I am going to get back on track again..

Is this post to me LeaAnn? Because if it is, my BMI is below obese and I reached my goal some time ago. I haven't discussed my goal, my BMI, or my present or past weight with you. Sometimes presenting a target just isn't worth it.

You did in your last profile/identity. 

Does my 12 years with RNY count?  Please tell me I made #1 on the list.

It failed!  Mechanical failure.  The DS has nothing to mechanically fail.  How do you like those facts?

BTW, I'm not miserable eating my prime rib and my chocolate chip cookies.  I sort of think that's the best of both worlds.  Then I listen to people tell me how great I look and how thin I am!  lol, it's great hearing that, too!

I tried to reply to MIss Ugly Wig and can't find it...I told her what a knock out you are in person...and of course how bad her wig is. I never saw my reply.

"You had the RNY and never hang out on the RNY board UNLESS its to talk about the DS you dont have. Why is this? "

Interesting observation.

Your tone sounds like something I would say - harsh, direct, and honest. I can see why you're not popular here.

Karen - I know that her words are smarting, but she has given you several things to think about. Set the emotions aside for a while and ponder whether there's any merit to what she has to say. Have you done everything you could to be successful? In the balance scale between "the tool didn't work" and "I didn't work the tool", what percentage of responsibility lies on each side?

What are some lessons/habits you've learned that will help you be successful with the DS?

Revisions ARE risky, and they have a higher mortality rate & complication rate than a first WLS.....so taking time to pause and see if it's REALLY necessary is important.

--BT

Heheheh me unpopular??? Hated you mean ;) There is a lot lost in type. I am a direct person in general though in real life that directness is almost never seen as harsh. I am a restaurant manager and my staff love my directness and often unbiased nature (I am human ;) IF I weren't an RNYer I know my words wouldnt be read with the harsh slant. I almost never have this problem on the RNY board because they know Im not mean, spiteful, bitter, etc. They know I am genuinely caring and interested in the progress of my obese and formerly obese peers (regardless of which surgery they had or how many surgeries it took to get it right.)  Karen is obviously smarting because anyone would be in her situation. Weight regain is a huge fear of every sane (sanish?) person here. How can we not fear it? Have you seen a 100% success statistic for anything other than the eventuality of death? Somewhere someone has to be on the losing end of the stats tossed about here. That big ol loser can be me or you or anyone.. we wont know until we get there. Im doing everything I can to never get there, that isnt always enough though. I have sat on my hands for a very long time wishing I could reach out and nudge Karen in a direction of action, of any kind. Job done ;) heheh HUGS PK

Does that explain your surgeons crappy stats, PK:

Ann Surg. 2006 Nov;244(5):734-40, "Weight gain after short- and long-limb gastric bypass in patients followed for longer than 10 years," Christou NV, Look D, Maclean LD 

OBJECTIVE: To complete a long-term (>10 years) follow-up of patients undergoing isolated roux-en-Y gastric bypass for severe obesity. 
BACKGROUND: Long-term results of gastric bypass in patients followed for longer than 10 years is not reported in the literature. 
METHODS: Accurate weights were recorded on 228 of 272 (83.8%) of patients at a mean of 11.4 years (range, 4.7-14.9 years) after surgery. Results were documented on an individual basis for both long- and short-limb gastric bypass and compared with results at the nadir BMI and % excess weight loss (%EWL) at 5 years and >10 years post surgery. 
RESULTS: There was a significant (P < 0.0001) increase in BMI in both morbidly obese (BMI < 50 kg/m) and super obese patients (BMI > 50 kg/m) from the nadir to 5 years and from 5 to 10 years. The super obese lost more rapidly from time zero and gained more rapidly after reaching the lowest weight at approximately 2 years than the morbidly obese patients. There was no difference in results between the long- and short-limb operations. There was a significant increase in failures and decrease in excellent results at 10 years when compared with 5 years. The failure rate when all patients are followed for at least 10 years was 20.4% for morbidly obese patients and 34.9% for super obese patients. CONCLUSIONS: The gastric bypass limb length does not impact long-term weight loss. Significant weight gain occurs continuously in patients after reaching the nadir weight following gastric bypass. Despite this weight gain, the long-term mortality remains low at 3.1%.

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Poor Kitty, she's scared of failure.  Remember, she's one of the SMOs facing over 1/3 chance of FAILURE.

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ETA: I got the paper itself, and it's even worse for PK.  Her surgeon's statistics:

% Excess weight loss at last available follow-up at a mean 11.4 yr

All patients (n 228)                     67.6 +/- 2.3

Morbid obese patients (n 144)    71.9 +/- 2.1 Super obese patients (n 84)        59.7 +/-  2.1

OK, so the average EWL for his SMOs is less than 60%.  But worse still is what he considers his "failure rate, which by his calculation is actually SMOs who end up at a BMI > 40 (GAK! MO!), which is 37/63 (58%)!

I don't think I would have gone with a surgeon or a surgery that had those sorts of statistics, especially given the crap that an RNYer has to live with as a trade off.  Bleah.

You go LeaAnn...there it is PK in black, white and red. Read it and weap.

Wow, reposting that is pretty sad. I must said Im speachless ;) Lucky for me IM the one working this tool and not my surgeon LOL Unlike surgeon's I get the responsibility of follow up on my progress until death, not just yearly. Im smart enough to know the job is mine not his, many patients are looking for a god when they only get a doctor. PK