Re: Nick is wrong; Nick IS the Taliban!

[Guest guest]

In a message dated 11/29/01 11:08:33 AM, duodenalswitch

writes:

<< NO! I spoke with Dr. Gagner about this in his office yesterday, and

he said that he (and the people who he's trained) LEAVES AS MUCH

DUODENUM AS HE POSSIBLY CAN. In my case it was about 4 cms., but he

didn't have the operative report back yet in my chart to verify

this. This jives with his other conservative practices and

philosophies. So according to the man himself, the NYC doctors do

exactly the opposite of what you claimed: ***they tend toward the

longer size, not a shorter one.***

>>

: Thanks for confirming this... I wasn't sure. I thought it was 5

cm but I think this depends on the person's anatomy b/c they have some kind

of anatomical 'cut off point' (right before the area where the pancreas duct

connects with the intestines, I believe -- But I don't know the technical

name for it). Like you mentioned, the goal of Gagner et al is to leave as

much space as possible before making the first cut but this may really depend

on the individual's anatomy....

I was going to e-mail Dr. Gagner about this myself. I guess each person

would be slightly different and it would be in his/her surgical report, so I

should check there first (If mine has come back from the hospital yet! LOL

I haven't even found that out).

<<<<<I don't know about this. I thought all his patients took the 3 ADEKs

automatically, mostly as an insurance precaution, though it could be

overkill. Then again, ya know how I feel about these tablets!!>>>>

Yes, I think all immediate post-ops DO take 3 ADEK/daily -- I think he is

very conservative right after the surgery. And, I'm sure he'd adjust if the

labs came back with an excess, etc. BUT, I know of at least one one-year

post-op who is only taking 2, I think --- Her name is Jill Sokol -- JILL:

ARE YOU OUT THERE? DO YOU TAKE LESS THAN 3 ADEKS? Perhaps I am mistaken,

but I thought she did take less than 3. I'm not sure whether she started out

with three or not.....

And, I realize that other patients take less (not NYC patients at Mt. Sinai).

For instance, I've read Heidi's intake of pills is quite a bit less than

mine (her website is mywls.com) -- I think she had a CA doc and I'm not sure

what she started out with (she is at least one year post-op, right?), but her

multis and other pills (with the exception of calcium, I think) are less than

what I take....

<<<<<OK, no one disputes this, right? So, the length of the duodenum left

in tact has nothing to do with ADEKs or multivitamins so much as it

does with calcium absorption.>>>>>>

I'm sure that certain things (like protein) are digested throughout the

entire small intestines. Other items (like fat-soluable vitamins) are mainly

in a certain part of the intestines (it would be in our common channel but

ina normal person would include more of the intestines, I believe -- but not

the first section of the duodenum). CHRIS HULL -- you would know this

technical stuff --- Are calcium and other trace minerals mainly absorbed in

the duodenum? What about protein? Are the fat-soluable vitamins (A, D, E,

K) absorbed in the common channel???

all the best,

lap ds with gallbladder removal

January 25, 2001

Dr. Gagner/Mt. Sinai/NYC

10 months post-op and still feelin' fabu

preop: 307 lbs/bmi 45

now: 201 lbs (maybe going 'under' 200????)/size sweet 16