Stupid Question

[Guest guest]

This may sound like a very stupid question, but I get it all the

time and don't really know the answer myself when people ask me

about my diet. Why low fat? Why not a " no sugar " diet? I can see

how they could assume since diabetetics are restricted why not cp?

Thanks,

[Guest guest]

Hi ,

This is my take on the question you are posing:

Sugar is restricted in diabetics because it is the endocrine part

of the pancreas that is not working....the part that metabolizes

and uses sugar. These hormones are released into the blood

stream I think, for the most part.

Fat is restricted in pancreatitis patients (as well as biliary

patients) because it is the exocrine part of the pancreas that is

not working. That is, it is the enzymes that are made in the

pancreas that helps digest fats, proteins, etc.This juice goes

directly into the duodenum and with CP either the juices aren't

being produced (as tissue is being destroyed) or it is blocked

(blocked ducts) from getting into the duodenum. In both cases,

fats and proteins are not being digested properly.

In pancreatic disease like CP...the exocrine function of the

pancreas is lost first, then the endocrine. Thus with CP, the

ability to digest protein and fats is lost first, then the ability to use

sugar is lost. For most CPers, diabetes is " last " stage result of a

damaged pancreas...that is, the pancreas itself, grossly, is

pretty messed up. Whereas for diabetics without CP...the

pancreas organ itself is probably ok in gross appearance...it is

the function that is lost - the production of the hormones itself;

not a blockage of the hormones from getting to the blood.

I hope that this makes sense and that I didn't mess up the

explanation too much.

Laurie

[Guest guest]

Lower brought forward: Probably a bilateral saggital split osteotomy,

or BSSO (although there are other cuts that some docs use). That means

they cut through the jaw at the back of your mouth, then slide it

forward on itself and screw and/or plate it in place.

Upper: Probably LeFort 1, 2 or 3, depending on where they cut.

Segmentation. Possibly impaction.

Read around in the links and files and you'll find definitions and

descriptions, with and without pictures.

And yes, a lot of people have had these procedures. I had lower

advancement with the BSSO, but nothing on top.

Cammie

> OK, I know this is going to sounds really stupid but I cannot figure

> out all these medical terms.

>

> For my surgery, I'm going to have the lower brought forward.

>

> The top they are going to segment and also cut along my front teeth to

> close my openbite. What is this called?

>

> Has anyone else had these three procedures?

>

> Beth

[Guest guest]

Hi Beth,

No question here is stupid!

I had similar, but no segmentation. I had upper/lower/genio. As Cammie

said, lower was BSSO advancement, upper was Leforte I (no

segmentation) impaction and slight rotation, and the genioplasty was a

reduction/advancement of my chin.

My photos are posted on site two and my surgery experience is posted

on the geocities info website - see my recent post with the links to

these two sites.

> OK, I know this is going to sounds really stupid but I cannot figure

> out all these medical terms.

>

> For my surgery, I'm going to have the lower brought forward.

>

> The top they are going to segment and also cut along my front teeth

to

> close my openbite. What is this called?

>

> Has anyone else had these three procedures?

>

> Beth