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Re: Re: Frustration!!

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I don't think a second opinon would help. As frustrating as my conversation with Dr. Stiles was, I have to say that she is just looking out for my best interest. As a transplant patient, I am immunosuppressed and, Heaven forbid, I should be "the one" that has a leak at the anastimosis (where the bowel is joined to the stomach), I could get a very complicated infection which could take my life. I'm sure she's being ultra careful, but I still can't understand her comments about my eating habits not being affected by a Gastric bypass. I didn't get this way simply because of steroids. I had to have consumed too many calories somewhere along the line. The GB would do nothing but help my weight situation, provided everything went well. I'm not so sure I can agree with her opinon about it possibly not helping the diabetes. I guess I shouldn't argue with the doctor's background and expertise. She knows much more than I do!

I'm just so sick of the hassel of losing out in life because I have a medical condition. Oh well, as my dear mom always said, "This too shall pass". It just isn't passing quickly enough.

Jane in Cupertino

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Thanks Colleen - it sounds like Dr. Stiles will consult with the surgeons and the SSF Nephrologist (kidney doctor) to see if I really can have the surgery so, no, she didn't completely rule it out.

It will depend greatly their opinions and expertise and on if I can keep my glucose level below 200 and lose the required weight. Dr. Stiles told me that if anyone's glucose level is above 200, the surgeons absolutely won't do the surgery. I have a great Nephrologist here at Kaiser Santa Clara who I know will support me and if he feels that it would harm me, believe me, he'd let me know and talk me out of it. He is VERY supportive. Wouldn't trade him for the world.

It's all a waiting game. I have to get all the labwork and scans done then Dr. Stiles and I will talk again. I'm sure Dr. Stiles is the best, but just not today,with my attitute at a low altitude. (Not her fault - mine...) I wouldn't want anyone to get the opinion that she's not a good doctor.

Thanks again for the support. I'll keep you posted.

Tomorrow is another day, Scarlett!!

Jane in Cupertino

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Thanks Colleen - it sounds like Dr. Stiles will consult with the surgeons and the SSF Nephrologist (kidney doctor) to see if I really can have the surgery so, no, she didn't completely rule it out.

It will depend greatly their opinions and expertise and on if I can keep my glucose level below 200 and lose the required weight. Dr. Stiles told me that if anyone's glucose level is above 200, the surgeons absolutely won't do the surgery. I have a great Nephrologist here at Kaiser Santa Clara who I know will support me and if he feels that it would harm me, believe me, he'd let me know and talk me out of it. He is VERY supportive. Wouldn't trade him for the world.

It's all a waiting game. I have to get all the labwork and scans done then Dr. Stiles and I will talk again. I'm sure Dr. Stiles is the best, but just not today,with my attitute at a low altitude. (Not her fault - mine...) I wouldn't want anyone to get the opinion that she's not a good doctor.

Thanks again for the support. I'll keep you posted.

Tomorrow is another day, Scarlett!!

Jane in Cupertino

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Hi Jane

I can see why you are in the dumps about your visit, and I can see that your upset, it didnt look like she said she would not do it, did she say what she would base her final opinion on ?

Colleen Diane Duenas wrote:

Wow, I would be frustrated too. Is there a possibility of a second opinion, even if its from another site like Richmond? Keep your spirits up and hopefully all will work out for you!Huggles> I just had my appointment with Dr. Stiles in SSF and came home pretty > discouraged. Because I have had a kidney transplant and am immunosuppressed she > wasn't exactly encouraging about having the surgery. I also don't consider myself > a HUGE eater - I am more of a grazer - and she said that because I don't eat a > lot at a time the surgery probably won't do me much good. I do have to take > steroids for anti-rejection and had massive doses 14 years ago when I had the > transplant which caused huge

weight gains. I'm on maintenance doses now. > > I told her that it would probably eliminate my need for insulin injections > (I'm diabetic) and that it would really help my blood pressure, both of which > she was adamant that it doesn't always happen. She said the the dumping > syndrome goes away eventually and she sees lots of people who return with the same > problems they had before surgery. I don't doubt that. I'm sure she has my best > interest at heart and I really do like her, but I feel so discouraged!!> > It just doesn't look very hopeful right now and I'm kinda down. If ever > there was a chocolate trigger - this is one. Good thing I'm not alone in the > house tonight!!> > Jane in Cupertino> Pre-op and discouraged

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Hi Jane,

How frustrating! I know that you really want to have the surgery and I

hope that everything will work out so that you can have it. But, I am

glad to hear that Dr. Stiles is being cautious . . . after all, we want

you to come through the surgery safely.

Grazing can be a problem - it is quite possible to "out-eat" the

surgery. If one grazes throughout the day, then the restrictive

element of the surgery doesn't provide enough of a control to keep the

calorie count down. I know that before I had surgery that I had to

prove to myself that I could make some of the changes that would help

me succeed. For me, that was giving up sodas, caffeine and fast food.

For you . . . well, you might try changing your eating pattern to

eliminate grazing. Then, you could assure Dr. Stiles (and yourself)

that the RNY would give you the tool that you need. I hope you don't

mind my making comment on this - my friend who had surgery shortly

before I did was a grazer and still is, so I am concerned about this

issue.

I look forward to hearing how you are progressing.

Take care,

Kay

in San Leandro

open RNY 12/1/03

valkrey1@... wrote:

Thanks Colleen - it sounds like Dr.

Stiles will consult with the surgeons and the SSF Nephrologist (kidney

doctor) to see if I really can have the surgery so, no, she didn't

completely rule it out.

It will depend greatly their opinions and expertise and on if I can

keep my glucose level below 200 and lose the required weight. Dr.

Stiles told me that if anyone's glucose level is above 200, the

surgeons absolutely won't do the surgery. I have a great Nephrologist

here at Kaiser Santa Clara who I know will support me and if he feels

that it would harm me, believe me, he'd let me know and talk me out of

it. He is VERY supportive. Wouldn't trade him for the world.

It's all a waiting game. I have to get all the labwork and scans done

then Dr. Stiles and I will talk again. I'm sure Dr. Stiles is the

best, but just not today,with my attitute at a low altitude. (Not her

fault - mine...) I wouldn't want anyone to get the opinion that she's

not a good doctor.

Thanks again for the support. I'll keep you posted.

Tomorrow is another day, Scarlett!!

Jane in Cupertino

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