Confused about WLS Procedures
See Deb, this is my problem with the Ontario system as it stands today.
OF COURSE you should research all of them - and the bariatric centre should explain all of them to you! And you should be able to CHOOSE the one that is most appropriate for you!!
I hate that people don't hear about the sleeve at their orientation, and that they have to BEG to get it if they decide they want it. So backward.
WLS is something you have to live with FOR THE REST OF YOUR LIFE. For me, the sleeve was the BEST option - thank GOD OHIP didn't have their head up their asses yet two years ago, and they allowed me the choice.
Sigh - rant over.
Good luck with your research!
OF COURSE you should research all of them - and the bariatric centre should explain all of them to you! And you should be able to CHOOSE the one that is most appropriate for you!!
I hate that people don't hear about the sleeve at their orientation, and that they have to BEG to get it if they decide they want it. So backward.
WLS is something you have to live with FOR THE REST OF YOUR LIFE. For me, the sleeve was the BEST option - thank GOD OHIP didn't have their head up their asses yet two years ago, and they allowed me the choice.
Sigh - rant over.
Good luck with your research!
Proud Member of the Cambridge Crew! 
HW293/LW147/CW158 Height 5'9" Working on Maintenance!
Fleur de lis TT and Brachioplasty - Oct. 19, 2010 Breast reduction and scar revision August 2, 2011
HW293/LW147/CW158 Height 5'9" Working on Maintenance!
Fleur de lis TT and Brachioplasty - Oct. 19, 2010 Breast reduction and scar revision August 2, 2011
Hi Erica!
Thanks for your input. From what I understand, it was a lot different in the past and faster too. I kind of wish that I could just go across the river to Michigan - my sister is a bariatric nurse at Henry Ford Hospital and it's a lot closer to home for me. I agree - it would be nice to be given a run-through of each of the procedures and the pros & cons of each, but I guess that I will do that research myself. You're SO right - this is something we will live with forever - I want to be really sure I'm choosing the best procedure for me. Good for you that you were able to choose what worked best for you!
Deb
Thanks for your input. From what I understand, it was a lot different in the past and faster too. I kind of wish that I could just go across the river to Michigan - my sister is a bariatric nurse at Henry Ford Hospital and it's a lot closer to home for me. I agree - it would be nice to be given a run-through of each of the procedures and the pros & cons of each, but I guess that I will do that research myself. You're SO right - this is something we will live with forever - I want to be really sure I'm choosing the best procedure for me. Good for you that you were able to choose what worked best for you!
Deb
Please be careful with what you tell a newbie, you are reading the requirements wrong! If you are having VSG as the FIRST stage of two stage WLS such as DS then the BMI over 60 applies. You have to right to fight for a stand alone VSG and it is covered by OHIP and the regular BMI restrictions apply - over 40 or over 35 plus comorbs. There are many VSGers on the board who had their surgery in Ontario covered by OHIP. If you qualilfy for weight loss surgery in Ontario you may be able to qualify for a VSG. Alot depends on the doctor you see and your ability to substantiate a need for VSG versus RNY.
Ummmm, that's pretty much exactly what I said in my first post to her. The link I sent her specifically says that VSG is an option when it's part of a staged process. She's a smart cookie I'm sure, I don't need to spell it out for her. I am not reading the requirements wrong, unless my surgeon read them wrong too. Your rules may have been the case when you had your surgery but this year the rules have tightened up drastically. I will not give a "newbie" false hope and misdirection when the odds are stacked against getting any other surgery other than RNY paid for by OHIP. I am betting that most of the VSGers on the board that got their surgery paid for didn't have it this year and if they did, they met the OHIP requirements or came awfully close. I know surgeons make exceptions, I didn't tell her that any other surgery was impossible. I am telling her to research her options thoroughly but be prepared because if you go into that surgeons office with your mind made up for something that's not available to you, you are in for a rocky ride. That's not saying that you shouldn't fight for what you want.
Hi there! Nice to meet a fellow newbie! You're absolutely right - I'm sure that a lot of us who are new to this will have some of the same questions, so we all get our answers when one of us asks! I have learned so much already in the short time I've been a part of this forum - these people are angels when it comes to sharing information so ask away if you want to know something. Best of luck to you too!
Deb
Deb
Hi there,
I will be having the sleeve on May 24th. In my situation I wanted the RNY (personal choice) but my father had stomach cancer, and both his sisters. The Surgeon was very careful with my case and I have had a scope and more test to help us make a decision. If only my father had the cancer we would be going ahead with RNY.
with the Rny you will have a blind stomach. If Cancer ever developed in my blind stomach it can't be scoped in the normal procedure. They would have to go in through my side. Not many doctors can do this.
Stomach Cancer is not always a reason for the sleeve, but in my case it is so extensive in my family that the sleeve decision was made.
I hope that helps. Every case is different and you and your surgeon will have to discuss your options.
A decision for one person might not be a good decision for another. Every case if different.
Good Luck with your journey
Char
I will be having the sleeve on May 24th. In my situation I wanted the RNY (personal choice) but my father had stomach cancer, and both his sisters. The Surgeon was very careful with my case and I have had a scope and more test to help us make a decision. If only my father had the cancer we would be going ahead with RNY.
with the Rny you will have a blind stomach. If Cancer ever developed in my blind stomach it can't be scoped in the normal procedure. They would have to go in through my side. Not many doctors can do this.
Stomach Cancer is not always a reason for the sleeve, but in my case it is so extensive in my family that the sleeve decision was made.
I hope that helps. Every case is different and you and your surgeon will have to discuss your options.
A decision for one person might not be a good decision for another. Every case if different.
Good Luck with your journey
Char
Char
Dr. Reed
VSG May 24/2011
Hi Char,
You must be getting pretty excited as your surgery date gets nearer. I can definitely see why you and your surgeon chose the Sleeve with the history of cancer in your family. It pays to be as safe as possible. I'm hoping that I have RNY - we'll see what happens. Thanks for taking the time to let me know about your choice and good luck Char!
Deb
You must be getting pretty excited as your surgery date gets nearer. I can definitely see why you and your surgeon chose the Sleeve with the history of cancer in your family. It pays to be as safe as possible. I'm hoping that I have RNY - we'll see what happens. Thanks for taking the time to let me know about your choice and good luck Char!
Deb
Hi Deb
I am getting the Duodenal Switch covered by OHIP. It might be worth it to look into it with a BMI of 61. It has the highest success as far as weight loss goes for higher weights as well as keeping the weight off. It is also the surgery where you can eat "most normally" after surgery. The stomach is similar to the VSG but you get to keep your pyloric valve so the food stays in there longer (as normal, until it is liquidy enough to pass). You also won't have to deal with dumping syndrome (which is a type of illness, not a tool - I had RNY for 8 years so I know). The one con is that you have to take more vitamins daily than you would with an RNY. There is a Duodenal Switch Forum here on OH, you may just want to ask some questions over there.
Dr. Hong here in Ontario is experienced with doing the DS as he performed many in the states before moving here. Brenda L had the DS with him.
I am getting the Duodenal Switch covered by OHIP. It might be worth it to look into it with a BMI of 61. It has the highest success as far as weight loss goes for higher weights as well as keeping the weight off. It is also the surgery where you can eat "most normally" after surgery. The stomach is similar to the VSG but you get to keep your pyloric valve so the food stays in there longer (as normal, until it is liquidy enough to pass). You also won't have to deal with dumping syndrome (which is a type of illness, not a tool - I had RNY for 8 years so I know). The one con is that you have to take more vitamins daily than you would with an RNY. There is a Duodenal Switch Forum here on OH, you may just want to ask some questions over there.
Dr. Hong here in Ontario is experienced with doing the DS as he performed many in the states before moving here. Brenda L had the DS with him.
Jennifer
Thank you Cheri and Holly!
Think twice, cut once! I've had 3 surgeries now, RNY, VSG and DS
.
Ask me about the DS or visit dsfacts.com
2002 - RNY
2010 - RNY to VSG
2011 - Full DS-August 24th
HW 311 SW 306 CW 235 GW 150
Thank you Cheri and Holly!Think twice, cut once! I've had 3 surgeries now, RNY, VSG and DS
.Ask me about the DS or visit dsfacts.com
2002 - RNY
2010 - RNY to VSG
2011 - Full DS-August 24th
HW 311 SW 306 CW 235 GW 150
Hi Jennifer!
Wow, you've really given me some solid reasons to think about the DS - I never knew all of that as I'd never researched it as I assumed that RNY was the preferred method here in ON. I am definitely going to find out more about it & I will check in on the DS forum. Thanks so much for taking the time to let me know all this!!!!!
Deb
Wow, you've really given me some solid reasons to think about the DS - I never knew all of that as I'd never researched it as I assumed that RNY was the preferred method here in ON. I am definitely going to find out more about it & I will check in on the DS forum. Thanks so much for taking the time to let me know all this!!!!!
Deb
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