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Hi :

I think of you so often, as we were about the same height and size. I feel so

bad for you, having to go through this twice. I can really feel with you on the

slow weight loss. I did lose more than you, but it was so slow, and at 7 months

I stopped losing. I am now a little over a year, and for 5 months I have tried

eating more, less, less, carbs, sugar,ect., and nothing will start the loss

again. I was told by Dr.Gagner's associate, that I should fly to New York to

talk to him, and maybe he could do something more. I don't think so, I am not

going to go through it again. I still have 41 lbs to lose, and that is at the

high end of the charts for my body height.

I just want you to know that you aren't alone. I will email you personally,

maybe we can compare notes.

Hugs to you,

Patti S

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Hi ! I remember you! ::hugs:: I'm so sorry to read about your

unsatisfactory experience. Do you mind answering a few questions? What was

your starting weight/BMI? What type of revision was done -- they shortened

your common tract? What did Dr. Hess say was the cause of your initial

stalled weight loss? Did Hess do the revision? Has he said anything

regarding your only losing 15 pounds since the revision? How's your eating?

Hugs,

> Am I alone?

>

>

> Hi all. It's been so long since I have posted, I don't know if

> there's anybody around who still remembers me. I had a BPD/DS on

> 9/30/99 in Ohio. For whatever reason, I only lost 30 pounds. After

> much run-around with my insurance company, numerous visits to my

> surgeon, and several consultations with Dr. Hess (who is NOT the

> doctor who performed my surgery due to out-of-plan exclusion), I had

> a revision of the BPD/DS on 11/1/00. I lost 15 pounds while I was in

> the hospital, but have not lost a pound in the last five weeks. I am

> so discouraged and disillusioned that I can barely function. Is

> there anybody who subscribes who has any insight into my situation?

> I don't quite know what to do next. Give up? Live with these extra

> 100+ pounds forever? Sorry to be a bummer, but I don't know who to

> go to next.

>

> --

> post up twice

> down 45 pounds

>

>

>

>

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,

How long was your common tract and stomach size on the first surgery?? What

did they revise it to?

Considering you are only 5 weeks out of the second surgery, you may just be

experiencing a " normal " plateau that often people who have this surgery

experience. I know because of your previous experience this could really be

hard to handle. But maybe your previous experience has you thinking this is

doomed when it really isn't. I can't even imagine how hard it must be (or it

is actually impossible) to relax about it.

This may be of absolutely no comfort, but as I have said before I try to

think of surgery success not only in how much I lose but also in how much

more I haven't gained. I started at 267 and I know that it was just a matter

of time before I would have been over 300.

Dawn

Dr. Hess

4/27/00

267 to 175

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Hi all. Hi Mel and Patti! It's great to hear from you again. In

answer to questions about my weight loss (or lack there of) here

goes. My start weight was 256, I lost down to 227 the year after my

first DS, and I've lost an additional 13 pounds since my revision.

The same surgeon who did the first surgery (Dr. Neil Thomford) did

the revision. I requested an out-of-plan surgeon (Dr. Hess) for both

surgeries, but was denied by insurance. However, I see Dr. Hess on

my own dime and he very graciously provided my surgeon with his (Dr.

Hess's) guidelines on the revision (i.e. how much more common tract

he should bypass, how much small to make the stomach). So when I had

the revision, my surgeon followed Dr. Hess's suggestion on further

shortening the common tract and taking out even more stomach.

I'm eating much smaller amounts,probably one-fourth or one-third the

food I did before I started this whole thing. I eat small meals,

protein first, then follow up with vegetables, and few snacks.

Snacks consist of hard cheese, nuts, or fresh fruit for the most

part. My surgeon thinks it's just my metabolism, that my body

is " highly adaptable " to the procedures its been through and that

perhaps my body has just adapted to the surgery.

I'm not quite up to exercising yet, but have been walking quite a

bit. Hopefully I'll be able to rejoin my aquajog and water aerobic

classes again soon.

I will be seeing Dr. Hess tonight at his meeting. I haven't spoken

with him since last month's meeting, so he doesn't know yet that my

weight loss has stalled again. I'm very interested in what he has to

say. I hope to meet some of you at his meeting tonight.

I don't know what options are left open for me, I don't know if I

have the spirit to go through a third revision, or if that is even

possible. How much is too much?

-- 5'2 "

BPD/DS 9/30/99 #256

BPD/DS revision 11/1/00 #227

now at #214 and holding

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wrote:

> My surgeon thinks it's just my metabolism, that my body

> is " highly adaptable " to the procedures its been through and that

> perhaps my body has just adapted to the surgery.

>

> I'm not quite up to exercising yet, but have been walking quite a

> bit. Hopefully I'll be able to rejoin my aquajog and water aerobic

> classes again soon.

Hi ,

I certainly understand your concern after all you've been

through!

It's great that you are walking a lot. That will have all

kinds of benefits in the short and long run. Consistency is

the key of course. Hopefully, you're not weighing all the

time -- That can be really demoralizing.

Margie from Texas has had a revision and I remember her

mentioning that she has had a slower weight-loss than those

of us who haven't had other wlsurgeries. Maybe you could ask

her about it. I'm sure she wouldn't mind you writing to her

directly if she doesn't see this because she is quite busy

and travels a lot. She is a fountain of information:)

msvl

Warm regards,

Sharon - Huntington Beach, CA

DGB w/DS - Dr. Anthone USC June 1, 1999

Hernia Repair w/TT - Dr. A. USC May 24 2000

Pre-Op BMI 51 Post-Op BMI 23 -- 145 lbs. gone!

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> I will be seeing Dr. Hess tonight at his meeting. I haven't spoken

> with him since last month's meeting, so he doesn't know yet that my

> weight loss has stalled again. I'm very interested in what he has to

> say. I hope to meet some of you at his meeting tonight.

, please let us know what Dr. Hess has to say. I agree with the other

person who said that maybe you've just hit a plateau this time and it will

pass! I know that I hit many plateaus along the way, and the first one was

at a mere 2 weeks postop!

Hugs,

M.

---

in Fremont, CA, age 38

Starting weight 299, now 172

Starting BMI 49.7, now 28.6

Lap DGB/DS by Dr. Rabkin 10-19-99

http://www.duodenalswitch.com

Direct replies: mailto:melanie@...

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Hi and Patti -- The human body is an amazing, and often

frustrating, mechanism. It can be so adaptable and clever that even

our very best efforts to thwart it don't seem to be effective.

I've been there with you at times and felt the frustration often, but

thankfully, and due to the wisdom of someone telling me to -keep

records-, I can see a pattern of losing about 2# a month over the last

few months for me. I know it depends partially on where we start, etc.

The time has gone so fast. I can hardly believe that it's been a year

since my 1st consultation and 10 months since my revision. I remember

reading about you both as I devoured all posts during that time. I

hope you both find answers, and maybe advance the science just a

little further.

Regards -- Margie in Austin, TX

5'4 " , pre-revision 275#, 12/11/00 down 52#

RNY GB in 1987, revision to DGB/DS 02/01/00

Dr. Crookes, USC University Hospital, LA, CA

> Hi :

> I think of you so often, as we were about the same height and size.

I feel so bad for you, having to go through this twice. I can really

feel with you on the slow weight loss. I did lose more than you, but

it was so slow, and at 7 months I stopped losing. I am now a little

over a year, and for 5 months I have tried eating more, less, less,

carbs, sugar,ect., and nothing will start the loss again. I was told

by Dr.Gagner's associate, that I should fly to New York to talk to

him, and maybe he could do something more. I don't think so, I am not

going to go through it again. I still have 41 lbs to lose, and that is

at the high end of the charts for my body height.

> I just want you to know that you aren't alone. I will email you

personally, maybe we can compare notes.

> Hugs to you,

> Patti S

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