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In a message dated 8/17/01 2:40:32 AM Eastern Daylight Time,

duodenalswitch writes:

<< BTW.. Larry died of a pulmonary embolus.. which he could have had

WITHOUT ANY SURGERY AT ALL. I think this is unfair to Dr. Husted...

and much worse than anything said thus far about Dr. Ren.. this is

character assasination based on ONE patient.

My .02,

Liane

>>

I don't think it is Character Assasination. It is telling it like it is/was.

I wonder about this Dr. and his ways - being inexperienced and telling

people they should have the DS when approved for the other surgery. I would

only want the DS myself, but I would want to be sure I had an experienced

surgeon.

I think this guy has some angel watching over him, because if he wants to

understand what happened with his Dr., this is the list to get the info in

the archives.

Yes, this could have happened with any surgery. However, the guy this Dr.

chose as his FIRST DS was someone most experienced DS surgeons probably would

have wanted to put on a fast first to lose some of his excess weight. Or

they would have known they were dealing with a very complex case. I just

wonder about this Dr.

and his motives.

And I think its more than OK to let people know about this and it isn't

character assassination. I would NOT go to that Dr.! Even if he was the

ONLY Dr. performing DS. My opinion YMMV.

Carole

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In a message dated 8/17/01 6:14:53 AM, duodenalswitch writes:

<< I would NOT go to that Dr.! Even if he was the

ONLY Dr. performing DS. My opinion YMMV. >>

Carole: I agree - I wouldn't go to that surgeon at this point. I would

definately take a 'wait and see' attitude. Not saying that Dr. Husted isn't

a good surgeon but I also question his reasoning for switching all the sudden

and not providing patient's with enough time to really explore their options.

That's what I meant when I was strongly warning . It sounded like he

really didn't know that Larry's case was similar in that Dr. Husted switched

him to the DS right before his surgery date (or the day of the surgery, I'm

not totally sure). It just alarms me that this would be a pattern, that's

all.

I also think surgeons should be totally upfront with their complication and

mortality stats. If he's only performed two DS and one passed away from

complications, then that's a 50-50 record (so FAR). Unfortunately, since

there are not more cases under his belt, that's the information will

have to make his decision. Maybe he has other factors that would influence

him to choose Dr. Husted anyway. More power to him. AT least he had all the

information before he made his choice. :)

all the best,

lap ds with gallbladder removal

January 25, 2001

Dr. Gagner/Mt. Sinai/NYC

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In a message dated 8/17/01 6:14:53 AM, duodenalswitch writes:

<< I would NOT go to that Dr.! Even if he was the

ONLY Dr. performing DS. My opinion YMMV. >>

Carole: I agree - I wouldn't go to that surgeon at this point. I would

definately take a 'wait and see' attitude. Not saying that Dr. Husted isn't

a good surgeon but I also question his reasoning for switching all the sudden

and not providing patient's with enough time to really explore their options.

That's what I meant when I was strongly warning . It sounded like he

really didn't know that Larry's case was similar in that Dr. Husted switched

him to the DS right before his surgery date (or the day of the surgery, I'm

not totally sure). It just alarms me that this would be a pattern, that's

all.

I also think surgeons should be totally upfront with their complication and

mortality stats. If he's only performed two DS and one passed away from

complications, then that's a 50-50 record (so FAR). Unfortunately, since

there are not more cases under his belt, that's the information will

have to make his decision. Maybe he has other factors that would influence

him to choose Dr. Husted anyway. More power to him. AT least he had all the

information before he made his choice. :)

all the best,

lap ds with gallbladder removal

January 25, 2001

Dr. Gagner/Mt. Sinai/NYC

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I have to agree with Liane...this could have happened no matter what. Larry may

have been lined up for this problem even if he'd not had surgery. The thing

that bothers me about this situation now with people putting down the surgeon IS

WE DONT KNOW ALL THE DETAILS. Alot is being assumed and that means everyone is

running on fear regarding this dr. Yes...people need to pay attention and think

about what they are doing and make sure they have the information....but DR.

Husted is a trained WLS surgeon...maybe not in the DS but its not like he's new

to surgery. My point is we don't know how this surgeon was prepared for the

surgery, who else was there, why or anything....so I just feel we're being a bit

judgemental without all the facts. I think anyone going to him for the DS,

since he is new to it should be aware...but I also think we need to be careful

about what is being said....

Just my .02

AJ

MsMystic1@... wrote:

>In a message dated 8/17/01 2:40:32 AM Eastern Daylight Time,

>duodenalswitch writes:

>

><< BTW.. Larry died of a pulmonary embolus.. which he could have had

> WITHOUT ANY SURGERY AT ALL. I think this is unfair to Dr. Husted...

> and much worse than anything said thus far about Dr. Ren.. this is

> character assasination based on ONE patient.

>

> My .02,

> Liane

> >>

>I don't think it is Character Assasination. It is telling it like it is/was.

> I wonder about this Dr. and his ways - being inexperienced and telling

>people they should have the DS when approved for the other surgery. I would

>only want the DS myself, but I would want to be sure I had an experienced

>surgeon.

>I think this guy has some angel watching over him, because if he wants to

>understand what happened with his Dr., this is the list to get the info in

>the archives.

>Yes, this could have happened with any surgery. However, the guy this Dr.

>chose as his FIRST DS was someone most experienced DS surgeons probably would

>have wanted to put on a fast first to lose some of his excess weight. Or

>they would have known they were dealing with a very complex case. I just

>wonder about this Dr.

>and his motives.

>And I think its more than OK to let people know about this and it isn't

>character assassination. I would NOT go to that Dr.! Even if he was the

>ONLY Dr. performing DS. My opinion YMMV.

>Carole

>

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

>

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I have to agree with Liane...this could have happened no matter what. Larry may

have been lined up for this problem even if he'd not had surgery. The thing

that bothers me about this situation now with people putting down the surgeon IS

WE DONT KNOW ALL THE DETAILS. Alot is being assumed and that means everyone is

running on fear regarding this dr. Yes...people need to pay attention and think

about what they are doing and make sure they have the information....but DR.

Husted is a trained WLS surgeon...maybe not in the DS but its not like he's new

to surgery. My point is we don't know how this surgeon was prepared for the

surgery, who else was there, why or anything....so I just feel we're being a bit

judgemental without all the facts. I think anyone going to him for the DS,

since he is new to it should be aware...but I also think we need to be careful

about what is being said....

Just my .02

AJ

MsMystic1@... wrote:

>In a message dated 8/17/01 2:40:32 AM Eastern Daylight Time,

>duodenalswitch writes:

>

><< BTW.. Larry died of a pulmonary embolus.. which he could have had

> WITHOUT ANY SURGERY AT ALL. I think this is unfair to Dr. Husted...

> and much worse than anything said thus far about Dr. Ren.. this is

> character assasination based on ONE patient.

>

> My .02,

> Liane

> >>

>I don't think it is Character Assasination. It is telling it like it is/was.

> I wonder about this Dr. and his ways - being inexperienced and telling

>people they should have the DS when approved for the other surgery. I would

>only want the DS myself, but I would want to be sure I had an experienced

>surgeon.

>I think this guy has some angel watching over him, because if he wants to

>understand what happened with his Dr., this is the list to get the info in

>the archives.

>Yes, this could have happened with any surgery. However, the guy this Dr.

>chose as his FIRST DS was someone most experienced DS surgeons probably would

>have wanted to put on a fast first to lose some of his excess weight. Or

>they would have known they were dealing with a very complex case. I just

>wonder about this Dr.

>and his motives.

>And I think its more than OK to let people know about this and it isn't

>character assassination. I would NOT go to that Dr.! Even if he was the

>ONLY Dr. performing DS. My opinion YMMV.

>Carole

>

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

>

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In a message dated 8/17/01 4:36:43 PM, duodenalswitch writes:

<< It is ok to say " get a second opinion " .. its ok to say, " well, but

he's he's not very inexperienced. " It is not ok to assume that Larry

had a PE because of the specific surgeon. If Sherri Carver had been

the first patient instead of the second, would everyone be so

concerned?

>>

I for one never said he had a PE because of a certain surgeon -- I said that

as far as I knew (which was corrected) the one person he had performed the

surgery on was also told they would get a different procedure right before

the surgery and, unfortunately, passed away of complications. IF THAT PERSON

had had adequate time to deal with the different surgery, learn about it, get

opinions, etc. - PERHAPS he would have made a different decision. Maybe he

wouldn't have (as I have stated in previous e-mails). Now, there are at

least two people who have undergone a DS with this surgeon. It is important

that this patient knows the past history, both good and bad, so he can decide

accordingly. I was the one who was avidly defending Dr. Husted as being the

sole cause of Larry's passing but I did question the surgeon's reasoning and

felt somewhat uncomfortable with the fact that Larry didn't find out about

this surgery switch until very very close to his surgery date. When a second

patient complained about this 'switcharoo', I felt even more suspicious about

whether or not patients are being adequately prepared and given all

information before their surgery takes place.

If Sherri were the first and Larry were the second, I would still say be

cautious. Why? BEcause this surgeon is not as experienced with the DS.

ALSO, if the surgeon is switching to the DS even after patients have been

approved for a different procedure, etc. and not providing adequate time for

a patient to consider all options available, then I would use extreme

caution. It seems quite suspicious to me that all the sudden patients who

were getting one surgery are now kind of being 'pressured' into another

because this is the procedure that the surgeon wants to improve on/gain

experience with.... I'm sure Dr. Husted also thinks the DS is best for these

particular patients, but why wasn't this discussed at all until the last

minute? Also, Sherri has wanted a DS all along. She was very informed

about it. Dr. Husted did not all of the sudden decide to perform a DS at the

last minute. So, I think her case is slightly different, at least in my

mind, because my problem isn't with Dr. Husted but the way patients are being

'switched' so quickly to the DS.

I still would err on the side of caution and wait to see how things play out.

People can be very emotional around the surgery date and may even be a

little disoriented if things are totally switched right before they are to

undergo surgery. My concern is that patients *MAY* feel pressured to undergo

a procedure and agree with the surgeon without really being given adequate

time to think things over. People may STILL make the decision to go with Dr.

Husted (Larry's profile mentioned how comfortable he felt with him) but it is

important to NOT feel rushed into things and/or not have all information

available.

All the best,

lap ds with gallbladder removal

January 25, 2001

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In a message dated 8/17/01 4:36:43 PM, duodenalswitch writes:

<< As

long as he is honest with his patients about his experience and the

risks(which he has been), it is up to each patient to decide on their

own what to do. Even Dr. Hess had a " first patient " .. and he WAS the

first DS/BPD surgeon. Has it occurred to anyone that Dr. Husted might

be figuring out for himself that the DS is a superior surgery and THAT

is why he is suggesting the change of procedure? We all know how long

insurance approvals take.. and I know quite a few folks who were

approved for the RnY but then wanted the DS because they felt it was a

better procedure... >>

I'm not 100 pct sure he is being totally upfront. If he is, that's great.

But, if he's switching people to the DS right before their surgery date and

NOT allowing adequate time or providing adequate information before surgery,

then I think this is a surgeon's error. If he thought the DS were superior

but he didn't perform it (yet), then he would refer these patients to other

qualified surgeons. Or, if he anticipated expanding his practice to include

the DS, I think he would have addressed this as a future possibility for

patients at their intial consult or somewhere down the line -- The fact that

two patients had this decision presented to them close to their surgery dates

is what bothers me the most.

If Dr. Husted were so convinced that DS was superior, then it would have been

mentioned from the beginning as a viable (and even preferable) option. It

seems that his patients really don't know much about the DS and are being

told, at the last minute, that the DS is right for them. OK -- but do they

have enough time to think things through? Are they being told the surgeon's

stats beforehand? if so, great. If not, this is where I have a problem with

things.

All the best,

lap ds with gallbladder removal

January 25, 2001

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It is ok to say " get a second opinion " .. its ok to say, " well, but

he's he's not very inexperienced. " It is not ok to assume that Larry

had a PE because of the specific surgeon. If Sherri Carver had been

the first patient instead of the second, would everyone be so

concerned?

Dr. DeBakey's first patient to get a ventricular assist device died

soon after its insertion..as did the second, third, fourth, and fifth.

Does that make him a bad cardiothoractic surgeon? NO. Do all his VAD

kill the patients who get them? No again. Yes, Dr. Husted is

inexperienced. But that doesn't mean he should quit doing the DS. As

long as he is honest with his patients about his experience and the

risks(which he has been), it is up to each patient to decide on their

own what to do. Even Dr. Hess had a " first patient " .. and he WAS the

first DS/BPD surgeon. Has it occurred to anyone that Dr. Husted might

be figuring out for himself that the DS is a superior surgery and THAT

is why he is suggesting the change of procedure? We all know how long

insurance approvals take.. and I know quite a few folks who were

approved for the RnY but then wanted the DS because they felt it was a

better procedure...

There is a big difference between getting a second opinion and not

knowing any risks about the surgery and the surgeon. From 's first

letter, it seems he did know he was among the first of Dr. Husted's

proposed DS patients. Once a patient has all the facts, it is up to

them to decide. Tell them he lacks DS experience. Tell them you would

get a second opinion. Don't say, " Oh, I wouldn't go to him, because

his first patient DIED. " THAT is my point. Larry didn't die on the

table. Who is to say that PE would not have happened after getting

the originally planned Fobi procedure? He had the exact same risks of

complications during & after the Fobi as after DS. Everyone keeps

saying that it shows poor judgement to choose to operate on someone

with such a high BMI for his first DS.. well, he's apparently been

operating on super MO folks to do a Fobi pouch without complications.

Both surgeries have the same risks. His surgical expertise has not

been killing his super MO Fobi clients; I'm sure he felt that since he

was looking at the same risks and he was experienced operating on the

Super MO that everything was fine.

Again, my .02. YMMV.

Liane

> I don't think it is Character Assasination. It is telling it like

it is/was. <snip>

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And to add my .02 to AMy's:

I don't know how high your BMI is--but Dr. Husted recommended the DS

to Larry because of his very high BMI.

If that is your same case--some docs require that you have a vena

cava filter inserted pre op to catch large deadly clots(emboli) that

Larry suffered from.

Just make sure that you do all your research--and have your body in

the best shape it can be before surgery.

Pammi

I think we're up to 10 cents, do I hear 12?

> I have to agree with Liane...this could have happened no matter

what. Larry may have been lined up for this problem even if he'd not

had surgery. The thing that bothers me about this situation now with

people putting down the surgeon IS WE DONT KNOW ALL THE DETAILS.

Alot is being assumed and that means everyone is running on fear

regarding this dr. Yes...people need to pay attention and think

about what they are doing and make sure they have the

information....but DR. Husted is a trained WLS surgeon...maybe not in

the DS but its not like he's new to surgery. My point is we don't

know how this surgeon was prepared for the surgery, who else was

there, why or anything....so I just feel we're being a bit

judgemental without all the facts. I think anyone going to him for

the DS, since he is new to it should be aware...but I also think we

need to be careful about what is being said....

>

> Just my .02

> AJ

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And to add my .02 to AMy's:

I don't know how high your BMI is--but Dr. Husted recommended the DS

to Larry because of his very high BMI.

If that is your same case--some docs require that you have a vena

cava filter inserted pre op to catch large deadly clots(emboli) that

Larry suffered from.

Just make sure that you do all your research--and have your body in

the best shape it can be before surgery.

Pammi

I think we're up to 10 cents, do I hear 12?

> I have to agree with Liane...this could have happened no matter

what. Larry may have been lined up for this problem even if he'd not

had surgery. The thing that bothers me about this situation now with

people putting down the surgeon IS WE DONT KNOW ALL THE DETAILS.

Alot is being assumed and that means everyone is running on fear

regarding this dr. Yes...people need to pay attention and think

about what they are doing and make sure they have the

information....but DR. Husted is a trained WLS surgeon...maybe not in

the DS but its not like he's new to surgery. My point is we don't

know how this surgeon was prepared for the surgery, who else was

there, why or anything....so I just feel we're being a bit

judgemental without all the facts. I think anyone going to him for

the DS, since he is new to it should be aware...but I also think we

need to be careful about what is being said....

>

> Just my .02

> AJ

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It is thrilling to see a RNY surgeon want to take the leap to doing

DS--but he's only offering it to HIGH BMI pts. They are the higher

risk---all the more to make sure patient and doctor are prepared for

this. There are so many more nuances to be aware of with super obese

person.

Pammi

> Carole: I agree - I wouldn't go to that surgeon at this point. I

would

> definately take a 'wait and see' attitude. Not saying that Dr.

Husted isn't

> a good surgeon but I also question his reasoning for switching all

the sudden

> and not providing patient's with enough time to really explore

their options.

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It is thrilling to see a RNY surgeon want to take the leap to doing

DS--but he's only offering it to HIGH BMI pts. They are the higher

risk---all the more to make sure patient and doctor are prepared for

this. There are so many more nuances to be aware of with super obese

person.

Pammi

> Carole: I agree - I wouldn't go to that surgeon at this point. I

would

> definately take a 'wait and see' attitude. Not saying that Dr.

Husted isn't

> a good surgeon but I also question his reasoning for switching all

the sudden

> and not providing patient's with enough time to really explore

their options.

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In a message dated 8/17/01 8:03:17 PM Eastern Daylight Time,

duodenalswitch writes:

<< It seems quite suspicious to me that all the sudden patients who

were getting one surgery are now kind of being 'pressured' into another

because this is the procedure that the surgeon wants to improve on/gain

experience with.... >>

That is exactly what bothers me - also I am wondering, if the patients got

approval for one type of wls (from insurance) how can he just switch at the

last minute? We all know what some people have had to go through to get

insurance approval for the DS - how can he just change a procedure without

having to get insurance approval for the new one??

Carole

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In a message dated 8/17/01 8:03:17 PM Eastern Daylight Time,

duodenalswitch writes:

<< It seems quite suspicious to me that all the sudden patients who

were getting one surgery are now kind of being 'pressured' into another

because this is the procedure that the surgeon wants to improve on/gain

experience with.... >>

That is exactly what bothers me - also I am wondering, if the patients got

approval for one type of wls (from insurance) how can he just switch at the

last minute? We all know what some people have had to go through to get

insurance approval for the DS - how can he just change a procedure without

having to get insurance approval for the new one??

Carole

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Ya know-- I really think that this doc has " seen the light " and is

switching over to doing the DS instead of the RNY-- THIS IS A GOOD

THING!!!!

I have some trouble with his changing the game plan on his patients on

the day of surgery-- If I were other than informed about the differences

in the procedures ( I researched my computer into keyboard failure), I

would not like having the new procedure sprung on me on the day of

surgery. This isn't the same thing as having moles burned off or sliced

off-- that decision I can make without a couple weeks of research.

This doc needs to get an informational packet out to his patients he is

considering changing to DS'ers. Those folks need to be let in on the

support available on line for this (and the other) procedures. Anyone

seeing this guy for the DS ought to help him out with the web resources

and give him a clue that what he is doing with these last minute switches

is putting folks off of him. He is shooting his practice in the foot and

he doesn't even know it! Someone, help this guy out, please!

Nan E. in CA pre-op with Dr. A

________________________________________________________________

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Ya know-- I really think that this doc has " seen the light " and is

switching over to doing the DS instead of the RNY-- THIS IS A GOOD

THING!!!!

I have some trouble with his changing the game plan on his patients on

the day of surgery-- If I were other than informed about the differences

in the procedures ( I researched my computer into keyboard failure), I

would not like having the new procedure sprung on me on the day of

surgery. This isn't the same thing as having moles burned off or sliced

off-- that decision I can make without a couple weeks of research.

This doc needs to get an informational packet out to his patients he is

considering changing to DS'ers. Those folks need to be let in on the

support available on line for this (and the other) procedures. Anyone

seeing this guy for the DS ought to help him out with the web resources

and give him a clue that what he is doing with these last minute switches

is putting folks off of him. He is shooting his practice in the foot and

he doesn't even know it! Someone, help this guy out, please!

Nan E. in CA pre-op with Dr. A

________________________________________________________________

GET INTERNET ACCESS FROM JUNO!

Juno offers FREE or PREMIUM Internet access for less!

Join Juno today! For your FREE software, visit:

http://dl.www.juno.com/get/tagj.

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Hi - I am new to this group. I just wanted you folks to know that Dr

Husted requires patients to attend a seminar before their consults.

He is very detailed with procedure and risks. I recently attended

the seminar and he DOES go thru both RYN and DS. He does not push

one procedure over the other. He gives the facts and says that it is

a very personal decision as to which to choose. I have decided that

the DS procedure would be a better fit for me. (Of course, I have

done lots of research also.) I have a consult with him on Aug 30. My

husband attended that seminar with me, I am attending another with my

sister and mom. They are not obese, they are supporting me and want

to attend for the info. I have checked out the other options,

surgeon wise, here in Nashville and I can say without a doubt that he

has the best staff in town. After care is stressed, you even have to

sign a form that you are committed to after care visits etc.

I read in one post here that he only does DS for super obese, I sure

hope not - he did not indicate that during the seminar. I will be

sure to pose that question next week.

I think that it is wonderful that he is offering a choice to his

patients. I find it hard to believe that he has not had training

in the DS - My heart breaks for Dianne and the rest of Larry's

family, but I feel sure that Larry went to surgery well informed of

the risks. Dr. Husted is a very experienced, successful surgeon. I

find it hard to believe that he would ruin his reputation by

performing a procedure that he is unqualified to perform.

This is my opinion, and I put my trust in God and pray that whichever

surgeon I choose will have his hands guided by Him. And that He will

guide me to the right decision.

Well enough for now, I will let y'all know how the consult goes.

I am anxious to read the posts here about how the DS is working for

y'all. Just decided to jump in here concerning my impressions of Dr.

Husted.

Wanda

>

> Ya know-- I really think that this doc has " seen the light " and is

> switching over to doing the DS instead of the RNY-- THIS IS

A GOOD

> THING!!!!

> I have some trouble with his changing the game plan on his patients

on

> the day of surgery-- If I were other than informed about the

differences

> in the procedures ( I researched my computer into keyboard

failure), I

> would not like having the new procedure sprung on me on the day of

> surgery. This isn't the same thing as having moles burned off or

sliced

> off-- that decision I can make without a couple weeks of research.

>

> This doc needs to get an informational packet out to his patients

he is

> considering changing to DS'ers. Those folks need to be let in on

the

> support available on line for this (and the other) procedures.

Anyone

> seeing this guy for the DS ought to help him out with the web

resources

> and give him a clue that what he is doing with these last minute

switches

> is putting folks off of him. He is shooting his practice in the

foot and

> he doesn't even know it! Someone, help this guy out, please!

> Nan E. in CA pre-op with Dr. A

> ________________________________________________________________

> GET INTERNET ACCESS FROM JUNO!

> Juno offers FREE or PREMIUM Internet access for less!

> Join Juno today! For your FREE software, visit:

> http://dl.www.juno.com/get/tagj.

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Hi - I am new to this group. I just wanted you folks to know that Dr

Husted requires patients to attend a seminar before their consults.

He is very detailed with procedure and risks. I recently attended

the seminar and he DOES go thru both RYN and DS. He does not push

one procedure over the other. He gives the facts and says that it is

a very personal decision as to which to choose. I have decided that

the DS procedure would be a better fit for me. (Of course, I have

done lots of research also.) I have a consult with him on Aug 30. My

husband attended that seminar with me, I am attending another with my

sister and mom. They are not obese, they are supporting me and want

to attend for the info. I have checked out the other options,

surgeon wise, here in Nashville and I can say without a doubt that he

has the best staff in town. After care is stressed, you even have to

sign a form that you are committed to after care visits etc.

I read in one post here that he only does DS for super obese, I sure

hope not - he did not indicate that during the seminar. I will be

sure to pose that question next week.

I think that it is wonderful that he is offering a choice to his

patients. I find it hard to believe that he has not had training

in the DS - My heart breaks for Dianne and the rest of Larry's

family, but I feel sure that Larry went to surgery well informed of

the risks. Dr. Husted is a very experienced, successful surgeon. I

find it hard to believe that he would ruin his reputation by

performing a procedure that he is unqualified to perform.

This is my opinion, and I put my trust in God and pray that whichever

surgeon I choose will have his hands guided by Him. And that He will

guide me to the right decision.

Well enough for now, I will let y'all know how the consult goes.

I am anxious to read the posts here about how the DS is working for

y'all. Just decided to jump in here concerning my impressions of Dr.

Husted.

Wanda

>

> Ya know-- I really think that this doc has " seen the light " and is

> switching over to doing the DS instead of the RNY-- THIS IS

A GOOD

> THING!!!!

> I have some trouble with his changing the game plan on his patients

on

> the day of surgery-- If I were other than informed about the

differences

> in the procedures ( I researched my computer into keyboard

failure), I

> would not like having the new procedure sprung on me on the day of

> surgery. This isn't the same thing as having moles burned off or

sliced

> off-- that decision I can make without a couple weeks of research.

>

> This doc needs to get an informational packet out to his patients

he is

> considering changing to DS'ers. Those folks need to be let in on

the

> support available on line for this (and the other) procedures.

Anyone

> seeing this guy for the DS ought to help him out with the web

resources

> and give him a clue that what he is doing with these last minute

switches

> is putting folks off of him. He is shooting his practice in the

foot and

> he doesn't even know it! Someone, help this guy out, please!

> Nan E. in CA pre-op with Dr. A

> ________________________________________________________________

> GET INTERNET ACCESS FROM JUNO!

> Juno offers FREE or PREMIUM Internet access for less!

> Join Juno today! For your FREE software, visit:

> http://dl.www.juno.com/get/tagj.

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In a message dated 8/18/01 6:00:44 AM, duodenalswitch writes:

<< Hi - I am new to this group. I just wanted you folks to know that Dr

Husted requires patients to attend a seminar before their consults.

He is very detailed with procedure and risks. I recently attended

the seminar and he DOES go thru both RYN and DS. He does not push

one procedure over the other. He gives the facts and says that it is

a very personal decision as to which to choose. I have decided that

the DS procedure would be a better fit for me. (Of course, I have

done lots of research also.) >>

This is great, but if the patient's surgery is changed at the last minute, I

doubt they really paid much attention to the other options that weren't

originally intended for them... I mean, if they were thinking they'd get a

FOBI pouch, then get switched to a DS (and, if he does cover the DS

initially, WHY are these patients being switched so close to their surgery

dates all of the sudden? I would have thought Larry would be a good

candidate for the DS due to his high bmi - why a fobi pouch initially????),

they may not have really paid much attention to the DS information.

I agree that it is a very personal decision. It is great that you have

decided on the DS as best for you beforehand. HOwever, the patients we were

debating about both had their procedures switched at the last minute to the

DS (why they were not considered initially for the DS I have no idea). This

was the problem some people (including me) had, not with Dr. Husted himself

as a surgeon per se.

<<<<<<<I read in one post here that he only does DS for super obese, I sure

hope not - he did not indicate that during the seminar. I will be

sure to pose that question next week.>>>>>>>

This is a really good question to ask. I think the person who mentioned this

may not have known this as a fact but just based on the information about

Larry (that he was super morbidly obese) and the fact that Dr. Husted changed

to the DS probably based somewhat on his bmi. So, I don't know if he has any

specifications for the DS surgery. Traditionally, it was only provided for

those with the highest bmis. Now, it is provided for those with bmi's in the

40's, although I've heard of some people with low 40's (like 40-41) who are

steered towards the RNY because it is a less radical surgery and they have

less weight to lose. I've also heard of people with lower bmis' (low 40's

and high 30's even) who have had the lap DS performed... so I guess it

depends on the surgeon and one's situation. :)

<<<<<< Dr. Husted is a very experienced, successful surgeon. I

find it hard to believe that he would ruin his reputation by

performing a procedure that he is unqualified to perform. >>>>>>

I don't think anyone was saying that Dr. Husted is 'unqualified' to perform

the DS but his lack of experience is something to consider. If patients are

well informed of this beforehand (that he has only performed the DS recently

on a handful of patients - we know of two at this point but there could be

more), then that's how it should be. IF these statistics are NOT mentioned

and the patients are not aware of this, then that is not being open and

straightforward about things.

Some people questioned whether Dr. Husted should have chosen someone who was

so morbidly obese and had co-morbidites for his first DS, perhaps chosing to

refer him to another more experienced surgeon. Others thought that this was

fine as long as the patient was aware that he would be the first and was

totally informed about the risks of the surgery, etc. Since it seems that

Dr. Husted switched procedures very close to his surgery date, some

doubted/were concerned as to whether Larry had sufficient timet to consider

all his options before going into the surgery. He may have made a similar

decision, of course. However, we just wanted to ensure that other patients

are totally aware of things before they make a final decision. Another

patient posted that they were just 'switched' to a DS from a fobi pouch and

felt upset about that. He came to the list for information. I haven't heard

a word from him since his original post, so now I am not sure whether he has

read all the responses, etc.

<<<<<<Well enough for now, I will let y'all know how the consult goes.

I am anxious to read the posts here about how the DS is working for

y'all. Just decided to jump in here concerning my impressions of Dr.

Husted.>>>>>>

Wanda: Thank you SO MUCH for jumpingin! I think it's invaluable to get

firsthand information from patients and see ALL points of view (especially

from those with experience). I really appreciate it. I'm also glad you've

decided that the DS is for you and have joined this site. Good Luck on your

consult and keep us posted on your surgery date, etc. If you should have any

questions or concerns, don't hesitate to raise them here! LOL

all the best,

Noverr-Chin

co-moderator, duodenalswitch

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

now: 228 (again - yahoo!)

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In a message dated 8/18/01 6:00:44 AM, duodenalswitch writes:

<< Hi - I am new to this group. I just wanted you folks to know that Dr

Husted requires patients to attend a seminar before their consults.

He is very detailed with procedure and risks. I recently attended

the seminar and he DOES go thru both RYN and DS. He does not push

one procedure over the other. He gives the facts and says that it is

a very personal decision as to which to choose. I have decided that

the DS procedure would be a better fit for me. (Of course, I have

done lots of research also.) >>

This is great, but if the patient's surgery is changed at the last minute, I

doubt they really paid much attention to the other options that weren't

originally intended for them... I mean, if they were thinking they'd get a

FOBI pouch, then get switched to a DS (and, if he does cover the DS

initially, WHY are these patients being switched so close to their surgery

dates all of the sudden? I would have thought Larry would be a good

candidate for the DS due to his high bmi - why a fobi pouch initially????),

they may not have really paid much attention to the DS information.

I agree that it is a very personal decision. It is great that you have

decided on the DS as best for you beforehand. HOwever, the patients we were

debating about both had their procedures switched at the last minute to the

DS (why they were not considered initially for the DS I have no idea). This

was the problem some people (including me) had, not with Dr. Husted himself

as a surgeon per se.

<<<<<<<I read in one post here that he only does DS for super obese, I sure

hope not - he did not indicate that during the seminar. I will be

sure to pose that question next week.>>>>>>>

This is a really good question to ask. I think the person who mentioned this

may not have known this as a fact but just based on the information about

Larry (that he was super morbidly obese) and the fact that Dr. Husted changed

to the DS probably based somewhat on his bmi. So, I don't know if he has any

specifications for the DS surgery. Traditionally, it was only provided for

those with the highest bmis. Now, it is provided for those with bmi's in the

40's, although I've heard of some people with low 40's (like 40-41) who are

steered towards the RNY because it is a less radical surgery and they have

less weight to lose. I've also heard of people with lower bmis' (low 40's

and high 30's even) who have had the lap DS performed... so I guess it

depends on the surgeon and one's situation. :)

<<<<<< Dr. Husted is a very experienced, successful surgeon. I

find it hard to believe that he would ruin his reputation by

performing a procedure that he is unqualified to perform. >>>>>>

I don't think anyone was saying that Dr. Husted is 'unqualified' to perform

the DS but his lack of experience is something to consider. If patients are

well informed of this beforehand (that he has only performed the DS recently

on a handful of patients - we know of two at this point but there could be

more), then that's how it should be. IF these statistics are NOT mentioned

and the patients are not aware of this, then that is not being open and

straightforward about things.

Some people questioned whether Dr. Husted should have chosen someone who was

so morbidly obese and had co-morbidites for his first DS, perhaps chosing to

refer him to another more experienced surgeon. Others thought that this was

fine as long as the patient was aware that he would be the first and was

totally informed about the risks of the surgery, etc. Since it seems that

Dr. Husted switched procedures very close to his surgery date, some

doubted/were concerned as to whether Larry had sufficient timet to consider

all his options before going into the surgery. He may have made a similar

decision, of course. However, we just wanted to ensure that other patients

are totally aware of things before they make a final decision. Another

patient posted that they were just 'switched' to a DS from a fobi pouch and

felt upset about that. He came to the list for information. I haven't heard

a word from him since his original post, so now I am not sure whether he has

read all the responses, etc.

<<<<<<Well enough for now, I will let y'all know how the consult goes.

I am anxious to read the posts here about how the DS is working for

y'all. Just decided to jump in here concerning my impressions of Dr.

Husted.>>>>>>

Wanda: Thank you SO MUCH for jumpingin! I think it's invaluable to get

firsthand information from patients and see ALL points of view (especially

from those with experience). I really appreciate it. I'm also glad you've

decided that the DS is for you and have joined this site. Good Luck on your

consult and keep us posted on your surgery date, etc. If you should have any

questions or concerns, don't hesitate to raise them here! LOL

all the best,

Noverr-Chin

co-moderator, duodenalswitch

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

now: 228 (again - yahoo!)

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Carole, I agree with you about this Dr. Husted. Although I'm sure he doesn't

have bad intentions, and I'm sure with more experience he will be fine. But I

would NOT be the one on the table being used as a Guinea pig!

Kim B.

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Carole, I agree with you about this Dr. Husted. Although I'm sure he doesn't

have bad intentions, and I'm sure with more experience he will be fine. But I

would NOT be the one on the table being used as a Guinea pig!

Kim B.

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