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You're going to the wrong Dr. I also live in NY area and had the Sadi DS almost 7 years ago. It was a fantastic life changing experience. If my Dr only did Sadi DS, I would not recommend him. Your Dr must be fully capable of performing all wls at a high competency level with tons of experience.
My Surgeon was Mitch Roslin at Lenox Hill Hospital in NYC. He handles Medicaid patients and pretty much any medical situation.
Hello everyone,
After researching the various weight loss surgeries I have decided that the original duodenal switch operation is best in line with what I want in terms of weight loss. The problem is that I live in NY, and only the modified version is offered here. After doing research, I found Dr Keshishian in California, who seems to be very credible with alot of experience with the DS operation. However, I am trying to find a way to get insurance approval. I am currently on medicaid and it is highly unlikely that they would approve an out of state operation. I can afford private insurance, but am unsure of how I would go about getting the out of state approval that I need. I thought about getting insurance in California, but I would need state Residence and would have to live there. Any advice on what I could do would be MASSIVELY appreciated.
Sorry to hear about your negative experience. I think you could have been very happy with the Sadi but like everything else, we're all dependent on the people we trust.
If done correctly the upside of Sadi is fewer vitamins, lower surgery risk and less malabsorption issues. I think the actual weight loss is similar.
Has anyone had the SADI surgery?
My surgeon has suggested it for me.
I think it is a modified DS.
I had the Sadi done , incorrectly. I had to revise to a real Hess DS procedure.
the incorrect procedure caused me to have bile reflux, which is different than acid reflux. Make sure your surgeon is well versed on how to do the procedure.
I'm in my 7th year post Sadi. It was extremely effective for me, lost 150lbs in 12 months, can eat virtually anything and stay within same weight range.
Most wls can be effective if you're committed. I would not listen to your doctors recommendation unless he is also an expert on Hess DS. Otherwise you'll get a dr recommending Sadi because he doesn't know other options.
My dr could perform any wls well so his recommendation had real value for me.
Unfortunately it may be too late to get a copy of your original operative report (by right you should have had access to that). That would have told you (or your other doctors) everything they needed to know about the length of your intestines, etc.
As far as iron goes, it may be that you're just not absorbing it and need another option. I have never had any success absorbing oral iron. Didn't matter whether I separated everything or not. Whether I took massive amounts of oral iron or not. I was severely anemic (so I know how it feels).
My recommendation would be to seek out a hematologist who understands malabsorption. The only success I've had was iron infusions. Ultimately we settled on a drug called Injectafer. It has been the only one that worked for me (I've tried most of them over the years - I think my first infusion was around 2005 or 2006 - my DS was 2003). The last infusion has lasted almost 4 years.
Not sure how far back hospitals save records but you could attempt to get your operative report from the hospital where you had your surgery (since your WLS surgeon has retired).
I hope you can figure it out.
Janet in Leesburg
DS 2/25/03
Hazem Elariny
-175
My Doctor was DR.Greenbaum he is the one that did the surgery and like I said when they was getting me ready for surgery he was still think about how much of my Intestines to remove up until they put me to sleep. Every time I asked him a question or had a question from my family doctor he got real defensive. Like I told him I am not blaming anyone I just want it Corrected if there is a problem but I never really got a answer. But the last time I saw him right before he retired I asked him again because I lost to much weight and he just gave me a script for a medicine to help gain weight which it gave me the runs real bad and made me feel bad so I stopped taking it.
The doctor I am going to is Dr.Iqbal in Vineland NJ.
Starting weight 333 lb Gold weight 180 lb
My Doctor was DR.Greenbaum he is the one that did the surgery and like I said when they was getting me ready for surgery he was still think about how much of my Intestines to remove up until they put me to sleep. Every time I asked him a question or had a question from my family doctor he got real defensive. Like I told him I am not blaming anyone I just want it Corrected if there is a problem but I never really got a answer. But the last time I saw him right before he retired I asked him again because I lost to much weight and he just gave me a script for a medicine to help gain weight which it gave me the runs real bad and made me feel bad so I stopped taking it.
The doctor I am going to is Dr.Iqbal in Vineland NJ.
Starting weight 333 lb Gold weight 180 lb
If your multi has iron in it, then you should separate that from your calcium; if it doesn't then it should be fine in that regard. It is often suggested to take iron with vit C, though whether together is necessary if probably under some debate (as most things are.)
You may not need to totally undo your DS, but a common channel adjustment may be all that is needed. When my wife had her DS back in 05, their general finding at that time was that around 5% of their patients needed that adjusted, split fairly evenly between those with too much weight loss and those with too little. If your CC is seriously short (as in under 80cm, as a few docs did back then) that often caused some serious problems. That may be all that's needed rather than totally backing it out.
Who is the new doc that you are seeing next month? The main guy that I know of in the area who's been around for a while is Dr. Greenbaum, and then there's several in NYC. I would be disinclined to go to someone other than a long time DS surgeon as otherwise you may get a lot more done than is necessary (as in the total takedown) as opposed to a minor tweak that someone more experienced with the procedure may be able to do. In any event, when considering revisions, I like to think in terms of getting second or third opinions, as the causes of the problems, and possible solutions, are much more varied than with the original WLS. You have a better chance of meeting one surgeon over others *****ally seems to understand your problem and has a solution that really clicks and makes sense to you. Give that some thought.
Good luck,
1st support group/seminar - 8/03 (has it been that long?)
Wife's DS - 5/05 w Dr. Robert Rabkin VSG on 5/9/11 by Dr. John Rabkin
RNY here - but we were just told not to take iron within two hours of taking calcium. Not sure why you were told not to take calcium with a multivitamin - maybe because there's iron in the multi - but then, there's calcium in multis as well (I never could figure out why they put both in the same multi, because taking them together kind of cancels both of them out...). At any rate, other than the calcium/iron warning, we were never told to separate anything else.
