DS vs. RNY

[Guest guest]

>>The surgeon stressed that a great part of the surgery was that if

>>I ate sugary foods I would feel uncomfortable and this is a great

deterant from eating sweets.

Ya Know, it is funny-- every time I try to get up and walk, my knees

hurt, my back hurts and I am generally more and more miserable the more I

walk. This is the essence of " negative conditioning " . So how come

Docs see it and think it is a great idea for fatties as a tool in the

RNY, but can't see how it is working to keep me on the couch or in a

chair and not out there doing stuff?

Nan E.

5'2 " , 368

20 pounds off in panni on June 13, 2001

waiting for a DS date with Dr. Anthone in CA

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[Guest guest]

> Had it not been for anne on the AZWLS site I would never have known

> this surgery existed. Would I have found it on my own? I honestly don't

> know that I would have because RNY was all I had ever heard of the newer

> procedures. It took me over 3 years to decide I COULD live with the

> restrictions--I hurt so much all the time I have to do something--but it is

> so WONDERFUL to know I don't have to live a life with RNY.

>

Sounds familiar. <G> When I began researching, I knew about RNY but that

was all I had ever heard of. It was really a challenge trying to talk myself

into the RNY, it sounded like a fate worse than obesity in a lot of

ways...but it was all I knew and I was desperate. The thing that irritates

me most is that mere mention of DS is discouraged and even forbidden on some

OSSG lists. So how are we to let people know that there are other (and yes

*better*) options out there?

Michele B., Cols, Ohio

Failed VBG 1986

Revision - Open BPD/DS 7/14/00

Wt 320/159 BMI 50.2/24.8 -161 pounds

Dr. P. Maguire, Kettering OH

Self-pay

Brachioplasty, Mastopexy, Abdominoplasty, Lateral Trunk Excision - 12/8/01

Self-pay

http://hometown.aol.com/chezmich/index.html

[Guest guest]

,

Best of luck to you in your approval for whichever of the weight loss

surgeries you choose. We should all be grateful that we have a

choice at all.

I know the DS is " marketed " in some circles as a surgery that is

preferred for the super-morbidly obese. I don't really know why,

except that the research shows that it offers the greatest percentage

of excess weight loss. I guess the reasoning goes that the

super-morbidly obese are in a more desperate situation than just the

morbidly obese and therefore need a more " drastic " solution than what

the RNY (or another surgery) offers. Methinks 'tis a bunch of

bull-ca-ca, but such is the rationalization being used by patients,

insurance companies AND doctors.

I've also heard the DS referred to as the more drastic of the weight

loss surgeries. I don't agree with this (personally, I think the

Fobi Pouch is the most " drastic " ), but again I think the reasoning is

that it isn't more " drastic " , it is just a more difficult surgery to

perform technique-wise. A surgeon needs more training and there is

greater (surgical) risk. As a result, there are fewer surgeons

offering it. Also as a result, it is less widely available.

Another DS " fact " is that it carries more risk of malnutrition.

Well...HELLO?...the other surgeries (except for BPD-only or

distal-RNY) do little-to-nothing to the absorbing part of the

anatomy: the intestines. Of course the risk is higher, but the

research shows that patients who are compliant with their vitamins,

supplements (calcium, etc) and bloodwork are doing fine.

I'm 260 lbs and I'm getting the DS. I wouldn't touch the RNY with a

ten-foot pole.

-maria

At 3:46 PM -0800 11/26/01, kdlddd1219@... wrote:

>HI DIANNE.....I AGREE WITH YOU.....MY SURGEON HAS ME CONFUSED. I HAVE BEEN

>TOLD BY PEOPLE THAT DS ISNT RECOMMENDED FOR PEOPLE OF MY SIZE...THAT I WOULD

>BE BETTER OFF WITH RNY....I WEIGH 250. PEOPLE HAVE BEEN TELLING ME THAT DS

>IS BETTER FOR PEOPLE WHO ARE MORE OVERWEIGHT THAT ME.....(SOUNDS SILLY) AND

>I KNOW MY EATING HABITS....SO I FIGURED I WAS MAKING SUCH A DRASTIC CHANGE,

>MIGHT AS WELL GO ALL THE WAY...LOL WHAT IS YOUR PERSONAL OPPINION ON THIS?

> THANKS...........LISA DUCEY

>

>JUST WAITING FOR INS. APPROVAL

>

[Guest guest]

I was thankful there was someone on the Obesity Help site that posted

her profile about getting the DS. I never had heard of it. I was on

my way to the fobi pouch, knowing I needed to do something--even

though the thought of eating that way for the rest of my life

depressed and terrified me.

That is why I have a profile there too, and I try to update it

monthly, because I want a testimonial to be there for others

researching. I would encourage everyone here to do the same---every

little plug for the DS is great. I even put links to Mel's DS site

and to the yahoo groups.

We can have a quiet revolution of education and realism--when people

are first researching--if they are truly curious minded--will be most

open to information about the DS. That was how you got me!!

Pammi

-35#'s

10/15/01

Spain

[Guest guest]

In Florida we have no DS doctors. There are so many RNY docs you can

practically turn around and trip over one. I thank God every day I

saw Heidi's story on AMOS. Like most of us here I'd only heard of the

RNY. When I saw her story and saw the odd procedure listed I followed

her link to her www.mywls.com site. Her comparison chart just knocked

me out!!

When I started discussing this with my docs here none of them knew

anything about the DS. I've had to educate a LOT of doctors, nurses,

dieticians, etc... Now, the ones who do view this as a better

procedure send patients my way or ask me to speak with them about the

differences. Maybe someday soon some Florida RNY doc will wake up and

ask for training in the DS. We can only hope. In the meantime, I try

to make sure that anyone who is interested in WLS knows there IS an

alternative.

Thanks, Heidi!

P

-- In duodenalswitch@y..., " Dianne E. Rodgers " <diannerodgers@l...>

wrote:

> Hi,

> I think is right. She wrote:

> ~~~You know what I think? ...I think that the MAJORITY of people

who choose the RNY are those who just didn't know any better. Yeah,

it's their fault for not doing enough research, and they pay a price

for their stupidity, but in SOME sense, doctors are to blame as

well. It is not ethical for a doctor not to inform his or her

patient about ALL wls options, even superficially or in a biased kind

of way.~~~

>

> Had it not been for anne on the AZWLS site I would never have

known this surgery existed. Would I have found it on my own? I

honestly don't know that I would have because RNY was all I had ever

heard of the newer procedures. It took me over 3 years to decide I

COULD live with the restrictions--I hurt so much all the time I have

to do something--but it is so WONDERFUL to know I don't have to live

a life with RNY.

>

> Doctors don't mention DS because they don't do the DS, and they

want the $$$. What we need are more trained doctors who do the

procedure--a post-doctoral fellowship with Dr. Hess would be just the

ticket!!!

>

> So, I for one, think it would be kind to *privately* email people

who express concerns about living with RNY and inform them of their

options--a simple link to

> http://www.duodenalswitch.com/Procedure/procedure.html

> can lead people to other options.

>

> We have to let our little light shine.

> Thank you, , for lighting my way to DS.

> Dianne

>

> ~~~~I've learned--that it's not what happens to people

> that's important. It's what they do about it.~~~

[Guest guest]

> I was thankful there was someone on the Obesity Help site that

posted

> her profile about getting the DS. I never had heard of it. I was

on

> my way to the fobi pouch, knowing I needed to do something--even

> though the thought of eating that way for the rest of my life

> depressed and terrified me.

>

> That is why I have a profile there too, and I try to update it

> monthly, because I want a testimonial to be there for others

> researching. I would encourage everyone here to do the same---

every

> little plug for the DS is great. I even put links to Mel's DS

site

> and to the yahoo groups.

>

> We can have a quiet revolution of education and realism--when

people

> are first researching--if they are truly curious minded--will be

most

> open to information about the DS. That was how you got me!!

>

> Pammi

> -35#'s

> 10/15/01

> Spain

Hi Pammi,

What is your obesityhelp.com profile address? I'd like to read it.

Mine is: http://www.obesityhelp.com/morbidobesity/profile.phtml?

N=Z994824610 if you're interested.

Thanks,

[Guest guest]

Yes, I have someone to thank as well. Our very own Magruder,

who, as I've already told her, helped me learn more about the D/S

from her postings on the AMOS board.

SUCH an intelligent, thoughtful, and well-spoken (written) woman is

our .

Fondly,

<read: NO sarcasm here>

[Guest guest]

Thank you, . See, just when I'm about up to here with the online

stuff, somebody like you comes along and sucks me right back in with a

little reminder that something I did was helpful to them. THANKS A LOT!

And my poor lonely hubby thanks you too. LOL. ;-)

M.

---

in Valrico, FL, age 39

Lap DGB/DS by Dr. Rabkin 10-19-99

http://www.duodenalswitch.com/Patients/M/melaniem.html

Direct replies: mailto:melanie@...

> Re: DS vs. RNY

>

>

> Yes, I have someone to thank as well. Our very own Magruder,

> who, as I've already told her, helped me learn more about the D/S

> from her postings on the AMOS board.

>

> SUCH an intelligent, thoughtful, and well-spoken (written) woman is

> our .

>

> Fondly,

>

>

> <read: NO sarcasm here>

[Guest guest]

I hear you, woman: this online stuff MUST get tiring.

I can't FATHOM how you do all the work you do, what with negotiating

this group AND doing the D/S site. The work you have done and

continue to do is charity, pure and simple. Helping others IS what

God tells us to do and you are heeding that command (intentionally or

not) to the benefit of your own soul and others. There is no greater

work than charity. I have no doubt whatsoever in my mind that you

have helped change many, many lives for the good, including my own.

<continue to read: NO sarcasm in the above>

God bless you,

(who hopes she doesn't sound too melodramatic)

> Thank you, . See, just when I'm about up to here with the

online

> stuff, somebody like you comes along and sucks me right back in

with a

> little reminder that something I did was helpful to them. THANKS A

LOT!

> And my poor lonely hubby thanks you too. LOL. ;-)

>

> M.

>

> ---

> in Valrico, FL, age 39

> Lap DGB/DS by Dr. Rabkin 10-19-99

> http://www.duodenalswitch.com/Patients/M/melaniem.html

>

> Direct replies: mailto:melanie@t...

>

> > Re: DS vs. RNY

> >

> >

> > Yes, I have someone to thank as well. Our very own

Magruder,

> > who, as I've already told her, helped me learn more about the D/S

> > from her postings on the AMOS board.

> >

> > SUCH an intelligent, thoughtful, and well-spoken (written) woman

is

> > our .

> >

> > Fondly,

> >

> >

> > <read: NO sarcasm here>

[Guest guest]

, Not at all I feel the same way...

Lisbeth

mkf5t@... wrote: I hear you, woman: this online stuff MUST get

tiring.

I can't FATHOM how you do all the work you do, what with negotiating

this group AND doing the D/S site. The work you have done and

continue to do is charity, pure and simple. Helping others IS what

God tells us to do and you are heeding that command (intentionally or

not) to the benefit of your own soul and others. There is no greater

work than charity. I have no doubt whatsoever in my mind that you

have helped change many, many lives for the good, including my own.

God bless you,

(who hopes she doesn't sound too melodramatic)

> Thank you, . See, just when I'm about up to here with the

online

> stuff, somebody like you comes along and sucks me right back in

with a

> little reminder that something I did was helpful to them. THANKS A

LOT!

> And my poor lonely hubby thanks you too. LOL. ;-)

>

> M.

>

> ---

> in Valrico, FL, age 39

> Lap DGB/DS by Dr. Rabkin 10-19-99

> http://www.duodenalswitch.com/Patients/M/melaniem.html

>

> Direct replies: mailto:melanie@t...

>

> > Re: DS vs. RNY

> >

> >

> > Yes, I have someone to thank as well. Our very own

Magruder,

> > who, as I've already told her, helped me learn more about the D/S

> > from her postings on the AMOS board.

> >

> > SUCH an intelligent, thoughtful, and well-spoken (written) woman

is

> > our .

> >

> > Fondly,

> >

> >

> >

----------------------------------------------------------------------

[Guest guest]

this is my profile for Obesity help.com.

I recieved about 20 Well Wishes from people before my surgery, and

some asked questions, which was a good opportunity to tell then about

the DS and refer them to the DS infozone.

http://www.obesityhelp.com/morbidobesity/profile.phtml?N=B993397918

Pammi