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>

> I am having an endoscopy on Wednesday following my botox injection

four

> weeks ago. After joining this group I have learnt more about achalasia

> and feel I would like the operation rather than having the botox

> injections all the time. The consultant I have been seeing is not a

> specialist in achalasia and I would like to be transfered to someone

> else. Can anyone recommend a consultant who can carry out the surgery

> in the West Yorkshire area, do you know if I will have to pay

privately

> for this, if so, how much will it cost. I'm also planning on going on

> holiday in March, will I need special traval insurance, if so, can

> anyone recommend any companies. Will I have to wait for the botox

> injection to wear off before I have surgery. When I have the surgery

> how much time will I be looking at being in hospital and how much time

> will I need off work.

>

> Your help so far has enabled me to relax, not cry as much and I am

> learning tricks to control my chest pains. Hot water seems to do the

> trick.

>

> thanks for any help in answering the above questions Mel

>

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It shouldn't be your consultant that does the operation, it would be a trained surgeon, I know Ann had hers done in the Yorkshire are but not sure what the surgeon was called.(I will find out for you Mel)

Not sure about having to pay private it would be worth ringing local private hospital and asking for a quote I did when I was told it might be a hernia and was quoted any thing from £1,800 to £4,500 depending on open of keyhole surgery.

It would depend how urgent your surgeon thought it was to how long you might need to wait I only waited 3 weeks but I was an extremely urgent case others have had to wait a lot longer than that.

Travel insurance someone here might be able to answer that one for you.

Stay in hospital I was in for 6 days after my open myotomy if you have keyhole your stay is about 3 days. If you have keyhole surgery you will probably be off work for about 4 to 6 weeks but I am off for three months but I lost a hell of a lot of weight I was down to 5st 10lb when I was admitted and they want me to regain a couple of stone before I go back to work.

I am glad that you are finding so much help and support here at the group, I was in the same boat as you in July this year and I got so much help and support it was just what I needed to help me face my surgery and gave me the knowledge that I needed when talking to my doctor, consultant and surgeon.

If I can help anymore Mel just shout

Pippa (down south in Northamptonshire)

-- anyone know a specialist in West Yorkshire

I am having an endoscopy on Wednesday following my botox injection four weeks ago. After joining this group I have learnt more about achalasia and feel I would like the operation rather than having the botox injections all the time. The consultant I have been seeing is not a specialist in achalasia and I would like to be transfered to someone else. Can anyone recommend a consultant who can carry out the surgery in the West Yorkshire area, do you know if I will have to pay privately for this, if so, how much will it cost. I'm also planning on going on holiday in March, will I need special traval insurance, if so, can anyone recommend any companies. Will I have to wait for the botox injection to wear off before I have surgery. When I have the surgery how much time will I be looking at being in hospital and how much time will I need off work. Your help so far has enabled me to relax, not cry as much and I am learning tricks to control my chest pains. Hot water seems to do the trick. thanks for any help in answering the above questions Mel

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Oh by the way good luck with the endoscopy on Wednesday let us know how it goes

Pippa

-- anyone know a specialist in West Yorkshire

I am having an endoscopy on Wednesday following my botox injection four weeks ago. After joining this group I have learnt more about achalasia and feel I would like the operation rather than having the botox injections all the time. The consultant I have been seeing is not a specialist in achalasia and I would like to be transfered to someone else. Can anyone recommend a consultant who can carry out the surgery in the West Yorkshire area, do you know if I will have to pay privately for this, if so, how much will it cost. I'm also planning on going on holiday in March, will I need special traval insurance, if so, can anyone recommend any companies. Will I have to wait for the botox injection to wear off before I have surgery. When I have the surgery how much time will I be looking at being in hospital and how much time will I need off work. Your help so far has enabled me to relax, not cry as much and I am learning tricks to control my chest pains. Hot water seems to do the trick. thanks for any help in answering the above questions Mel

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G'day Mel!

I don't seem to have had much success with sending my last message, so I'll try

again.

I can only answer one of your questions, but I'm sure others will jump in to

help.

Re. Botox and operation: Once having had a Botox injection, you must wait 8

weeks until

the operation. There is an inflammation around the injection site which takes 8

weeks to

recede. As far as I understand you do not have to wait for the effect of the

Botox injection

to wear off.

One important piece of advice: please hunt out a surgeon who is highly qualified

and very

experienced in doing this operation. I can't stress this enough.

You're on the right track, anyway, hunting out answers to your questions!

Wishing you all the best!

Aussie Anita

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Mel- Where are you located again,what State?

As far as surgery it just depends on how they do it.If its done

laproscopicaly( 5 lil incicisions)you should up and at it in a week

or 2.Just depends to on your body and what your job details.Thats

about a 2-3 days stay in the hospital.If its open procedure 1 bigger

incision then it can be 5-10 days in hospital and about 6-8 weeks

recovery period.It really all just depends on what surgery,where you

are at,and how you are healing.Lots of factors.Either way you go by

March you should be able to go anywhere you want traveling.If you

would like to see photos of each of these surgeries, I have posted

my son 's on the photos section on this site.Look under tonias

son james its at the end and you can see what the procedures leave

your belly like.I hope this kinda helped a little.We went to

Cleveland Clinic in Ohio and had one of the top surgeons do 's

last surgery in Oct and he is doing great! Its about a 8 hour drive

but was well worth the drive.Trust me if you need to travel for a

good one then do that!! Tonia in Virginia

>

> I am having an endoscopy on Wednesday following my botox injection

four

> weeks ago. After joining this group I have learnt more about

achalasia

> and feel I would like the operation rather than having the botox

> injections all the time. The consultant I have been seeing is not

a

> specialist in achalasia and I would like to be transfered to

someone

> else. Can anyone recommend a consultant who can carry out the

surgery

> in the West Yorkshire area, do you know if I will have to pay

privately

> for this, if so, how much will it cost. I'm also planning on going

on

> holiday in March, will I need special traval insurance, if so, can

> anyone recommend any companies. Will I have to wait for the botox

> injection to wear off before I have surgery. When I have the

surgery

> how much time will I be looking at being in hospital and how much

time

> will I need off work.

>

> Your help so far has enabled me to relax, not cry as much and I am

> learning tricks to control my chest pains. Hot water seems to do

the

> trick.

>

> thanks for any help in answering the above questions Mel

>

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Mel,

Hi there. I live in London so I am not too familiar with the services on offer in West Yorkshire. But if you click on the Yorkshire hospitals web sites you should find out where they offer dedicated Upper GI services by dedicated Upper GI surgeons. I think both bradford and Leeds offer dedicated Upper GI but you will need to check this out.

Basically all this means is that this is practiacally all the surgery that an Upper GI surgeon does. Therefore thay are experienced. I think this is preferential to a general surgeon. But this is my personal preference and I guess most of us would agree to that. Sometimes they also have a sub specialty but this can be useful. For example, my surgeon in London also has skills in vascular (or so I am told).

As for which surgeon you choose this is less important in England now as they all tend to work in teams and this has reduced the variation in clinical outcomes from surgeon to surgeon. You will still get your chosen surgeon heading up the operation but his assistants will all be shared across the whole upper GI team. Much better. So, I guess choose someone you have confidence in.

STEVE

anyone know a specialist in West Yorkshire

I am having an endoscopy on Wednesday following my botox injection four weeks ago. After joining this group I have learnt more about achalasia and feel I would like the operation rather than having the botox injections all the time. The consultant I have been seeing is not a specialist in achalasia and I would like to be transfered to someone else. Can anyone recommend a consultant who can carry out the surgery in the West Yorkshire area, do you know if I will have to pay privately for this, if so, how much will it cost. I'm also planning on going on holiday in March, will I need special traval insurance, if so, can anyone recommend any companies. Will I have to wait for the botox injection to wear off before I have surgery. When I have the surgery how much time will I be looking at being in hospital and how much time will I need off work. Your help so far has enabled me to relax, not cry as much and I am

learning tricks to control my chest pains. Hot water seems to do the trick. thanks for any help in answering the above questions Mel

Send instant messages to your online friends http://uk.messenger.

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Mel, you should be able to go see another consultant to get treated without having to pay out of pocket. There is a web site for the NHS that you can go to that alows you to pick your own consultant and stuff. I cannot recall this website at this time but it has been talked about in this group before. I do not know of any consultants up in your area but I can reconmend Mr Maynard in Oxford at the Radcliffe Hospital. He did my surgery in May 05 and he did a great job and is very knowledgeable concerning our disease. As for the stay in hospital it all depends on if you have key hole or an open surgery and if there are any complications with surgery. I had mine open and they wanted to keep me in hospital for 7 to 10 days, I was out in 5 days. If you have any other questions please feel free to ask or even if you wouls like to talk over the phone I can call you if you like. in Gerogiamel231165 <jamkirkhamgate@...> wrote: I am having an endoscopy on Wednesday following my botox injection four weeks ago. After joining this group I have learnt more about achalasia and feel I would like the operation rather than having the botox injections all the time. The consultant I have been seeing is not a specialist in achalasia and I would like to be transfered to someone else. Can anyone recommend a consultant who can carry out the surgery in the West Yorkshire

area, do you know if I will have to pay privately for this, if so, how much will it cost. I'm also planning on going on holiday in March, will I need special traval insurance, if so, can anyone recommend any companies. Will I have to wait for the botox injection to wear off before I have surgery. When I have the surgery how much time will I be looking at being in hospital and how much time will I need off work. Your help so far has enabled me to relax, not cry as much and I am learning tricks to control my chest pains. Hot water seems to do the trick. thanks for any help in answering the above questions Mel <FONT face="comic sans ms" color=#ff0000 size=5> in Georgia </FONT><IMG src=" 04.gif">

Have a burning question? Go to Answers and get answers from real people who know.

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Mel,

I haven't been quite sure what I could add to the information

provided by the others but 's post about the NHS website

reminded me that I don't recall anyone mentioning – though perhaps

with good reason - the Dr. website where you can do a

consultant search. It can be found here:

http://www.drfoster.co.uk/localServices/consGuide.asp

You then choose Achalasia in the condition box which then restricts

the options in the specialty box to four: Cardiothoracic surgery,

General Surgery, etc. You then can enter your post code to find out

which consultants specialise in which of your local hospitals.

The information is quite useful and seems to be up to date however I

would caution that the search results can still feel like you're

trying to find a needle in a haystack – albeit a smaller haystack

than before. Also, as was the case with my surgeon, the primary

listing might well be General Surgeon and only under specialist

info/interest etc. might it refer to Gastro work etc. And as far as

which hospitals (and again which consultants) are more specialised

in Gastro surgery, info such as that which Steve provided, is also

extremely important to help you narrow down your choices.

So in many respects, as I found (or more specifically my tenacious

mother!), the good old fashioned `phone takes a lot of beating but

nonetheless you still might find the website is another useful

reference point.

Best wishes,

(London, UK)

p.s. I'm sure you will have found it by now but just in case the

NHS website was referring to can be found here:

http://www.nhs.uk/England/Choice/

> I am having an endoscopy on Wednesday following my botox

injection four

> weeks ago. After joining this group I have learnt more about

achalasia

> and feel I would like the operation rather than having the botox

> injections all the time. The consultant I have been seeing is not

a

> specialist in achalasia and I would like to be transfered to

someone

> else. Can anyone recommend a consultant who can carry out the

surgery

> in the West Yorkshire area, do you know if I will have to pay

privately

> for this, if so, how much will it cost. I'm also planning on going

on

> holiday in March, will I need special traval insurance, if so, can

> anyone recommend any companies. Will I have to wait for the botox

> injection to wear off before I have surgery. When I have the

surgery

> how much time will I be looking at being in hospital and how much

time

> will I need off work.

>

> Your help so far has enabled me to relax, not cry as much and I am

> learning tricks to control my chest pains. Hot water seems to do

the

> trick.

>

> thanks for any help in answering the above questions Mel

>

>

>

>

>

>

> <FONT face= " comic sans ms " color=#ff0000 size=5> in Georgia

</FONT><IMG

src= " http://us.i1.yimg.com/us.yimg.com/i/mesg/tsmileys2/04.gif " >

>

> ---------------------------------

> Have a burning question? Go to Answers and get answers from

real people who know.

>

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Hi Mel, have you spoken with Ann yet? she had her successful operation in West Yorkshire. Also as you know Hannah had hers done in Southport by a very respected surgeon. HIs name is Zeiderman you can look up his credentials on Southport and Ormskirk website. But all I can say is Hannah's life has changed dramatically since her operation. The biggest shock was going from a baggy size 6 to a 14 in a matter of weeks!!! Although 5 months pregnant now, before she did settle down to a size 12. Kind regards - p.s.regards to your mum <mn.post@...> wrote: Mel,I haven't been quite sure what I could add to the information provided by the others but 's post about the NHS website reminded me that I don't recall anyone mentioning – though perhaps with good reason - the Dr. website where you can do a consultant search. It can be found here: http://www.drfoster.co.uk/localServices/consGuide.aspYou then choose Achalasia in the condition box which then restricts the options in the specialty box to four: Cardiothoracic surgery, General Surgery, etc. You then can enter your post code to find out which consultants specialise in which of your local hospitals.The information is quite useful and seems to be up to date however I

would caution that the search results can still feel like you're trying to find a needle in a haystack – albeit a smaller haystack than before. Also, as was the case with my surgeon, the primary listing might well be General Surgeon and only under specialist info/interest etc. might it refer to Gastro work etc. And as far as which hospitals (and again which consultants) are more specialised in Gastro surgery, info such as that which Steve provided, is also extremely important to help you narrow down your choices.So in many respects, as I found (or more specifically my tenacious mother!), the good old fashioned `phone takes a lot of beating but nonetheless you still might find the website is another useful reference point.Best wishes, (London, UK)p.s. I'm sure you will have found it by now but just in case the NHS website was referring to can be found here: http://www.nhs.uk/England/Choice/ > I am having an endoscopy on Wednesday following my botox injection four > weeks ago. After joining this group I have learnt more about achalasia > and feel I would like the operation rather than having the botox > injections all the time. The consultant I have been seeing is not a > specialist in achalasia and I would like to be transfered to someone > else. Can anyone recommend a consultant who can carry out the surgery > in the West Yorkshire area, do you know if I will have to pay privately > for this, if so, how much will it cost. I'm also planning on going on > holiday

in March, will I need special traval insurance, if so, can > anyone recommend any companies. Will I have to wait for the botox > injection to wear off before I have surgery. When I have the surgery > how much time will I be looking at being in hospital and how much time > will I need off work. > > Your help so far has enabled me to relax, not cry as much and I am > learning tricks to control my chest pains. Hot water seems to do the > trick. > > thanks for any help in answering the above questions Mel > > > > > > > <FONT face="comic sans ms" color=#ff0000 size=5> in Georgia </FONT><IMG src=" 04.gif">> > --------------------------------->

Have a burning question? Go to Answers and get answers from real people who know.>

Have a burning question? Go to Answers and get answers from real people who know.

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Can anyone recommend a consultant who can carry out the surgery

> in the West Yorkshire area, do you know if I will have to pay privately

> for this, if so, how much will it cost.

If I were you, I'd be seeing how far patient choice in the NHS really

goes and asking for a referral to Mr Botha at St ' in London. My

concern, however, would be for the follow-up support (which is why I

felt we were fortunate initially to get Stephi's op done by a surgeon

who travelled to Nottingham from London rather than the other way round).

Stephi's second lap myotomy has been done by a paediatric surgeon and

an adult surgeon - Mr Ian Beckingham - who is based in Nottingham.

However, her op whilst having an eventual successful outcome, also had

complications as her oesophageal mucosa was perforated during surgery.

I'm also planning on going on

> holiday in March, will I need special traval insurance, if so, can

> anyone recommend any companies.

We haven't had a problem with getting travel insurance - they merely

exclude anything arising from her condition. Since Stephi developed

achalasia we have travelled in Europe and to the US and she has been

on activity holidays with school and we have merely advised each

travel company of her condition and answered a few questions.

No scuba though.

--

Sue

Mum to Stephi, 9yo

Nottingham, UK

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