Guest guest Posted October 4, 2000 Report Share Posted October 4, 2000 Hi, all: The writer of this post, Sue, gave me permission to post this to the MGB lists. Hope you'll take some time to look this over. Blair In a message dated 10/4/00 5:08:35 PM Eastern Daylight Time, gswidemark@... writes: << > > > I hope I don't make EVERYONE on this list hate me but I went to > some of the > > links below and the explanations seemed a valid rebuttal. I am > wondering if > > the surgeons website may in part, be because Dr R is very honest > about the MGB > > and all WLS being risky and the surgeons are worried that knowing > the honest > > facts about WLS will deter prospectives in general. Because I have > not > > noticed them taking a website out against known quacks in the field > (I won't > > mention any names here but one real butcher everyone knows about > comes to > > mind, who is STILL performing procedures). In my research, it's > been my > > experience that most surgeons sites I've seen, really understate > the dangers > > involved with WLS and what risks they state, are given are in thick > medical > > terminology that prospectives won't bother to read. That's one > thing I really > > liked about Dr R's site that he was so honest about the risks. I > linked his > > 'risks' page to my site - it agrees with everything else I've read > in the > > medical literature in general about WLS. > > > > He states that he has a real concern about the dangers of ulcer and > strictures > > with the RNY and that's why he does the Billroth II. I have written > to him > > inquiring for cites of studies showing these dangers are greater in > RNY's. > > > > In fairness to him, he must believe in the Billroth II in order to > have chosen > > it. It is to his advantage to do the procedure with the least side > effects and > > the least bad problems because bad problems tend to turn into nasty > law suits. > > I knew an anesthesiologist who was present at a death which was > proven to be > > 'his fault' But in fact, it was a rare thing which happens and > wasn't really > > his fault at all. A young handsome man with blond hair (I can > still see his > > face), his career was over in a flash. I had him in my fiddle > class and the > > man could literally not work as a doctor from ONE very nasty > lawsuit. All > > physicians have heard these horror stories so it's to their > advantage to try > > and do - what they feel is - the best procedure. > > > > Usually physicians tend to have a 'professional courtesy' towards > other > > physicians yet the MGB dot.com website goes in opposition to this. > And one > > might say that this is because these physicians are so upset that > Dr R is > > doing this horrible procedure. I would like to believe that but I > have seen > > 'professional courtesy' to real quacks like 70 year old > abortionists who have, > > out of proven negligence, killed patients, for example (one gent > comes to mind > > who ate his lunch while a patient bled out in another room and told > the nurses > > to not bother him - he eventually lost his license but in such a > way that he > > still can practice in other states - he's over 70 years old). I > have also > > seen the medical community totally slander and character > assassinate those > > whom they think are stealing business. In fact, this is happening > on a wide > > scale at present, with nurse practitioners and it's not pretty and > it's not > > fair and many of us feel that it's not because of anything else but > that some > > folks are seeing that NPs are delivering a holistic type of > empirical medical > > care which patients love and which has a high rate of efficacy as > far as the > > healing process. > > > > Operating with an extremely limited medical knowledge (and it ARE > limited... > > although I did study thoroughly in medical literature the > procedures I feature > > in my site including in medical A & P books and more and have > researched this > > well over a year rather intensely), it seems to me that: > > > > 1. Dr R. is performing a procedure which is NOT any MORE dangerous > or risky > > than other types of RNY. It's just that the dangers of RNYs are > generally not > > detailed on websites. > > > > 2. Dr R. may be performing something safer than an RNY because it > seems, in > > part, a procedure still done to non weight loss oriented patients > and from my > > own experience, people of size are still the most abused segment of > this > > population - thus receiving surgery that non fat people receive may > be an > > advantage. > > > > 3. Dr R's procedure may APPEAR more dangerous than other types of > WLS because > > Dr R is so open about the risks. > > > > I am asking these questions openly. There is a lot at stake. First, > > individuals who have received this procedure may NOT be worse off > than those > > receiving other types of WLS. WLS is risky and those going into it > should be > > aware of that - this lack of awareness on the part of pre ops has > long been a > > concern of mine. Second, this upset about the MGB might be fueled > at least in > > part by something other than 'professional concern' - not to repeat > but to > > emphasize, I have seen it happen before in the medical community. > > > > It is so difficult for us, laypersons to figure out exactly what is > happening > > when talking of highly complex things. Just think if I launched a > discussion > > of intricate software development concepts here how lost everyone > would be? > > These scientific things involve so much learning - all medical > providers go to > > intense schooling for many years and equally intense practicum. > > > > When I began studying the GI tract via medical books, my son told > me " You will > > not even begin to scratch the surface of understanding this " . He > was SO > > right. That is why he IS the advisor for my Health site and why I > run > > everything by him. The best we can hope for is a surgeon who is > honest enough > > to tell us the full story and that we can figure out enough to ask > the 'right > > questions' before we have a procedure done. I to this date, am not > convinced > > that Dr R is NOT trustworthy. Yes he has made some tactical errors > in dealing > > with this situation but that just shows he's not a politician. > However, > > people hire Dr R for his medical ability and not his political > correctness (or > > lack thereof). Need I remind of certain politicians who ARE very > charming and > > politically correct but totally corrupt? > > > > To date, the item of most concern here, seems the risk for cancer > in 20 years > > or more. But from my research it appears that ALL WLS post ops have > this risk > > and if not for esophageal cancer then for colon cancer or other. > Some post > > ops have gotten cancer the year after surgery and their doctors > have told them > > it was probably partially due to the WLS. > > > > But if you think of it, we all are at some risk. I with GERD am > also in risk > > of esophageal cancer. My husband with a vasectomy is at high risk > for > > prostate cancer. People who have taken birth control pills or had > an abortion > > are at high risk for breast cancer. Seems most folks walking the > face of the > > earth are at risk for SOME kind of cancer. > > > > There are steps which can be taken to prevent cancer or > significantly cut down > > the risk - many veggies have actual anti cancer chemicals IN THEM. > WLS post > > ops can go rich on the supplements to help prevent cancer. A > regular exercise > > program (3 times a week, aerobic exercise or more) can cut the > risks of cancer > > by 40 percent. Not smoking, not consuming alcohol, eating a good > nutritious > > diet, lowering the fat consumption (which most WLS patients do). > All these > > things cut down the risks. > > > > I am throwing this out for honest discussion and rebuttal. I too > have > > experienced dreadful character assassination (not by surgeons > though but by > > very zealous pre ops and post ops who for some reason do not wish > prospectives > > to know about the dangers and risks or about alternatives to > surgery). So > > please heap no more abuse on me. If you can answer my concerns here > > preferably with sites and facts, I would be very interested. > > > > I don't think surgery is for everyone and laying out the facts > including the > > risks before AND the alternatives is a good step towards making > sure that > > those who seek the surgical path are making a full INFORMED consent > decision. > > Dr R still provides the most information about this on his website > and I have > > not seen any of the info he provides which is not reliable > according to all my > > other research. > > > > I look forward to your comments to any of my points but please no > flames or > > insults, thanks in advance, > > Sue > > >> Quote Link to comment Share on other sites More sharing options...
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