Why I do it
Not surprisingly, you're wrong again.
Perhaps simple people -- including post-ops -- read for the drama. My PM box says pre-ops and revision seekers read for content.
I don't need to run to my friends to tell them to read what I wrote. And I didn't. A few showed up who are -- GASP! -- Californians. But thank you for playing!
Perhaps simple people -- including post-ops -- read for the drama. My PM box says pre-ops and revision seekers read for content.
I don't need to run to my friends to tell them to read what I wrote. And I didn't. A few showed up who are -- GASP! -- Californians. But thank you for playing!
DianaCoxSan Jose, CA Robert Rabkin, M.D. Duodenal Switch (08/05/03) Member Since: 12/22/02 [Latest Posts] |
Post Date: 1/10/09 8:54 pm Well, that just called out for another REPOST of my posting about the DS for newbies. Hehehe. DSers: PAY IT FORWARD! |
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catjurado's reply was:
Now I know for sure you where an Englsh Teacher. LOL!!
catjurado's reply was:
Now I know for sure you Diana Cox was an Englsh Teacher. LOL!!
catjurado's reply was:
Now I know for sure Diana Cox was an Englsh Teacher. LOL!!
Took you three tries, but you finally got it right -- except for the fact that I have never been an English teacher (lower case "t" by the way). I just learned how to write proper English, even though I was a scientist first and then also became a lawyer. But thanks anyway.
Now I know for sure you where an Englsh Teacher. LOL!!
catjurado's reply was:
Now I know for sure you Diana Cox was an Englsh Teacher. LOL!!
catjurado's reply was:
Now I know for sure Diana Cox was an Englsh Teacher. LOL!!
Took you three tries, but you finally got it right -- except for the fact that I have never been an English teacher (lower case "t" by the way). I just learned how to write proper English, even though I was a scientist first and then also became a lawyer. But thanks anyway.
Let me give a little anecdote from someone who once wanted a DS.
As someone who was SMO, I wanted weightloss surgery. When I learned of the DS procedure and the remarkable results that SMO had losing weight, I was really heartset on getting. Unfortunately my insurance wouldnt cover DS, and I found a good doctor who was doing the RNY.
I had RNY, and I was kind of a slow loser. It really wasnt that SLOW, but for someone who was losing 15-10 a month at a declining rate, it felt like It was taking to long. It took me about 6 months to lose 100lbs, which seemed forever. Again, as I continued to lose weight realitively slowly, I questioned if I should have had the DS.
Well, im glad im didnt. That was just self doubt and worry. I would look at others on this website, and continue the self doubt about the procedure I chose. I really didnt not relinquish the fears of having the WRONG surgery, or making a bad choice, until I got UNDER 250lbs.
IMO, and this is my opinion... THE MAIN REASON the DS is considered more "successful" is because they use a DISTAL Bypass. That is the primary reason people can lose alot of weight so much more quickly and keep it off longer, because they bypass 150-200+CM of intestine. That distal bypass leads to less caloric absorbtion and quick wait loss and being able to maintain it. I dont think creating of the minny banna stomach or not being able to dump is that signifgant. I have RNY and dont dump, and I can eat an ungodly amount of sugar... I mean like a halloween bag size of candy and not dump... so its a personal tolerance thing.
Anyway my doctor gave me 120cm bypass because I was a larger patient. When I had my 6mos follow up I asked about my percieved lack of weightloss, and if I should have had 150 or more. He said no, and 120 is enough and that risk of malabsorptive disorders wernt worth the extra bypass and that I would be able to get to my goal weight with that amount bypass. Also, I might add my doctor has performed THOUSANDS of RNY and other intestinal surgeries, and even talks about the DS in the pre-op presentation he gives, so he was not someone that slandered it just to try and win more patients over. He didnt claim that the RNY was "superior" or anything of that nature, only that their can be uncessary malabsorbtive problems which arise wiith that much of a distal bypass, and that weightloss goals can be achieved by rny and a conventional proximal bypass.
As someone who was SMO, I wanted weightloss surgery. When I learned of the DS procedure and the remarkable results that SMO had losing weight, I was really heartset on getting. Unfortunately my insurance wouldnt cover DS, and I found a good doctor who was doing the RNY.
I had RNY, and I was kind of a slow loser. It really wasnt that SLOW, but for someone who was losing 15-10 a month at a declining rate, it felt like It was taking to long. It took me about 6 months to lose 100lbs, which seemed forever. Again, as I continued to lose weight realitively slowly, I questioned if I should have had the DS.
Well, im glad im didnt. That was just self doubt and worry. I would look at others on this website, and continue the self doubt about the procedure I chose. I really didnt not relinquish the fears of having the WRONG surgery, or making a bad choice, until I got UNDER 250lbs.
IMO, and this is my opinion... THE MAIN REASON the DS is considered more "successful" is because they use a DISTAL Bypass. That is the primary reason people can lose alot of weight so much more quickly and keep it off longer, because they bypass 150-200+CM of intestine. That distal bypass leads to less caloric absorbtion and quick wait loss and being able to maintain it. I dont think creating of the minny banna stomach or not being able to dump is that signifgant. I have RNY and dont dump, and I can eat an ungodly amount of sugar... I mean like a halloween bag size of candy and not dump... so its a personal tolerance thing.
Anyway my doctor gave me 120cm bypass because I was a larger patient. When I had my 6mos follow up I asked about my percieved lack of weightloss, and if I should have had 150 or more. He said no, and 120 is enough and that risk of malabsorptive disorders wernt worth the extra bypass and that I would be able to get to my goal weight with that amount bypass. Also, I might add my doctor has performed THOUSANDS of RNY and other intestinal surgeries, and even talks about the DS in the pre-op presentation he gives, so he was not someone that slandered it just to try and win more patients over. He didnt claim that the RNY was "superior" or anything of that nature, only that their can be uncessary malabsorbtive problems which arise wiith that much of a distal bypass, and that weightloss goals can be achieved by rny and a conventional proximal bypass.
I'm glad you're happy and have done well with your RNY so far.
I'm sorry you didn't know that the CA Dept. of Managed Health Care has overturned almost every denial of the DS since 2003, and that you could have appealed and won. I hope that all Californians who want the DS will learn about their good fortune in living in CA and will come over to the DS forum for help in getting the surgery of their choice.
By the way, over time, it turns out that MORE RNYers have problems with malnutrition than DSers. http://wp.dmhc.ca.gov/imr/detail.asp?id=7644&optFormat=html& cboDetermination=0&cmdSearch=Search&cboMC=Morbid+Obesity&cbo Treatment2=0&cboDiagnosis2=0&cboDT=0&cboType=0&txtDetails=du odenal
A 55-year-old female enrollee has requested laparoscopic biliopancreatic diversion with duodenal switch (BPD/DS) bariatric surgery for the treatment of her morbid obesity. Findings: The physician reviewer found that with a BMI of 39 and comorbid conditions this patient meets nationally accepted medical necessity criteria for consideration of weight loss surgery. Peer reviewed articles demonstrate superior weight loss and maintenance of weight loss over the long term with BPD/DS as compared to other surgical procedures. The published data also demonstrates that the Roux-en-Y procedure offers no advantage in regard to protein calorie malnutrition and may even have more severe consequences. This patient has significant metabolic syndrome, and BPD/DS is the treatment of choice for her obesity.
I'm sorry you didn't know that the CA Dept. of Managed Health Care has overturned almost every denial of the DS since 2003, and that you could have appealed and won. I hope that all Californians who want the DS will learn about their good fortune in living in CA and will come over to the DS forum for help in getting the surgery of their choice.
By the way, over time, it turns out that MORE RNYers have problems with malnutrition than DSers. http://wp.dmhc.ca.gov/imr/detail.asp?id=7644&optFormat=html& cboDetermination=0&cmdSearch=Search&cboMC=Morbid+Obesity&cbo Treatment2=0&cboDiagnosis2=0&cboDT=0&cboType=0&txtDetails=du odenal
A 55-year-old female enrollee has requested laparoscopic biliopancreatic diversion with duodenal switch (BPD/DS) bariatric surgery for the treatment of her morbid obesity. Findings: The physician reviewer found that with a BMI of 39 and comorbid conditions this patient meets nationally accepted medical necessity criteria for consideration of weight loss surgery. Peer reviewed articles demonstrate superior weight loss and maintenance of weight loss over the long term with BPD/DS as compared to other surgical procedures. The published data also demonstrates that the Roux-en-Y procedure offers no advantage in regard to protein calorie malnutrition and may even have more severe consequences. This patient has significant metabolic syndrome, and BPD/DS is the treatment of choice for her obesity.
While it is everyone's right to post anywhere they want, I find it remarkable that you continue to post in the manner you do. Why do you find it necessary to be so angry, beligerant and finally resort to childish name calling? Don't get me wrong, I find it just as offensive for the people on the other side of the argument who behave in this childish manner.
There are many surgeries. DS, RNY, Lap Band, VSG, etc. The choice of what surgery to have or any surgery at all, is a very personal decision. One that must be made in full cooperation with the physician of choice. All the anger on your part aside, what people find so offensive, is that while you are doing a good thing in getting the word out that if someone is interested in the DS, then in CA, they can and will be able to achieve that goal, you continue on by basically saying that the DS is the ONLY intelligent choice., Your words come across that every other surgery is inferior and that someone who would choose another surgery is just not well informed and has made a bad choice. Now whether that is your intent, or not, that is how your posts come across.
Perhaps if you want to avoid the confrontation, which frankly I think you enjoy, maybe you could rephrase how you try to "sell" the DS. Is it a good surgery. Absolutely. Is the RNY, Lap Band or any of the other surgeries a good choice. Resoundingly that answer would be yes. Each of the surgeries require a comittment by the individual to follow guidelines as outlined by their physician. One is not better than another. It's what works for the individual. Some people want to be able to continue eating the way they did before WLS. For other's, the temptation is too scary and the restrictions of the RNY are what work for them. Again a totally personal choice. One is NOT better than the next. It's how you use what you have.
There are many surgeries. DS, RNY, Lap Band, VSG, etc. The choice of what surgery to have or any surgery at all, is a very personal decision. One that must be made in full cooperation with the physician of choice. All the anger on your part aside, what people find so offensive, is that while you are doing a good thing in getting the word out that if someone is interested in the DS, then in CA, they can and will be able to achieve that goal, you continue on by basically saying that the DS is the ONLY intelligent choice., Your words come across that every other surgery is inferior and that someone who would choose another surgery is just not well informed and has made a bad choice. Now whether that is your intent, or not, that is how your posts come across.
Perhaps if you want to avoid the confrontation, which frankly I think you enjoy, maybe you could rephrase how you try to "sell" the DS. Is it a good surgery. Absolutely. Is the RNY, Lap Band or any of the other surgeries a good choice. Resoundingly that answer would be yes. Each of the surgeries require a comittment by the individual to follow guidelines as outlined by their physician. One is not better than another. It's what works for the individual. Some people want to be able to continue eating the way they did before WLS. For other's, the temptation is too scary and the restrictions of the RNY are what work for them. Again a totally personal choice. One is NOT better than the next. It's how you use what you have.
Your projecting, hunny bunny. I'm blunt, but I'm not angry. You silly geese who get your knickers in a twist over my DS posts make me giggle.
No, you don't have to accept whatever surgery your nearest in-network surgeon learned at a weekend course. YOU are the patient, YOU are the customer, YOU are in control of your destiny. That's my point. I walked out of a surgeon's office when he tried to tell me the RNY was "good enough" when I wanted the DS, just because my insurance would cover it. Screw that. I went with a surgeon who helped me fight for what I wanted, what I was going to have to live with for the rest of my life.
I don't give a rat's ass what you think of my tone -- people hear me and are grateful. Read the threads I posted.
HINT: I DO think the RNY and LapBand are inferior for the vast majority of people. So actually, you read me correctly. However, what I think of your SURGERY is not what I think of you -- until, of course, you come across like this -- personalizing my disdain for your surgery into disdain of you. Grow up.
I also don't give a rat's ass what surgery anyone choses -- if they want to live on a diet for the rest of their lives because they think they deserve to be punished -- be my guest. But for those who are still researching, I want them to know there is another way to live. The choice is up to them.
I didn't see the need to get right with food -- food needed to get right with me.
No, you don't have to accept whatever surgery your nearest in-network surgeon learned at a weekend course. YOU are the patient, YOU are the customer, YOU are in control of your destiny. That's my point. I walked out of a surgeon's office when he tried to tell me the RNY was "good enough" when I wanted the DS, just because my insurance would cover it. Screw that. I went with a surgeon who helped me fight for what I wanted, what I was going to have to live with for the rest of my life.
I don't give a rat's ass what you think of my tone -- people hear me and are grateful. Read the threads I posted.
HINT: I DO think the RNY and LapBand are inferior for the vast majority of people. So actually, you read me correctly. However, what I think of your SURGERY is not what I think of you -- until, of course, you come across like this -- personalizing my disdain for your surgery into disdain of you. Grow up.
I also don't give a rat's ass what surgery anyone choses -- if they want to live on a diet for the rest of their lives because they think they deserve to be punished -- be my guest. But for those who are still researching, I want them to know there is another way to live. The choice is up to them.
I didn't see the need to get right with food -- food needed to get right with me.
First, please do not call me "hunny bunny". You don't know me well enough to be that informal. Next if you reread my post to you, you will see that I did not say a person should settle for whatever sugery their insurance pays for. I said they need to make an informed decision along with their physician. They need to research their choices.
As for you not caring what surgery one chooses, I find that based on your posts, that is not quite true. I'm thrilled for you that the DS is what you wanted, what you fought for and what you eventually wound up with. Good for you. I also think it's a wonderful thing that you are spreading the word that if someone wants the DS in CA, it is their right to have it. Good for you that you feel your surgery is the superior surgery. I think mine is just as good for me. As for me, I weighed 439 pounds prior to my surgery, I would say I had a very unhealthy relationship with food and needed to get that right with me. I needed the restrictions that the RNY placed on me so that I could stop letting the food rule my life. Food is a source of energy, nothing more than that.. And now nearly 5 years post op, there is very little I can't eat. Probably one of the only things that doesn't agree with me is white rice. Not a big loss, however, in my life.
So again, I say, spread your word. But perhaps if you did it with more compassion and humility the "silly geese" as you have called everyone here, wouldn't get their knickers all twisted. My knickers aren't twisted. I'm living my life and enjoying every moment.
Now, I don't think I've been rude or condescending to you. I believe I have just stated my opinion on the situation in an adult bantering manner and would ask you to afford me the same respect.
As for you not caring what surgery one chooses, I find that based on your posts, that is not quite true. I'm thrilled for you that the DS is what you wanted, what you fought for and what you eventually wound up with. Good for you. I also think it's a wonderful thing that you are spreading the word that if someone wants the DS in CA, it is their right to have it. Good for you that you feel your surgery is the superior surgery. I think mine is just as good for me. As for me, I weighed 439 pounds prior to my surgery, I would say I had a very unhealthy relationship with food and needed to get that right with me. I needed the restrictions that the RNY placed on me so that I could stop letting the food rule my life. Food is a source of energy, nothing more than that.. And now nearly 5 years post op, there is very little I can't eat. Probably one of the only things that doesn't agree with me is white rice. Not a big loss, however, in my life.
So again, I say, spread your word. But perhaps if you did it with more compassion and humility the "silly geese" as you have called everyone here, wouldn't get their knickers all twisted. My knickers aren't twisted. I'm living my life and enjoying every moment.
Now, I don't think I've been rude or condescending to you. I believe I have just stated my opinion on the situation in an adult bantering manner and would ask you to afford me the same respect.
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