Guest guest Posted December 31, 2000 Report Share Posted December 31, 2000 Yes, there are several here in St. Louis doing it the lap way. I would like to point out, tho, that it does take approx 4 hours to do the RNY vs. 30 minutes for the MGB. I know some people will say - " so? I'll be asleep " . But it is an issue for many people. I have a heart condition. My cardiologist said he would ONLY approve me for the MGB. I can not be under anesthesia for the 4 hours that it takes to do the RNY. As a matter of fact, while I was in the " holding area " the anesthesiologist read my chart and had a private meeting with Dr. R to voice his concerns on putting me under at all. Thank God Dr. R. told him that I could withstand 30 minutes. All went well!! I am down 30 pounds and feeling FAB-U-LOUS. Margaret in St. Louis MGB 12/13/00 --- Lynnette Dorsett wrote: > would just like to say that not all doctors are > still doing the RNY the " old " way. As in cutting > open the stomach. I did find one that will do it > the lap way.... guess that would be a yeah for me > since I can't get to NC to have the MGB done by Dr. > R. > Lynnette > > > > Re: > > > > Hi Lynnette, my name is and I'm considering > WLS. I know what MGB is, > but > > I don't know what RNY is. I'd appreciate it if you > could tell me. Thanks, > > . > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2000 Report Share Posted December 31, 2000 Will you be having the rny open or lap? Knoxville Sharon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2000 Report Share Posted December 31, 2000 Margaret, Thanks for the input, my doc told me to expect the surgery to take 1 to 1 1/2 hrs, yes longer than the MGB, but does faster always mean better??? Would you rather someone work on your car in 30 min or 1 hour, may take longer, but it could work just as well, maybe better and to know they took the time to make sure it is done well. Hope no one here feels I am against Dr. R and his procedure, because I am not, but I am doing what I guess is best for me. You have all done wonderful and I read all the success, but also remember, RNY isn't to far off from the MGB. And if the RNY was so bad, they wouldn't still be performing it, now would they, lol. The biggest differences I see it the way Dr. R makes the " new " stomach, and he only has one intestine connection instead of the two with the RNY. Both are gastric bypass plain and simple, both are WLS, both are there to help us FAT and unhealthy people to lose weight and become healthier. Isn't that the point in the first place? We don't sit here an bicker over who the best dentist is do we?? NO! We go with what our plan will cover, who is close, and what is best for us. Lynnette Re: > > > > Hi Lynnette, my name is and I'm considering > WLS. I know what MGB is, > but > > I don't know what RNY is. I'd appreciate it if you > could tell me. Thanks, > > . > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2000 Report Share Posted December 31, 2000 Yea Margaret!!! On Sun, 31 Dec 2000 07:27:10 -0800 (PST) Margaret Bell writes: > Yes, there are several here in St. Louis doing it the > lap way. I would like to point out, tho, that it does > take approx 4 hours to do the RNY vs. 30 minutes for > the MGB. I know some people will say - " so? I'll be > asleep " . But it is an issue for many people. > I have a heart condition. My cardiologist said he > would ONLY approve me for the MGB. I can not be under > anesthesia for the 4 hours that it takes to do the > RNY. > > As a matter of fact, while I was in the " holding area " > the anesthesiologist read my chart and had a private > meeting with Dr. R to voice his concerns on putting me > under at all. Thank God Dr. R. told him that I could > withstand 30 minutes. All went well!! I am down 30 > pounds and feeling FAB-U-LOUS. > > Margaret in St. Louis > MGB 12/13/00 > > > --- Lynnette Dorsett wrote: > > would just like to say that not all doctors are > > still doing the RNY the " old " way. As in cutting > > open the stomach. I did find one that will do it > > the lap way.... guess that would be a yeah for me > > since I can't get to NC to have the MGB done by Dr. > > R. > > Lynnette > > > > > > > > Re: > > > > > > > Hi Lynnette, my name is and I'm considering > > WLS. I know what MGB is, > > but > > > I don't know what RNY is. I'd appreciate it if you > > could tell me. Thanks, > > > . > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2000 Report Share Posted December 31, 2000 Sorry, Lynnette. I was not trying to " knock " the RNY. Only wanted to point at that for some people with certain health conditions the time under anesthesia is a major consideration. The new drs who trained under Dr. R and are now doing the MGB are also taking much longer than Dr. R. He has been able to perfect his " dance " . I wish you all the best. Margaret in St. Louis 12/13/00 250 / 220 --- Lynnette Dorsett wrote: > Margaret, > > Thanks for the input, my doc told me to expect the > surgery to take 1 to 1 1/2 hrs, yes longer than the > MGB, but does faster always mean better??? Would > you rather someone work on your car in 30 min or 1 > hour, may take longer, but it could work just as > well, maybe better and to know they took the time to > make sure it is done well. Hope no one here feels I > am against Dr. R and his procedure, because I am > not, but I am doing what I guess is best for me. > You have all done wonderful and I read all the > success, but also remember, RNY isn't to far off > from the MGB. And if the RNY was so bad, they > wouldn't still be performing it, now would they, > lol. The biggest differences I see it the way Dr. R > makes the " new " stomach, and he only has one > intestine connection instead of the two with the > RNY. Both are gastric bypass plain and simple, both > are WLS, both are there to help us FAT and unhealthy > people to lose weight and become healthier. Isn't > that the point in the first place? We don't sit > here an bicker over who the best dentist is do we?? > NO! We go with what our plan will cover, who is > close, and what is best for us. > Lynnette > > > Re: > > > > > > Hey . > > What is RNY? It is a gastric bypass that is more > > complicated, takes longer > > to perform, requires a longer hospital stay, > results > > in greater blood loss, > > and leaves a big ol scare right in the middle of > > your chest. (that is > > because very few doctors are doing it with a > > laparoscope) > > I suggest that you look at DR. Rutlege's web page > > under " old loop " (on the > > left side of the page,) then follow your nose. > > As for the procedure of the RNY (that's short for > > Roux-en-Y,(pronounced > > Roo-N-Y) or as I prefer (Ruin Y. because if you > > have any complications this > > surgery can RUIN Your day :-) )) > > With the RNY the stomach pouch is higher up on the > > stomach and smaller than > > with MGB, so the new connection to your bypassed > > intestine WILL be in close > > proximity to your esophagus. That is why the " old > > loop " was abandoned some > > 30 years ago, it used the same " thumb sized " > stomach > > pouch high on the > > stomach. > > This closeness to the esophagus necessitates doing > > something to prevent > > gastric juices secreted by the liver and pancreas > > from entering the stomach > > and irritating the esophagus. > > What they do it this. Your small intestine is cut > > completely in two. The > > end that continues on to the large intestine (Lets > > call this the distal > > end)and out of the body is then attached to the > new > > stomach pouch. (This > > has its own set of problems). The end that comes > > from your stomach (and > > passes the liver and pancreas collecting all those > > gastric juices) is then > > reattached the distal portion of your small > > intestine a little ways > > downstream from your stomach pouch. > > Seems like a good idea, except for the > complications > > that I mentioned. (And > > by the way, what I didn't mention is the lesions > > from the scar tissue (a lot > > of it) and the fact that the more connections you > > have the higher likelihood > > you have of Leakage.) > > Now, to be honest, leakage can happen in any > > procedure, but with RNY, to fix > > it they carve you up again (resulting in a LOT of > > scar tissue and leasions) > > whereas with the MGB the fix is once again with > the > > scope and is finished in > > about 30 minutes. > > RNY is pretty much the " accepted " way of doing > > things, but it took YEARS to > > convince this same bunch to wash their hands > between > > surgeries too. > > I'm not a doctor so I can say this without fear of > > repercussions. The > > medical community, in general, tends to be a bunch > > of pig headed old farts > > who won't change until several boots to the pants > > have been administered. > > A small example. In the Lab, test results are > given > > in many cases as MG/DL > > or Milligrams per Deciliter. In the old days this > > was expressed as Gr % or > > Grams percent. > > Well, seeing as how we work with quantities MUCH > > smaller than Grams we went > > to the more realistic expression of MG/DL. The > > numbers are EXACTLY the same, > > it is a math thing, we removed a couple zeros from > > BOTH the numerator and > > the denominator, if you remember your high school > > math that is allowed. It > > is called simplification. > > This changeover was done YEARS ago, and to this > day > > doctors will storm into > > the Lab demanding to know " What in hell is this > > value in Grams percent? " It > > is the same number so what we have to do is take > the > > report that is crumpled > > up is his agitated little paw, and where it says > 120 > > mg/dl we scratch out > > the letters and write GR%. > > This is the mind set that medical professionals > have > > to deal with whenever > > they find a better way of doing things. Like > mating > > elephants, lots of > > screaming and stomping and it takes YEARS to get > > results. > > In short the RNY is what the medical community > > considers the " New and > > Improved " method of doing things. The fact of the > > matter is the RNY was > > developed some 30 years ago, so if you would like > to > > go with the best answer > > they came up with in the 60's go for it. (to me > > it's rather like being > > thrilled with color TV in this age of HDTV. It > > worked in its time but we > === message truncated === __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2000 Report Share Posted December 31, 2000 I can see why he is much quicker, he has over 1000 patients he has done. After some of the others get going on this procedure, they to may be able to shorten the time they spend in surgery also. My best to all....Have a Happy New Year!!! Lynnette Re: > > > > > > Hey . > > What is RNY? It is a gastric bypass that is more > > complicated, takes longer > > to perform, requires a longer hospital stay, > results > > in greater blood loss, > > and leaves a big ol scare right in the middle of > > your chest. (that is > > because very few doctors are doing it with a > > laparoscope) > > I suggest that you look at DR. Rutlege's web page > > under " old loop " (on the > > left side of the page,) then follow your nose. > > As for the procedure of the RNY (that's short for > > Roux-en-Y,(pronounced > > Roo-N-Y) or as I prefer (Ruin Y. because if you > > have any complications this > > surgery can RUIN Your day :-) )) > > With the RNY the stomach pouch is higher up on the > > stomach and smaller than > > with MGB, so the new connection to your bypassed > > intestine WILL be in close > > proximity to your esophagus. That is why the " old > > loop " was abandoned some > > 30 years ago, it used the same " thumb sized " > stomach > > pouch high on the > > stomach. > > This closeness to the esophagus necessitates doing > > something to prevent > > gastric juices secreted by the liver and pancreas > > from entering the stomach > > and irritating the esophagus. > > What they do it this. Your small intestine is cut > > completely in two. The > > end that continues on to the large intestine (Lets > > call this the distal > > end)and out of the body is then attached to the > new > > stomach pouch. (This > > has its own set of problems). The end that comes > > from your stomach (and > > passes the liver and pancreas collecting all those > > gastric juices) is then > > reattached the distal portion of your small > > intestine a little ways > > downstream from your stomach pouch. > > Seems like a good idea, except for the > complications > > that I mentioned. (And > > by the way, what I didn't mention is the lesions > > from the scar tissue (a lot > > of it) and the fact that the more connections you > > have the higher likelihood > > you have of Leakage.) > > Now, to be honest, leakage can happen in any > > procedure, but with RNY, to fix > > it they carve you up again (resulting in a LOT of > > scar tissue and leasions) > > whereas with the MGB the fix is once again with > the > > scope and is finished in > > about 30 minutes. > > RNY is pretty much the " accepted " way of doing > > things, but it took YEARS to > > convince this same bunch to wash their hands > between > > surgeries too. > > I'm not a doctor so I can say this without fear of > > repercussions. The > > medical community, in general, tends to be a bunch > > of pig headed old farts > > who won't change until several boots to the pants > > have been administered. > > A small example. In the Lab, test results are > given > > in many cases as MG/DL > > or Milligrams per Deciliter. In the old days this > > was expressed as Gr % or > > Grams percent. > > Well, seeing as how we work with quantities MUCH > > smaller than Grams we went > > to the more realistic expression of MG/DL. The > > numbers are EXACTLY the same, > > it is a math thing, we removed a couple zeros from > > BOTH the numerator and > > the denominator, if you remember your high school > > math that is allowed. It > > is called simplification. > > This changeover was done YEARS ago, and to this > day > > doctors will storm into > > the Lab demanding to know " What in hell is this > > value in Grams percent? " It > > is the same number so what we have to do is take > the > > report that is crumpled > > up is his agitated little paw, and where it says > 120 > > mg/dl we scratch out > > the letters and write GR%. > > This is the mind set that medical professionals > have > > to deal with whenever > > they find a better way of doing things. Like > mating > > elephants, lots of > > screaming and stomping and it takes YEARS to get > > results. > > In short the RNY is what the medical community > > considers the " New and > > Improved " method of doing things. The fact of the > > matter is the RNY was > > developed some 30 years ago, so if you would like > to > > go with the best answer > > they came up with in the 60's go for it. (to me > > it's rather like being > > thrilled with color TV in this age of HDTV. It > > worked in its time but we > === message truncated === __________________________________________________ Quote Link to comment Share on other sites More sharing options...
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