Guest guest Posted July 15, 2000 Report Share Posted July 15, 2000 Dear , > > I earnestly hope that you can find it in your heart to be forgiving. > > I was *just* about to keep my chicken fettuccine dinner down and you had > to add that??! > > > You did what can only seem to be right in your eyes. > > I honestly respect you for that. > > Yep, there goes the fettuccine. > > > You are so cool. You are bright, smart and witty. I was wondering if anyone had ever mentioned that you can on very rare occasions be just a tiny bit ah, harsh? Peace (and Love from the '60's) RR Rutledge, M.D., F.A.C.S. The Center for Laparoscopic Obesity Surgery 4301 Ben lin Blvd. Durham, N.C. 27704 Telephone #: Fax #: Email: DrR@... ************************************************ Please Visit our Web site: http://clos.net ************************************************ Durham Regional Hospital: Also, Please consider joining the Mini-Gastric Bypass Mailing List at http://www.onelist.com MiniGastricBypass is a general discussion of the Mini-Gastric Bypass ( http://www.onelist.com/community/MiniGastricBypass ) Talk with lots of other Pre and Post Op patients and friends. Keep up to date on the latest news about the Mini-Gastric Bypass. Re: The Mini-Gastric Bypass > Rutledge, M.D., F.A.C.S. wrote: > > > > I will summarize: > > > > No one now criticizes the MGB about weight loss, leak rates, pulmonary > > embolus rates, hospital stay, operative times, costs mortality rate... > > > > Let me tell you that in the beginning I was criticized for concerns > > about all of these things and we have now clearly demonstrated that in every > > case the MGB results are as good or better than any other operation. > > That right there really puts the current so-called " controversy " > (tempest in a teapot if you ask me, but nobody did so I'll stop that for > now. ) into crystal-clear perspective. I think it should be read > again: > > * * * * * * * * * * * * * * * * * > > > No one now criticizes the MGB about weight loss, leak rates, pulmonary > > embolus rates, hospital stay, operative times, costs mortality rate... > > > * * * * * * * * * * * * * * * * * > > > So what can an uninformed physician complain about? > > > > Well how about Bile reflux? > > > > First let me correct you we have, as far as I am aware, no patient that is > > over 3 months after surgery with any bile reflux esophagitis. > > > > In the old loop gastric bypass up to 40% of patients had bile reflux > > esophagitis soon after surgery. > > > > Mr. Lindstrom and I have been having a nice friendly dialog privately > > and here is some of what I wrote to him: > > > > **************************************************************************** > > " Hi again Mr. Lindstrom, > > > > Let me again try to apologize for the strong comments that have been > > directed at you from some of the people on my lists. > > Well, let me reiterate my comments, lest you apologize for them, because > I was *not* pleased at the totally unprofessional and unsupported attack > Lindstrom made publicly, in private emails, and in conversations with > others, on the MGB, you, personally, and on the basic intellectual > capacities of your potential, past, and present patients. > > When called upon to support his " opinions, " with some facts, he could > not, did not and has not. > > I am quite satisfied to note that a woman, a prospective MGB patient, > one of " we-the-misguided " had to come to his rescue, albeit > inadvertantly, by at least providing a morsel, a crumb, from which the > source of the rumors could be deduced and addressed. (Take a bow, > Laurie-in-Ohio!!) > > > I earnestly hope that you can find it in your heart to be forgiving. > > I was *just* about to keep my chicken fettucine dinner down and you had > to add that??! > > > I think you are very right to do what you have done. > > > > You asked your trusted friends and colleagues their opinions about an > > area that is their expertise and they said that the MGB is bad. > > Up to that point, no problem. But that's not where he stopped (see > above). > > > You did what can only seem to be right in your eyes. > > I honestly respect you for that. > > Yep, there goes the fettucine. > > > > > Now as to me. > > > > I could do a VBG or RNY or even a BPD if I wanted to. > > > > Why would I dare to do something different? > > > > What if I honestly felt it was better? > > > > Let's look at the concerns about the MGB. > > > > Short term, well since my people have done so well, the raft of short > > term complaints and concerns have been silenced. > > > > Long term, bariatric surgeons feel that the loop leads to bile reflux > > and esophagitis (inflammation and irritation of the esophagus) and this > > then leads to cancer! > > > > Sounds bad. > > > > They feel that they know this will happen because of the 20 year old > > experience of the Mason " Loop Gastric Bypass " as you heard at the > > meeting up > > to 40% of patients developed esophagitis. > > > > Hmmm... > > > > But None of my patients have esophagitis. None. > > > > But 40% of the old loop patients did. > > > > None of mine do. > > > > In fact many of my patients had severe esophagitis preop and it, the > > MGB, has cured their esophagitis. > > > > But how can that be? > > > > The obvious answer 1) I am fibbing (I am not, find one of my patients > > with esophagitis) or 2) the MGB is not the old loop. > > > > Now lets go at this same question from another tack. > > > > Billroth II, loop gastrojejunostomies are done at a rate of ~12,000 > > cases per year by general surgeons in America for ulcers, cancer and trauma. > > > > Is their a similar crusade by nonbariatirc General surgeons against > > this very high rate of Billroth II gastrojejunostomies? > > > > Are the bariatirc surgeons creating a petition to stop loop > > gastrojejunostomies? > > > > No of course not, but why not? > > > > If your colleagues were concerned about cancer why not get wound up > > and criticize all of these other surgeons? > > > > Basically there is a difference between the " old loop " gastric bypass > > and the Billroth II done by most general surgeons for ulcers etc. > > > > My MGB is designed to be like the usual Billroth II loop and to avoid > > the problems of the " Old Loop " gastric bypass. > > > > It is easy to do. > > > > The difference is that in the old loop bypass the loop was close to > > the esophagus and in the usual Billroth II loop gastrojejunontomy done by > > the average general surgeon the loop is placed far from the esophagus. > > > > In the MGB the loop is far away from the esophagus. > > > > It is not close to the esophagus it is far away. " > > > Thank you for the great explanation! > > > > > > Rutledge, M.D., F.A.C.S. > > The Center for Laparoscopic Obesity Surgery > > 4301 Ben lin Blvd. > > Durham, N.C. 27704 > > Telephone #: > > Fax #: > > Email: DrR@... > > ------------------------------------------------------------------------ > Get a NextCard Visa, in 30 seconds! > 1. Fill in the brief application > 2. Receive approval decision within 30 seconds > 3. Get rates as low as 2.9% Intro or 9.9% Fixed APR > http://click.egroups.com/1/6628/3/_/453517/_/963710943/ > ------------------------------------------------------------------------ > > This message is from the Mini-Gastric Bypass Mailing List at Onelist.com > Please visit our web site at http://clos.net > Get the Patient Manual at http://clos.net/get_patient_manual.htm > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2000 Report Share Posted July 15, 2000 Rutledge, M.D., F.A.C.S. wrote: > > I was wondering if anyone had ever mentioned that you can on very rare > occasions be just a tiny bit ah, harsh? NO! Say it isn't so! Perish the thought! Lori promised me the surgery made me tactful. Ask her. > > Peace (and Love from the '60's) > > RR > > Rutledge, M.D., F.A.C.S. > The Center for Laparoscopic Obesity Surgery > 4301 Ben lin Blvd. > Durham, N.C. 27704 > Telephone #: > Fax #: > Email: DrR@... > > Get the Patient Manual at http://clos.net/get_patient_manual.htm Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2000 Report Share Posted July 16, 2000 In a message dated 7/15/00 8:15:38 PM Pacific Daylight Time, Dr_Rutledge@... writes: << You are so cool. You are bright, smart and witty. I was wondering if anyone had ever mentioned that you can on very rare occasions be just a tiny bit ah, harsh? Peace (and Love from the '60's) RR >> Just thought of a nickname for our bright, smart and witty one..... COMET! (Or do you prefer Ajax?) Love to you, ! Debbie in IL Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2000 Report Share Posted July 16, 2000 In a message dated 07/15/2000 11:30:39 PM Central Daylight Time, lindat@... writes: << NO! Say it isn't so! Perish the thought! Lori promised me the surgery made me tactful. Ask her. >> hehehehe...ROFLMBAOPIMP!!!!!!!!!! (rolling on the floor laughing my black ssa off...peeing in my pants) le Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2000 Report Share Posted July 16, 2000 > Rutledge, M.D., F.A.C.S. wrote: > > > > > I was wondering if anyone had ever mentioned that you can on very rare > > occasions be just a tiny bit ah, harsh? Then Said: > > NO! Say it isn't so! Perish the thought! Lori promised me the surgery > made me tactful. Ask her. Then Flo Quipped: ...Lori thought you were having a lobotomy. But don't worry...we love you the way you are...harsh and abrasive. LOL... Flo the Tactful One in land Quote Link to comment Share on other sites More sharing options...
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