to eat what I

wanted and not be limited to certain foods.

Now - that last part is definitely the double edged sword. I can indeed eat

whatever I want with no consequences. Well no consequences other than

compromising my weight loss. So to that extent, the doctor is right. There

is not always the level of mandatory behavior modification with the DS (not

always, I have DS friends who dump from sugar or fat just like an RNY). For

me - despite my whining on this list about struggling with my 10 lb. regain -

the quality of my food life was very, very important and I believed the DS

gave me a wider range of options in that regard.

Given the choice, I would have the DS again in a heartbeat. If I did not

have the choice, I would have had the RNY without a second thought. I

disagree completely with people who believe the DS is so superior that they

would forego a necessary gastric bypass rather than have the RNY.

Kate

November 30, 2002

In a message dated 11/30/2002 11:32:15 AM Eastern Standard Time,

butterflye@... writes:

<< She's a smart gal

and went off on her own to investigate the surgeries available, and is

absolutely convinced that the Duodenal Switch is far superior to the RNY in

terms of curing these things....>>

I believe it is far superior in terms of rate of weight loss and ease of

keeping the weight off. On the other hand, the patient MUST be diligent

about supplementation for life.

The RNY doctor apparently told her that he will not do the DS procedure

because, in her words (interpreted from what he said) it " doesn't teach fat

people anything. " >>

Another bigoted SOB that believes fat people need to be punished?? I'd like

to teach him a few things.

I had an RNY only because my insurance would not approve the DS. My surgeon

did both procedures and the post op experience was dramatically different for

the DS patients vs the RNY patients.

B

November 30, 2002

In a message dated 11/30/2002 11:32:12 AM Eastern Standard Time,

butterflye@... writes:

> The RNY doctor apparently told her that he will not do the DS procedure

> because, in her words (interpreted from what he said) it " doesn't teach fat

> people anything. "

************************************

Oooooh, I wouldn't go to this guy because of this remark. How dare he!

As for the RNY vs. DS, she has a lot of co-morbs, so I would talk to several

docs who do either procedure, and after that, if she still feels she wants

the DS, by all means, she should fight her insurance company for it. It's

her body, she knows her eating habits best, and she has the right to chose

the surgery she wants.

JMHO,

in NJ

open RNY 8/99

306/164/whatever

TT & lipo 11/19/02

November 30, 2002

I apologize for cross-posting to two lists, but I really need some input on

choices.

I have a good friend who is considering weight loss surgery. She has a

number of co-morbidities, including diabetes and high blood pressure, sleep

apnea and not-great cholesterol levels. She's also epileptic, and some of

the meds for that mess up the meds for the other things. She's a smart gal

and went off on her own to investigate the surgeries available, and is

absolutely convinced that the Duodenal Switch is far superior to the RNY in

terms of curing these things. She's even told her GP that if the RNY is the

only available surgery, she probably won't have it.

She is an Air Force wife, so TriCare will be footing the bill, and right now

they don't want to discuss sending her to Minneapolis for a DS when they can

send her to Fargo (much closer to their base) for an RNY, and they already

have someone in the network to send her to. (Oh, and I could ask, does

anyone have experience with either Dr. Monsoon (RNY) or Dr. Buchwald (DS)?

The RNY doctor apparently told her that he will not do the DS procedure

because, in her words (interpreted from what he said) it " doesn't teach fat

people anything. " I'm taking this to mean that DS patients have a wider

variety of foods and can eat what they want, whereas RNY patients cannot. Is

this correct thinking on my part? I don't know much about the DS.

I told her I would ask the people who have had these surgeries long-term for

opinions. I am an RNY grad myself, and though I have re-gained, I know why

and I am doing something about it. I am happy with the surgery I had, for

the most part. I can send her to newbie lists, but there she will meet a lot

of people in honeymoon phase who all think their surgery is the best one. As

I say, I don't know much about DS, so I'm asking for experience here. Was it

better? If yes, why? If not, why not?

Thanks a million, folks. I learn so much here...

~~ Lyn G

November 30, 2002

I know I'll get slammed, probably, for this. I think the BPD/DS is far

superior to the RNY. I had the RNY, however, this was not my first choice. I

had it because of insurance and the fact that the nearest surgeon to me

doin' the BPD/DS was about 150 miles away. Right now the RNY is the Gold

Standard of WLS's. I think, in time, this will change. As more and more

people gain weight back and find that they have to stick to a strict

regimine to maintain their loss, they'll start lookin' for something

different, somethin' better. The BPD/DS is a more distal procedure. The pts.

eat more, eat just about anything, however, they malabsorb more also. The

BPD/DS pts. tend to lose more and keep it off easier and longer than the RNY

pts. This is, of course, just my opinion.

Randy

rlogle@...

www.geocities.com/rogle32/

AIM: rlogleeln

Open RNY: Sept. 26, 2001: 206 lbs gone.

Daddy to Doogun, Jasper, and Zoe.

Lord, Please help me to become the Person

my Dog's think I am.

X post - RNY vs DS - any opinions? [somewhat long]

> I apologize for cross-posting to two lists, but I really need some input

on

> choices.

>

> I have a good friend who is considering weight loss surgery. She has a

> number of co-morbidities, including diabetes and high blood pressure,

sleep

> apnea and not-great cholesterol levels. She's also epileptic, and some of

> the meds for that mess up the meds for the other things. She's a smart gal

> and went off on her own to investigate the surgeries available, and is

> absolutely convinced that the Duodenal Switch is far superior to the RNY

in

> terms of curing these things. She's even told her GP that if the RNY is

the

> only available surgery, she probably won't have it.

>

> She is an Air Force wife, so TriCare will be footing the bill, and right

now

> they don't want to discuss sending her to Minneapolis for a DS when they

can

> send her to Fargo (much closer to their base) for an RNY, and they already

> have someone in the network to send her to. (Oh, and I could ask, does

> anyone have experience with either Dr. Monsoon (RNY) or Dr. Buchwald (DS)?

> The RNY doctor apparently told her that he will not do the DS procedure

> because, in her words (interpreted from what he said) it " doesn't teach

fat

> people anything. " I'm taking this to mean that DS patients have a wider

> variety of foods and can eat what they want, whereas RNY patients cannot.

Is

> this correct thinking on my part? I don't know much about the DS.

>

> I told her I would ask the people who have had these surgeries long-term

for

> opinions. I am an RNY grad myself, and though I have re-gained, I know why

> and I am doing something about it. I am happy with the surgery I had, for

> the most part. I can send her to newbie lists, but there she will meet a

lot

> of people in honeymoon phase who all think their surgery is the best one.

As

> I say, I don't know much about DS, so I'm asking for experience here. Was

it

> better? If yes, why? If not, why not?

>

> Thanks a million, folks. I learn so much here...

>

> ~~ Lyn G

>

> Homepage: http://groups.yahoo.com/group/Graduate-OSSG

>

> Unsubscribe: mailto:Graduate-OSSG-unsubscribe

>

November 30, 2002

And some folks like Chevy's.

Others will only drive Fords.

Some use regular gas.

Others insist on super high test

Does it sometimes knock or ping?

Sometimes the body is rusted and dented.

Sometimes it gets a fresh paint job every 2 years.

Some trade them in after 2-3 years because they want a new (better) model.

Does the car get you to where you want to go? Do you get to your

destination safely?

Ya know, some folks will drive that clunker 100,000, 200,000 or even 300,000

miles.

Sue (who is just glad that she doesn't have a Yugo!)

Open RNY 10/26/98

From 500 lbs to 161

Dr Barry L Fisher

http://www.stomachbypass.com/>

Truncoplasty 8/9/01

Brachioplasty Thighplasty 4/3/02

Dr Weiland

http://www.weilandgroup.com/>

^v^v^v^v^v^v^v^v^v^v^v^v^v^v^v^v^

http://mygastricbypass.com http://mygastricbypass.com> or

http://www.lvcm.com/njtomato/ http://www.lvcm.com/njtomato/>

We are all angels with one wing - we need friends to help us fly.

Re: X post - RNY vs DS - any opinions?

[somewhat long]