Re: Re: Re: Would You Go There Again?

[Guest guest]

In a message dated 6/13/01 2:08:13 AM, duodenalswitch writes:

<< Perhaps several post ops ought to write and collectively sign a well worded

letter to Dr Gagner including some precise information and your concerns.

Patient safety is at risk here.

>>

This is an idea... many, many people have written to Dr. Gagner via e-mail

about this issue, believe me. It is not that he has never been notified.

is a recent post-op so I don't think she has done this (maybe she has)

but I and others who have experienced problems have.

All the best,

[Guest guest]

In a message dated 6/14/01 1:44:17 AM, duodenalswitch writes:

<< I had the exact same experience with Mt Sinai grp. Decided on Dr. J

Macura,

Staten Island, NY, instead. Dr. Ren was not on her own yet. I am 100%

pleased with my decision not to use Mt Sinai grp. My after care has been

fabulous. When I call Dr Macura's office for anything I am treated like I am

their #1 priority.

>>

I think Dr. Macura has a solid reputation - he was the one originally

suggested to me by my PCP (a Brooklyn doctor himself). I just wanted to

point out for newbies that Mt. Sinai (Dr. Gagner, Pomp, Herron and Ibarnet --

soon also Dr. Quinn) and Dr. Ren all offer the procedure laparoscopically.

If one has a really high bmi (over 60), the Mt. Sinai practice is suggesting

the surgery in two parts laparoscopically because of the marked increase in

complications they have found with higher bmis and lap surgery. I'm sure it

is discussed on an individual basis. I am not sure about Dr. Ren's views on

this. Of course, these surgeons *may* perform the DS open in some cases: If

they encounter problems during the surgery, if the person has a really high

bmi and prefers open to a two part lap procedure, etc.

I would say that Dr. Gagner is the one who will pretty much do anything

laparoscopically --- Even if he encounters complications during

surgery/adhesions, etc. The others *might* be quicker to convert to open in

situations where Dr. Gagner does it laparoscopically. Their choices to go

open are based on what they perceive to be the danger or difficulty of

proceeding laparoscopically and I wouldn't second guess that. I'm just

saying that Dr. Gagner has different ideas of the limits of lap surgery and

generally will attempt more difficult complicated surgeries laparoscopically

and the patient is not placed at greater risk.

Dr. Macura performs the DS but only open. Nothing wrong with that, but if

one has their sights on a lap surgery, the Manhattan surgeons above do it

lap. I've also heard of some surgeons at Columbia university but I think

they also would perform the DS open.

all the best,

lap ds with gallbladder removal

Dr. Gagner/Dr. Quinn assisting/Mt. Sinai/nYC

January 25, 2001

four months post-op and still feelin' fab!

[Guest guest]

Hello Good People,

When I first started researching the BPD/DS I called

Mt. Sinai and then NYU. Both office were very abrupt

to the point that I called NYU and I apologized for

having disturbed them. At that point I figured if I am

going to have to pay to go out of network I am not

going to put up with that attitude. I also figured I

do not want to deal with that treatment after surgery.

Although I must say Mimi who works with Dr. Herron is

VERRRRRRRRRRY nice. Having said all of that. I do

believe that the popularity of the surgery has

strained the employees capacity to be effective

care-givers. I think that they care and want to help

but feel very overwhelmed. I am not saying this gives

anyone a license to treat someone bad. I am saying

that with more personnel on staff, I think there would

be a vast difference in patient care/customer service.

But then again that is my .02 and I ain't know to much

Lisbeth

Pre-Op

Dr. Macura

--- ruisha@... wrote:

>

> In a message dated 6/14/01 1:44:17 AM,

> duodenalswitch writes:

>

> << I had the exact same experience with Mt Sinai

> grp. Decided on Dr. J

> Macura,

> Staten Island, NY, instead. Dr. Ren was not on her

> own yet. I am 100%

> pleased with my decision not to use Mt Sinai grp.

> My after care has been

> fabulous. When I call Dr Macura's office for

> anything I am treated like I am

> their #1 priority.

> >>

>

> I think Dr. Macura has a solid reputation - he was

> the one originally

> suggested to me by my PCP (a Brooklyn doctor

> himself). I just wanted to

> point out for newbies that Mt. Sinai (Dr. Gagner,

> Pomp, Herron and Ibarnet --

> soon also Dr. Quinn) and Dr. Ren all offer the

> procedure laparoscopically.

> If one has a really high bmi (over 60), the Mt.

> Sinai practice is suggesting

> the surgery in two parts laparoscopically because of

> the marked increase in

> complications they have found with higher bmis and

> lap surgery. I'm sure it

> is discussed on an individual basis. I am not sure

> about Dr. Ren's views on

> this. Of course, these surgeons *may* perform the

> DS open in some cases: If

> they encounter problems during the surgery, if the

> person has a really high

> bmi and prefers open to a two part lap procedure,

> etc.

>

> I would say that Dr. Gagner is the one who will

> pretty much do anything

> laparoscopically --- Even if he encounters

> complications during

> surgery/adhesions, etc. The others *might* be

> quicker to convert to open in

> situations where Dr. Gagner does it

> laparoscopically. Their choices to go

> open are based on what they perceive to be the

> danger or difficulty of

> proceeding laparoscopically and I wouldn't second

> guess that. I'm just

> saying that Dr. Gagner has different ideas of the

> limits of lap surgery and

> generally will attempt more difficult complicated

> surgeries laparoscopically

> and the patient is not placed at greater risk.

>

> Dr. Macura performs the DS but only open. Nothing

> wrong with that, but if

> one has their sights on a lap surgery, the Manhattan

> surgeons above do it

> lap. I've also heard of some surgeons at Columbia

> university but I think

> they also would perform the DS open.

>

> all the best,

>

> lap ds with gallbladder removal

> Dr. Gagner/Dr. Quinn assisting/Mt. Sinai/nYC

>

> January 25, 2001

>

> four months post-op and still feelin' fab!

>

>

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

>

[Guest guest]

Oops forgot to mention that the Dr. over at Columbia I

cant remember his name at this moment does not do the

BPD/DS I called and asked him. Which kinda through me

for a loop because he is listed as performing the

BPD/DS. Plus Columbia is close to my house as opposed

to Shy-Lin (what the young kids call Staten Island)

Lisbeth

Pre-Op

Dr. Macura

June 25, 2001

--- ruisha@... wrote:

>

> In a message dated 6/14/01 1:44:17 AM,

> duodenalswitch writes:

>

> << I had the exact same experience with Mt Sinai

> grp. Decided on Dr. J

> Macura,

> Staten Island, NY, instead. Dr. Ren was not on her

> own yet. I am 100%

> pleased with my decision not to use Mt Sinai grp.

> My after care has been

> fabulous. When I call Dr Macura's office for

> anything I am treated like I am

> their #1 priority.

> >>

>

> I think Dr. Macura has a solid reputation - he was

> the one originally

> suggested to me by my PCP (a Brooklyn doctor

> himself). I just wanted to

> point out for newbies that Mt. Sinai (Dr. Gagner,

> Pomp, Herron and Ibarnet --

> soon also Dr. Quinn) and Dr. Ren all offer the

> procedure laparoscopically.

> If one has a really high bmi (over 60), the Mt.

> Sinai practice is suggesting

> the surgery in two parts laparoscopically because of

> the marked increase in

> complications they have found with higher bmis and

> lap surgery. I'm sure it

> is discussed on an individual basis. I am not sure

> about Dr. Ren's views on

> this. Of course, these surgeons *may* perform the

> DS open in some cases: If

> they encounter problems during the surgery, if the

> person has a really high

> bmi and prefers open to a two part lap procedure,

> etc.

>

> I would say that Dr. Gagner is the one who will

> pretty much do anything

> laparoscopically --- Even if he encounters

> complications during

> surgery/adhesions, etc. The others *might* be

> quicker to convert to open in

> situations where Dr. Gagner does it

> laparoscopically. Their choices to go

> open are based on what they perceive to be the

> danger or difficulty of

> proceeding laparoscopically and I wouldn't second

> guess that. I'm just

> saying that Dr. Gagner has different ideas of the

> limits of lap surgery and

> generally will attempt more difficult complicated

> surgeries laparoscopically

> and the patient is not placed at greater risk.

>

> Dr. Macura performs the DS but only open. Nothing

> wrong with that, but if

> one has their sights on a lap surgery, the Manhattan

> surgeons above do it

> lap. I've also heard of some surgeons at Columbia

> university but I think

> they also would perform the DS open.

>

> all the best,

>

> lap ds with gallbladder removal

> Dr. Gagner/Dr. Quinn assisting/Mt. Sinai/nYC

>

> January 25, 2001

>

> four months post-op and still feelin' fab!

>

>

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

>