Stanford Letter - Part Two

[Guest guest]

{Here is the second part of the letter from Stanford.

I decided to cut and paste from Word so that's why

this posted so soon from the other one. Again, any

typos are my own}

WHAT ARE THE PREOPERATIVE REQUIREMENTS IN ORDER TO

UNDERGO SUCH AN OPERATION:

1. You must have a stable relationship with a primary

care doctor. Often we require that you be cared for

continuously by one physician for one year prior to

consideration of surgery. You must be willing to be

followed by this physician indefinitely.

2. You must be seen by a dietician and by a

psychologist of psychiatrist.

3. You must complete a detailed health questionnaire

that we will provide.

4. You must undergo at a minimum the following test

results prior to surgery:

Chest x-ray

EKG

Pulmonary function tests and Room Air Blood Gas

Blood tests - (Complete blood count, B12 level, Serum

electrolytes, renal and liver function tests, calcium

and phosphate levels, uric acid), Lipid profile

(cholesterol and triglycerides), Glucose tolerance

test (unless already known to be a diabetic), Thyroid

function tests

5. You may be asked to undergo additional tests as

well, including more elaborate testing of your heart

and lungs, testing for sleep apnea, or other blood

tests.

WHAT ARE THE RISKS OF THIS OPERATION?

This is a major operation that carries with it

significant risks. Included among those risks, which

WILL {emphasis was in the letter and not added by me}

occur with a small but unavoidable incidence, are:

1. Inadequate weight loss

2. Serious wound complications such as infections or

wound breakdown

3. Bleeding severe enough to require transfusion

4. Serious infections

5. Serious respiratory complications which may

require extended stays on a ventilator

6. Injury to the spleen, possibly necessitating its

removal

7. Leakage from the stomach or intestine which may

require re-operation

8. Blood clots in the legs or lungs

9. Side effects serious enough to dangerously

interfere with your ability to eat enough

10. Need for re-operation

11. Long-term metabolic complications of the

procedure

12. Death

THIS OPERATION PRODUCES RESULTS BY CREATING

UNDESIRABLE SIDE EFFECTS OF EATING. IT WILL NOT:

1. Remove your sense of hunger

2. Cause you to lose your desire to eat

3. Remove any of the psychological cravings that you

may have for food.

This operation will not be successful in the absence

of your strong motivation to help make the procedure

work. This operation does not work without producing

serious side effects if you eat too much or the wrong

foods. These side effects may consist of pain, nausea,

regurgitation, heartburn, diarrhea, flushing, and even

fainting.

{To be continued in Part Three}

=====

Dee

Waiting for Ins. Co. Approval

313/Want to be 165

__________________________________________________

[Guest guest]

{Here is the second part of the letter from Stanford.

I decided to cut and paste from Word so that's why

this posted so soon from the other one. Again, any

typos are my own}

WHAT ARE THE PREOPERATIVE REQUIREMENTS IN ORDER TO

UNDERGO SUCH AN OPERATION:

1. You must have a stable relationship with a primary

care doctor. Often we require that you be cared for

continuously by one physician for one year prior to

consideration of surgery. You must be willing to be

followed by this physician indefinitely.

2. You must be seen by a dietician and by a

psychologist of psychiatrist.

3. You must complete a detailed health questionnaire

that we will provide.

4. You must undergo at a minimum the following test

results prior to surgery:

Chest x-ray

EKG

Pulmonary function tests and Room Air Blood Gas

Blood tests - (Complete blood count, B12 level, Serum

electrolytes, renal and liver function tests, calcium

and phosphate levels, uric acid), Lipid profile

(cholesterol and triglycerides), Glucose tolerance

test (unless already known to be a diabetic), Thyroid

function tests

5. You may be asked to undergo additional tests as

well, including more elaborate testing of your heart

and lungs, testing for sleep apnea, or other blood

tests.

WHAT ARE THE RISKS OF THIS OPERATION?

This is a major operation that carries with it

significant risks. Included among those risks, which

WILL {emphasis was in the letter and not added by me}

occur with a small but unavoidable incidence, are:

1. Inadequate weight loss

2. Serious wound complications such as infections or

wound breakdown

3. Bleeding severe enough to require transfusion

4. Serious infections

5. Serious respiratory complications which may

require extended stays on a ventilator

6. Injury to the spleen, possibly necessitating its

removal

7. Leakage from the stomach or intestine which may

require re-operation

8. Blood clots in the legs or lungs

9. Side effects serious enough to dangerously

interfere with your ability to eat enough

10. Need for re-operation

11. Long-term metabolic complications of the

procedure

12. Death

THIS OPERATION PRODUCES RESULTS BY CREATING

UNDESIRABLE SIDE EFFECTS OF EATING. IT WILL NOT:

1. Remove your sense of hunger

2. Cause you to lose your desire to eat

3. Remove any of the psychological cravings that you

may have for food.

This operation will not be successful in the absence

of your strong motivation to help make the procedure

work. This operation does not work without producing

serious side effects if you eat too much or the wrong

foods. These side effects may consist of pain, nausea,

regurgitation, heartburn, diarrhea, flushing, and even

fainting.

{To be continued in Part Three}

=====

Dee

Waiting for Ins. Co. Approval

313/Want to be 165

__________________________________________________