Re: Steves response to my Dr. Ren posting.

[Guest guest]

Just in the spirit of discussion. What are you basing the assumptions of Dr.

Ren's skills on? I was just wondering what you are basing it on. Individual

outcomes? Numbers of procedures performed? What?

Dawn

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!

[Guest guest]

Ellen -

You have done precisely what you accuse Steve of doing.

You have crafted your response to fit your agenda and not the points he

made.

You totally ignored her mentor's words regarding her approach to the DS.

Clearly he felt her confidence level as a lap DS surgeon was a bit low. How

else do you explain why she is going back in time to resurrect an inferior

surgery that is something that she feels comfortable with at the same time

that she is rejecting the platinum standard that Gagner taught her to do?

As to her legion of happy campers, she has relatively few. Those who she

has operated upon include Deb, whose plight you have also chosen to ignore.

You earlier stated (I think it was you - if not, forget about what I am

about to say) that you had done your homework and chosen the GRD as the best

option. Tell me, please, just where you found any information, other than

what Dr. Ren told you, that suggests the superiority of the GRD over the DS.

I am waiting with baited breath to read that study.

Your defense of Ren is not surprising. After all, the choice one makes does

reflect upon them and the level of their own investigation into their

options. To criticize one's choice of a surgeon is to criticize one's own

judgment. Honestly, did you read Deb's information? Did you find any study

that backs up what Ren told you?

Best -

Nick in Sage

Also you said:

Steves response to my Dr. Ren posting.

> Hello. I think it is wonderful that there is such a great level of

exchange

> on the site, however, I must take issue with the response to my original

post.

>

> I ORIGINALLY WROTE: Lastly, I cannot say enough about Dr. Ren's skill

level.

> I would recommend both her bedside manner and more importantly her

surgical

> skills to ANYONE.

>

> And STEVE responded by ignoring what I originally wrote and changing my

words

> to fit his response.

>

> Lastly, I cannot say enough about Dr. Ren's skill level. I would recommend

> >both her bedside manner ... to ANYONE.

>

> If it is bedside manner that i am interested in, I can hire a

> prostitute. My surgeon can be the world's worst sonofabitch for all

> I care ('cuz i can be a mean machine, too), as long as he knows

> what the heck he is doing and does it right.

>

> CLEARLY THIS RESPONSE IS IN AGREEMENT WITH MY ORIGINAL POST, NOT COUNTER

TO

> IT. OBVIOUSLY, SURGICAL SKILL TAKES PRECEDENCE OVER BEDSIDE MANNER, I WAS

> JUST LAUDING DR. REN FOR BOTH OF THESE AMAZING QUALITIES.

> STEVE RESPONDED TO THE FOLLOWING:

> >

> >Her hesitancy if it can even be called that about doing the DS is a

realistic

> >one when faced with 4-6 hour surgeries on already compromised patients.

Lets

> >try to get our heads out of our collective butts when we criticize these

> >doctors for being hesitant.

>

> Perhaps she is justified in her hesitancy as she assesses her own

> skills?

>

> DR. REN'S HESITANCY IF IT CAN EVEN BE CALLED THAT HAS ABSOLUTELY NOTHING

TO

> DO WITH HER CONFIDENCE LEVEL. SHE IS ABOUT THE MOST CONFIDENT AND SKILLED

> SURGEON I WENT TO....AND SHE HAS THE EXPERIENCE. I THINK THE PEOPLE ON

THIS

> LIST NEED TO REALLY READ THE POSTS BEFORE THEY JUMP TO CONCLUSIONS.

>

> But, there are surgeons who feed darned confident about

> doing the DS and who have the track record of successes to back up

> their confidence.

>

> DR. RENS TRACK RECORD IS IMPECCABLE...WHY DONT YOU ASK HER PATIENTS WHO

ARE

> AMONG THE MOST LOYAL BUNCH OF 'SWITCHED' INDIVIDUALS I HAVE EVER COME

ACROSS..

>

> thanks again for letting me rant.

>

> Ellyn

>

>

>

>

>

[Guest guest]

At 9:19 PM -0500 12/10/01, dwkteach@... wrote:

>Just in the spirit of discussion. What are you basing the assumptions of Dr.

>Ren's skills on? I was just wondering what you are basing it on. Individual

>outcomes? Numbers of procedures performed? What?

Intuition fed by several isolated bits of information:

The outcome with Deb.

Dr. Elariny's comments re devascularizing the pylorus.

Various comments on the DS list about her reluctance to do the DS.

My " sixth sense " tells me that she may not be sure of her skills in

this area and that she may be raising a smoke screen to cover her own

insecurities--perhaps more to hide them from herself than from

others. In other words, I am not persuaded that she is being honest

with herself.

Put it all together, and I would not even consider making an

appointment for myself with her if I were pre-op. BUT THAT IS JUST

MY PERSONAL OPINION FOR MYSELF, AND I HAVE NO INTEREST IN DISSUADING

OTHERS FROM CONSULTING HER. I go a lot on intuition--part of my

Meyers-Briggs (though I cannot recall my profile).

You asked. I answered as honestly as I could.

--Steve

--

[Guest guest]

At 8:45 PM -0500 12/10/01, Flamegirl@... wrote:

>...

>

>DR. RENS TRACK RECORD IS IMPECCABLE...WHY DONT YOU ASK HER PATIENTS WHO ARE

>AMONG THE MOST LOYAL BUNCH OF 'SWITCHED' INDIVIDUALS I HAVE EVER COME ACROSS..

Errr. do the name " Deb " ring a bell?

--Steve

--

[Guest guest]

For what its worth (i.e. not much) I happen to agree with Steve on this....I am

glad that there have been many successfull DS post-ops with Dr. Ren....

Lisbeth

Intuition fed by several isolated bits of information:

The outcome with Deb.

Dr. Elariny's comments re devascularizing the pylorus.

Various comments on the DS list about her reluctance to do the DS.

My " sixth sense " tells me that she may not be sure of her skills in

this area and that she may be raising a smoke screen to cover her own

insecurities--perhaps more to hide them from herself than from

others. In other words, I am not persuaded that she is being honest

with herself.

Put it all together, and I would not even consider making an

appointment for myself with her if I were pre-op. BUT THAT IS JUST

MY PERSONAL OPINION FOR MYSELF, AND I HAVE NO INTEREST IN DISSUADING

OTHERS FROM CONSULTING HER. I go a lot on intuition--part of my

Meyers-Briggs (though I cannot recall my profile).

You asked. I answered as honestly as I could.

--Steve

--

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

[Guest guest]

In a message dated 12/10/2001 9:05:39 PM Central Standard Time,

Steve-Goldstein@... writes:

> >Just in the spirit of discussion. What are you basing the assumptions of

> Dr.

> >Ren's skills on? I was just wondering what you are basing it on.

> Individual

> >outcomes? Numbers of procedures performed? What?

>

>

I was actually asking this of the person who said her skills were superior,

but it was informative to get the info on the other end too!

Dawn

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!