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Re: I really need some advice please

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I think all the things you listed are a good reason to do the DS and the RNY.

I dont think you'll have any problems with this surgery and lead a much

better life ...better quality life. YOU DONT NEED to be punished for liking

food...let the surgery do the work and enjoy life again!! Good luck!

~*~ AJ ~*~

Bellingham, WA

Age 37 5'8'' Open DS

self pay - Dr Baltasar -Alcoy Spain

07/24/01 BMI 64 415.1

08/24/01 BMI 58 386.5 -28.6 lbs!

09/24/01 BMI 55.8 367.1 -48.0 lbs! -37.75 inches

10/24/01 BMI 52.6 346.0 -69.1 lbs! -50.0 inches

11/05/01 BMI 51.0 337.0 -78.1 lbs! -63.0 inches

My profile:

http://www.obesityhelp.com/morbidobesity/profile.phtml?N=E982002956

My website:

www.wls4aj.homestead.com

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Someone like you definitely needs the DS. The DS will help you give up the

food obsession because you will be able to eat normally (eventually). The

RNY could just put your food obsession into higher gear because of all of the

restrictions and the possibility of failure. Stretching of the pouch is much

more detrimental in the RNY than in the DS. I also recommend counseling

and/or reading books such as Overcoming Overeating, Breaking Free, Seven

Habits of Slim People. Read these both now while making your decision and

you will see what I mean. Keep them to work on after surgery with the help

of a therapist. If you are compulsive, you need the surgery least likely to

fail you so that you can relax.

Dawn--South Suburban Chicago area

Dr. Hess, Bowling Green, OH

BPD/DS

4/27/00

www.duodenalswitch.com

267 to 165 5' 4 "

size 22 to size 10

have made size goal

no more high blood pressure, sore feet, or dieting

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In a message dated 11/10/2001 6:44:07 AM Central Standard Time,

rblack@... writes:

> The one thing with the DS is you must be committed to eating your protein

> first. This was the toughest thing for me as those carbs called, but I

> forced myself to make sure I got enough protein in. I found then that I

> couldn't eat much if any carbs and wasn't feeling deprived.

I have always been more of a carb eater as well and have to work on the

" protein first " . A couple of things that I do are I eat a steak for

breakfast almost every morning. I buy these choice grade steaks at ALDI (a

discount food store) that are frozen and individually packaged. I also beef

up many high carb favorites. Instead of 1 pound called for ground beef in a

recipe I put two or three pounds. This makes the ratio of meet to other

ingredients much higher and I get more protein in. I do this with spaghetti

as well. I make a very heavily meated sauce and then put lots of the sauce

on a small amount of pasta. This makes me think I am getting to eat my

carbs, but in actuality it is mostly meat.

Dawn--South Suburban Chicago area

Dr. Hess, Bowling Green, OH

BPD/DS

4/27/00

www.duodenalswitch.com

267 to 165 5' 4 "

size 22 to size 10

have made size goal

no more high blood pressure, sore feet, or dieting

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Re: Original Message -----

My problem is, I am over 600 pounds and a die hard binge eater and food addict.

I also have SEVERE obsessive- compulsive disorder......The bottom line for me

is- would someone with my traits and personality type be better off with the

freedom of the ds- or the negative reinforcements and restrictions of the

roux en y ( which I would get distal )

Dear Overholt2002: I would recommend that you take a look at what the

statistics are for the distal RNY. MacLean (Ann Surg 2000) found that there was

a failure rate of 43% in the super-obese patient with at least the regular RNY.

I have a bit written about the superobese on my appeal at

http://www.growley.com/mywls/appeal/personal-appeal.html

By the way for those of those interested, I found out earlier this week that

Health Net refused my appeal. Then last night, I found out that my last ditch

effort to have my Medical Group reconsider attempting to contract with Dr. K...

also was refused. (Although they told me last week they would call and try to

contract, they never did... but reversed this decision for some unknown reason.)

The only positive thing is that my personal physician continues to support my

pursuit of the DS, in spite of pressure from his medical group... and he

basically knew nothing about the DS until I started bringing him literature.

My efforts now will be to try to switch to a PPO instead of an HMO; however, I

am not supposed to have this choice until next July. If I survive that hurdle,

then I will still have to get approval from Health Net, but it is a different

approval board (at least that is what I understand... and they have recently

approved surgery for someone in my area with Dr. K. Of course, when they see

all the other stuff in my file, I expect that they may just support what the

denial of the Appeals and Grievances... And, of course, I am pursuing a review

with the DMHC, but my understanding is that the DMHC would be unlikely to

reverse Health Net's denial because after all the " RNY " is the " Gold Standard. "

......grrrrrrrrrrr Sorry to rant.....

Elle

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HI,

Although I wasn't a binge eater, I did and do love my carbs. I still think

the DS is the best surgery. I've been to some support groups where almost

everyone were RNY's and realized while they were talking that binge eaters

remained binge eaters. They seemed to revel in dumping. One seemed to have

stretched her pouch so much that she was almost eating a regular meal and

then was wondering why she didn't lose anymore weight and in fact seemed to

be gaining. She was only about a year out.

The one thing with the DS is you must be committed to eating your protein

first. This was the toughest thing for me as those carbs called, but I

forced myself to make sure I got enough protein in. I found then that I

couldn't eat much if any carbs and wasn't feeling deprived. Since I had no

interest in making dumping a lifestyle, I found that one experience with the

pain and vomiting from overeating was enough to make me watch that I didn't

do it again.

Now after 6 months, I can eat some carbs, but find that I'm satisfied with

a few potato chips instead of a whole bag.

That is my opinion

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

10/21/01 295 lbs. BMI 46

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Hi -

The statistics for long-term weight loss in the super-morbidly obese just

aren't there with the RNY. If you want to lose more weight and keep it off,

dumping or not, the DS has the better track record.

Best-

Nick in Sage

I really need some advice please

> Hi everyone,

I am not new but it has been a while since I have posted. Here is my

dilemna- I have done my homework and truly believe the ds is the best

surgery out there for most people . It does seem to offer a more " normal "

post op quality of life . My problem is, I am over 600 pounds and a die

hard binge eater and food addict. I also have SEVERE obsessive- compulsive

disorder. Food rules my life in every way. As much as I dislike the roux

en y gastric bypass surgery ( the kind that Carnie had ) I am wondering if

I should consider it because of all the restrictions, dumping, etcetera.

There is no question I need surgery- it is just a matter of the right one.

I just feel that with the ds it will be easier for me to " go crazy " than

with a distal roux en y. I know myself- I will push things to the limit

and will probably end up stretching my remaining stomach prematurely . The

bottom line for me is- would someone with my traits and personality type be

better off with the freedom of the ds- or the negative reinforcements

and restrictions of the roux en y ( which I would get distal ) Your

opinions are welcomed. I REALLY like the ds but I am trying to be honest

with myself..... I am not too much of a sweets person- a piece of cake or a

donut now and then is ok- but I LOVE carbs (mostly rice, potatoe, bread,

gravies) and proteins, ( beef, pork, chicken) fatty foods ( pizza,salami,

summer sausage, cold cuts ) , junk food , ( doritos, ravioli, chips)

Thanks for your opinions . Blessings

>

>

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

>

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If any one here could have out eaten this surgery it would have been

me. I spent the past month in a sugar stupor. I am not joking, I

was still licking the chocolate cake off my fingers walking down the

hall to grab a peice of apple strudle. I am a carb junkie. I paid

all right; I only lost 6 pounds last month. I eat nachos, chili-

cheese dogs, T-bone steaks broiled with butter, eggs and bacon,

french toast, with butter and sugar free syrup. You eat enough to be

satisfied, physically and psychological.

I only have 35 more pounds to go to goal. It has been nine months

since I was given my miracle surgery and I am 35 pounds from goal.

I do have a few rules I stick with, I eat protein before carbs, I eat

100 + grams a day of protein. I take my supplements everyday and I

drink at least 2 quarts of water, more if I can.

Choose a surgery that fits your eating habits and lifestyle. Do not

choose to punish yourself by denial, it will come back to bite you.

Teri

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