Re: DS/Dr. Herron

[Guest guest]

In a message dated 10/7/01 2:52:48 AM, duodenalswitch writes:

<< " I've found that Dr. Herron tends to be pretty 'pro-RNY in most cases "

Oh no. I have an upcoming consult and I only want a DS. Am I going to

have a hard time?

>>

NANCY: Dr. Herron wasn't my surgeon so I'm really not totally sure, but I

don't think he would REFUSE anyone the surgery... My bmi was 45 so I was on

the 'lighter side' of mo -- I think in cases like mine he *may have* leaned

more towards the RNY but I think that an informed patient wouldn't be

downright rejected...

He *may* try to persuade you (particularly if your bmi is in the low-mid 40's

or below) or they may not if you fit their definition of someone for whom a

DS would be best (usually those with the higher bmis, as this was a surgery

originally geared towards this group mainly. Then, it started being offered

to any mo patient). He does perform the DS as well as the RNY and VGB. I

just think he prefers the RNY for patients who are not extremely mo. Perhaps

he sees it as 'less radical' or 'safer' in some way for people who have lower

bmis (but still in the mo range). I'm sure he's performed a DS on those with

lower bmis as well. I just think the information he usually provides to

pre-ops leans more towards the extremely conservative approach in re post-op

lifestyle, etc.

all the best,

lap ds with gallbladder removal

January 25, 2001

Dr. Gagner/Mt. Sinai/NYC

eight months post-op and still feelin' fabu!

preop: 307 lbs/bmi 45

now: 213

[Guest guest]

Why would the RNY be considered " less radical " and safer " , as you say, than the

DS procedure?

[Guest guest]

. He did make special

> points about the stools and odors after DS...which haven't been a

problem

You might consider letting Dr Herron know this. Hearing that this

isn't a problem for everyone may help give him a better understanding

of the range of responses our bodies make to the DS

in Seattle