Re: Question - Lapascopic or Insision

[Guest guest]

In a message dated 11/13/2002 7:29:57 PM Central Standard Time,

jazzeejay@... writes:

> Earlier I wrote a message whether there was a weight limit to having

> the surgery done laparoscopic or Incision, the one person who wrote me

> back said no there wasn't any weight limits, i then called another

> doctor who performs the surgery in land and he said there wasn't

> a cut off weight to have the surgery done laparoscopic also but the

> doctor I had my consultation with told me there was, do you think I

> should not use this doctor anymore since he gave me incorrect

> information?

>

My doctor has a limit but I think each person is different and it depends on

the DR and what they feel comfortable doing. I was a lightweight 247 and he

started out lap and had to do it open because he said it was just too hard to

see past my liver. I have met others that were heavier and he did their

surgery lap. I had little pain and I am happy that he did do it open. I think

you should have faith in your DR and If you want it done Lap and he wont do

it then you owe it to yourself to look at other options

[Guest guest]

--- I was told there are two things they consider in determining

which they will do. Actually maybe a couple more, we'll see how many

I end up with. 1. I was told if your BMI is less than 50 they will

try to do laprny. 2. If they find that either your liver or kidney?

is enlarged they will change to open RNY if they are doing lapRNY, I

guess once they get inside they get a better picture. The other

thing I remember is that it depends on how your body is laid out. I

guess some peoples weight is distributed right to make lapRNY a good

choice. The biggest factor for my surgeon is the BMI,and as we know

BMI is based on our weight. Not to be totally yucky but if you think

about the differences in dealing with someone 400lbs and someone 260,

the abdominal area gets pretty crowding making lap more difficult I'm

sure. I am sure that different surgeons have their preferences. The

most important thing is you being comfortable with the surgeon you

choose.

In GastricBypass-InfoCentral@y..., " jazzeejay " <jazzeejay@y...> wrote:

> Earlier I wrote a message whether there was a weight limit to

having

> the surgery done lapascopic or Insision, the one person who wrote

me

> back said no there wasn't any weight limits, i then called another

> doctor who performs the surgery in maryland and he said there

wasn't

> a cut off weight to have the surgery done lapascropic also but the

> doctor I had my consultation with told me there was, do you think I

> should not use this doctor anymore since he gave me incorrect

> information?

>

>

> Does anyone have a name of some good surgeons in land?

[Guest guest]

I don't think I can be of help. I am still confused from my first

time visit. I was told that the lap surgery takes 5 hours, that the

recovery time is more and there is more a chance of leaks. Now, this

is what was said about the open rny. He can do 5 per day, because it

only takes him 45 minutes to do the proceedure. Instead of having 5

scares on your belly, you'll only have one. He talked so fast that

you couldn't hardly understand what he was saying and we weren't

allowed to ask him questions until he was finished. I couldn't asked

because I couldn't understand him. Then I was asked to go back out

and sit in the waiting area, while the other two girls were taken

back to their rooms and I sat there and sat there and finally the doc

opened the door and said oh your still out here. I don't want the

open rny. I prefer the lap. I have enough marks on my belly, the

place I don't is where he wants to cut me open and I have a long

torso, so it will be a long incision. Okay, sorry dear friends I

just needed to vent. My first experience at the doctors wasn't a

pleasant one and I so wanted it to be. I want to keep a positive

attitude.

Sorry I couldn't help you out, but I am glad that you posted this.

Is the open RNY superior over the Lap gastric bypass? I read that

the lap has been around since 1993. That's 10 years. Carnie

had the lap-bypass. She looks great and had no problems.

Blessings,

ANgela

> Earlier I wrote a message whether there was a weight limit to

having

> the surgery done lapascopic or Insision, the one person who wrote

me

> back said no there wasn't any weight limits, i then called another

> doctor who performs the surgery in maryland and he said there

wasn't

> a cut off weight to have the surgery done lapascropic also but the

> doctor I had my consultation with told me there was, do you think I

> should not use this doctor anymore since he gave me incorrect

> information?

>

>

> Does anyone have a name of some good surgeons in land?

[Guest guest]

i then called another

> doctor who performs the surgery in maryland and he said there

wasn't

> a cut off weight to have the surgery done lapascropic also but the

> doctor I had my consultation with told me there was, do you think I

> should not use this doctor anymore since he gave me incorrect

> information?

He didn't give you incorrect information. HE has a weight limit for

laprascopic surgery. Some doctors do, and they use different

figures. I think those more experienced in laprascopy are more

willing to operate on heavier patients, but there's always a chance

that any lap surgery will have to be converted to open.

Sandy

[Guest guest]

Some docs have their own set limits they use. Others do not. Lots of

surgerons say a BMI over 50 and no lap. My surgeron did me with a BMI well ver

50, and I had lap. He has done someone over 500 lbs lap. So it really

depends on the doc and what they are willing to do.

Hugs,

Question - Lapascopic or Insision

Earlier I wrote a message whether there was a weight limit to having

the surgery done lapascopic or Insision, the one person who wrote me

back said no there wasn't any weight limits, i then called another

doctor who performs the surgery in maryland and he said there wasn't

a cut off weight to have the surgery done lapascropic also but the

doctor I had my consultation with told me there was, do you think I

should not use this doctor anymore since he gave me incorrect

information?

Does anyone have a name of some good surgeons in land?

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[Guest guest]

Hey jazeejay - You can go to www.obesityhelp.com to find surgeons in your area.

It sounds like the surgeon you have consulted with has a weight limit for doing

the surgery lap. He may not like doing the procedure lap on especially big

people. I had my surgery done open, and it wasn't too bad.

Take care.

Jeanne in WI

Age 39

Open RNY 05/21/2002

314/ 241/150-175

5' 8 "

djgraves@...

[Guest guest]

- It sound like you would be more comfortable with a different surgeon,

one you could talk to, and who will listen to your needs. The guy you saw

sounds like he is in it just for the money - 5 surgeries in one day? - whoa! My

surgeon also takes about 5 hours to do a lap surgery, and that is why I went

with an open, because I did not want to have that long of a surgery, plus with

my scar tissue from previous surgeries, it would have been difficult anyways.

Find a better surgeon, hon.

Jeanne in WI

Age 39

Open RNY 05/21/2002

314/ 241/150-175

5' 8 "

djgraves@...

[Guest guest]

The truth is the only surgeons who put limitations on doing lap or not are

the ones that are inexperienced at doing lap. For them it becomes a chore

doing lap and they are inclined to stay with the less heavy patient. I was

fortunate; mine did my surgery lap and I was 530 lbs.

Joyce 3 yrs later - 258 lbs

Joyce Blavat

" People do not make a change until the pain of remaining the same is

greater than the pain of change. "

" And those who danced were thought insane by those who refused to hear the

music... "

" If you judge people, you have no time to love them. "

- Mother

" When God measures a man, He puts the tape around the heart instead of the

head. "

[Guest guest]

Thank you Jeanne,

I really felt uncomfortable and I couldn't shake this feeling that

this was not the doctor for me. He has been doing this for 20 years,

so I believe he would do excellent work, but I just can't shake this

feeling with this place or him. I don't like bashing places, but

quite a bit of unprofessionalism was taking place. The place seemed

very non-caring. I don't know if they have sent anything into my

insurance or not, but I would like to go to this place closer to my

home, that I just recently found on the net. Of course one will not

know how this place is either, until you consult. I've had surgery

at this hospital before and really liked being their. Thanks again,

Jeanne. I really needed to vent. I just kept holding it in. I'll let

you know what happens.

Much Blessings,

> - It sound like you would be more comfortable with a

different surgeon, one you could talk to, and who will listen to your

needs. The guy you saw sounds like he is in it just for the money -

5 surgeries in one day? - whoa! My surgeon also takes about 5 hours

to do a lap surgery, and that is why I went with an open, because I

did not want to have that long of a surgery, plus with my scar tissue

from previous surgeries, it would have been difficult anyways. Find

a better surgeon, hon.

>

> Jeanne in WI

> Age 39

> Open RNY 05/21/2002

> 314/ 241/150-175

> 5' 8 "

> djgraves@c...

>

>

>

>

>

[Guest guest]

Wow, my surgeon can finish a lap very quickly, 1.5 hours tops unless

you've got adhesions, or major repair work from earlier surgeons.

Pam in Niceville

preop

Lap RNY 11/20/02

Jeanne writes:

- It sound like you would be more comfortable with a different

surgeon, one you could talk to, and who will listen to your needs. The

guy you saw sounds like he is in it just for the money - 5 surgeries in

one day? - whoa! My surgeon also takes about 5 hours to do a lap

surgery, and that is why I went with an open, because I did not want to

have that long of a surgery, plus with my scar tissue from previous

surgeries, it would have been difficult anyways. Find a better surgeon,

hon.