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Congratulations on your surgery date Nick!

Lisbeth

Dr. Macura

June 25, 2001

, you're so right. Having a .5% - 1% of dying from this (or

any other) surgery plus all of the other possible complications is

absolutely frightening.

HOWEVER, consider the significangly higher risk of mortality and

comorbidities if you remain morbidly obese. Those, unlike the small

chance of death through surgery, are a certainty. The statistics

clearly show a better outcome through surgery than staying as we are.

I don't know how old you are but as you approach 60 - or even sooner -

you are going to have problems even getting around your house, to

your car and back, nevermind the difficulty of shopping for

yourself. You won't have the energy or physical ability to enjoy

grandchildren and family, traveling, activities, or much of anything

but sit around. It is not a pretty picture - and that is before you

consider diabetes, heart-lung problems, swollen legs and bad veins,

and the whole immense laundry list of things that can - and will -

happen to you.

We each have to balance these things based upon where we are and

where we know we're going. Where I'm going is through the doorway

that guarantees the smaller risk: surgery. The list of guaranteed

problems on the other doorway (status quo) is too long to even read.

Best-

Nick in Sage

Surgery 8-29 (durn insurance company willing)

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

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Congratulations on your surgery date Nick!

Lisbeth

Dr. Macura

June 25, 2001

, you're so right. Having a .5% - 1% of dying from this (or

any other) surgery plus all of the other possible complications is

absolutely frightening.

HOWEVER, consider the significangly higher risk of mortality and

comorbidities if you remain morbidly obese. Those, unlike the small

chance of death through surgery, are a certainty. The statistics

clearly show a better outcome through surgery than staying as we are.

I don't know how old you are but as you approach 60 - or even sooner -

you are going to have problems even getting around your house, to

your car and back, nevermind the difficulty of shopping for

yourself. You won't have the energy or physical ability to enjoy

grandchildren and family, traveling, activities, or much of anything

but sit around. It is not a pretty picture - and that is before you

consider diabetes, heart-lung problems, swollen legs and bad veins,

and the whole immense laundry list of things that can - and will -

happen to you.

We each have to balance these things based upon where we are and

where we know we're going. Where I'm going is through the doorway

that guarantees the smaller risk: surgery. The list of guaranteed

problems on the other doorway (status quo) is too long to even read.

Best-

Nick in Sage

Surgery 8-29 (durn insurance company willing)

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

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Thanks Lisbeth! I'll believe it myself when I hear that " yes " from

the insurance - dratted medical director had to take a vacation when

I need him to be there to approve my surgery.

Nick

>

> Congratulations on your surgery date Nick!

> Lisbeth

> Dr. Macura

> June 25, 2001

>

>

> , you're so right. Having a .5% - 1% of dying from this (or

> any other) surgery plus all of the other possible complications is

> absolutely frightening.

>

> HOWEVER, consider the significangly higher risk of mortality and

> comorbidities if you remain morbidly obese. Those, unlike the small

> chance of death through surgery, are a certainty. The statistics

> clearly show a better outcome through surgery than staying as we

are.

>

> I don't know how old you are but as you approach 60 - or even

sooner -

> you are going to have problems even getting around your house, to

> your car and back, nevermind the difficulty of shopping for

> yourself. You won't have the energy or physical ability to enjoy

> grandchildren and family, traveling, activities, or much of

anything

> but sit around. It is not a pretty picture - and that is before you

> consider diabetes, heart-lung problems, swollen legs and bad veins,

> and the whole immense laundry list of things that can - and will -

> happen to you.

>

> We each have to balance these things based upon where we are and

> where we know we're going. Where I'm going is through the doorway

> that guarantees the smaller risk: surgery. The list of guaranteed

> problems on the other doorway (status quo) is too long to even read.

>

> Best-

>

> Nick in Sage

> Surgery 8-29 (durn insurance company willing)

>

>

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

--

>

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Thanks Lisbeth! I'll believe it myself when I hear that " yes " from

the insurance - dratted medical director had to take a vacation when

I need him to be there to approve my surgery.

Nick

>

> Congratulations on your surgery date Nick!

> Lisbeth

> Dr. Macura

> June 25, 2001

>

>

> , you're so right. Having a .5% - 1% of dying from this (or

> any other) surgery plus all of the other possible complications is

> absolutely frightening.

>

> HOWEVER, consider the significangly higher risk of mortality and

> comorbidities if you remain morbidly obese. Those, unlike the small

> chance of death through surgery, are a certainty. The statistics

> clearly show a better outcome through surgery than staying as we

are.

>

> I don't know how old you are but as you approach 60 - or even

sooner -

> you are going to have problems even getting around your house, to

> your car and back, nevermind the difficulty of shopping for

> yourself. You won't have the energy or physical ability to enjoy

> grandchildren and family, traveling, activities, or much of

anything

> but sit around. It is not a pretty picture - and that is before you

> consider diabetes, heart-lung problems, swollen legs and bad veins,

> and the whole immense laundry list of things that can - and will -

> happen to you.

>

> We each have to balance these things based upon where we are and

> where we know we're going. Where I'm going is through the doorway

> that guarantees the smaller risk: surgery. The list of guaranteed

> problems on the other doorway (status quo) is too long to even read.

>

> Best-

>

> Nick in Sage

> Surgery 8-29 (durn insurance company willing)

>

>

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

--

>

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I know that its easier said than done but try to stay upbeat. Do you by any

chance know where the Medical director went off to on his vacation? Perchance

you can pop up with pen and paper and chase him until he signs. Of course I

always go for a subtle approach like that first.

Lisbeth

Dr. Macura

June 25, 2001

sage@... wrote: Thanks Lisbeth! I'll believe it myself when I hear that

" yes " from

the insurance - dratted medical director had to take a vacation when

I need him to be there to approve my surgery.

Nick

>

> Congratulations on your surgery date Nick!

> Lisbeth

> Dr. Macura

> June 25, 2001

>

>

> , you're so right. Having a .5% - 1% of dying from this (or

> any other) surgery plus all of the other possible complications is

> absolutely frightening.

>

> HOWEVER, consider the significangly higher risk of mortality and

> comorbidities if you remain morbidly obese. Those, unlike the small

> chance of death through surgery, are a certainty. The statistics

> clearly show a better outcome through surgery than staying as we

are.

>

> I don't know how old you are but as you approach 60 - or even

sooner -

> you are going to have problems even getting around your house, to

> your car and back, nevermind the difficulty of shopping for

> yourself. You won't have the energy or physical ability to enjoy

> grandchildren and family, traveling, activities, or much of

anything

> but sit around. It is not a pretty picture - and that is before you

> consider diabetes, heart-lung problems, swollen legs and bad veins,

> and the whole immense laundry list of things that can - and will -

> happen to you.

>

> We each have to balance these things based upon where we are and

> where we know we're going. Where I'm going is through the doorway

> that guarantees the smaller risk: surgery. The list of guaranteed

> problems on the other doorway (status quo) is too long to even read.

>

> Best-

>

> Nick in Sage

> Surgery 8-29 (durn insurance company willing)

>

>

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

--

>

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The little rascal didn't share his vacation plans with me. He

probably went to the Blue Cross RNY seminar.

Best-

Nick

> >

> > Congratulations on your surgery date Nick!

> > Lisbeth

> > Dr. Macura

> > June 25, 2001

> >

> >

> > , you're so right. Having a .5% - 1% of dying from this

(or

> > any other) surgery plus all of the other possible complications

is

> > absolutely frightening.

> >

> > HOWEVER, consider the significangly higher risk of mortality and

> > comorbidities if you remain morbidly obese. Those, unlike the

small

> > chance of death through surgery, are a certainty. The statistics

> > clearly show a better outcome through surgery than staying as we

> are.

> >

> > I don't know how old you are but as you approach 60 - or even

> sooner -

> > you are going to have problems even getting around your house, to

> > your car and back, nevermind the difficulty of shopping for

> > yourself. You won't have the energy or physical ability to enjoy

> > grandchildren and family, traveling, activities, or much of

> anything

> > but sit around. It is not a pretty picture - and that is before

you

> > consider diabetes, heart-lung problems, swollen legs and bad

veins,

> > and the whole immense laundry list of things that can - and will -

> > happen to you.

> >

> > We each have to balance these things based upon where we are and

> > where we know we're going. Where I'm going is through the doorway

> > that guarantees the smaller risk: surgery. The list of guaranteed

> > problems on the other doorway (status quo) is too long to even

read.

> >

> > Best-

> >

> > Nick in Sage

> > Surgery 8-29 (durn insurance company willing)

> >

> >

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

--

> --

> >

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