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Hi Trisha: I sure hope you don't get flamed for a thoughtful post. It's

nice that someone recognizes the struggle I am having and I am very pleased

that more information is being provided by Dr. Rutledge so that this

important dialogue and continue and be productive. The " atta-girls " and

" you go girls " and name-calling may serve the needs of those who feel

compelled to do something other than be constructive, but I choose to keep

this a serious dialogue with the intent that everyone will benefit in the

long-run. I am amazed at the viciousness of the response and the automatic

tendency to attribute something malicious to my motivation. If people

stepped back and thought about it they would realize that the easy way out

for me would have to continue " business as usual, " handle these cases, and

not raise the issue. I see no harm in the dialogue and, interestingly, it

appears Dr. Rutledge agrees with me that the dialogue is a positive thing.

I have made this a tremendous priority as you suggest and really hope that

this will blow over quite soon...thanks again.

Walter Lindstrom, Esquire

Obesity Law & Advocacy Center

www.obesitylaw.com

2939 Alta View Drive - Suite O-360

San Diego, CA 92139

Tel:

Fax:

Re: Re: Walter Lindstrom

> Walter,

> Everyone is welcome on this list. I applaud you for your work in

> helping people like me get insurance approval for a life saving operation.

I

> pray that you will meet with DR Ruttledge and find peace in what has been

a

> miracle for me. There are many patients who need Both Dr. Ruttledge and

You.

> Im sure I will get flamed for this. I had to pay cash because time was

not

> on my side. I now can go back and fight my insurance company. To

everyone

> on this list we need everyone we can get to help us in this fight. Walter

Im

> sure if you were to thoroughly understand the difference between the MGB

and

> the old loop, you would have a change of heart. So for the sake of all

Make

> it a PRIORTY! Now a good dat to all! And may God bless all in this

journey

> for a healthy life.

> Trisha

>

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> Get the Patient Manual at http://clos.net/get_patient_manual.htm

>

>

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Well said !! Well said. I think the most wonderful thing about

this onelist is that we all have at least one thing in common....we all ache

for the freedom of our obesity... the love and support I have seen on this

onelist is unlike anything I've ever seen. Everyone will have different

opinions, I know what I feel in my heart n' soul is right for me too !

*raising a V8 juice to toast* Here is to good friends, good conversation,

good health, and long life ! *clink*

>

>Reply-To: MiniGastricBypass (AT) egroups (DOT) com

>To: MiniGastricBypass (AT) egroups (DOT) com

>Subject: Walter Lindstrom

>Date: Tue, 11 Jul 2000 13:07:53 -0000

>

> I don't know who to address this letter to because I have many

>concerns and comments about this Walter Lindstrom matter. First, I

>wish, as someone else has already posted, that I knew what happened

>with the gastric bypass patients 20 years ago, that likens the MGB to

>its end results. Secondly, Genz, your posting was VERY

>informative. As an upcoming patient for the MGB next week, reading

>Walter Lindstrom's letter was confusing as well as it cast many

>doubts on my 'study' findings. I imagine that there will always be

>people who do not approve of this surgery, and it is multiplied by

>the factor of the people that I know that don't want me to have this

>surgery. I have searched myself about this surgery, knowing within

>the deepest reaches of my heart and soul that this is the option that

>I CHOOSE to do. No one is making this decision for me. There are

>many people that come to this list and choose to leave this site

>because MGB is not the answer for them. This can be witnessed by the

>many pleas for UNSUBCRIBE...LOL. (Bless their hearts. The would be

>candidates get innundated with information that is overwhelming and

>forget how to get off the e-group list.)

> I am still having my surgery next week with Joyce, and

>Kim. (I know, you too, L. and a and there are others

>next week) I have not attended clinic yet as my appointment is for

>July 18th at 9 a.m. So far nothing, not even a probably well thought

>letter by Mr. Lindstrom has swayed me. So, if that doesn't do it I

>don't know what will. Thanks to whomever read this long letter...LOL

>I hope it was worth the effort.

>

>Love,

>

>MGB scheduled July 19th with my sisters:

>Joyce, , and Kim

>

>

>------------------------------------------------------------------------

>Life's too short to send boring email. Let SuperSig come to the rescue.

>http://click.egroups.com/1/6809/3/_/453517/_/963320877/

>------------------------------------------------------------------------

>

>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

>

>

________________________________________________________________________

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Dear Walter,

I really want to thank you for your post explaining why you have

decided not to represent Dr. Rutledge's patients at this time. I can

assure you that what I had conjured up in my mind was a lot worse

than what you told us -- a group of surgeons who can't agree on

anything agree that this is a bad operation, i.e., you can't in good

conscience assist people in having this surgery. This seems like

faulty logic to me, so I am truly relieved. In fact, I think it's

kind of funny that you say Dr. Rutledge's explanation is

unscientific "

and you use this as your basis.

Another point, it seems to me you are asking Dr. Rutledge to do the

impossible. As you are relying on the opinions of the other

surgeons, what can Dr. R say to you that would change your mind?

Anything he will say about 10-15 years in the future will be easy to

criticize or disregard. He has displayed so much information in his

website and been criticized for it. He has explained exactly how the

MGB is performed (and that it is different from the old procedure)

and

has been told that he is dishonest and evasive. What I would like to

hear from you is why would Dr. Rutledge do this? Why would he

jeopardize his entire career to publicize false information? I'm

certain he is capable of performing the " more difficult " RNY.

And, lastly, I just cannot accept your point that Dr. R is a caring,

compassionate surgeon AND is hiding and evasive about his procedure.

I've been reading the MiniGastricBypass Onelist and the Post-Op list

for seven months now and for me, it just doesn't add up.

Still listening,

in land

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Hooray, , and Bernadine!! Good job, well done!!! Joanne in Ohio and

" Thank you " , Dr. R. for being such a gentleman!!!

est945@... wrote:

> Bravo

> This is better then L.A Law on T.V .

> I wanted to be an Attorney but after reading such well written

> words I'll stick to being a Jeweler and Instructor.

> I say he's guilty, guilty , guilty. To the Electric chair for a little shock

> treatment.

> Love

> from Fla

>

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> 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

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Hooray, , and Bernadine!! Good job, well done!!! Joanne in Ohio and

" Thank you " , Dr. R. for being such a gentleman!!!

est945@... wrote:

> Bravo

> This is better then L.A Law on T.V .

> I wanted to be an Attorney but after reading such well written

> words I'll stick to being a Jeweler and Instructor.

> I say he's guilty, guilty , guilty. To the Electric chair for a little shock

> treatment.

> Love

> from Fla

>

> ------------------------------------------------------------------------

> Free, Unlimited Calls Anywhere!

> Visit Firetalk.com - click below.

> http://click.egroups.com/1/5479/3/_/453517/_/963320918/

> ------------------------------------------------------------------------

>

> 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

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I don't think water has " anything " to gain. If you look up

attorney's for " obesity " the only one you find is his.. Why? Im sure

if there were " everything to gain " monitary wise - we would have

ALOT of attorney's out there. There is alot of unfairness outthere

for overweight people, and walter has had this surgey himself.

I am not a medical doctor; I can see the post from the other site

from another doctor. From what I gather " each " doctor is 'for " his

type of surgery. I don't know what an orginal 'loop' was or was

not. I called the Bariatric Association, to find out what was what.

I was told that Dr. R is the ONLY doctor using this procedure. He is

doing what they called a " loop gastric bypass " with " modifications he

has come up with. He presented his paper in Memphis. and it was

not received well.

The Bariatric association does not say whats good or bad its us to

us. But I can't see that the WHOLE US doctor's are so 'closed' mined

they would not consider new and IMPROVED things.

I think overall I would trust walters 'opion' over that of anyone

else.

personally I would like to see a copy of old medical

journals 'showing the loop gastric bypass so I can " compare " them to

what is posted.

> > Hi, I just got back from vacation and saw the notes regarding

> Walter.

> > He is currently representing me in my appeal to have the surgery

> with

> > Dr. R. Needless to say your posts concerned me, so I called him

> > directly.

> > Let me say that I have as much faith in Walter as an attorney who

> > cares about his obese clients as I do in Dr. Rutledge who cares

> about

> > his obese patients. Walter has made the decision not to take on

> any

> > more of Dr. R's patients. He was at the ASBS conference and saw

> Dr.

> > R's presentation. The decision he made was not based on

hearsay.

> He

> > is very informed about the various surgeries out there and has

> grave

> > concerns about the long-term results of Dr. R.s surgery. After

> > seeing Dr. R's presentation and having the opportunity to ask

> > questions, he still feels this procedure is much like the one

that

> > used to be done 20 years ago, and in good conscience no longer

> feels

> > comfortable representing/promoting Dr. R's clients.

> >

> > For the last six months I have been living and breathing MGB. All

I

> > needed was the approval the rest of my packet is completed. I

> have

> > already fought and lost battles with my insurance company and now

I

> > am ready to appeal to NC insurance commission to go to bat for

me.

> I

> > have to be honest though, this has given me a time to pause and I

> > will probably research other types of surgeries as in depth as I

> have

> > researched the MGB. I don't know that I will find anyone who can

> > give me as much info as Dr. R personally has and that his website

> > does. My common sense tells me that all the other Dr.s at the

ASBS

> > conference couldn't all be jealous of Dr. R's success. Walter

> > Lindstrom has no financial stake threatend by Dr. R's success.

So

> > what don't they like that I am not seeing through my rose colored

> > glasses. I don't know anything about the surgery from 20 years

ago

> > so I don't know what their concerns are. Can anyone explain to

me

> > what the difference is between Dr. R MGB and the " old " one? I am

> > still not ready to give up.

> >

> > Thanks, Rozycki, MGB hopeful, since clinic on 2/19, Denver,

> NC.

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Wow, ! What a powerful and compelling story! I was

nearly moved to tears.

This surgery *is* lifesaving, in more ways than one.

Hugs,

> Walter I have a good attorney here in Springfield Missouri

> and we are sueing our insurance company because they denied my

> coverage. We are just waiting for a court date. My surgery

> was Jan 10, 2000 and I weighed 242 lbs and I am 5 ft 1 in tall.

> I have severe scoliosis and one lung is crushed, plus all

> the weight from my weight and I could hardly breathe and

> my edema was pathetic when I arrived in Durham. Dr Rutledge

> saved my life. I would be dead now if I had not gotten my

> surgery when I did!!!! My blood pressure had sky rocketed.

> I am age 56 and am doing great now. My weight is 153 lbs

> and I look like a totally different person. I am set for

> a long life now, I can feel it and I know it. The data

> speaks for itself. My tummy is small now and I can never

> over eat and I don't crave sweets or greasy foods.

> I will never be heavy again. I can exercise now and

> enjoy my family, friends and feel like a real person.

> I had to pay cash for my surgery and a lot of

> people can't do that. I will stand by and do all I can

> to help others get to Durham to have this incredible

> surgery that has given me back my life.

> in Springfield, Missouri

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Hi ,

my name is . I read your mail with much concern. I was not aware that

Mr. Lindstrom was not representing any more of Dr R's clients. This is

purely my opinion, but I just don't think that is fair. Of course that is

his perrogative to do as he pleases and he has the right to do that. I am

just not understanding all of this that went on at the meeting. I don't know

about you, but I have been overweight for almost the duration of my whole

life. I am now 49 and approaching 50 at an incredible rate of speed. what

Dr R is doing is a blessing. I realize that the " old " procedure was killing

people. I just don't think this procedure should be compared to that.

Myself, personally, if in a few years something happens and this procedure is

not what I thought it was, I will still be thankful that Dr. R allowed me to

have a few years of happiness by not being fat.

I haven't had the surgery yet, but with every fiber in my being, and believe

me there are plenty of fibers, I will have this surgery. I have researched

other surgeries and to me, again this is my opinion, this is the best thing

that could have happened to fat people. If you are not 100% certain of this

procedure, do a research paper on the different types of surgery and draw

your conclusion from that. What ever you decide to do, I wish you nothing

but the very best. My prayers are with you.

(waiting to start a new life)

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After complaining about people " deleting " your post asking

questions and discovering it wasn't deleted, you ignored

the replies to it, didn't you?

Nonetheless, even if you don't bother to read this, either,

I'll reply to it so others are not mislead by

the misinformation:

> I don't think water has " anything " to gain. If you look up

> attorney's for " obesity " the only one you find is his.. Why?

Because it isn't a specialty. Any attorney who practices personal

injury law has extensive experience in dealing with insurance

companies. And most of those attorneys do *not* charge a fee

up front, unlike Walter Lindstrom. They work on a contingency

fee basis -- they get paid if they win.

And secondly, just where did you find a " look up " for " obesity " law?

I'm sure it wasn't in the yellow pages or dale Hubbell.

> Im sure if there were " everything to gain " monitary wise

> - we would have ALOT of attorney's out there.

We *do* have a " lot of attorneys out there, " well-qualified to

pursue insurance claims who do so everyday. They don't

advertise themselves as " specializing in obesity law " because

in many states, it is *ILLEGAL* for an attorney to claim to

" specialize " at all and in some of the states that allow

specialties, it must be in a particular area of law that

requires additional certification by the bar.

For instance, to be a trial attorney, in my state, I must take

extra courses each year and pass a certain number of hours in

order to even say I am a " trial " attorney.

Additionally, while obesity is covered under the Americans with

Disabilities Act (a federal law), as well as other federal

statutes and in states, such as Michigan, in statutory laws,

I haven't heard of Walter pursuing any ADA claims, which

require a federal litigation attorney, not an " obesity law

specialist. " It is the forum and the nature of the claims that

determines the type of expertise needed by the lawyer,

not whether the client's claim originated with being fat or not.

> There is alot of

> unfairness outthere for overweight people, and walter has had

> this surgey himself.

Walter has *not* had the MGB and whether he has had weight loss

surgery or not really has no bearing on his competency as an

attorney.

> I am not a medical doctor; I can see the post from the other site

> from another doctor.

If you are referring to the defamatory claims on the Alvarado

clinic's page, if you had read any of the information that

has been provided to you several times, you would already have

learned that the Alvarado clinic has made *false* statements on

that page, confusing the MGB with the old loop procedure.

Next they claim Dr. Rutledge is not a skilled surgeon. He's done

over 650 of these surgeries with virtually no complications.

His skill speaks for itself. He puts his information out

publicly.

Funny thing, but the Alvarado clinic *doesn't* make its

statistics available to the public. Wonder why?

> From what I gather " each " doctor is 'for " his

> type of surgery. I don't know what an orginal 'loop' was or was

> not. I called the Bariatric Association, to find out what was what.

See these sites:

The MGB is shown at: http://www.clos.net/op_descr.htm

The old Loop Bypass and RNY are shown at:

http://www.clos.net/gbptypes.htm

The ASBS paper with 657 patient's results is shown at:

http://clos.net/mgb-ppt/mgb-ppt.htm

Other info and patient responses regarding the MGB v. Other

procedures:

http://clos.net/eotd/07-00/07-11.htm

http://clos.net/eotd/07-00/07-09.htm

http://clos.net/eotd/07-00/07-06.htm

Other info on the Billroth II:

http://www.lapsurgery.com/overview.htm

OVERVIEW OF LAPAROSCOPIC GASTRO-INTESTINAL SURGERY, CURRENT STATE OF

THE ART, Edited by M. Spiro, M.D., Professor of Medicine,

Yale University School of Medicine

Garth H. Ballantyne, M.D. F.A.C.S., F.A.S.C.R.S.

Board certified in: General Surgery & Colon & Rectal Surgery

Irvin M. Modlin, M.D., PhD, Dennis G. Begos, M.D., Garth H.

Ballantyne, MD., OFFICE: 50 East 69th Street, New York, NY 10021,

Director, Center for Advanced Laparoscopic Surgery,

References regarding the Billroth II: 51. Uddo JF Jr: Antrectomy with

Billroth 11 Anastomosis, in Ballantyne GH, Leahy PF, Medlin IM (eds):

Laparoscopic Surgery. Philadelphia, Saunders, 1994, pp 444-448.

=====================================================================

http://www.transmed.net/lapnet/lapmenu.htm

Online Laparoscopic Technical Manual From the book, INTERVENTIONAL

LAPAROSCOPY The State of the Art for the New Millennium, Philippe J.

Quilici, MD, FACS, demonstrates more than three dozen laparoscopic

gastric procedures

The Billroth II is covered at:

http://www.transmed.net/lapnet/gasdis2.htm

" LAPAROSCOPIC MANAGEMENT OF GASTRIC SECRETION DISORDERS "

The laparoscopic treatment of morbid obesity, laparoscopically, uses

the same techniques as Dr. Rutledge's procedure for the laparoscopic

aspect, see: http://www.transmed.net/lapnet/morob.htm

=====================================================================

http://my.webmd.com/content/dmk/dmk_article_1456759

" WEB MD HELP "

World Book Rush-Presbyterian St. Luke's Medical Center

Medical Encyclopedia.

DEFINITION OF BILLROTH I & II: " Billroth I and II are gastrectomies,

that is, surgical procedures used in the treatment of stomach cancer

and peptic ulcers. Billroth I involves the removal of the lower

portion of the stomach. The remaining stomach is then connected

directly to the duodenum, the upper part of the small intestine.

" Billroth II involves the removal of both the lower portion of the

stomach and the duodenum. The remaining stomach is then connected

directly to the jejunum, the middle portion of the small intestine. "

====================================================================

From: http://cancer.med.upenn.edu/cancernet/98/mar/703066.html#9

Billroth procedure used in treatment of gastric carcinoma

====================================================================

http://www.vh.org/Providers/TeachingFiles/CAP/Case07/Case07.html

Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging,

Surgery, and Pathology

P. D'Alessandro, M.D., J. Fishman, M.D., Deborah E.

Schofield, M.D.

Billroth II procedure used on a newborn infant.

====================================================================

http://www.ip.pt/~ip228619/atlasestoperado.htm

Spanish Medical Reference also covering the Billroth II.

> I was told that Dr. R is the ONLY doctor using this procedure.

You were sadly and badly misinformed. Dr. Rutledge is the only

doctor using this procedure to treat obesity, but the Billroth II

gastrectomy, which is what he does, is used to treat ulcers,

cancer, and congenital defects, among other things, which you

will see if you check out those sites, above.

The Billroth II is taught in every medical school in the United

States.

> He is doing what they called a " loop gastric bypass " with

> " modifications he has come up with.

What is your source for that claim? Do you have a reference?

> He presented his paper in Memphis. and it was not received well.

>

> The Bariatric association does not say whats good or

> bad its us to us. But I can't see that the WHOLE US

> doctor's are so 'closed' mined they would not consider

> new and IMPROVED things.

Where do you get the idea that " the WHOLE US doctors " are against

Dr. Rutledge's procedure? Doctors have had the MGB done. A

doctor's wife posted today, who also has had the MGB.

My PCP used to do a different type of weight loss surgery and

he whole-heartedly supported Dr. Rutledge's procedure.

As for the doctors who criticized Dr. Rutledge during his ASBS

presentation, there are a couple of interesting things about

that.

Dr. Rutledge wasn't scheduled until the last day, after the main

conference was over. So the doctors who stayed to see his

presentation had some extra-special reason to do so. Now,

the majority of them were openly hostile, and they had to

have *come* there hostile -- without any facts -- because

there is nothing in Dr. Rutledge's paper that could have caused

it.

Most of them seemed to think the exact same thing you repeated

here -- wrongly -- that Dr. Rutledge was " doing the old loop "

procedure and that it was somehow " bad. "

They didn't examine the facts and well-documented statistics

Dr. Rutledge had.

They came there with misinformation and their minds were

closed. The very same misinformation that you and Walter

Lindstrom have both repeated: the claim that Dr. Rutledge

does the " old loop " procedure and that Dr. Rutledge's

procedure is " bad. " Both of you have made this claim

without *any* basis in fact, and even when you have been

given DRAWINGS, STATISTICS, and PROOF that you are wrong.

I'd ask if you want Dr. Rutledge to draw you a picture, BUT

HE ALREADY DID.

The MGB is shown at: http://www.clos.net/op_descr.htm

The old Loop Bypass and RNY are shown at:

http://www.clos.net/gbptypes.htm

The ASBS paper with 657 patient's results is shown at:

http://clos.net/mgb-ppt/mgb-ppt.htm

Now interestingly, the doctors who have attacked

Dr. Rutledge *DO* have a reason to not want Dr. Rutledge's

procedure to become widely accepted.

Their *OWN* procedures would become defunct. There are not

very many doctors overall doing weight loss surgery. It is

a CASH COW for them. Several have done their own procedures

for celebrities to boost their name-recognition. They want to be

" the " one.

And the majority of them also happen to be in California, where

Walter Lindstrom is, and where Walter could get a lot more

business if he greases the " right " wheels.

Don't you find it a little bit suspicious that these Doctors

and Walter Lindstrom are attacking Dr. Rutledge with FALSE

claims?

They aren't even attacking what he actually does. But they

aren't stupid. Why do you suppose they have to make up false

claims?

>

> I think overall I would trust walters 'opion' over that of anyone

> else.

You shouldn't trust ANYONE's opinion, period. You should look at

the available PROOF and FACTS.

Did Walter offer ONE SINGLE SOLITARY thing in support of his claims

that Dr. Rutledge's procedure was bad, other than Walter's own

claim that " ALL THE DOCTORS IN THE UNIVERSE " think it's bad

(and THEY all think it's the " old loop " procedure, which is

wrong)?

How would Walter know what " all the doctors in the universe " think?

Can't you look at the procedures for yourself? Can't you

read the ASBS report?

Why rely on anyone else's opinion at all?

> personally I would like to see a copy of old medical

> journals 'showing the loop gastric bypass so I can " compare " them

to

> what is posted.

See the sites I gave you above. No, nevermind, here it is:

The MGB is shown at: http://www.clos.net/op_descr.htm

The old Loop Bypass and RNY are shown at:

http://www.clos.net/gbptypes.htm

The ASBS paper with 657 patient's results is shown at:

http://clos.net/mgb-ppt/mgb-ppt.htm

Here's to getting ALL the facts!

Kind regards,

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Dear Keeley,

I don't have a clue.....Dr. Dickerman said that to me as we were

walking out the door. I didn't go into it any further because he said it

wouldn't harm the kidneys. That satisfied me. The strange thing was that he

brought it up at all.....I had no idea that WLS could cause any kidney problems

until he mentioned it. I never would have asked about it on my own. I wonder if

there is anything that Dr. R might be able to contribute in regards to this

topic.

Love,

Genz

keeleyrodkey@... wrote:

> Dear Genz,

>

> Could you tell me why Dr. Rutledge's procedure will not promote kidney

> transplantation? Just wondering.

>

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T,

It was good to read your letter because as our date comes closer

I too am thiking over all these posts. I have researched weight loss surgery

for over 8 years. I consider myself to be well-informed. I too am a RN with

16 years experience in CCU ,ER , and for the past 2 years PACU(recovery

room}. I have watched numerous surgeries and many surgeons. I am choosing to

have this surgery after talking to many surgeons that I work with. There are

many mixed feelings over this type of surgery but the best patient is an

informed and educated patient and DR.R. gives his patients the opportunity

to do this. I for one am glad of his strict criteria for selecting patients

because I know of surgeons who just like to operate and I believe their

patients aren't totally informed of options. I am keeping positive as next

week approaches. It will be good to be off the hassles at work for a while.

See you soon.

DUrham bound in 4 days,

Kim

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I must share a few comments regarding all the posts from/about Mr.

Lindstrom. I am not attacking him personally, as we only know ourselves

what we truly believe in our hearts.

I am always open-minded to hearing different opinions about issues that

can be very sensitive. As a wanna-be I love hearing all the pros and

cons of this surgery. There are factors that I cannot leave alone.

However, regarding Mr. Lindstrom's posts--the bottom line is--WHY is it

dangerous?

I would think that anecdotal reports are one of the best ways to get

accurate information about any topic! I have learned more from reading

this list written by everyday people that I would learn from any manual

or doctor!

AND, you've got to be kidding yourself if you truly don't think that

$$compensation$$ isn't involved in his decisions. It doesn't matter

what the profession is, if it involves the " wallet " it is many times at

the basis of decisions.

Enough said--just my two cents worth!

Jean from WI

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