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Post by ynona74 on Jan 7, 2012 16:38:10 GMT -5
Hi everyone.
I just posted this to the light weights board, but I NEED some help from the WLS Vets.
I just got back from my bariatric seminar which is the first step with Dr. Crookes. He's a very nice man. He doesn't do the DS laproscopically, only does it open. Which I knew going in so that's okay. HE states that the RNY is the gold standard, and only does a handful of DS a year and only on extreme cases.
Long story short...I was 100% sure I wanted the DS before the seminar and now I don't know what to do.
I know I want Dr. Crookes because he's one of the Dr.'s my insurance covers. I know I could go to someone else, but I really don't have the money.
What I need help with are the following....
1. Why should I choose the RNY over the DS when everything I have heard about the RNY is that you can't eat this or that? maybe some switchers could help me with this.
2. How do I convince Dr. Crookes to do a DS on a light weight, with no comorbidities?
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Post by larra on Jan 7, 2012 18:14:20 GMT -5
I can't think of any good reason for you to choose RNY over DS. The DS works just fine for "lightweights". If you qualify for wls, you qualify for the DS. With the DS you will have the best chance of not only losing down to a normal weight, but MAINTAINING your weight loss. Weight regain is a significant problem with RNY, which has a failure rate of 30% - and since success in the world of wls is defined as losing just 50% of your excess weight, that means that 30% of people with RNY have lost (or maintained the loss of) less than 50% of their excess weight. Not great, and for me, unacceptable.
And you're right, with RNY there are a lot of dietary restrictions - low calorie, low fat, and low carb for life, can't eat anything that gets stuck, can't drink liquids with meals. Risk of dumping and reactive hypoglycemia. Can't take NSAIDs.
From what I've heard, Dr. Crookes wants his DS patients to understand what they are getting into, and to commit to the lifetime protein, vitamin and supplement requirements. If you can give him your reasons for the DS and make it clear that you are prepared to make that committment, you should be ok.
Larra
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Deleted
Deleted Member
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Post by Deleted on Jan 7, 2012 18:31:07 GMT -5
Personally, I would want a surgeon who did the DS REGULARLY, rather than sporadically - it would want a surgeon for whom the DS was within his repertoire and his preference.
You need to look at Dr. Keshishian - check with his office to see if under some circumstances (e.g., in Delano rather than Glendale) he is in-network. Or see if they will cover him out of network and just pay the difference - it couldn't cost more than a decent used car, and aren't you worth that?
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Post by ynona74 on Jan 7, 2012 19:29:57 GMT -5
Thanks ladies. Diana your points are valid, and I am worth more than a price of a used car. In fact I am worth more than a Lamborgini, however my pocket book would strongly disagree. My husband says that as long as the insurance covers my WLS then I can have it. He is strongly in my support column but with two kids and everything else, we can't afford to see someone out of network.
I am just going to have to convince Dr. Crookes that the DS is the right choice for me.
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stacee
Full Member
Posts: 177
Surgery Type: DS
Surgery Date: 2-17-2011
Surgeon: Dr.Crookes
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Post by stacee on Jan 7, 2012 19:46:02 GMT -5
Make an appointment with Dr. Crookes and talk to him. He doesn't promote the DS at his seminar, because his partner ISN'T a DS fan.. and it is a pain in the butt to keep defending it.. so he says if you want to discuss it, make an appointment... Just know your facts and why you want the DS. What is your bmi? I was pre-diabetic, and had plantar fasciitis. Dr. Crookes is a very reasonable man, but if he says DS is not right for you then there is a good reason. I put my trust in him 110%.. PM me if you have any questions.
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Post by songbird177 on Jan 8, 2012 18:20:45 GMT -5
I just went to that seminar as well and it also left me with mixed feelings. I didn't like how he said they only performed the DS a total of 3 times yesterday and how they kept saying to trust their decision on which procedure you need to get because they are surgeons and not what you read on the internet.
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Deleted
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Post by Deleted on Jan 8, 2012 18:22:17 GMT -5
I just went to that seminar as well and it also left me with mixed feelings. I didn't like how he said they only performed the DS a total of 3 times yesterday and how they kept saying to trust their decision on which procedure you need to get because they are surgeons and not what you read on the internet. WHAT? Three times EVER? That's a lie, of course. Who gave the seminar, Katkhouda? He's an arrogant obnoxious prick. |
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Post by songbird177 on Jan 8, 2012 19:51:55 GMT -5
Sorry, I ment a total of 3 times last year. They kept trying to persuade everyone asking about the DS to a bypass which upset me a bit, too.
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Post by ynona74 on Jan 9, 2012 7:53:26 GMT -5
Diana- Dr. Crookes gave an hour seminar and Katkhouda an hour also. Then they both took the q and a.
At Songbird....you were there....I wish I would have known that. We really should meet, if we are going to go through this together. I think we would be a great support team for eachother.
I live in Lakewood, CA. I'll PM you with my phone number.
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Post by songbird177 on Jan 9, 2012 11:41:08 GMT -5
I am still having trouble with my insurance so not sure what I am going to do yet. May have to self pay  |
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Deleted
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Post by Deleted on Jan 9, 2012 11:54:53 GMT -5
Hi everyone. I just posted this to the light weights board, but I NEED some help from the WLS Vets. I just got back from my bariatric seminar which is the first step with Dr. Crookes. He's a very nice man. He doesn't do the DS laproscopically, only does it open. Which I knew going in so that's okay. HE states that the RNY is the gold standard, and only does a handful of DS a year and only on extreme cases. Long story short...I was 100% sure I wanted the DS before the seminar and now I don't know what to do. I know I want Dr. Crookes because he's one of the Dr.'s my insurance covers. I know I could go to someone else, but I really don't have the money. What I need help with are the following.... 1. Why should I choose the RNY over the DS when everything I have heard about the RNY is that you can't eat this or that? maybe some switchers could help me with this. 2. How do I convince Dr. Crookes to do a DS on a light weight, with no comorbidities? There is NO reason to choose RNY over DS, period, unless you have some medical abnormality that greatly impacts your choices. I am of the opinion with doctors and surgeons that I am a paying customer, and therefore I expect to be treated like one. He's well within his rights and responsibilities to refuse to give you a DS *if* he can provide PROOF that it's a bad idea. PROOF is not his OPINION. He also has the right, as do most people selling services, to not take your business. Don't settle. Find another way to get it done if it's really what you want. |
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Deleted
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Post by Deleted on Jan 9, 2012 11:57:39 GMT -5
I just went to that seminar as well and it also left me with mixed feelings. I didn't like how he said they only performed the DS a total of 3 times yesterday and how they kept saying to trust their decision on which procedure you need to get because they are surgeons and not what you read on the internet. TRUST THEIR DECISION? I don't fucking THINK so. It is YOUR body and YOUR decision. |
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