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Re: R e: this is bothering me

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In a message dated 8/18/01 4:40:10 PM, duodenalswitch writes:

<< post today from the same girl who posted here about how Dr. Ren told her

she

would be better off having RNY than DS because she has 3 small children and

is younger. What annoys me is this woman decided that whatever Dr. Ren said

was what she would do, deciding that if God closed the door to DS, she

wouldn't try to open it. I am so upset about this. I am upset with the Dr.

for telling her that and wondering why Dr. Ren would say something like that.

And I am upset with her attitude which seems to be that surgeons are gods or

that the opinion of one surgeon is somehow the direction God has decided for

her life. Based on people who are so easily led, I'd say surgeons

(such as this one) should watch what they say to people. But then, people

should have a little more sense and make decisions on more than one

conversation with one Dr. To me, its like setting up a dart board and

putting answers to questions on each triangle and saying wherever the dart

one throws ends up is the right answer.

>>

I'm not sure why Dr. Ren would recommend an RNY but when I spoke with her

just this past Thursday at a lapband meeting, she said she anamantly was NOT

recommending the RNY to anyone UNLESS they had an extreme sugar tooth. She

would recommend the lapband hands down instead of the RNY.... So, I don't

know if we know the entire story behind this poster, her eating habits and

any other reasons as to why Dr. Ren would recommend an RNY to her over a DS...

I certainly agree that being young and having three children is no reason to

get an RNY or not to get a DS!!! That's a little ridiculous if you ask me.

Perhaps Dr. Ren was thinking that a less invasive procedure/less

malapsorptive procedure would be 'safer' in the long term in that it wouldn't

require as much stringent supplementation and/or aftercare?

To me, there is a certain personality type that is attracted to the DS and

that benefits most from it. I think one has to be willing to do a lot of

footwork by oneself since an individual really has to educate their pcp in

most instances and other members of the medical community that they come in

contact with about their surgery and the aftercare needed. I think the

surgery is the BEST in terms of it's success rate (both short and long term)

and really offers the most 'normal' post-op lifestyle in terms of eating,

quantities, etc. BUT, the malapsorption factor does necessitate that a

person be very vigilent about aftercare, supplementation and protein intake,

especially long term. I could see it being very easy to become complacent

about things long term since one feels great and one's last labs (about a

year previous) were fine... and then developing nutritional deficiencies that

aren't noticed until one feels sick and then they are quite severe.

I think that if this person 'gives up' so easily on the DS and cannot be

convinced otherwise it may just be better that she does not get a surgery

that requires a lot of chutzpuh to maintain! Perhaps she would not be a

good candidate in that she is not willing to educate herself, take matters

into her own hands, etc. Perhaps she would eventually downplay the severity

of possible nutritional deficiencies when the surgeon's office isn't

meticulously monitoring her in the first year.

All the best,

lap ds with gallbladder removal

january 25, 2001

Dr. GAgner/Mt. Sinai/NYC

six months post-op and still feelin' faabu! :)

preop: 307 lbs/bmi 45

now: 228

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Perhaps Dr Ren would benefit from hearing from the many DS post ops

whose " sweet tooth " disappeared after surgery.

in Seattle, sweet toothless

>

>

> I'm not sure why Dr. Ren would recommend an RNY but when I spoke

with her

> just this past Thursday at a lapband meeting, she said she

anamantly was NOT

> recommending the RNY to anyone UNLESS they had an extreme sugar

tooth.

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Perhaps Dr Ren would benefit from hearing from the many DS post ops

whose " sweet tooth " disappeared after surgery.

in Seattle, sweet toothless

>

>

> I'm not sure why Dr. Ren would recommend an RNY but when I spoke

with her

> just this past Thursday at a lapband meeting, she said she

anamantly was NOT

> recommending the RNY to anyone UNLESS they had an extreme sugar

tooth.

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> Perhaps Dr Ren would benefit from hearing from the many DS post ops

> whose " sweet tooth " disappeared after surgery.

>

> in Seattle, sweet toothless

>

>

She just might. I know she has a BPD/DS support group as well. I can

say that my sweettooth has gotten better but I still have sweets.

Then again, I wasn't a compulsive sweet eater so I really can't speak

for anyone who does have this problem.

all the best,

lpa ds with gallbladder removal

January 25, 20

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> Perhaps Dr Ren would benefit from hearing from the many DS post ops

> whose " sweet tooth " disappeared after surgery.

>

> in Seattle, sweet toothless

>

>

She just might. I know she has a BPD/DS support group as well. I can

say that my sweettooth has gotten better but I still have sweets.

Then again, I wasn't a compulsive sweet eater so I really can't speak

for anyone who does have this problem.

all the best,

lpa ds with gallbladder removal

January 25, 20

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> > Perhaps Dr Ren would benefit from hearing from the many DS post

ops

> > whose " sweet tooth " disappeared after surgery.

> >

> > in Seattle, sweet toothless

> >

> >

> She just might. I know she has a BPD/DS support group as well. I

can

> say that my sweettooth has gotten better but I still have sweets.

>

I have the biggest problem with her recommending RNY to someone

because they are " younger " . What the heck does that have to do with

anything? After the destruction of normal functioning stomach in

RNY, I would think that there is just as much problem adhering to RNY

after surgery as DS, in fact, more problems!

I am beginning to wonder if the woman who got me so concerned prefers

to be misinformed and wants sympathy but won't listen to reason.

Anyway, tho, I am concerned about Dr. Ren and the advice she seems to

be giving to those consulting with her lately - weren't there some

posts about her advising some kind of band rather than DS now that

she is doing that, too?

Gosh, I sure am glad the surgeons I am considering have been doing

the DS for quite awhile and don't seem to want to switch people from

what they want.

Now theres the Dr. in Memphis switching people from band to Ds and

Ren from DS to band and RNY. I am thanking GOD I have a big stubborn

streak and would never let any Dr. decide the outcome of the rest of

my life. Maybe its a hold-over from all the BS I have taken from

most of them throughout the years with being over-weight etc.

Carole

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