Re: Dr. Quinn in Miwaukee..cross post

[Guest guest]

In a message dated 3/9/2004 6:22:30 PM Central Standard Time,

sujerlam@... writes:

He promptly informed me that I was not a suitable candidate for

RNY surgery because I asked too many questions and had the nurse show me

out the door. That's when I really started pushing for the DS.

Hope that helps..

Jerry

Jerry,

this doesn' t surprise me. All RNY docs I have spoken with will not admit

the DS is better or worse but all resort that the Ds is riskier, but they

don't tell you that the malabsorption issue is as great if no worse in a distal

RNY than a DS because they are protein intolerant.

When I was under the influence of my VBG I knew why. If I ate meat, I

puked...If I ate potatoes, i was fine. If I ate salads I puked ...If I ate ice

cream I was fine. (D0 you see the pattern?) So with out constant protein shakes,

RNYs end up protein malnourished. AND gaining weight eventually because what

protein they do eat is malabsorbed.

I have learned that RNY surgeons are not gonna cut their own throats

profit wise because if people start turning to the DS then they will be beging

for

scraps. They don't want the Ds to catch on. Best way to stop it is to scare

the crap out of people. Glad you stood your ground and asked questions...LOL.

in Bama

VBG 1982 (lost from 433lbs to 270's)

VBG -RNY1996 revision(Lost from 343 to 299)

RNY-DS revision Dec 2002 -down 130 lbs (377.7 to 247.2 and still going)

BMI 39.4...No longer Morbidly obese!

Homepage address- http://hometown.aol.com/mdl1031/myhomepage/profile.html

Many thanks to Dr. K willing to take on a 3rd timer....LOL

[Guest guest]

In a message dated 3/9/2004 6:55:56 PM Central Standard Time,

sujerlam@... writes:

remember that Dr. K. doesn't do lap surgery on anyone that has had

previous abdominal surgery simply because the risks are too great for the

patient. At least that's the impression I've gotten from listening to a

couple of his presentations and what I've read here on the board.

Jerry

______________________________________

Ann went into surgery with dr. K to observe and the story as I understood it

is he prefers the Open surgery because he likes to observe closely for leaks

with both his eyes and his hands. He feels more comfortable with the open

proceedure. I know I don't see how they do it by remote in that small cramped

space

much less measure accurately but that's my thoughts. Ann said(correct me if

I'm wrong- Ann) that he takes cotton gloves and pulls the intestine out to

measure.

in Bama

VBG 1982 (lost from 433lbs to 270's)

VBG -RNY1996 revision(Lost from 343 to 299)

RNY-DS revision Dec 2002 -down 130 lbs (377.7 to 247.2 and still going)

BMI 39.4...No longer Morbidly obese!

Homepage address- http://hometown.aol.com/mdl1031/myhomepage/profile.html

Many thanks to Dr. K willing to take on a 3rd timer....LOL

[Guest guest]

Jerry,

Thanks. The thing that freaked me out is that she is a DS surgeon!! Yes,

she does it laproscopically. But none-the-less, you wouldn't think a DS

surgeon would tell a RNYer NOT to revise if they thought it was the better

surgery. I can't believe, it's almost 2 hours now and I've still got

butterflies fluttering around inside.

Blessings and hugs,

Laurie E.

[Guest guest]

Jerry,

Thanks. The thing that freaked me out is that she is a DS surgeon!! Yes,

she does it laproscopically. But none-the-less, you wouldn't think a DS

surgeon would tell a RNYer NOT to revise if they thought it was the better

surgery. I can't believe, it's almost 2 hours now and I've still got

butterflies fluttering around inside.

Blessings and hugs,

Laurie E.

[Guest guest]

On Tue, 9 Mar 2004 17:11:22 -0600, Laurie Esqueda wrote:

>Just wanted to report that Dr Quinn FINALLY called me back after like a month

of waiting!! However, she said she had done several RNY to DS conversions when

she was at Mt. Sinai hospital in NewYork, where she worked with Dr. Gagner, and

in her words, " Had HORRIBLE results. " She is not willing to do a revision of

this sort and told me it's not a good idea to do a DS on top of the RNY. And

this just after my mom asks her Lap band doctor about the revision I am planning

and she gets told it's NOT recommended and is an extremely risky and dangerous

procedure. Dr. Quinn says her experience has been that many patient's end up

being re-hospitalized down the road for severe protein malnourishment. Has this

happened to anyone? Or does anyone know of anyone this has happened to? She

scared me big time...my heart is still pounding and it's been an hour since I

talked to her. And just when I got things rolling to get my predetermination

for Dr. K in CA. Whew. Breathe, Laurie

, Breathe!! TIA for any info anyone can give me! Also, if you are a revision

from RNY to BPD/DS, and I've never heard from you, could you also email me and

let me know your " story " and how you are doing since your revision? Eternally

grateful!!

>

>If you will, please email me privately as I have cross posted this to many

groups and I don't regularly read all the lists I posted to. My email is

hevnbound1 @ msn.com

>

>Blessings and hugs,

>Laurie E.

>

Laurie,

Take a deep breath, relax, and think about everything that has been posted

on our boards. You can even email Dee or Dr. K. with your questions. I

have their email addresses if you want them or you can email them directly

off the web site, www.gr-ds.com

OK.. I've never heard of Dr. Quinn, other than the one n the tv show a

number of years back, so I have no idea of her background. I do know that

Mt. Sanai specializes in laproscopic procedures and if I remember my

internet research form last year correctly, revisions by lap are difficult.

However, that is based on memory and not recent research.

As to the other comments.. Not to put Dr. Quinn down, but they sound a lot

like " sour grapes. " I am not a revision, but I've been following the posts

from a number of Dr. K.'s patients who are and almost all are having good

success. The comments about protein malnourishment is actually more

prevelent in RNY and the old BPD, but rarely seen in the current DS. You

still have to get in the proper amount of protein every day, whether you

had the RNY or DS, but getting that protein is so much easier with the DS.

I was at a support meeting this past Friday where Dr. Z. was asked a

question on this issue. He gave a detailed explanation on the differences

between the RNY and DS and showed where the DS patient actually had better

protein absorbtion overall.

Remember.. Dr. K. and Dr. Z. provide you with a fairly unbiased

presentation of the various procedures. They give you facts and can back

them up with research, but they allow you to make the final decision. Most

other WLS surgeons I have heard speak or talked with, especially those that

specialize in the RNY and Lap-band, try to sell you on their procedure by

bad-mouthing the DS. They cannot or will not provide research and

verifiable facts to support their position. They are not really concerned

about the patient, but about the " bottom line. "

I had a consult with a RNY surgeon a couple years back. I started asking

rather pointed questions about the differences between the RNY and the DS

and told him point blank he had to convince me that the RNY was better than

the DS. He promptly informed me that I was not a suitable candidate for

RNY surgery because I asked too many questions and had the nurse show me

out the door. That's when I really started pushing for the DS.

Hope that helps..

Jerry

[Guest guest]

On Tue, 9 Mar 2004 17:40:59 -0600, Laurie Esqueda wrote:

>The thing that freaked me out is that she is a DS surgeon!! Yes,

>she does it laproscopically. But none-the-less, you wouldn't think a DS

>surgeon would tell a RNYer NOT to revise if they thought it was the better

>surgery.

Laurie,

That just solved the mystery. What research I saw on the revisions did

indicate a lap revision was very difficult. The revision by itself is a

difficult procedure, but to try and do it lap! The thought even scares me.

Now. remember that Dr. K. doesn't do lap surgery on anyone that has had

previous abdominal surgery simply because the risks are too great for the

patient. At least that's the impression I've gotten from listening to a

couple of his presentations and what I've read here on the board.

Jerry

[Guest guest]

Hummm...lets see...the three revisions that were at the support

meeting tonight looked pretty healthy, and happy, and singing the

praises of the Ds.

Jo

[Guest guest]

Hummm...lets see...the three revisions that were at the support

meeting tonight looked pretty healthy, and happy, and singing the

praises of the Ds.

Jo

[Guest guest]

In a message dated 3/9/2004 5:56:02 PM Pacific Standard Time, MDL1031@...

writes:

> He feels more comfortable with the open

> proceedure. I know I don't see how they do it by remote in that small

> cramped space

> much less measure accurately but that's my thoughts. Ann said(correct me if

> I'm wrong- Ann) that he takes cotton gloves and pulls the intestine out to

> measure.

Yep, that is essentially what happens. I talked to Dr. Z about the lap

procedure and he is learning it and I think he will be more comfortable in the

end

with that procedure than Dr. K will. Dr. K is a " hands-on " kind of guy and

likes a clear field. I think he is wise.

Another consideration might be that doing a RNY lap, especially the revision,

is that they use different arteries as the blood supply, making a later

revision to the DS more difficult.

My home health care nurse today asked me if I was happy with the procedure

(she did confuse the gastric bypass with the GR-DS -- thought they were the same

thing). She has a friend who lost a great deal of weight with a gastric

bypass, but she is so restricted in her eating that she is unhappy with the

surgery.

Thank God for the GR-DS!!!!!!

Hugs and blessings,

Ann