I'm in the NY area and went to Dr. Mitch Roslin at Lennox Hill Hospital. He has done a thousand plus DS and SIPs procedures, and recommends the SIPs in most cases due to the lower risks. Many of the original DS posters on this site are also former patients.

Even if you are not in the NY area, you can call his office and ask for a recommendation for a qualified surgeon closer to you.

Lost it and then gained it back. Most of the regain people start gaining back around the 2 year mark. One of them started out fat, lost it with surgery, gained it all back, lost it AGAIN, and than gained it all back again.

My theory is that so little is bypassed in a standard proximal RNY that by the second year the body has adapted to the bypass and the regain begins. At least that has been my observation.

O really do not care who you are, what you are or what you do for a living. You are inconsequential.

Bye Bye birdie.

The doc that I am thinking of is something of an interstate menace as he has left a trail of problem patients in his wake. He was recruited from the midwest (Nashville, IIRC) into our doc's practice (though in retrospect it may have been more like having been run out of town by a horde of torch and pitchfork wielding hospital administrators) but he only lasted a few months before being let go. He then moved to another prominent practice across town (contrary to the non-compete clause in his contract) where he was also let go after a few months. AFAIK, there weren't any real problem patients around here as he was never allowed to do surgery unsupervised. He disappeared for a couple of years before showing up in another state, running a hospital's bariatric program, where he lasted a year or two before disappearing again, only to pop up in yet another state, etc. etc. etc. For a while there was something of a "Where's Waldo" game on the forum here where someone would pop in asking if anyone knew where Dr. H was, as they need to get their annual labs done and calling the number on his website just yields a "he doesn't work here anymore" answer.

We had a gentleman in our support group for a while a few years ago who was a patient of this doc in his previous venue that was showing similar problems to what you have gone through, and yes, he ultimately had it revised away by another doc local to here. It certainly seems that the problems that you describe, by and large, follow the surgeon rather than the procedure. Any surgeon, no matter how good, can have some problem patients owing to unique cir****tances that those patients present, but they tend to be outliers. For Dr. H, the outliers seem to be the ones that had no problems.

There is no question that the DS is a complex procedure and is subject to complications as any other, maybe somewhat more so. Unlike the lapbands which are defective in concept no matter who installs them, the DS is sound, but it is obviously a more extensive compromise than a VSG (and not all that much more of one than an RNY) but some need the extra performance that it offers that you can't get with the others.

But this makes it all the more important to find a vetted surgeon to do the job, and this situation illustrates one of problems that we patients have - finding out who the really good surgeons are and who are the ones to avoid. If even those in the bariatric business can't tell the good from the bad before seeing them in action in the OR, what chance do we have? From what I can tell, this guy is still in business as of last year, so even multiple malpractice suits over the years hasn't weeded him out. Looking for someone with a stable job history would be a start. Reviews on forums and other media don't help much as most any serious action against a doctor will involve gag orders, so the really negative things have a hard time getting out. State disciplinary records can help, but they don't seem to follow these guys across state lines.