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HI,

I am , I am 42 5'8 and 513 #. I just had my initial consult

with Dr. Rabkin here in SF. It all seems to be going OK. Now comes

the insurance game, I hope that goes well also.

I am still debating about the surgery, even more so since I have to

have it open due to my size. I am not into pain at all and am more

afraid about recovery than I am about the surgery. Is that normal?

I live alone and my family is all in the Ny area so there is no one

here to be with me after surgery. Has anyone else encountered this?

Have you gone to a convalescent place for a week or two? Used a

visiting nurse ? Any info would be greatly appreciated.

Thanks for listening,

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Hi ,

I'm a Rabkin patient too. I hope all goes well with your insurance.

I had to have my surgery open too. I think everyone is apprehensive

about the pain. I think the worst is when you first wake up, but once

they start you on the pain meds it is much more tolerable. You will

probably be on a PCA morphine pump so that you can self administer some

pain medication when you need it. You shouldn't let the thought of pain

stop you from considering surgery. The eventual benefits outweigh the

initial discomfort.

I was able to stay with my mom after surgery, but about all she did was

cook for me and follow me around with a cup of water urging me to

drink! I was able to get up and down by myself and take care of all my

personal needs. I don't know about convalescent places or visiting

nurses, but it would be nice if you could have someone check on you

regularly until you feel comfortable being alone.

KathleenF

Open Duodenal Switch

Surgery date: 01/02/01

Drs. Rabkin/Jossart

Pre-op: 374#, BMI: 59

03/20/01...306#

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Hi - Congrats on makinf the decision to see the surgeon. My feelig is

that the pain you will have from the open surgery will be alot less than the

pain from all the medical problems you will have without it. Pain meds help

alot and just stay on top of them. Take them religiously. As far as being

home alone I don't suggest it. I needed help for about 2 weeks after

surgery. Maybe a family member can stay with you for about 2 weeks. You

will need help to clean yourself-wipe yourself and making your food. I

hope this helps ELLEN(PAM)

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Unfortunate that he does not use epidurals. Lots of research indicating they are the superior method for post op pain control.

Dr Heap said he had tried them but he had several reasons he chooses not to use them. 1. they are difficult to get in and can lead to other problems and 2. can interfer in getting a patient up walking. I've never had one so I don't know how often this all happens but I was impressed that he had his reasons and gave them with me not having to ask...Walking his is thing...he wants you up and mobile. He has an excellent rate for complications...so I'm willing to take his word at it. I figure when I'm up after the surgery all I have to worry about is walking and breathing!

*~AJ~*

BMI 58?

Consult Dr Heap 3/23/01

Waiting on Insurance approval

NW Washington Medical

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Unfortunate that he does not use epidurals. Lots of research indicating they are the superior method for post op pain control.

in SeattleDS 1/5/01 295# BMI 47.6 3/5/01 250# BMI 40Dr Welker - OHSU

----- Original Message -----

From: lookn2bthin@...

I'm also preop and waiting on the insurance. Good luck to you. I was most worried about whether I'd have to have an epidural. I found out Friday my dr (Dr. Heap in Richland Washington) doesn't use them so that made me relax

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In a message dated 03/27/2001 9:10:50 AM Central Standard Time, marym@...

writes:

<< An epidural is best inserted by anesthesia, not a surgeon. And they do

not interfere with walking-- in fact by reducing the pain without great

sedation, >>

Dr. Hess also likes to use them because patients who have epidurals breathe

deeper and therefore there are less problems in the lungs during recovery.

Dawn

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An epidural is best inserted by anesthesia, not a surgeon. And they do not interfere with walking-- in fact by reducing the pain without great sedation, they are ideal for encouraging early ambulation on post ops. The idea is that they are NOT used for the anesthetic, only for the pain management. But people do well without them.. so it certainly isn't a requirement, only a preference for some patients and surgeons.

I had one and loved it. Up the day of surgery.

in Seattle

----- Original Message -----

From: lookn2bthin@...

Unfortunate that he does not use epidurals. Lots of research indicating they are the superior method for post op pain control. Dr Heap said he had tried them but he had several reasons he chooses not to use them. 1. they are difficult to get in and can lead to other problems and 2. can interfer in getting a patient up walking. I've never had one so I don't know how often this all happens but I was impressed that he had his reasons and gave them with me not having to ask...Walking his is thing...he wants you up and mobile. He has an excellent rate for complications...so I'm willing to take his word at it. I figure when I'm up after the surgery all I have to worry about is walking and breathing!

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