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Coming Up On 4 Months Now (Long)

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I belive that the pre-ops need to hear the bad with the good, so I am

posting this to the list. This is a copy of a post I posted on the

Welker List yesterday. I am afraid I am going to have to have a

revision of my DS surgery. I wanted a shorter than average common

channel, based on the facts that I was a very small eater pre-op, and

had dieted myself into a very low metabolism. In addition, I had

very sluggish intestines and was bothered by chronic constipation as

a pre-op. I asked for a smaller common channel at the time of my

consult with Dr. Welker, but due to hospital politics, Dr. Welker

wasn't the one making the decisions on my surgery. Perhaps after

reading this, you will have something to think about and to ask about

at your consultation appointments. Here is my post:

Well, folks, on June 5 it will have been 4 months since my DS

surgery. I feel like little has changed since my sorrowful post at 1

month, except that my stomach has stretched out some and I don't even

have the satiety that I had as a new pre-op.

In the preceding 4 months, I have lost 28 lbs. I am on an endless

plateau in which I seem to gain and lose the same two pounds over and

over again. I have done everything " right " -- get plenty of protein,

limit carbs and sugar. I even tried adding more fats into my diet

for a couple of weeks, on the advice of some post-op folks. However,

if one isn't mal-absorbing one's fats very much, this isn't going to

lead to weight loss; it will lead to weight gain. And, I did gain

two pounds during this time. Don't know if it was just coincidence,

or a result of eating more fats. All I know is that I sure didn't

lose any as a result. In my frustration I have begun to log my food

again as I did when a pre-op. This has led to an overwhelming urge

to diet again. I feel like my DS surgery that was promised to me

essentially did almost nothing for me. I feel like an RNY patient

who is promised mal-absorption and then is told after surgery that

she must diet and exercise and deprive herself for a lifetime in

order both to lose weight and to keep it off. We all know that

extreme deprivation diets cannot be kept up over the long term. But

I am totally frustrated and helpless and this is the only thing I can

do, other than go under the knife again, to lose this weight.

I am getting extremely tired of my daily joint pain in my weight-

bearing joints. The paltry 28 lb loss isn't anywhere near enough to

take any significant stress off of my knees, hips, and ankles. I

refuse to remain this fat. I'm going to war against my horrible body

that won't relinquish this hellish fat for any reason. I am swimming

now at a local gym. My muscles and joints hurt all the time. I am

ravenously hungry all the time. I haven't known complete satiety

since about a month post op when my stomach swelling went down. I

was such a small eater as a pre-op that at only 4 months, I can now

comfortably eat 3/4 of what I normally ate at a sitting as a pre-op.

I refuse to eat until the walls of my new stomach are stretched out,

until the point where I am so full that it stops just short of pain.

I am terrified that I will stretch my stomach even further. The last

time I allowed myself to regularly eat until my stomach felt really,

really full was at less than a month out when it was all I could do

to eat 1 scrambled egg with a bit of cheese on it at a sitting.

Now that I have begun to log my food, in order to document and prove

that I am nowhere near " out-eating " the surgery, and that my DS is a

failure, I have felt the strong pull of the dieting mentality. I am

not so foolish that I believe that I can actually keep this up long-

term, but I have been a " champion world class " dieter in my day, I

can keep it up for a year or more, I have done it in times past, and

I can do it again. I feel that this is the only control I have left

over my weight. I am going to fight like a tiger to get my revision,

and I pity the poor Dr. who stands in my way. I am mad as h** and

I'm not gonna take this any more.

I put the responsibility for the failure of my DS directly on Dr.

Deveney. But I am not going to waste my energies fighting the system

at OHSU. It has been suggested to me that I consider suing Dr.

Deveney or OHSU. But that is not my way of doing things. I know Dr.

Deveney didn't mean to screw up my surgery and sabotage my weight

loss efforts. I only wish he would have taken my medical and diet

history and my wishes into consideration when he made the decision

about the length of my common channel. I am going elsewhere for my

revision-- somewhere that they listen to patients and their needs and

don't do " cookie-cutter " type weight loss surgery.

In the Hess study, they did 7 revisions for patients who didn't

achieve satisfactory weight loss. These patients had failed to lose

down to within 50 lbs of their goal weight. The results of these

revisions were less than satisfactory. Here is a quote from the Hess

report about these revisions:

" Lengthening the bowel works quite well and stops the excessive

weight loss and low protein. However, shortening the common channel a

year or so after their primary surgery may not give satisfactory

extra weight loss. The additional weight loss is generally not much

more than around 20 pounds. "

The results of the study suggest that revisions for inadequate weight

loss need to be done early in the " window " of maximum weight loss. I

am afraid that if I don't act soon, I risk running out of " window "

time.

I read the glowing success stories of the many Welker patients and I

am so jealous and angry that I can hardly stand it. When is it going

to be my turn? How much longer am I going to have to wait? I put

Dr. Welker on notice the first day post-op that he was going to do my

revision. I knew at that time that I would in all probability need

one. I think time has proven that I was right. My sorrow and grief

have now turned to action-- I will not stop until I get the weight

loss surgery I was promised.

Joy Frost Age: 48

Open DS with Welker Date: 2-5-01

Common channel: 100cm Alimentary limb: 250cm

Weight at time of surgery: 255 lbs BMI: 47

Weight as of 5-28-01: 227 lbs BMI: 41.5 (-28 lbs)

http://www.duodenalswitch.com/Patients/Joy/joy.html

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My sorrow and grief

> have now turned to action-- I will not stop until I get the weight

> loss surgery I was promised.

Joy; I believe in your strength to make this happen!

Keep us informed.

Jo

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I am having my surgery on June 5th with Gagner in nyc,,he refuses to make the common channel any shorter due to malabsorptive problems,,i know that there have been people out there where it has been 75,,i am so scared now that this wont work for me,,since nothing has and i will go under the knife in a last ditch effort to free myself from this miserable disearse of compulsive overeating and obesity and fail,,anyone else out there experienceced this...Help ....

pre op nyc this tuesday

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I am having my surgery on June 5th with Gagner in nyc,,he refuses to make the common channel any shorter due to malabsorptive problems,,i know that there have been people out there where it has been 75,,i am so scared now that this wont work for me,,since nothing has and i will go under the knife in a last ditch effort to free myself from this miserable disearse of compulsive overeating and obesity and fail,,anyone else out there experienceced this...Help ....

Did he say why he wont go under 100? I'm getting mine done and my dr said he would most likely do 75 because of my size and so i'll get better loss and aid in the future of keeping it off. I do know from reading that some feel under 100 makes it harder to keep your nutrition up.

~~* AJ *~~

BMI 58

NW Washington Medical

DR Heap, Richland WA

Working on 1st appeal

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In a message dated 06/03/2001 2:04:38 PM Central Daylight Time,

lookn2bthin@... writes:

<< Did he say why he wont go under 100? I'm getting mine done and my dr said

he

would most likely do 75 because of my size and so i'll get better loss and

aid in the future of keeping it off. I do know from reading that some feel

under 100 makes it harder to keep your nutrition up.

>>

Dr. Hess decides on the length of the common channel and alimentary limb

based on a combination of small bowel length, bmi, age, etc. I had my

surgery in April 00. My alimentary limb is 250 and my common channel is 50.

He did this based on the fact that my small bowel was unusually short. I was

kind of shocked at first until I got the explanation. I will confess that I

was a volume eater before surgery. I am glad that Dr. Hess based my

configuration on me as an individual. I have had no nutritional problems. I

know this is probably not wise but given the choice I would have gone for

excessive weight loss nutritional problem risk as opposed to a risk of not

losing enough weight. Both excessive weight loss and nutritional problems

there would be no doubt about getting help with treatment for. If you end up

with disappointing weight loss, it may be more placed on you getting others

to understand that the procedure is faulty. None of us really have a choice

in this, but these are my feelings. So it seems somehow (we really didn't

discuss it) Dr. Hess went with what I would have wanted given the choice. Of

course this is all with the hind site knowledge that my weight loss has

slowed and my labs are great!

Dawn

Dr. Hess

BPD/DS

4/27/00

267 to 165

size 22 to size 10

no more high blood pressure sore feet or dieting!!

www.dudoenalswitch.com

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Dear Joy Frost, I am really sorry to read about your experience. You are a very brave person to share your personal disappointment and bare your soul with us. I hope with all my heart that the answer to this mystery is solved and they find out why and then they correct this problem. Do not give up, I personally am still a pre-op, so I don't have the first hand experience with the DS yet, but what I would do is email every DS surgery(even the one in Spain) share your story and see what their feed back is. I hope and pray that this situation will be resolved. Take care and please keep in touch with the group as to how things are coming along. Wishing you the absolute best, a BMI 36 5' 5.75" headed for Spain when the funds come Coming Up On 4 Months Now (Long) I belive that the pre-ops need to hear the bad with the good, so I amposting this to the list. This is a copy of a post I posted on theWelker List yesterday. I am afraid I am going to have to have arevision of my DS surgery. I wanted a shorter than average commonchannel, based on the facts that I was a very small eater pre-op, andhad dieted myself into a very low metabolism. In addition, I hadvery sluggish intestines and was bothered by chronic constipation asa pre-op. I asked for a smaller common channel at the time of myconsult with Dr. Welker, but due to hospital politics, Dr. Welkerwasn't the one making the decisions on my surgery. Perhaps afterreading this, you will have something to think about and to ask aboutat your consultation appointments. Here is my post:Well, folks, on June 5 it will have been 4 months since my DSsurgery. I feel like little has changed since my sorrowful post at 1month, except that my stomach has stretched out some and I don't evenhave the satiety that I had as a new pre-op.In the preceding 4 months, I have lost 28 lbs. I am on an endlessplateau in which I seem to gain and lose the same two pounds over andover again. I have done everything "right"-- get plenty of protein,limit carbs and sugar. I even tried adding more fats into my dietfor a couple of weeks, on the advice of some post-op folks. However,if one isn't mal-absorbing one's fats very much, this isn't going tolead to weight loss; it will lead to weight gain. And, I did gaintwo pounds during this time. Don't know if it was just coincidence,or a result of eating more fats. All I know is that I sure didn'tlose any as a result. In my frustration I have begun to log my foodagain as I did when a pre-op. This has led to an overwhelming urgeto diet again. I feel like my DS surgery that was promised to meessentially did almost nothing for me. I feel like an RNY patientwho is promised mal-absorption and then is told after surgery thatshe must diet and exercise and deprive herself for a lifetime inorder both to lose weight and to keep it off. We all know thatextreme deprivation diets cannot be kept up over the long term. ButI am totally frustrated and helpless and this is the only thing I cando, other than go under the knife again, to lose this weight.I am getting extremely tired of my daily joint pain in my weight-bearing joints. The paltry 28 lb loss isn't anywhere near enough totake any significant stress off of my knees, hips, and ankles. Irefuse to remain this fat. I'm going to war against my horrible bodythat won't relinquish this hellish fat for any reason. I am swimmingnow at a local gym. My muscles and joints hurt all the time. I amravenously hungry all the time. I haven't known complete satietysince about a month post op when my stomach swelling went down. Iwas such a small eater as a pre-op that at only 4 months, I can nowcomfortably eat 3/4 of what I normally ate at a sitting as a pre-op.I refuse to eat until the walls of my new stomach are stretched out,until the point where I am so full that it stops just short of pain.I am terrified that I will stretch my stomach even further. The lasttime I allowed myself to regularly eat until my stomach felt really,really full was at less than a month out when it was all I could doto eat 1 scrambled egg with a bit of cheese on it at a sitting.Now that I have begun to log my food, in order to document and provethat I am nowhere near "out-eating" the surgery, and that my DS is afailure, I have felt the strong pull of the dieting mentality. I amnot so foolish that I believe that I can actually keep this up long-term, but I have been a "champion world class" dieter in my day, Ican keep it up for a year or more, I have done it in times past, andI can do it again. I feel that this is the only control I have leftover my weight. I am going to fight like a tiger to get my revision,and I pity the poor Dr. who stands in my way. I am mad as h** andI'm not gonna take this any more.I put the responsibility for the failure of my DS directly on Dr.Deveney. But I am not going to waste my energies fighting the systemat OHSU. It has been suggested to me that I consider suing Dr.Deveney or OHSU. But that is not my way of doing things. I know Dr.Deveney didn't mean to screw up my surgery and sabotage my weightloss efforts. I only wish he would have taken my medical and diethistory and my wishes into consideration when he made the decisionabout the length of my common channel. I am going elsewhere for myrevision-- somewhere that they listen to patients and their needs anddon't do "cookie-cutter" type weight loss surgery.In the Hess study, they did 7 revisions for patients who didn'tachieve satisfactory weight loss. These patients had failed to losedown to within 50 lbs of their goal weight. The results of theserevisions were less than satisfactory. Here is a quote from the Hessreport about these revisions:"Lengthening the bowel works quite well and stops the excessiveweight loss and low protein. However, shortening the common channel ayear or so after their primary surgery may not give satisfactoryextra weight loss. The additional weight loss is generally not muchmore than around 20 pounds."The results of the study suggest that revisions for inadequate weightloss need to be done early in the "window" of maximum weight loss. Iam afraid that if I don't act soon, I risk running out of "window"time.I read the glowing success stories of the many Welker patients and Iam so jealous and angry that I can hardly stand it. When is it goingto be my turn? How much longer am I going to have to wait? I putDr. Welker on notice the first day post-op that he was going to do myrevision. I knew at that time that I would in all probability needone. I think time has proven that I was right. My sorrow and griefhave now turned to action-- I will not stop until I get the weightloss surgery I was promised.Joy Frost Age: 48Open DS with Welker Date: 2-5-01Common channel: 100cm Alimentary limb: 250cmWeight at time of surgery: 255 lbs BMI: 47Weight as of 5-28-01: 227 lbs BMI: 41.5 (-28 lbs)http://www.duodenalswitch.com/Patients/Joy/joy.html----------------------------------------------------------------------

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DR Herron said he wouldn't go under 100 and he didn't seem as if he would discuss it. He just said there were more long term problems if he went under 100 ft. I don't have any info. to change his mind so on June 12th I will be switched in NYC.

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If there was ever somebody who needed this surgery to work for them

it is you. I am saddened that you have not lost the weight that we

all stake our loves on losing.

I had my surgery on the same day as you. Dr. Hess did mine. I

believe he will listen and understand what your telling him. He has

had several patients that have had revisions for slow weightloss.

Teri

Dr. Hess, Bowling Green, 2/5/01

Weight 287, BMI 50 2/5/01

Weight 221, BMI 39 5/29/01 MO no mo...

I knew at that time that I would in all probability need

> one. I think time has proven that I was right. My sorrow and

grief

> have now turned to action-- I will not stop until I get the weight

> loss surgery I was promised.

>

> Joy Frost Age: 48

> Open DS with Welker Date: 2-5-01

> Common channel: 100cm Alimentary limb: 250cm

> Weight at time of surgery: 255 lbs BMI: 47

> Weight as of 5-28-01: 227 lbs BMI: 41.5 (-28 lbs)

> http://www.duodenalswitch.com/Patients/Joy/joy.html

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> what would you say is a good length for the common channel? as I

> would like to request of my surgeon before hand?

The whole point of my post is to emphasize that the DS surgery

shouldn't be regarded as a " cookie cutter " surgery. Everyone as an

individual has different needs and different anatomy and physiology.

The surgeon needs to take into consideration many things when making

the decision of how long to make your alimentary limb and common

channel.

Some of the factors to consider are:

* your total length of your small intestine

* the motility/reactivity of your large intestine e.g., if you are

prone to frequent episodes of diarrhea as a pre-op, or, if you are on

the opposite extreme and are prone to chronic constipation as a pre-op

* your pattern of eating (are you a large or a small eater pre-op)

* your activity level as a pre-op (both of these last two are factors

in your metabolism level)

* your BMI and how much weight you are going to need to lose

To get a good idea of your eating pattern and your activity level,

you can keep a log for two weeks of what you are eating and what

activity or exercise you normally do. (When you keep your log, don't

make an effort to diet, just write down what you typically eat.) You

can use a program like DietWatch so you can get standardized units of

measurement (calories, grams of protein, carbs, and fat, etc.) that

will mean something to a doctor when he looks at them.

The best you can do as a pre-op is to inform your surgeon about

yourself, and especially the stuff that you know about of those

things I listed, and discuss with him/her what the plan for you is

going to be. I would tend to shy away from a surgeon who does

everyone exactly the same way and doesn't take individual needs and

differences into consideration.

Joy Frost Age: 48

Open DS with Deveney/Welker Date: 2-5-01

Common channel 100cm Alimentary limb: 250cm

Weight at time of surgery: 255 lbs BMI: 47

Weight as of 5-28-01: 227 lbs BMI: 41.5 (-28 lbs)

http://www.duodenalswitch.com/Patients/Joy/joy.html

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,

I wouldn't worry unduly that the surgery isn't going to work for

you. The statistics are that only about 5% of patients need

revisions for inadequate weight loss... But if you absolutely *know*

that you are an extremely small eater pre-op and you are prone to

nearly continual chronic constipation as well, you may be one of the

few folks who really need a shorter common channel. In my own case,

I am also somewhat limited in the amount and type of exercise I can

do, since I have osteoarthritis and Fibromyalgia with severe joint

and muscle pain...

Joy Frost Age: 48

Open DS with Deveney/Welker Date: 2-5-01

Common channel: 100cm Alimentary limb: 250cm

Weight at time of surgery: 255 lbs BMI: 47

Weight as of 5-28-01: 227 lbs BMI: 41.5 (-28 lbs)

http://www.duodenalswitch.com/Patients/Joy/joy.html

> I am having my surgery on June 5th with Gagner in nyc,,he refuses

to make the

> common channel any shorter due to malabsorptive problems,,i know

that there

> have been people out there where it has been 75,,i am so scared now

that this

> wont work for me,,since nothing has and i will go under the knife

in a last

> ditch effort to free myself from this miserable disearse of

compulsive

> overeating and obesity and fail,,anyone else out there

experienceced

> this...Help ....

>

>

> pre op nyc this tuesday

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susana you have a low bmi, is that why you are going to spain what are your stats, height and weight, where are u from?

I thought the same thing...LOL I always forget thou co-morbidies could be serious or someone is not tall. I forget everyone isn't 5"8 and up like myself...LOL

~~* AJ *~~

BMI 58

INSURANCE: NW Washington Medical (Rengence )

DR Heap, Richland WA

Denied due to exclusion and they can't make exception based on information provided.

Change dr, got documentation and working on 1st appeal

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Dear , I am a pre-op and am wishing you a most successful surgery with glorious results! I'll be praying for you, a Pre-op BMI 36 5' 5.75" Spain-bound Re: Coming Up On 4 Months Now (Long) I am having my surgery on June 5th with Gagner in nyc,,he refuses to make the common channel any shorter due to malabsorptive problems,,i know that there have been people out there where it has been 75,,i am so scared now that this wont work for me,,since nothing has and i will go under the knife in a last ditch effort to free myself from this miserable disearse of compulsive overeating and obesity and fail,,anyone else out there experienceced this...Help .... pre op nyc this tuesday ----------------------------------------------------------------------

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I am having a pre-DS panniectulectomy ( removal of overhanging abdomen) on June 12 about noon at USC in CA> Good luck to us both! Nan E

Hey Nan...what is the benefit of this? Is this something I should be considering? I'd like to do whever I can to help myself thru the surgeyr. This isn't something my dr routinely does.but................

~~* AJ *~~

BMI 58

INSURANCE: NW Washington Medical (Rengence )

DR Heap, Richland WA

Denied due to exclusion and they can't make exception based on information provided.

Change dr, got documentation and working on 1st appeal

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Hey Gwen, try asking again-- if Dr. Herron has gone to the bariatric surgeon's conference in DC< maybe he will open his mind and take in some new info-- Dr. Anthone and Dr. Crookes at USC are routinely doing about 75 cm (not feet, per your post) with some variations depending on individual differences and overall length of intestines. I am having a pre-DS panniectulectomy ( removal of overhanging abdomen) on June 12 about noon at USC in CA> Good luck to us both! Nan E

On Sun, 3 Jun 2001 16:29:58 EDT gwen20852@... writes:

DR Herron said he wouldn't go under 100 and he didn't seem as if he would discuss it. He just said there were more long term problems if he went under 100 ft. I don't have any info. to change his mind so on June 12th I will be switched in NYC. ----------------------------------------------------------------------

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Thanks Nan.

I will ask Dr. Herron about 75cm via e-mail. He usually responds the same day.

What are the conference dates? Will he have been there by June 12th? Gwen T

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Hi Nan,

I heard via e-mail from Dr Herron within a couple of hours. His response " Ask

100 surgeons and you'll get 100 different opinions. I personally perform the

100/150 Roux limbs for everybody and have been extremely pleased with the

results to date!

I will go with his experience and trust in his knowledge and skill. It seems

better not to stress about this since my surgery is next week...baring

emergencies.

In a message dated Mon, 4 Jun 2001 4:43:59 AM Eastern Daylight Time, Nan

Earnheart Leafynan@...> writes:

<< Hey

Gwen, try asking again-- if Dr. Herron has gone to the bariatric surgeon's

conference in DC< maybe he will open his mind and take in some new info-- Dr.

Anthone and Dr. Crookes at USC are routinely doing about 75 cm (not feet, per

your post) with some variations depending on individual differences and

overall length of intestines. I am having a pre-DS panniectulectomy ( removal

of overhanging abdomen) on June 12 about noon at USC in CA> Good luck to us

both! Nan E On Sun, 3 Jun 2001 16:29:58 EDT gwen20852@... writes: DR

Herron said he wouldn't go under 100 and he didn't seem as if he would

discuss it. He just said there were more long term problems if he went under

100 ft. I don't have any info. to change his mind so on June 12th I will be

switched in NYC.

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Joy, please answer ~ What do you think about the possibility of getting

your stomach size reduced rather than the common channel length or other

intestinal work? Some other surgeries go down to an ounce size

stomach. Also, it has been advised to some, including me, to eat more

often, something I found a scary thought at first but worked for me in

the long run, getting my metabolism functioning again. I'm really sorry

it has been so disappointing to you, and what a drastic procedure to go

through for just this -- but it is a start, a slow one, yes. Tell me

what you think about the stomach size and about eating more often.

Robin

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In a message dated 06/04/2001 10:26:52 PM Central Daylight Time,

fahrout@... writes:

<< What do you think about the possibility of getting

your stomach size reduced rather than the common channel length or other

intestinal work? >>

Often how " small " the stomach can be made in the Ds is limited by the length

of the original stomach. They have to leave the portion between the

esophagus and the pyloric valve, so how long (and big) you banana stomach is

made can greatly depend on how long your stomach was to begin with. My

stomach at the time of surgery was made to 3 ounces. I would worry about

making the stomach too small damaging a person's metabolism even more.

Dawn

Dr. Hess

BPD/DS

4/27/00

267 to 165

size 22 to size 10

no more high blood pressure sore feet or dieting!!

www.dudoenalswitch.com

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I am having a pre-DS paniculate ( removal of overhanging abdomen) on June 12 about noon at USC in CA> Good luck to us both! Nan E

Hey Nan...what is the benefit of this? Is this something I should be considering? I'd like to do whever I can to help myself thru the surgeyr. This isn't something my dr routinely does.but................ ~~* AJ *~~

Heck If I know AJ! Dr. Anthone suggested it as a way of dealing with my high BMI--71 (5'2" and 386) I think the reasoning is to improve my mobility post switch and reduce the amount of weight hanging off the incision. Personally, I would rather do the thing in a 2 stage procedure, but Dr. A does what Dr. A does, and the east coast guys do what they do-- I am hoping for some cross pollination after the conference this week! Nan E.

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On Mon, 04 Jun 2001 17:26:15 EDT gwen20852@... writes:

> Thanks Nan.

> I will ask Dr. Herron about 75cm via e-mail. He usually responds the

> same day. What are the conference dates? Will he have been there by

> June 12th? Gwen T

>

He should have been-- Dr A is leaving LA Tuesday, June 5 and he and Dr

Crookes are giving a paper there-- and Dr. A is slated to do a

panniculectomy (removal of fat apron) on me 6/12 at noon-- so he will be

back from the conference by then, unless he has figured out how to do a

surgery in LA while hanging out in DC! Nan E.

________________________________________________________________

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Nan,

Best of luck and maybe I should talk to the doc about

this too. My apron is full length! lol Angel

--- Nan Earnheart Leafynan@...> wrote:

>

>

>

> I am having a pre-DS paniculate ( removal of

> overhanging abdomen) on

> June 12 about noon at USC in CA> Good luck to us

> both! Nan E

>

>

>

>

> Hey Nan...what is the benefit of this? Is this

> something I should be

> considering? I'd like to do whever I can to help

> myself thru the

> surgeyr.

> This isn't something my dr routinely

> does.but................

> ~~* AJ *~~

> Heck If I know AJ! Dr. Anthone suggested it as a

> way of dealing with my

> high BMI--71 (5'2 " and 386) I think the reasoning

> is to improve my

> mobility post switch and reduce the amount of weight

> hanging off the

> incision. Personally, I would rather do the thing in

> a 2 stage procedure,

> but Dr. A does what Dr. A does, and the east coast

> guys do what they do--

> I am hoping for some cross pollination after the

> conference this week!

> Nan E.

=====

Angel Connor

DS Pre-Op

Dr Maguire

Surgery date (pending approval)

Oct 29th

BMI 63

__________________________________________________

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Full length? Frilly with ruffles and lace? or Heavy duty Barbecue

style? ;-} Nan E.

On Tue, 5 Jun 2001 10:19:12 -0700 (PDT) angel connor

angelquilt1@...> writes:

> Nan,

> Best of luck and maybe I should talk to the doc about

> this too. My apron is full length! lol Angel

>

> --- Nan Earnheart Leafynan@...> wrote:

> >

> >

> >

> > I am having a pre-DS paniculate ( removal of

> > overhanging abdomen) on

> > June 12 about noon at USC in CA> Good luck to us

> > both! Nan E

> >

> >

> >

> >

> > Hey Nan...what is the benefit of this? Is this

> > something I should be

> > considering? I'd like to do whever I can to help

> > myself thru the

> > surgeyr.

> > This isn't something my dr routinely

> > does.but................

> > ~~* AJ *~~

> > Heck If I know AJ! Dr. Anthone suggested it as a

> > way of dealing with my

> > high BMI--71 (5'2 " and 386) I think the reasoning

> > is to improve my

> > mobility post switch and reduce the amount of weight

> > hanging off the

> > incision. Personally, I would rather do the thing in

> > a 2 stage procedure,

> > but Dr. A does what Dr. A does, and the east coast

> > guys do what they do--

> > I am hoping for some cross pollination after the

> > conference this week!

> > Nan E.

>

>

> =====

> Angel Connor

> DS Pre-Op

> Dr Maguire

> Surgery date (pending approval)

> Oct 29th

> BMI 63

>

> __________________________________________________

>

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Guest guest

Unfortunately all of the above! lol Angel

--- Nan Earnheart Leafynan@...> wrote:

> Full length? Frilly with ruffles and lace? or

> Heavy duty Barbecue

> style? ;-} Nan E.

>

> On Tue, 5 Jun 2001 10:19:12 -0700 (PDT) angel connor

> angelquilt1@...> writes:

> > Nan,

> > Best of luck and maybe I should talk to the doc

> about

> > this too. My apron is full length! lol Angel

> >

> > --- Nan Earnheart Leafynan@...> wrote:

> > >

> > >

> > >

> > > I am having a pre-DS paniculate ( removal of

> > > overhanging abdomen) on

> > > June 12 about noon at USC in CA> Good luck to us

> > > both! Nan E

> > >

> > >

> > >

> > >

> > > Hey Nan...what is the benefit of this? Is this

> > > something I should be

> > > considering? I'd like to do whever I can to

> help

> > > myself thru the

> > > surgeyr.

> > > This isn't something my dr routinely

> > > does.but................

> > > ~~* AJ *~~

> > > Heck If I know AJ! Dr. Anthone suggested it as

> a

> > > way of dealing with my

> > > high BMI--71 (5'2 " and 386) I think the

> reasoning

> > > is to improve my

> > > mobility post switch and reduce the amount of

> weight

> > > hanging off the

> > > incision. Personally, I would rather do the

> thing in

> > > a 2 stage procedure,

> > > but Dr. A does what Dr. A does, and the east

> coast

> > > guys do what they do--

> > > I am hoping for some cross pollination after the

> > > conference this week!

> > > Nan E.

> >

> >

> > =====

> > Angel Connor

> > DS Pre-Op

> > Dr Maguire

> > Surgery date (pending approval)

> > Oct 29th

> > BMI 63

> >

> > __________________________________________________

> >

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