Guest guest Posted May 13, 2006 Report Share Posted May 13, 2006 In a message dated 5/13/2006 7:24:23 A.M. Central Daylight Time, moobabies@... writes: We MUST DO OUR LABS to stay on top of any problems...lets continue in life as healthy and active as it is humanly possible to do! Hugs Jo ___________________________ Jo, They did a serum Gastrin level on her. What is the purpose of this...We don't get that lab do we? Hers were elevated. I did a web search and got all kinds of results. From pancreatic cancer to pancreatitis. Mel Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 13, 2006 Report Share Posted May 13, 2006 Mel What can you do when you KNOW the person has at least looked into her options and chooses to go the a RNY to long-limb (Distal) RNY revision? The problem with the Distal RNY, it comes with ALL the shortcoming of the RNY and all the shortcomings of the DS, with NONE of the Pluses from either surgery. All you can do is wish her luck, encourage her to continue educating herself and stay on top of her health issues and pray she has good health. At least she is currently seeing a doctor that is following up on the elevated PTH. A lesson for Newbies. With the RNY...food completely bypasses the duodenum. With the DS...Food passes through our duodenum " stump " . (our intestines are divided " in " the duodenum creating the two small intestinal limbs (bilo-pancreatic limb and alimentary limb) So food passes through only a portion of what was our duodenum. Calcium is " primarily " absorbed in the duodenum. The rest of our intestines can learn to take up the slack and absorb calcium...but it isn't nearly as efficient as the duodenum. As you can see, with the DS our absorption of Calcium is Compromised but with the RNY it is GREATLY compromised. (Plus this same thing applies to other nutrients like Iron). Now lets look at a RNY patient who is already having trouble absorbing enough Calcium...their duodenum is completely bypassed and they are having to rely on the rest of their small intestines to " take up the slack " in an area of the intestines that wasn't originally meant for this function...now lets make this same RNY patient a Long-limbed (distal) bypass..(DSers are distal bypasses but because we are still hooked up to the stomach and the division of intestines come later we preserve some duodenum) Anyhow this Now Distal RNYer still has no food passing through the duodenum AND less intestinal length to Attempt to absorb the needed calcium....getting the picture. Add to this...RNY doctors are not POUNDING the need to supplement into patients heads...and/or...Patients are NOT listening! I can't even begin to tell you how many RNY patients I have talked to that think all they have to do is take their flintstones chewable and all is right in the world...no clue about calcium. OR...the doctors have them taking Viactive Calcium Chews for their calcium...problem is that is calcium carbonate...calcium carbonate NEEDS stomach acids...the RNY pouch doesn't provide this! This is where the whole Carbonate vs Citrate debate came from. In the NORMAL population, they have stomachs with stomach acid so they absorb both well. WE still have a functioning stomach...so we should be able to handle either form of calcium Ok. I'm doing it again...I'm writing a book instead of a Note...sorry. Bottom line...I want to keep US healthy. Our ability to absorb calcium IS compromised. WE MUST DILIGENTLY SUPPLEMENT! As humans age our ability to absorb calcium DECREASES...So me may need to INCREASE our calcium intake as we age...plus increase the supporting vitamins/minerals like Vit. D and Magnesium. We MUST DO OUR LABS to stay on top of any problems...lets continue in life as healthy and active as it is humanly possible to do! Hugs Jo Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 13, 2006 Report Share Posted May 13, 2006 Thanks, Jo! I like your books. A note just wouldn't say enough would it? in WA (who is out of her ADEKs and will go get some more ASAP before she is hunted down by Jo) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 13, 2006 Report Share Posted May 13, 2006 Great info Jo, I have a friend who has Kaiser & he just found out that they are offering the D.S. to selected patients. I told him to push hard for the D.S. & he is all for it cause he knows of my success. How Kaiser makes its choices as to who gets the D.S. & who gets the bypass remains to be seen. Mike Jo wrote: Mel What can you do when you KNOW the person has at least looked into her options and chooses to go the a RNY to long-limb (Distal) RNY revision? The problem with the Distal RNY, it comes with ALL the shortcoming of the RNY and all the shortcomings of the DS, with NONE of the Pluses from either surgery. All you can do is wish her luck, encourage her to continue educating herself and stay on top of her health issues and pray she has good health. At least she is currently seeing a doctor that is following up on the elevated PTH. A lesson for Newbies. With the RNY...food completely bypasses the duodenum. With the DS...Food passes through our duodenum " stump " . (our intestines are divided " in " the duodenum creating the two small intestinal limbs (bilo-pancreatic limb and alimentary limb) So food passes through only a portion of what was our duodenum. Calcium is " primarily " absorbed in the duodenum. The rest of our intestines can learn to take up the slack and absorb calcium...but it isn't nearly as efficient as the duodenum. As you can see, with the DS our absorption of Calcium is Compromised but with the RNY it is GREATLY compromised. (Plus this same thing applies to other nutrients like Iron). Now lets look at a RNY patient who is already having trouble absorbing enough Calcium...their duodenum is completely bypassed and they are having to rely on the rest of their small intestines to " take up the slack " in an area of the intestines that wasn't originally meant for this function...now lets make this same RNY patient a Long-limbed (distal) bypass..(DSers are distal bypasses but because we are still hooked up to the stomach and the division of intestines come later we preserve some duodenum) Anyhow this Now Distal RNYer still has no food passing through the duodenum AND less intestinal length to Attempt to absorb the needed calcium....getting the picture. Add to this...RNY doctors are not POUNDING the need to supplement into patients heads...and/or...Patients are NOT listening! I can't even begin to tell you how many RNY patients I have talked to that think all they have to do is take their flintstones chewable and all is right in the world...no clue about calcium. OR...the doctors have them taking Viactive Calcium Chews for their calcium...problem is that is calcium carbonate...calcium carbonate NEEDS stomach acids...the RNY pouch doesn't provide this! This is where the whole Carbonate vs Citrate debate came from. In the NORMAL population, they have stomachs with stomach acid so they absorb both well. WE still have a functioning stomach...so we should be able to handle either form of calcium Ok. I'm doing it again...I'm writing a book instead of a Note...sorry. Bottom line...I want to keep US healthy. Our ability to absorb calcium IS compromised. WE MUST DILIGENTLY SUPPLEMENT! As humans age our ability to absorb calcium DECREASES...So me may need to INCREASE our calcium intake as we age...plus increase the supporting vitamins/minerals like Vit. D and Magnesium. We MUST DO OUR LABS to stay on top of any problems...lets continue in life as healthy and active as it is humanly possible to do! Hugs Jo Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 13, 2006 Report Share Posted May 13, 2006 > Jo, > They did a serum Gastrin level on her. What is the purpose of this...We > don't get that lab do we? Hers were elevated. I did a web search and got all > kinds of results. From pancreatic cancer to pancreatitis. ================================= Mel As far as I know we are not tested for Gastrin levels (at least not routinely). I am not a medical person but my guess would be the Doctor is looking for signs of Marginal Ulcers. Jo Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 13, 2006 Report Share Posted May 13, 2006 > in WA > (who is out of her ADEKs and will go get some more ASAP before she is hunted > down by Jo) ======================= I'm glad I don't have to go hunt you down make sure you continue taking your supplements....but I almost wish I had to because I miss you! Hasn't that man of yours earned his degree and you talked him into Returning to Bako yet??? Jim will dispatch the Monkeys to help you pack! Hugs Jo Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 14, 2006 Report Share Posted May 14, 2006 Actually, Jo he graduates with his MSW on June 4. This week, however, we are in the process of moving to Springfield, Oregon where my mother lives. Tom has really been wanting to branch out a bit from the Portland area, since he has been there for nearly two decades. His graduating and me telling my boss (um, another story) to take this job and shove it has provided us the opportunity. Also, my mom will be having back surgery soon and knee replacement is in the imminent future, so we want to be around to give her a hand. I may make it down to Bako this summer... that remains to be seen! in WA, soon to be OR Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 14, 2006 Report Share Posted May 14, 2006 Tell Tom I'm sending him a huge congrats hug! You must be very proud of his accomplishment. Ok...I guess you had to play the Mother Card on Mother's day no less and I have to be gracious and accept that you won't be coming to live in Bako this summer...lol...but Your mom will heal then you can consider it! Hey it don't hurt to keep planting the Idea in your head. Hugs Jo > Quote Link to comment Share on other sites More sharing options...
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