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Re: RNY again

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In a message dated 9/25/01 7:48:09 AM Eastern Daylight Time,

duodenalswitch writes:

<< How could any of us know and make an

intelligent decision as to which surgery MIGHT be best

when the person that is telling you what you should

have is the one who is performing that procedure and

stands to benefit financially from your going with

his/her procedure. >>

Which is EXACTLY what the surgeons do who perform the RNY and the insurance

companies who pay for it!!! Geesh - I have not even talked to a surgeon yet

- just you people on this list andd other DS lists. I sure haven't been told

the DS is good by anyone gaining financially from my getting DS! None of you

get a cut of the surgeon's fees, do you?? Carole

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I keep hearing about surgeons who are " pushing " the RNY because they make

more money in less time. I don't know who these surgeons are, but it

doesn't describe mine, Dr. Jerzey Mercura.

I hadn't heard about the DS and went to him expecting the RNY. During the

intake questions, the nutritionist said that the doctor would probably

advise the DS for me. It took me a while after that before I saw the

doctor, so my DH and I spent the time reading the booklet they gave me about

the differences. Dr. Macura said that I should do better with the DS but

left it up to me.

He didn't seem concerned with the fact that he could do more RNY's in a day

and therefore make more money.

Also seems there have been some comments about the fact that the doctor will

accept the small amount the insurance company pay, but charges the selfpay

patient thousands more. This is not the doctors greed causing it. This is

the way the insurance companies work. They look at what all the doctors in

the area are charging for the same thing then figure what they will pay. If

the doctor accepts the same from a selfpay as what the insurance company

will give him, they the insurance company will reduce what they will pay.

It's a crazy way to do business, but that is the way it works.

Rita Black

Open DS, Dr. Macura

4/23/01 400 lbs, BMI 63

5/1/01 391 lbs, BMI 61

5/22/01 368 lbs, BMI 58

6/21/01 350 lbs, BMI 55

7/31/01 328 lbs, BMI 51

5/22/01 368 lbs, BMI 58

6/21/01 360 lbs, BMI 55

7/31/01 328 lbs, BMI 51

8/23/01 320 lbs, BMI 50

9/25/01 306 lbs. BMI 48

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