Guest guest Posted May 16, 2002 Report Share Posted May 16, 2002 OK, unless you have to pay out of pocket stick with the company. I live by the wise old saying of, " If it ain't broke, don't fix it! " Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2007 Report Share Posted January 5, 2007 : I do not think the death rate is that high, usually studies say 0.5%, either way I do not think it is your role to say whether they should or should not. I talk with patients about the amount of weight loss needed for improvement of glucose, HTN etc and then take it individually .....if they seem open to non-surgical weight loss I encourage them to take 3-6 months to work on weight loss without surgery and see how they feel, not a bad time to work on behaviors that are important for surgery anyway. While many will have improvements in diabetes with 10% weight loss they often have 10-15 reasons they want to lose more than that i.e. moving easier, improved self esteem etc. and while they may be happy with improved glucose they may not be happy with the weight they are at. When I discuss all their options with them many patients (although certainly not all) say they would like to see where they are at in 3-6 months but unfortunately many have not lost enough to avoid bariatric surgery. Just my 2 cents -----Original Message-----From: [mailto: ]On Behalf Of julielewrdSent: Friday, January 05, 2007 6:15 AM Subject: opinion I am looking for RD's opinion on patients seeking RNY who have BMI's in the high 30's along with co-morbid coditions that could be resolved with 10 - 15% weight loss. In these cases I'm not quite sure about over stepping my boundary and telling the patient that he/she could possibly lose the necessary weight along with some supervision. My biggest concern is that 1 out of 100 patients could die from complications and I don't want to put a patient at risk who really does not need surgery. What's everyone's opinion on this? RD IMPORTANT NOTICE: This communication, including any attachment, contains information that may be confidential or privileged, and is intended solely for the entity or individual to whom it is addressed. If you are not the intended recipient, you should contact the sender and delete the message. Any unauthorized disclosure, copying, or distribution of this message is strictly prohibited. Nothing in this email, including any attachment, is intended to be a legally binding signature. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2007 Report Share Posted January 5, 2007 Well stated. Angie , MEd, RD Nutritionist SIUH Center for the Surgical Treatment of Obesity 256 Mason Avenue Staten Island, NY 10305 718-226-1265 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2007 Report Share Posted January 5, 2007 I agree with you too - very well stated! Kathleen > > : > > I do not think the death rate is that high, usually studies say 0.5%, either > way I do not think it is your role to say whether they should or should not. > I talk with patients about the amount of weight loss needed for improvement > of glucose, HTN etc and then take it individually .....if they seem open to > non-surgical weight loss I encourage them to take 3-6 months to work on > weight loss without surgery and see how they feel, not a bad time to work on > behaviors that are important for surgery anyway. While many will have > improvements in diabetes with 10% weight loss they often have 10- 15 reasons > they want to lose more than that i.e. moving easier, improved self esteem > etc. and while they may be happy with improved glucose they may not be happy > with the weight they are at. When I discuss all their options with them > many patients (although certainly not all) say they would like to see where > they are at in 3-6 months but unfortunately many have not lost enough to > avoid bariatric surgery. Just my 2 cents > > > opinion > > > > I am looking for RD's opinion on patients seeking RNY who have BMI's > in the high 30's along with co-morbid coditions that could be resolved > with 10 - 15% weight loss. In these cases I'm not quite sure about > over stepping my boundary and telling the patient that he/she could > possibly lose the necessary weight along with some supervision. My > biggest concern is that 1 out of 100 patients could die from > complications and I don't want to put a patient at risk who really > does not need surgery. What's everyone's opinion on this? > RD > > > > > > > > IMPORTANT NOTICE: This communication, including any attachment, contains > information that may be confidential or privileged, and is intended solely > for the entity or individual to whom it is addressed. If you are not the > intended recipient, you should contact the sender and delete the message. > Any unauthorized disclosure, copying, or distribution of this message is > strictly prohibited. Nothing in this email, including any attachment, is > intended to be a legally binding signature. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2007 Report Share Posted January 8, 2007 Another option or opinion? I like to look a persons weight history and comorbid condition when they are a borderline BMI. If a person has IDDM, RYGB may be a very good option regardless of BMI. Has this person ever been a " normal weight " , Have they gained after a pregnancy or accident? and what is their diet history? If they are able to lose weight following a diet but just have been unsuccessful at maintaining the loss, you might be able to work with them on a lifestyle change or might they be a candidate for LapBand? Cheryl L. , R.D., L.D. Program Dietitian St. ius NEWSTART cheryl.johnson@... (314)268-6134Confidentiality Note: This e-mail, and any attachment(s), is intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. Dissemination, distribution or copying of this e-mail or the information herein by anyone other than the intended recipient, or an employee or agent responsible for delivering the message to the intended recipient, is prohibited. If you have received this e-mail in error, please destroy the original message and all copies. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 5, 2009 Report Share Posted September 5, 2009 I'd say that's why it's called *only* an opinion. I believe that an opinion can also be based upon accurate knowledge. That's just my opinion. ;<) Virg > " ...and everyone has an opinion, often stated without knowledge of > facts. " > > Uhm, isnt that why its called opinion? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 5, 2009 Report Share Posted September 5, 2009 Ahhh Virg, you always bring things into balance. *---* *---* *---* *---* *---* Dilbert's Words of Wisdom: I don't have an attitude problem. You have a perception problem. & Dreamer Doll ke7nwn E-mail- rclark0276@... Home Page- http://webpages.charter.net/dog_guide/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2009 Report Share Posted September 6, 2009 Virg, Do what I have done, steal the tag lines. LOL I found many on web sites that offer quote collections. *---* *---* *---* *---* *---* Feed your faith and your doubts will starve to death. & Dreamer Doll ke7nwn E-mail- rclark0276@... Home Page- http://webpages.charter.net/dog_guide/ Re: opinion > 'Wish I had some of your neat tag lines at my fingertips. They're great. > > Virg > >> Ahhh Virg, you always bring things into balance. >> >> *---* *---* *---* *---* *---* >> Dilbert's Words of Wisdom: I don't have an attitude problem. You have a >> perception problem. >> & Dreamer Doll ke7nwn >> E-mail- >> rclark0276@... >> Home Page- >> http://webpages.charter.net/dog_guide/ >> >> >> >> ------------------------------------ >> >> Quote Link to comment Share on other sites More sharing options...
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