Jossart enlightenment; I'm lettin' this guy cut into me, goodness...
 So, if I'm reading correctly (I've spent the last three days going through all 1000 pages of board opinions), Husted and Rabkin are the most superior laparoscopic DS surgeons?  Where is Jossart in the standings?  Nobody ever mentions him in their top ten, though he has more experience than most.  
I chose Jossart because he says he has the most experience in the world with these procedures on his surgeon profile. Also, he told me he's never had any problems whatsoever (probably referring to the Laparoscopic DS) in the last five years, except for one woman who was an older patient that had already gotten previous surgery of some sort. In my research, it says he has perfected the Duodenal Switch. Another reason I chose him is because he's young, and so am I. I'm paying money to have this guy cut into me, and it should cover the next ten years, based on what I've read. I want him to be around! Husted and Rabkin, while they may have been working longer, are older. I was originally going to choose Cirangle (who wouldn't want to recuperate in Hawaii?), but I read Jossart is not as stern and just from his profile stats alone, it seems he's got more experience than most with the DS. Also, people tend to like him and reviews say his scarring is not bad at all (what do they use on the inside, staples, stitches...will there be metal inside me)? He has a trustworthy face. I'm looking forward to the experience, and I think I've chosen the right one.
I am also curious as to whether or not strong stomach pains every once in awhile are my gall bladder (if it needs to be taken out). Sometimes, and I will admit that in times of stress, I get a sharp pain in my abdomen that immobilizes me for a couple days. Nothing helps; not chamomile, not Tylenol. I've missed school concerts and work. What goes on when the gall bladder needs to be removed? When is there cause for concern? How is gall bladder pain different than appendix pain? How do I know if I'm having gall bladder pain? I've met someone who had hers taken out, and she said when it flared up, she became very bloated, as if pregnant. I'm fat, so I'm always bloated! I am reluctant to have it removed, because I read it helps in digestion. I also have fibromyalgia, and that pain could be anything (except my period; I know when I'm having that). Maybe I should just hike on over to the ER when I get this pain and have them check it out. It happens at the most inopportune moments....Should I ask Jossart to take it out, and will he? I think I need it taken out. A relative of mine just had his appendix taken out; it's relatively useless, just occupying space. What is Jossart's policy on removal of gallbladder and appendix? Why wouldn't he take it out if I asked him to? Is there an extra charge?
I chose Jossart because he says he has the most experience in the world with these procedures on his surgeon profile. Also, he told me he's never had any problems whatsoever (probably referring to the Laparoscopic DS) in the last five years, except for one woman who was an older patient that had already gotten previous surgery of some sort. In my research, it says he has perfected the Duodenal Switch. Another reason I chose him is because he's young, and so am I. I'm paying money to have this guy cut into me, and it should cover the next ten years, based on what I've read. I want him to be around! Husted and Rabkin, while they may have been working longer, are older. I was originally going to choose Cirangle (who wouldn't want to recuperate in Hawaii?), but I read Jossart is not as stern and just from his profile stats alone, it seems he's got more experience than most with the DS. Also, people tend to like him and reviews say his scarring is not bad at all (what do they use on the inside, staples, stitches...will there be metal inside me)? He has a trustworthy face. I'm looking forward to the experience, and I think I've chosen the right one.
I am also curious as to whether or not strong stomach pains every once in awhile are my gall bladder (if it needs to be taken out). Sometimes, and I will admit that in times of stress, I get a sharp pain in my abdomen that immobilizes me for a couple days. Nothing helps; not chamomile, not Tylenol. I've missed school concerts and work. What goes on when the gall bladder needs to be removed? When is there cause for concern? How is gall bladder pain different than appendix pain? How do I know if I'm having gall bladder pain? I've met someone who had hers taken out, and she said when it flared up, she became very bloated, as if pregnant. I'm fat, so I'm always bloated! I am reluctant to have it removed, because I read it helps in digestion. I also have fibromyalgia, and that pain could be anything (except my period; I know when I'm having that). Maybe I should just hike on over to the ER when I get this pain and have them check it out. It happens at the most inopportune moments....Should I ask Jossart to take it out, and will he? I think I need it taken out. A relative of mine just had his appendix taken out; it's relatively useless, just occupying space. What is Jossart's policy on removal of gallbladder and appendix? Why wouldn't he take it out if I asked him to? Is there an extra charge?
 Well, my opinion is that Jossart is a fine surgeon; he was not the right choice for me, but he may be right for you. I think Panda had him and if I remember correctly, her only complaint was that he made her sleeve so small that it was very difficult for her to eat anything and keep it down. I may be mistaken about that, but it's my recollection.
Rabkin and Husted have more experience and in my case; being 56 and being a revision from a 1980 RNY, I needed all the skill and experience I could get. I'm sure your surgery will be a much easier procedure. In picking a surgeon, I see age and experience as a plus, where youth and inexperience are a negative. Every surgery is a little different and the more surgeries he has done successfully, the better IMO. That's not to say that a young inexperienced surgeon can't be a good one, or that an older experienced one is going to be better, but it is one of the things I would look at.
As to your gall bladder, it's going to be completely useless when you get the DS, it's pretty much useless anyway, but getting the DS makes it completely useless. I had mine out in 1980 with the original Gastric Bypass and have never missed it, I really can't tell any difference. I would get it taken out for sure; after you get the DS, it's nothing more than a second surgery waiting to happen. But it also seems like Jossart didn't take Panda's out even though she wanted it out. Again, I could be wrong about that, but that's what I remember.
Kerry
 
Rabkin and Husted have more experience and in my case; being 56 and being a revision from a 1980 RNY, I needed all the skill and experience I could get. I'm sure your surgery will be a much easier procedure. In picking a surgeon, I see age and experience as a plus, where youth and inexperience are a negative. Every surgery is a little different and the more surgeries he has done successfully, the better IMO. That's not to say that a young inexperienced surgeon can't be a good one, or that an older experienced one is going to be better, but it is one of the things I would look at.
As to your gall bladder, it's going to be completely useless when you get the DS, it's pretty much useless anyway, but getting the DS makes it completely useless. I had mine out in 1980 with the original Gastric Bypass and have never missed it, I really can't tell any difference. I would get it taken out for sure; after you get the DS, it's nothing more than a second surgery waiting to happen. But it also seems like Jossart didn't take Panda's out even though she wanted it out. Again, I could be wrong about that, but that's what I remember.
Kerry
 That's correct the sleeve is your new stomach and the 1-2 oz size if also what I've heard he likes to do. Rabkin on the other hand gave me a 4.5 oz. sleeve and a 125 cm common channel. At almost 10 months out I can eat pretty much like a normal person that's not a "big" eater; I eat about the same as DW Barb does, maybe a little more unless we're splitting a Blondie, then I have to hustle to keep up with her. 
Kerry
Kerry





 8.5 months post DS
8.5 months post DS


 
					   
					   
					  