Re: How many with High BMI?

[Guest guest]

Now see my doctor took my appendix, just because it was bad, but left my

gallbladder so that way down the road when I do have problems. I can go

back to him and get it taken out and he will give me a tummy tuck while he

is at it. The insurance company will cover that surgery, but won' t just

cover plastic surgery. )

Kathy

[Guest guest]

Now see my doctor took my appendix, just because it was bad, but left my

gallbladder so that way down the road when I do have problems. I can go

back to him and get it taken out and he will give me a tummy tuck while he

is at it. The insurance company will cover that surgery, but won' t just

cover plastic surgery. )

Kathy

[Guest guest]

I'll keep my fingers crossed and say a prayer or two for a brand new

hernia for Judie!! Meli

-- In duodenalswitch@y..., " Judie Hensel " <jhensel@c...> wrote:

> Only problem is I had my gallbladder removed along with appendix 11

yrs

> before wls! never knew back then there would be a benefit for

hanging onto

> one or the other.......

> my only hope now is a hernia!

>

> Judie

>

>

> Re: Re: How many with High BMI?

> > >

> > >

> > > > Now see my doctor took my appendix, just because it was bad,

but left

> my

> > > > gallbladder so that way down the road when I do have

problems. I can

> go

> > > > back to him and get it taken out and he will give me a tummy

tuck

> while

> > he

> > > > is at it. The insurance company will cover that surgery, but

won' t

> > just

> > > > cover plastic surgery. )

> > > >

> > > > Kathy

> > > >

> > > >

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

--------

> > > >

[Guest guest]

I'll keep my fingers crossed and say a prayer or two for a brand new

hernia for Judie!! Meli

-- In duodenalswitch@y..., " Judie Hensel " <jhensel@c...> wrote:

> Only problem is I had my gallbladder removed along with appendix 11

yrs

> before wls! never knew back then there would be a benefit for

hanging onto

> one or the other.......

> my only hope now is a hernia!

>

> Judie

>

>

> Re: Re: How many with High BMI?

> > >

> > >

> > > > Now see my doctor took my appendix, just because it was bad,

but left

> my

> > > > gallbladder so that way down the road when I do have

problems. I can

> go

> > > > back to him and get it taken out and he will give me a tummy

tuck

> while

> > he

> > > > is at it. The insurance company will cover that surgery, but

won' t

> > just

> > > > cover plastic surgery. )

> > > >

> > > > Kathy

> > > >

> > > >

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

--------

> > > >

[Guest guest]

Thanks Meli! For some reason I have hard luck trying to get a hernia! Hope

the prayers work!!

Judie =)

[Guest guest]

Thanks Meli! For some reason I have hard luck trying to get a hernia! Hope

the prayers work!!

Judie =)

[Guest guest]

Thanks for the replies to my question. I was thinking

that if alot of docs remove the gall bladder and

appendix, maybe that's the reason for alot of the pain

after surgery. I had my gall bladder removed and was

in absolute agony. At least I won't have to worry

about that!

dee

--- " Lili F. " wrote:

> My surgeon routinely removes the gallbladder and

> appendix. His

> reasoning is that if you have severe abdominal pain

> some time down the

> road, he doesn't want someone treating for a

> gallbladder attack or

> appendicitis when its actually a problem with your

> new plumbing.. to

> save time ruling out problems. Plus, many people

> are prone to forming

> gallstones when they lose weight very quickly, so

> rather than give us

> actigall to prevent stone formation, he removes the

> gallbladder to

> prevent the stones. I questioned the logic myself,

> since I've never

> had gallbladder problems or elevated cholesterol

> (which predisposes

> one to stones, too).

> hope this helped-

> Hugs,

> Liane

>

> > Dee <donna_lee777@y...> wrote:

> >

> > >Marty, your email mentioned gallbladder and

> appendix

> > >removal. Is it mandatory that they be removed?

> Is

> > >there a medical reason why?

> > >

> > >Thanks,

> > >dee

> > >

> > >--- Marty Kanter <shadow44@o...> wrote:

> > >> Donna,

> > >> My BMI was 52 (down to 44 now) and had lap with

> Dr.

> > >> Ren on 7/13. The

> > >> operation took 6 hrs. (removal of appendix,

> > >> gallbladder, and repair of

> > >> massive hiatal hernia). Recovery so far has

> been

> > >> textbook perfect ( " pooh,

> > >> pooh " as Grandma would say). Energy levels back

> up,

> > >> incisions healed well,

> > >> no nausea or vomiting. I'm not in the SMO range

> but

> > >> was higher than you are

> > >> if you want to make any comparisons.

> > >> Best of Luck,

> > >> Marcia

> > >> Lap DS

> > >> 7/13

> > >> 280/52

> > >> 237/44

> > >>

> > >> >

> > >> Re:

> > >> > Re: How many with High BMI?

> > >> > 02:13 PM

> > >> >

> > >> > Please respond

> > >> >

> > >> > to

> > >> >

> > >> > duodenalswitch

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> > In a message dated 8/13/2001 5:49:23 PM

> Pacific

> > >> Daylight Time,

> > >> > chull1@s... writes:

> > >> >

> > >> > << I know if you were Dr. Anthone's patient

> he

> > >> would have you do a panni

> > >> > first and then do the DS. He also asks

> patients

> > >> of that size to

> > >> > loose 50-100 lbs before surgery.

> > >> > >>

> > >> >

> > >> > I don't think Dr. A would recommend panni

> removal

> > >> in all patients

> > >> > with high

> > >> >

> > >> > BMI. I started with a BMI of 69, and was/am

> able

> > >> to get around okay. I

> > >> > think

> > >> > mobility is a big factor in his

> recommendation.

> > >> Luckily, I didn't need it.

> > >> > I

> > >> > do agree with you, however, in the risk

> factor

> > >> with lap procedures on

> > >> > higher

> > >> > BMI's. I had a friend that had MAJOR

> > >> complications, and with all

> > >> > her weight

> > >> >

> > >> > in front, as an after thought, her surgeon

> said

> > >> she was probably too large

> > >> > to

> > >> > do the procedure lap. She will have brain

> damage

> > >> for the rest of her life

> > >> > due

> > >> > to her serious complications. Needless to

> say,

> > >> there is a major law suit

> > >> > going on because of his negligence. I know

> more

> > >> and more surgeons are

> > >> > willing to perform lap procedures on higher

> BMI's

> > >> and alot of

> > >> > them are very

> > >> >

> > >> > successful. A different set of problems for

> each

> > >> surgery I suppose. It's a

> > >> > tough decision for some, but after what I saw

> my

> > >> friend go

> > >> > through, I would

> > >> >

> > >> > much rather opt for the longer recovery time.

> > >> >

> > >> > Kim

> > >> > Dr. Anthone

> > >> > 4/18/01-DGB/DS open

> > >> > -88 lbs

> > >> >

>

=== message truncated ===

=====

Dee

Waiting for Ins. Co. Approval

313/Want to be 165

__________________________________________________

[Guest guest]

Thanks for the replies to my question. I was thinking

that if alot of docs remove the gall bladder and

appendix, maybe that's the reason for alot of the pain

after surgery. I had my gall bladder removed and was

in absolute agony. At least I won't have to worry

about that!

dee

--- " Lili F. " wrote:

> My surgeon routinely removes the gallbladder and

> appendix. His

> reasoning is that if you have severe abdominal pain

> some time down the

> road, he doesn't want someone treating for a

> gallbladder attack or

> appendicitis when its actually a problem with your

> new plumbing.. to

> save time ruling out problems. Plus, many people

> are prone to forming

> gallstones when they lose weight very quickly, so

> rather than give us

> actigall to prevent stone formation, he removes the

> gallbladder to

> prevent the stones. I questioned the logic myself,

> since I've never

> had gallbladder problems or elevated cholesterol

> (which predisposes

> one to stones, too).

> hope this helped-

> Hugs,

> Liane

>

> > Dee <donna_lee777@y...> wrote:

> >

> > >Marty, your email mentioned gallbladder and

> appendix

> > >removal. Is it mandatory that they be removed?

> Is

> > >there a medical reason why?

> > >

> > >Thanks,

> > >dee

> > >

> > >--- Marty Kanter <shadow44@o...> wrote:

> > >> Donna,

> > >> My BMI was 52 (down to 44 now) and had lap with

> Dr.

> > >> Ren on 7/13. The

> > >> operation took 6 hrs. (removal of appendix,

> > >> gallbladder, and repair of

> > >> massive hiatal hernia). Recovery so far has

> been

> > >> textbook perfect ( " pooh,

> > >> pooh " as Grandma would say). Energy levels back

> up,

> > >> incisions healed well,

> > >> no nausea or vomiting. I'm not in the SMO range

> but

> > >> was higher than you are

> > >> if you want to make any comparisons.

> > >> Best of Luck,

> > >> Marcia

> > >> Lap DS

> > >> 7/13

> > >> 280/52

> > >> 237/44

> > >>

> > >> >

> > >> Re:

> > >> > Re: How many with High BMI?

> > >> > 02:13 PM

> > >> >

> > >> > Please respond

> > >> >

> > >> > to

> > >> >

> > >> > duodenalswitch

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> > In a message dated 8/13/2001 5:49:23 PM

> Pacific

> > >> Daylight Time,

> > >> > chull1@s... writes:

> > >> >

> > >> > << I know if you were Dr. Anthone's patient

> he

> > >> would have you do a panni

> > >> > first and then do the DS. He also asks

> patients

> > >> of that size to

> > >> > loose 50-100 lbs before surgery.

> > >> > >>

> > >> >

> > >> > I don't think Dr. A would recommend panni

> removal

> > >> in all patients

> > >> > with high

> > >> >

> > >> > BMI. I started with a BMI of 69, and was/am

> able

> > >> to get around okay. I

> > >> > think

> > >> > mobility is a big factor in his

> recommendation.

> > >> Luckily, I didn't need it.

> > >> > I

> > >> > do agree with you, however, in the risk

> factor

> > >> with lap procedures on

> > >> > higher

> > >> > BMI's. I had a friend that had MAJOR

> > >> complications, and with all

> > >> > her weight

> > >> >

> > >> > in front, as an after thought, her surgeon

> said

> > >> she was probably too large

> > >> > to

> > >> > do the procedure lap. She will have brain

> damage

> > >> for the rest of her life

> > >> > due

> > >> > to her serious complications. Needless to

> say,

> > >> there is a major law suit

> > >> > going on because of his negligence. I know

> more

> > >> and more surgeons are

> > >> > willing to perform lap procedures on higher

> BMI's

> > >> and alot of

> > >> > them are very

> > >> >

> > >> > successful. A different set of problems for

> each

> > >> surgery I suppose. It's a

> > >> > tough decision for some, but after what I saw

> my

> > >> friend go

> > >> > through, I would

> > >> >

> > >> > much rather opt for the longer recovery time.

> > >> >

> > >> > Kim

> > >> > Dr. Anthone

> > >> > 4/18/01-DGB/DS open

> > >> > -88 lbs

> > >> >

>

=== message truncated ===

=====

Dee

Waiting for Ins. Co. Approval

313/Want to be 165

__________________________________________________

[Guest guest]

Thanks for the replies to my question. I was thinking

that if alot of docs remove the gall bladder and

appendix, maybe that's the reason for alot of the pain

after surgery. I had my gall bladder removed and was

in absolute agony. At least I won't have to worry

about that!

dee

--- " Lili F. " wrote:

> My surgeon routinely removes the gallbladder and

> appendix. His

> reasoning is that if you have severe abdominal pain

> some time down the

> road, he doesn't want someone treating for a

> gallbladder attack or

> appendicitis when its actually a problem with your

> new plumbing.. to

> save time ruling out problems. Plus, many people

> are prone to forming

> gallstones when they lose weight very quickly, so

> rather than give us

> actigall to prevent stone formation, he removes the

> gallbladder to

> prevent the stones. I questioned the logic myself,

> since I've never

> had gallbladder problems or elevated cholesterol

> (which predisposes

> one to stones, too).

> hope this helped-

> Hugs,

> Liane

>

> > Dee <donna_lee777@y...> wrote:

> >

> > >Marty, your email mentioned gallbladder and

> appendix

> > >removal. Is it mandatory that they be removed?

> Is

> > >there a medical reason why?

> > >

> > >Thanks,

> > >dee

> > >

> > >--- Marty Kanter <shadow44@o...> wrote:

> > >> Donna,

> > >> My BMI was 52 (down to 44 now) and had lap with

> Dr.

> > >> Ren on 7/13. The

> > >> operation took 6 hrs. (removal of appendix,

> > >> gallbladder, and repair of

> > >> massive hiatal hernia). Recovery so far has

> been

> > >> textbook perfect ( " pooh,

> > >> pooh " as Grandma would say). Energy levels back

> up,

> > >> incisions healed well,

> > >> no nausea or vomiting. I'm not in the SMO range

> but

> > >> was higher than you are

> > >> if you want to make any comparisons.

> > >> Best of Luck,

> > >> Marcia

> > >> Lap DS

> > >> 7/13

> > >> 280/52

> > >> 237/44

> > >>

> > >> >

> > >> Re:

> > >> > Re: How many with High BMI?

> > >> > 02:13 PM

> > >> >

> > >> > Please respond

> > >> >

> > >> > to

> > >> >

> > >> > duodenalswitch

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> > In a message dated 8/13/2001 5:49:23 PM

> Pacific

> > >> Daylight Time,

> > >> > chull1@s... writes:

> > >> >

> > >> > << I know if you were Dr. Anthone's patient

> he

> > >> would have you do a panni

> > >> > first and then do the DS. He also asks

> patients

> > >> of that size to

> > >> > loose 50-100 lbs before surgery.

> > >> > >>

> > >> >

> > >> > I don't think Dr. A would recommend panni

> removal

> > >> in all patients

> > >> > with high

> > >> >

> > >> > BMI. I started with a BMI of 69, and was/am

> able

> > >> to get around okay. I

> > >> > think

> > >> > mobility is a big factor in his

> recommendation.

> > >> Luckily, I didn't need it.

> > >> > I

> > >> > do agree with you, however, in the risk

> factor

> > >> with lap procedures on

> > >> > higher

> > >> > BMI's. I had a friend that had MAJOR

> > >> complications, and with all

> > >> > her weight

> > >> >

> > >> > in front, as an after thought, her surgeon

> said

> > >> she was probably too large

> > >> > to

> > >> > do the procedure lap. She will have brain

> damage

> > >> for the rest of her life

> > >> > due

> > >> > to her serious complications. Needless to

> say,

> > >> there is a major law suit

> > >> > going on because of his negligence. I know

> more

> > >> and more surgeons are

> > >> > willing to perform lap procedures on higher

> BMI's

> > >> and alot of

> > >> > them are very

> > >> >

> > >> > successful. A different set of problems for

> each

> > >> surgery I suppose. It's a

> > >> > tough decision for some, but after what I saw

> my

> > >> friend go

> > >> > through, I would

> > >> >

> > >> > much rather opt for the longer recovery time.

> > >> >

> > >> > Kim

> > >> > Dr. Anthone

> > >> > 4/18/01-DGB/DS open

> > >> > -88 lbs

> > >> >

>

=== message truncated ===

=====

Dee

Waiting for Ins. Co. Approval

313/Want to be 165

__________________________________________________

[Guest guest]

Thanks for the replies to my question. I was thinking

that if alot of docs remove the gall bladder and

appendix, maybe that's the reason for alot of the pain

after surgery. I had my gall bladder removed and was

in absolute agony. At least I won't have to worry

about that!

dee

--- " Lili F. " wrote:

> My surgeon routinely removes the gallbladder and

> appendix. His

> reasoning is that if you have severe abdominal pain

> some time down the

> road, he doesn't want someone treating for a

> gallbladder attack or

> appendicitis when its actually a problem with your

> new plumbing.. to

> save time ruling out problems. Plus, many people

> are prone to forming

> gallstones when they lose weight very quickly, so

> rather than give us

> actigall to prevent stone formation, he removes the

> gallbladder to

> prevent the stones. I questioned the logic myself,

> since I've never

> had gallbladder problems or elevated cholesterol

> (which predisposes

> one to stones, too).

> hope this helped-

> Hugs,

> Liane

>

> > Dee <donna_lee777@y...> wrote:

> >

> > >Marty, your email mentioned gallbladder and

> appendix

> > >removal. Is it mandatory that they be removed?

> Is

> > >there a medical reason why?

> > >

> > >Thanks,

> > >dee

> > >

> > >--- Marty Kanter <shadow44@o...> wrote:

> > >> Donna,

> > >> My BMI was 52 (down to 44 now) and had lap with

> Dr.

> > >> Ren on 7/13. The

> > >> operation took 6 hrs. (removal of appendix,

> > >> gallbladder, and repair of

> > >> massive hiatal hernia). Recovery so far has

> been

> > >> textbook perfect ( " pooh,

> > >> pooh " as Grandma would say). Energy levels back

> up,

> > >> incisions healed well,

> > >> no nausea or vomiting. I'm not in the SMO range

> but

> > >> was higher than you are

> > >> if you want to make any comparisons.

> > >> Best of Luck,

> > >> Marcia

> > >> Lap DS

> > >> 7/13

> > >> 280/52

> > >> 237/44

> > >>

> > >> >

> > >> Re:

> > >> > Re: How many with High BMI?

> > >> > 02:13 PM

> > >> >

> > >> > Please respond

> > >> >

> > >> > to

> > >> >

> > >> > duodenalswitch

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> > In a message dated 8/13/2001 5:49:23 PM

> Pacific

> > >> Daylight Time,

> > >> > chull1@s... writes:

> > >> >

> > >> > << I know if you were Dr. Anthone's patient

> he

> > >> would have you do a panni

> > >> > first and then do the DS. He also asks

> patients

> > >> of that size to

> > >> > loose 50-100 lbs before surgery.

> > >> > >>

> > >> >

> > >> > I don't think Dr. A would recommend panni

> removal

> > >> in all patients

> > >> > with high

> > >> >

> > >> > BMI. I started with a BMI of 69, and was/am

> able

> > >> to get around okay. I

> > >> > think

> > >> > mobility is a big factor in his

> recommendation.

> > >> Luckily, I didn't need it.

> > >> > I

> > >> > do agree with you, however, in the risk

> factor

> > >> with lap procedures on

> > >> > higher

> > >> > BMI's. I had a friend that had MAJOR

> > >> complications, and with all

> > >> > her weight

> > >> >

> > >> > in front, as an after thought, her surgeon

> said

> > >> she was probably too large

> > >> > to

> > >> > do the procedure lap. She will have brain

> damage

> > >> for the rest of her life

> > >> > due

> > >> > to her serious complications. Needless to

> say,

> > >> there is a major law suit

> > >> > going on because of his negligence. I know

> more

> > >> and more surgeons are

> > >> > willing to perform lap procedures on higher

> BMI's

> > >> and alot of

> > >> > them are very

> > >> >

> > >> > successful. A different set of problems for

> each

> > >> surgery I suppose. It's a

> > >> > tough decision for some, but after what I saw

> my

> > >> friend go

> > >> > through, I would

> > >> >

> > >> > much rather opt for the longer recovery time.

> > >> >

> > >> > Kim

> > >> > Dr. Anthone

> > >> > 4/18/01-DGB/DS open

> > >> > -88 lbs

> > >> >

>

=== message truncated ===

=====

Dee

Waiting for Ins. Co. Approval

313/Want to be 165

__________________________________________________

[Guest guest]

Thanks for the replies to my question. I was thinking

that if alot of docs remove the gall bladder and

appendix, maybe that's the reason for alot of the pain

after surgery. I had my gall bladder removed and was

in absolute agony. At least I won't have to worry

about that!

dee

--- " Lili F. " wrote:

> My surgeon routinely removes the gallbladder and

> appendix. His

> reasoning is that if you have severe abdominal pain

> some time down the

> road, he doesn't want someone treating for a

> gallbladder attack or

> appendicitis when its actually a problem with your

> new plumbing.. to

> save time ruling out problems. Plus, many people

> are prone to forming

> gallstones when they lose weight very quickly, so

> rather than give us

> actigall to prevent stone formation, he removes the

> gallbladder to

> prevent the stones. I questioned the logic myself,

> since I've never

> had gallbladder problems or elevated cholesterol

> (which predisposes

> one to stones, too).

> hope this helped-

> Hugs,

> Liane

>

> > Dee <donna_lee777@y...> wrote:

> >

> > >Marty, your email mentioned gallbladder and

> appendix

> > >removal. Is it mandatory that they be removed?

> Is

> > >there a medical reason why?

> > >

> > >Thanks,

> > >dee

> > >

> > >--- Marty Kanter <shadow44@o...> wrote:

> > >> Donna,

> > >> My BMI was 52 (down to 44 now) and had lap with

> Dr.

> > >> Ren on 7/13. The

> > >> operation took 6 hrs. (removal of appendix,

> > >> gallbladder, and repair of

> > >> massive hiatal hernia). Recovery so far has

> been

> > >> textbook perfect ( " pooh,

> > >> pooh " as Grandma would say). Energy levels back

> up,

> > >> incisions healed well,

> > >> no nausea or vomiting. I'm not in the SMO range

> but

> > >> was higher than you are

> > >> if you want to make any comparisons.

> > >> Best of Luck,

> > >> Marcia

> > >> Lap DS

> > >> 7/13

> > >> 280/52

> > >> 237/44

> > >>

> > >> >

> > >> Re:

> > >> > Re: How many with High BMI?

> > >> > 02:13 PM

> > >> >

> > >> > Please respond

> > >> >

> > >> > to

> > >> >

> > >> > duodenalswitch

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> > In a message dated 8/13/2001 5:49:23 PM

> Pacific

> > >> Daylight Time,

> > >> > chull1@s... writes:

> > >> >

> > >> > << I know if you were Dr. Anthone's patient

> he

> > >> would have you do a panni

> > >> > first and then do the DS. He also asks

> patients

> > >> of that size to

> > >> > loose 50-100 lbs before surgery.

> > >> > >>

> > >> >

> > >> > I don't think Dr. A would recommend panni

> removal

> > >> in all patients

> > >> > with high

> > >> >

> > >> > BMI. I started with a BMI of 69, and was/am

> able

> > >> to get around okay. I

> > >> > think

> > >> > mobility is a big factor in his

> recommendation.

> > >> Luckily, I didn't need it.

> > >> > I

> > >> > do agree with you, however, in the risk

> factor

> > >> with lap procedures on

> > >> > higher

> > >> > BMI's. I had a friend that had MAJOR

> > >> complications, and with all

> > >> > her weight

> > >> >

> > >> > in front, as an after thought, her surgeon

> said

> > >> she was probably too large

> > >> > to

> > >> > do the procedure lap. She will have brain

> damage

> > >> for the rest of her life

> > >> > due

> > >> > to her serious complications. Needless to

> say,

> > >> there is a major law suit

> > >> > going on because of his negligence. I know

> more

> > >> and more surgeons are

> > >> > willing to perform lap procedures on higher

> BMI's

> > >> and alot of

> > >> > them are very

> > >> >

> > >> > successful. A different set of problems for

> each

> > >> surgery I suppose. It's a

> > >> > tough decision for some, but after what I saw

> my

> > >> friend go

> > >> > through, I would

> > >> >

> > >> > much rather opt for the longer recovery time.

> > >> >

> > >> > Kim

> > >> > Dr. Anthone

> > >> > 4/18/01-DGB/DS open

> > >> > -88 lbs

> > >> >

>

=== message truncated ===

__________________________________________________

[Guest guest]

Thanks for the replies to my question. I was thinking

that if alot of docs remove the gall bladder and

appendix, maybe that's the reason for alot of the pain

after surgery. I had my gall bladder removed and was

in absolute agony. At least I won't have to worry

about that!

dee

--- " Lili F. " wrote:

> My surgeon routinely removes the gallbladder and

> appendix. His

> reasoning is that if you have severe abdominal pain

> some time down the

> road, he doesn't want someone treating for a

> gallbladder attack or

> appendicitis when its actually a problem with your

> new plumbing.. to

> save time ruling out problems. Plus, many people

> are prone to forming

> gallstones when they lose weight very quickly, so

> rather than give us

> actigall to prevent stone formation, he removes the

> gallbladder to

> prevent the stones. I questioned the logic myself,

> since I've never

> had gallbladder problems or elevated cholesterol

> (which predisposes

> one to stones, too).

> hope this helped-

> Hugs,

> Liane

>

> > Dee <donna_lee777@y...> wrote:

> >

> > >Marty, your email mentioned gallbladder and

> appendix

> > >removal. Is it mandatory that they be removed?

> Is

> > >there a medical reason why?

> > >

> > >Thanks,

> > >dee

> > >

> > >--- Marty Kanter <shadow44@o...> wrote:

> > >> Donna,

> > >> My BMI was 52 (down to 44 now) and had lap with

> Dr.

> > >> Ren on 7/13. The

> > >> operation took 6 hrs. (removal of appendix,

> > >> gallbladder, and repair of

> > >> massive hiatal hernia). Recovery so far has

> been

> > >> textbook perfect ( " pooh,

> > >> pooh " as Grandma would say). Energy levels back

> up,

> > >> incisions healed well,

> > >> no nausea or vomiting. I'm not in the SMO range

> but

> > >> was higher than you are

> > >> if you want to make any comparisons.

> > >> Best of Luck,

> > >> Marcia

> > >> Lap DS

> > >> 7/13

> > >> 280/52

> > >> 237/44

> > >>

> > >> >

> > >> Re:

> > >> > Re: How many with High BMI?

> > >> > 02:13 PM

> > >> >

> > >> > Please respond

> > >> >

> > >> > to

> > >> >

> > >> > duodenalswitch

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> >

> > >> > In a message dated 8/13/2001 5:49:23 PM

> Pacific

> > >> Daylight Time,

> > >> > chull1@s... writes:

> > >> >

> > >> > << I know if you were Dr. Anthone's patient

> he

> > >> would have you do a panni

> > >> > first and then do the DS. He also asks

> patients

> > >> of that size to

> > >> > loose 50-100 lbs before surgery.

> > >> > >>

> > >> >

> > >> > I don't think Dr. A would recommend panni

> removal

> > >> in all patients

> > >> > with high

> > >> >

> > >> > BMI. I started with a BMI of 69, and was/am

> able

> > >> to get around okay. I

> > >> > think

> > >> > mobility is a big factor in his

> recommendation.

> > >> Luckily, I didn't need it.

> > >> > I

> > >> > do agree with you, however, in the risk

> factor

> > >> with lap procedures on

> > >> > higher

> > >> > BMI's. I had a friend that had MAJOR

> > >> complications, and with all

> > >> > her weight

> > >> >

> > >> > in front, as an after thought, her surgeon

> said

> > >> she was probably too large

> > >> > to

> > >> > do the procedure lap. She will have brain

> damage

> > >> for the rest of her life

> > >> > due

> > >> > to her serious complications. Needless to

> say,

> > >> there is a major law suit

> > >> > going on because of his negligence. I know

> more

> > >> and more surgeons are

> > >> > willing to perform lap procedures on higher

> BMI's

> > >> and alot of

> > >> > them are very

> > >> >

> > >> > successful. A different set of problems for

> each

> > >> surgery I suppose. It's a

> > >> > tough decision for some, but after what I saw

> my

> > >> friend go

> > >> > through, I would

> > >> >

> > >> > much rather opt for the longer recovery time.

> > >> >

> > >> > Kim

> > >> > Dr. Anthone

> > >> > 4/18/01-DGB/DS open

> > >> > -88 lbs

> > >> >

>

=== message truncated ===

__________________________________________________

[Guest guest]

Oooooooooooooh, great idea! Your doc is SMART!

dee

--- kjeanf wrote:

> Now see my doctor took my appendix, just because it

> was bad, but left my

> gallbladder so that way down the road when I do have

> problems. I can go

> back to him and get it taken out and he will give me

> a tummy tuck while he

> is at it. The insurance company will cover that

> surgery, but won' t just

> cover plastic surgery. )

>

> Kathy

>

>

>

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

>

[Guest guest]

Oooooooooooooh, great idea! Your doc is SMART!

dee

--- kjeanf wrote:

> Now see my doctor took my appendix, just because it

> was bad, but left my

> gallbladder so that way down the road when I do have

> problems. I can go

> back to him and get it taken out and he will give me

> a tummy tuck while he

> is at it. The insurance company will cover that

> surgery, but won' t just

> cover plastic surgery. )

>

> Kathy

>

>

>

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

>

[Guest guest]

Hi Sharon,

I told only one close friend.I did not even tell my family about my

surgery. My parents are going through some health issues themselves and

would not have been able to care for themselves if they were worried about

me. I told co-workers that I had strained my back and that I would need to

rely on them to help with lifting anything over 10 pounds. Everyone has been

great. I was pretty achey the frist 2 or 3 days after work. I only took

tylenol 3 just before bed. Good luck. Pat

s mankiewicz wrote:

> Hi Pat -- Just wondering how going back to work

> affected you ? Could you last all day without pain

> meds ? Also did you tell your co-workers what you had

> done ? I am 8 days away and getting nervous. Thanks

> for any input.

>

> Sharon M in NY

>

> --- bbforl@... wrote:

> > I am a 2-parter. My starting BMI was approximately

> > 62. I had the sleeve

> > gastrectomy on July 17th by Dr. Gagner. I was back

> > to work on day 8, sore at the

> > end of the day but other than that OK. I am now 27

> > days out and feel great. I

> > have lost 26 lbs as of day 21. I will have part 2

> > after I loose about 100

> > lbs. Good luck, Pat

> >

> > ruisha@... wrote:

> >

> > > In a message dated 8/13/01 9:51:10 PM,

> > duodenalswitch writes:

> > >

> > > <<

> > >

> > > Laprascopic techniques for BMI > 65 is dangerous.

> > I would aviod it

> > >

> > > (even lap assisted). Dr. Gagner, , and

> > Ren report a higher

> > >

> > > rate of complications with that high a BMI and the

> > lap procedure.

> > >

> > > >>

> > >

> > > Yes, this is why they are suggesting a two part

> > lap procedure for those with

> > > bmis over 60, I believe (or is it 65?). The

> > conclusive results are not in

> > > yet as to whether having a two part lap procedure

> > greatly reduces the risks

> > > involved, etc. but I think that people who have

> > had it done this way are

> > > doing great and feeling fabu!

> > >

> > > The goal is to have the sleeve gastrectomy done,

> > lose a certain amount of

> > > weight and then go in for the intestinal portion

> > at a much lower weight.

> > > This is definately an option for anyone in the

> > higher bmis if they would

> > > prefer a laparoscopic surgery (I know I would

> > hands down, but each case is

> > > different). The downside is that you must be

> > under anesthesia twice, etc.

> > > even though I think it makes the recovery each

> > time a little 'easier' and

> > > less painful. I'll have to leave that to those

> > who have undergone the two

> > > parter, though.

> > >

> > > all the best,

> > >

> > > lap ds with gallbladder removal

> > > January 25, 2001

> > > Dr. Gagner/Mt. Sinai/NYC

> > >

> > > six months post-op and still feelin' fabu!

> > >

> > > pre-op: 307 lbs/bmi 45 (5' 9 1/2 " )

> > > now: 233.5 (ok - so 1/2 lb is gone again -- I

> > want this plateau to end soon!

> > > AGH!)

> > >

> > >

> >

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

> > >

[Guest guest]

Hi Sharon,

I told only one close friend.I did not even tell my family about my

surgery. My parents are going through some health issues themselves and

would not have been able to care for themselves if they were worried about

me. I told co-workers that I had strained my back and that I would need to

rely on them to help with lifting anything over 10 pounds. Everyone has been

great. I was pretty achey the frist 2 or 3 days after work. I only took

tylenol 3 just before bed. Good luck. Pat

s mankiewicz wrote:

> Hi Pat -- Just wondering how going back to work

> affected you ? Could you last all day without pain

> meds ? Also did you tell your co-workers what you had

> done ? I am 8 days away and getting nervous. Thanks

> for any input.

>

> Sharon M in NY

>

> --- bbforl@... wrote:

> > I am a 2-parter. My starting BMI was approximately

> > 62. I had the sleeve

> > gastrectomy on July 17th by Dr. Gagner. I was back

> > to work on day 8, sore at the

> > end of the day but other than that OK. I am now 27

> > days out and feel great. I

> > have lost 26 lbs as of day 21. I will have part 2

> > after I loose about 100

> > lbs. Good luck, Pat

> >

> > ruisha@... wrote:

> >

> > > In a message dated 8/13/01 9:51:10 PM,

> > duodenalswitch writes:

> > >

> > > <<

> > >

> > > Laprascopic techniques for BMI > 65 is dangerous.

> > I would aviod it

> > >

> > > (even lap assisted). Dr. Gagner, , and

> > Ren report a higher

> > >

> > > rate of complications with that high a BMI and the

> > lap procedure.

> > >

> > > >>

> > >

> > > Yes, this is why they are suggesting a two part

> > lap procedure for those with

> > > bmis over 60, I believe (or is it 65?). The

> > conclusive results are not in

> > > yet as to whether having a two part lap procedure

> > greatly reduces the risks

> > > involved, etc. but I think that people who have

> > had it done this way are

> > > doing great and feeling fabu!

> > >

> > > The goal is to have the sleeve gastrectomy done,

> > lose a certain amount of

> > > weight and then go in for the intestinal portion

> > at a much lower weight.

> > > This is definately an option for anyone in the

> > higher bmis if they would

> > > prefer a laparoscopic surgery (I know I would

> > hands down, but each case is

> > > different). The downside is that you must be

> > under anesthesia twice, etc.

> > > even though I think it makes the recovery each

> > time a little 'easier' and

> > > less painful. I'll have to leave that to those

> > who have undergone the two

> > > parter, though.

> > >

> > > all the best,

> > >

> > > lap ds with gallbladder removal

> > > January 25, 2001

> > > Dr. Gagner/Mt. Sinai/NYC

> > >

> > > six months post-op and still feelin' fabu!

> > >

> > > pre-op: 307 lbs/bmi 45 (5' 9 1/2 " )

> > > now: 233.5 (ok - so 1/2 lb is gone again -- I

> > want this plateau to end soon!

> > > AGH!)

> > >

> > >

> >

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

> > >

[Guest guest]

My surgeon routinely removes the gallbladder and appendix. His

reasoning is that if you have severe abdominal pain some time down the

road, he doesn't want someone treating for a gallbladder attack or

appendicitis when its actually a problem with your new plumbing.. to

save time ruling out problems. Plus, many people are prone to forming

gallstones when they lose weight very quickly, so rather than give us

actigall to prevent stone formation, he removes the gallbladder to

prevent the stones. I questioned the logic myself, since I've never

had gallbladder problems or elevated cholesterol (which predisposes

one to stones, too).

Hi, Liane. To present a different view, my surgeon (Dr. Gagner/Mt.

Sinai/NYC) does NOT routinely remove the gallbladder unless it is diseased.

The reason he gives is that it is much more difficult to remove the

gallbladder during DS surgery than on it's own at a later date. It can also

extend the surgery time and he doesn't feel it is warranted. I know he and

Dr. Quinn mentioned this after my surgery (I had HUGE 1 cm gallstones that

were really bothering me and pleaded with him to remove my gallbladder) that

it was difficult to remove the gallbladder and that perhaps they should write

some medical paper addressing this issue.

Dr. Gagner provides Actigall for post-ops to prevent development of

gallstones. This is a pretty effective method but it won't get rid of the

stones one already may have. Some patients do require surgery down the road

to remove the gallbladder if it starts to bother them (6 months to a year

post-op). It is a relatively simple operation on it's own and much less

complicated than the DS. I guess his thoughts are that it is safer and more

effective to have a second lap surgery to remove the gallbladder than to

attempt it's removal since the DS is complex enough without it.

So, the best bet is to ask one's surgeon since they can have totally

different views on this issue!

The appendix isn't even touched.

all the best,

lap ds with gallbladder removal

january 25, 2001

Dr. Gagner/Mt. Sinai/NYC

six months post-op and still feelin' fabu!

preop: 307 lbs/bmi 45

now: 229

[Guest guest]

Dee,

Originally Dr. Ren had said that she wasn't going to remove the gallbladder

unless there were problems. But in the 4 months between consult and surgery

her thinking changed. She felt that gallstones often form with drastic drops

in weight and that, even though I could take Actigall to mitigate problems,

why take the chance of a second surgery in case of problems when it could be

taken care of in one fell swoop. Many surgeons seem to feel the same way; it

seems to be a common practice. The appendix, which is really unnecessary,

also is commonly removed.

Marcia

>

> > Re:

> > > Re: How many with High BMI?

> > > 02:13 PM

> > >

> > > Please respond

> > >

> > > to

> > >

> > > duodenalswitch

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > > In a message dated 8/13/2001 5:49:23 PM Pacific

> > Daylight Time,

> > > chull1@... writes:

> > >

> > > << I know if you were Dr. Anthone's patient he

> > would have you do a panni

> > > first and then do the DS. He also asks patients

> > of that size to

> > > loose 50-100 lbs before surgery.

> > > >>

> > >

> > > I don't think Dr. A would recommend panni removal

> > in all patients

> > > with high

> > >

> > > BMI. I started with a BMI of 69, and was/am able

> > to get around okay. I

> > > think

> > > mobility is a big factor in his recommendation.

> > Luckily, I didn't need it.

> > > I

> > > do agree with you, however, in the risk factor

> > with lap procedures on

> > > higher

> > > BMI's. I had a friend that had MAJOR

> > complications, and with all

> > > her weight

> > >

> > > in front, as an after thought, her surgeon said

> > she was probably too large

> > > to

> > > do the procedure lap. She will have brain damage

> > for the rest of her life

> > > due

> > > to her serious complications. Needless to say,

> > there is a major law suit

> > > going on because of his negligence. I know more

> > and more surgeons are

> > > willing to perform lap procedures on higher BMI's

> > and alot of

> > > them are very

> > >

> > > successful. A different set of problems for each

> > surgery I suppose. It's a

> > > tough decision for some, but after what I saw my

> > friend go

> > > through, I would

> > >

> > > much rather opt for the longer recovery time.

> > >

> > > Kim

> > > Dr. Anthone

> > > 4/18/01-DGB/DS open

> > > -88 lbs

> > >

> > >

> >

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

> > >

[Guest guest]

Thanks for your input, Marcia, and I hope all continues to go well !!

Bye,

Donna

Marty Kanter

<shadow44@opto To: duodenalswitch

nline.net> cc:

Subject: RE: Re:

How many with High BMI?

08/14/2001

03:25 PM

Please respond

to

duodenalswitch

Donna,

My BMI was 52 (down to 44 now) and had lap with Dr. Ren on 7/13. The

operation took 6 hrs. (removal of appendix, gallbladder, and repair of

massive hiatal hernia). Recovery so far has been textbook perfect ( " pooh,

pooh " as Grandma would say). Energy levels back up, incisions healed well,

no nausea or vomiting. I'm not in the SMO range but was higher than you are

if you want to make any comparisons.

Best of Luck,

Marcia

Lap DS

7/13

280/52

237/44

> Re:

> Re: How many with High BMI?

> 02:13 PM

>

> Please respond

>

> to

>

> duodenalswitch

>

>

>

>

>

>

>

>

> In a message dated 8/13/2001 5:49:23 PM Pacific Daylight Time,

> chull1@... writes:

>

> << I know if you were Dr. Anthone's patient he would have you do a panni

> first and then do the DS. He also asks patients of that size to

> loose 50-100 lbs before surgery.

> >>

>

> I don't think Dr. A would recommend panni removal in all patients

> with high

>

> BMI. I started with a BMI of 69, and was/am able to get around okay. I

> think

> mobility is a big factor in his recommendation. Luckily, I didn't need

it.

> I

> do agree with you, however, in the risk factor with lap procedures on

> higher

> BMI's. I had a friend that had MAJOR complications, and with all

> her weight

>

> in front, as an after thought, her surgeon said she was probably too

large

> to

> do the procedure lap. She will have brain damage for the rest of her life

> due

> to her serious complications. Needless to say, there is a major law suit

> going on because of his negligence. I know more and more surgeons are

> willing to perform lap procedures on higher BMI's and alot of

> them are very

>

> successful. A different set of problems for each surgery I suppose. It's

a

> tough decision for some, but after what I saw my friend go

> through, I would

>

> much rather opt for the longer recovery time.

>

> Kim

> Dr. Anthone

> 4/18/01-DGB/DS open

> -88 lbs

>

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

>

[Guest guest]

Thanks for your input, Marcia, and I hope all continues to go well !!

Bye,

Donna

Marty Kanter

<shadow44@opto To: duodenalswitch

nline.net> cc:

Subject: RE: Re:

How many with High BMI?

08/14/2001

03:25 PM

Please respond

to

duodenalswitch

Donna,

My BMI was 52 (down to 44 now) and had lap with Dr. Ren on 7/13. The

operation took 6 hrs. (removal of appendix, gallbladder, and repair of

massive hiatal hernia). Recovery so far has been textbook perfect ( " pooh,

pooh " as Grandma would say). Energy levels back up, incisions healed well,

no nausea or vomiting. I'm not in the SMO range but was higher than you are

if you want to make any comparisons.

Best of Luck,

Marcia

Lap DS

7/13

280/52

237/44

> Re:

> Re: How many with High BMI?

> 02:13 PM

>

> Please respond

>

> to

>

> duodenalswitch

>

>

>

>

>

>

>

>

> In a message dated 8/13/2001 5:49:23 PM Pacific Daylight Time,

> chull1@... writes:

>

> << I know if you were Dr. Anthone's patient he would have you do a panni

> first and then do the DS. He also asks patients of that size to

> loose 50-100 lbs before surgery.

> >>

>

> I don't think Dr. A would recommend panni removal in all patients

> with high

>

> BMI. I started with a BMI of 69, and was/am able to get around okay. I

> think

> mobility is a big factor in his recommendation. Luckily, I didn't need

it.

> I

> do agree with you, however, in the risk factor with lap procedures on

> higher

> BMI's. I had a friend that had MAJOR complications, and with all

> her weight

>

> in front, as an after thought, her surgeon said she was probably too

large

> to

> do the procedure lap. She will have brain damage for the rest of her life

> due

> to her serious complications. Needless to say, there is a major law suit

> going on because of his negligence. I know more and more surgeons are

> willing to perform lap procedures on higher BMI's and alot of

> them are very

>

> successful. A different set of problems for each surgery I suppose. It's

a

> tough decision for some, but after what I saw my friend go

> through, I would

>

> much rather opt for the longer recovery time.

>

> Kim

> Dr. Anthone

> 4/18/01-DGB/DS open

> -88 lbs

>

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

>

[Guest guest]

>

> To present a different view, my surgeon (Dr. Gagner/Mt.

> Sinai/NYC) does NOT routinely remove the gallbladder

> unless it is diseased. The reason he gives is that it

> is much more difficult to remove the gallbladder during

> DS surgery than on it's own at a later date.

>

> The appendix isn't even touched.

This is something to think about when choosing a surgeon.

If you've got a pretty healthy gallbladder and you're not a worrier,

then this all this is okay for a lap procedure.

If, on the other hand, your gallbladder looks like mine, (Dr. Anthone

said it looked " like a bag of marbles " ), and you are just PETRIFIED

that you'll have an intestinal blockage down the line, then you might

want to consider a surgeon who routinely snips both of those

puppies.

QUESTIONS:

1. I think that Dr. Rabkin is the only lap dude who regularly takes

out the appendix & gallbladder. Is this correct?

2. It seems like it would be easier to get at them with an open

procedure, right?

Tom

[Guest guest]

tlarussa@... wrote:

>QUESTIONS:

>

>1. I think that Dr. Rabkin is the only lap dude who regularly takes

>out the appendix & gallbladder. Is this correct?

Dr. Baltasar in Spain also removes them automatically.

>2. It seems like it would be easier to get at them with an open

>procedure, right?

>

>Tom

>

>

>

>

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

>

[Guest guest]

In a message dated 8/15/01 8:56:44 PM Eastern Daylight Time,

raina28@... writes:

> Dr. Macura only does open but he removes the gall bladder at the same time

> dont know about the appendix because mine was already bye bye!

>

Dr. Macura does look at the appendix when he opens you up. If it's nice and

healthy he leaves it, if not, bye bye. I just happened to watch an appendix

removal on one of the health channels recently and was shocked to see how

tiny it was. No biggie to me if he goes and removes it.

Sherry

[Guest guest]

Dr. Gagner also does his lap--when done open the GB removal is

easier. With a lap GB the probes go in slightly different spots to

give the best angle.

JMO.

Pammi

> >

> > To present a different view, my surgeon (Dr. Gagner/Mt.

> > Sinai/NYC) does NOT routinely remove the gallbladder

> > unless it is diseased. The reason he gives is that it

> > is much more difficult to remove the gallbladder during

> > DS surgery than on it's own at a later date.

> >

[Guest guest]

Dr. Gagner also does his lap--when done open the GB removal is

easier. With a lap GB the probes go in slightly different spots to

give the best angle.

JMO.

Pammi

> >

> > To present a different view, my surgeon (Dr. Gagner/Mt.

> > Sinai/NYC) does NOT routinely remove the gallbladder

> > unless it is diseased. The reason he gives is that it

> > is much more difficult to remove the gallbladder during

> > DS surgery than on it's own at a later date.

> >