Elizabeth N.’s Posts

*mutters on the way to post button about "good enough" bull****

Here's my question, which I know will reach you before you get out of bed in the morning:'
Do you do a true RNY to DS revision? Yes, no, why or why not?

So, I'm offering Dr.K. this platform, via his happy RNY TO DS PATIENTS IF SUCH PEOPLE EXIST, or for him to post and comment himself, to talk about the mega complex RNY TO DS REVISION, IF * BIG IF * in fact he actually DOES such procedures.
In fact I just might start a new thread asking him this very question. After all, he pays big bucks to have his name on OH, He might as well speak up in plain English about his revisions.
Edited to correct a typo.

*ducking and running*




Meh, she had never appeared on any DS radar that I know of here, which would mean that she doesn't do the DS.

Re: "completing" the procedure: A Scopinaro BPD is a complete produre. The main difference (and I'm assuming this is what Darlene got but don't "know' for sure) is that in the Scopinaro BPD the gastrectomy is horizontal rather than vertical. In other words the stomach is reduced horizontally, meaning the pylorus and surround tissue is removed.
There's no going back. It's a complete procedure. Your idea of "incomplete" or "changable" is faulty here.
It's a bad procedure. It's done only in very messed up cases. I specifically refused a Scopinaro procedure on my consent forms, along with refusing a VBG. VSG and RNY. I consider myself fortunate that my consent forms were so detailed and that I knew what those terms meant.

Well, I think he's fabulous and would recommend him hands down (and take note that I'm not his patient). But I'm trying to soft pedal my opinions and leave room for others to post their experiences, given the info that I'm oh, so forceful and bratty and suposedly force everyone around me to silence, ya know?

It's partly BECAUSE of my flawless experience that he dared to operate on Kelly Kirk....who had basically equivalent risk factors and was mega informed and chose to go forward knowing she would die for sure without surgery and maybe would die because of surgery. Kelly died, breaking many hearts, especially Joe's her husband's. But he and all her loved ones took great pains to exonerate Dr. Peters, who took her death oh, so hard.
Okay. If people just look at me, they can assume that Dr. Peters is a miracle worker. If they look just at Kelly, they can assume he's a murderer. Both ideas are wrong.
Same is true for Dr. Ungson and his many "flawless" cases compared to you. You are not bad, flawed or a failure. You are you and have your story to tell. No surgeon has all perfect outcomes. The folks who are not perfect deserve a voice, too. Tell your story in all its detail, along with how you are working out the results. Preops need to know there are no guarantees and they need to know what they are signing when they put their signatures on forms.
I know that I very carefully dictated to Dr. Peters exactly what I wanted and instructed him on what to do or not do. I crossed out big chunks of his form, edited, intialed, clarified etc. We ALL need to be this kind of thoughtful and attentive. It might mean we go under anesthesia, get sliced and diced and closed with no real changes. Or maybe we'll get something we didn't bargain for. This is important.

I will refrain from opiniing about Dr. Deveny or Dr. Cirangle, although it hurts to bite my tongue.








HOWEVER, I shall give you a true native person beef and flesh tutorial.
FIRST thing to understand about hunk-o-flesh is this: Ya gotta look at the fat and bone content. Fat and bone are keys to moisture and flavor. The most fantastic such cuts of beef include porterhouse steak and prime rib, to use but two examples. Both such cuts could go straight to the grill, fat side up, and get cooked to yummy wonderfulness by almost any idiot. There's enough fat there to save any fool who pokes the meat.
Thing is, those fantastic cuts of flesh are godawful expensive--with good reason cuz there are only a few pounds of such flesh on a cow--and people panic and **** them up by over cooking or over seasoning or over working them.
Our usual pocketbook for regular wage earning people says to buy burger, flank steak, skirt steak, chuck roast, pot roast etc.... Leaner cuts of beef, which by definition require long cooking and moist heat. AKA crock pot if you aren't grilling burgers.
Notice two qualifiers: Long cooking, moist heat. These are your friends. I grew up with everything from ratty beef leftovers to nasty venison to semigood elk to horrible moose **** to bear meat we won't talk about......and it ALL got cooked with long moist heat to make it non barfworthy. We hoped. I will refrain from ranting about how gross wild meat is other than milk-soaked elk. ICK.
This little aside about wild meat **** to tell you that ANY meat can be made non barfable if you cook it right and long enough. So have hope, yes?
Back to the beef you might buy. Let's use a piece of critter from that website called a chuck pot roast, which is a typical leanish hunk-o-flesh that doesn't cause bankruptcy concerns. This piece of beast comes from the front quarter and is kinda sorta muscular and therefore kinda sorta lean. Has some fat and flavor and needs to be slow cooked to be edible. Good example piece for hunk o flesh in crockpot. Think of your shoulder when you get this hunk o flesh. Or not, but that's where it comes from
Damn, my shoulder hurts. Meh.
Oh wait, we're about beef. I gotta focus on agribusiness here. Okay, chuck pot roast. Do you want to brown this piece of beast first? If so, sprinkle him good with flour salt and pepper and press it in till the bits fall off. Heat your skillet up to almost smoking with some oil in it. Throw on hunk o flesh so it smokes and splatters and scares you on all sides. It will smell like yummy scorching meat if you do this. Most people don't do it any more, but I thought I should mention the option cuz it smells and tastes good.
Step two, with or without browning: Throw hunk o beef in crockpot. Add yummy goodies like garlic, onions, mushrooms, carrots, celery and (VERY IMPORTANT) something acidic like tomates, wine or beer. Acid is mega important for later tenderness. One can of tomatoes, one bottle or can of beer or half a bottle of red wine is good.
Season hunk o flesh to taste. We covered that elsewhere. IMNSHO garlic is more important than anything else and should be added by the chopped cupful, but you do what you love.
Ignore hunk o flesh all day, six hours minimum, preferably eight to twelve hours.
Okay, at this point hunk o flesh is theoretically so tender even your hubby will love it, but in case he's so picky I couldn't stand him, you need to know how to cut across the grain: Pull hunk o flesh out of pot and look at him, Can you see the strings/strands? If not, get glasses, cuz this is very obvious.
You gotta cut across those strands. Take your knife, which you MUST sharpen (what? no stone or sharpener? Good Lord. Go to Joann's and get 'em sharpened and buy a stone. EEEEP. Very important for anybody owning anything more than a butter knife!!), and attack hunk o flesh across those strands. That is "across the grain" and is vitally important to ediblitlity of hunk o flesh. If you don't see the strings, don't cut it. Call someone, anyone, like me, and send a photo and ask which way is across the grain :-p.



A crazy woman bequeathed to me her sauce for smoke meat bits:
regular size jar grape jelly/jam
medium onion chopped fine
1/2 pound bacon chopped and fried
(onion fried in bacon grease)
half regular bottle ketchup
couple shakes tabasco sauce
handful of dried currants or raisins
quarter bottle cider vinegar (compared to jam and ketchup)
Cook this all together for a while till it's sauce. Use to baste meat that you are smoking.
If you don't smoke your meat, cook meat in crockpot with liquid, including acid stuff, and some liequid smoke. Serve with this sauce or pour the sauce in for the last couple hours. Think of the crazy woman getting her just desserts when you do so, cuz she needs it.

Ribs? Did I hear ribs? And why, pray tell, did you have to give ribs their VERY OWN THREAD? Couldn't possibly be because they are the most marvelous yummy meat on the planet?
Yes to the wet wipes!!!
Okay, I will forgive you for hijacking my threads only IF you promise to come down here and stuff your face on my friend Norman's prime rib. When you wanna come?
