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Post by nyuboi on Aug 12, 2013 14:09:08 GMT -5
I agree with Diana fix GERD then WLS. Hopefully you will be able to find a surgeon willing to take you on and not fear a lawsuit. How on earth can you continue to smoke with esophageal issues... ouch! Good luck and I am truely sorry you are in constant pain. Why a lawsuit? Because I posted the emails?
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Post by nyuboi on Aug 12, 2013 14:20:10 GMT -5
BTW, how tall are you? At 260 I would doubt that you even qualify for a DS (you probably mentioned BMI somewhere in this 7 page post). Do you have any other comorbidities? Weight is 270 now. 5'9. BMI is 39. Co-morbidities are asthma, and severe obstructive sleep apnea. The problem is this: if I lose more than 20 pounds I will lose the insurance coverage. I need a BMI at 35 or above with my co-morbidities. My weight fluctuates up and down a lot (this time last year I was 220). So if I wait and fix the GERD only, I run the serious risk of not having WLS coverage. So the doctors think I should do a single operation. The RNY is the only option where we can be sure my GERD will resolve.
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Post by nyuboi on Aug 12, 2013 14:21:31 GMT -5
nyuboi, you should get the hiatal hernia fixed by a surgeon who does those all the time. Hopefully you will put the WLS on the back burner. Is Mt Sinai or Cornell or Columbia-Pres on your insurance? Cornell is.
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Post by newyorkbitch on Aug 12, 2013 15:00:51 GMT -5
Go back to Pomp. Discuss your options.
RNY now vs hiatal hernia repair/Nissen now and possible DS down the road.
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Post by newyorkbitch on Aug 12, 2013 17:33:02 GMT -5
Very very good point.
nyuboi, get your damn health together - fix the hiatal hernia, deal with the GERD, and forget about WLS for the time being.
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Post by nyuboi on Aug 12, 2013 19:03:19 GMT -5
Go back to Pomp. Discuss your options. RNY now vs hiatal hernia repair/Nissen now and possible DS down the road. Pomp doesn't take my insurance, I self paid when I previously met with him. He was NOT willing to consider a DS, spoke of quality of life stuff... Said without a doubt RNY... Said he would do hernia and RNY at the same time. He was very strong towards the RNY.
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Post by nyuboi on Aug 12, 2013 19:05:18 GMT -5
Weight is 270 now. 5'9. BMI is 39. Co-morbidities are asthma, and severe obstructive sleep apnea. The problem is this: if I lose more than 20 pounds I will lose the insurance coverage. I need a BMI at 35 or above with my co-morbidities. My weight fluctuates up and down a lot (this time last year I was 220). So if I wait and fix the GERD only, I run the serious risk of not having WLS coverage. So the doctors think I should do a single operation. The RNY is the only option where we can be sure my GERD will resolve. If the Nissen reduces your BMI to below 35, that is a GOOD thing, isn't it?? You will be thin enough to not need surgery, you don't have diabetes, so what's the problem? Sheesh, my BMI is about 33 and I wouldn't REMOTELY consider having revision surgery for 40 lbs. If your BMI is 33 and you don't have any comorbidities, WTF is wrong with that? My BMI is a 39.9. It varies. If I bring it down to 35, it will just come back up. I roller coaster up and down all year long. Currently 100 lbs's overweight.
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Post by nyuboi on Aug 12, 2013 19:11:28 GMT -5
Weight is 270 now. 5'9. BMI is 39. Co-morbidities are asthma, and severe obstructive sleep apnea. The problem is this: if I lose more than 20 pounds I will lose the insurance coverage. I need a BMI at 35 or above with my co-morbidities. My weight fluctuates up and down a lot (this time last year I was 220). So if I wait and fix the GERD only, I run the serious risk of not having WLS coverage. So the doctors think I should do a single operation. The RNY is the only option where we can be sure my GERD will resolve. If the Nissen reduces your BMI to below 35, that is a GOOD thing, isn't it?? You will be thin enough to not need surgery, you don't have diabetes, so what's the problem? Sheesh, my BMI is about 33 and I wouldn't REMOTELY consider having revision surgery for 40 lbs. If your BMI is 33 and you don't have any comorbidities, WTF is wrong with that? BMI is 39.9 right now. But, when we were going to do revisional surgery last year (the DS no less), my BMI was 33. Insurance had approved it at a 33 if Lapband complication was done at same time. Now that lapband is out I need a 35. My BMI went up to 39 (and counting) after the lap-band came out. You're not talking about being 40 pounds overweight. You're talking about, in theory, losing 50 pounds with Nissen and then being 40 pounds overweight. I am 100 over right now, with severe sleep apnea.
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Post by newyorkbitch on Aug 12, 2013 19:20:09 GMT -5
You don't need (or want) WLS if you're only 40 lbs overweight.
FORGET WLS for now.
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Post by nyuboi on Aug 12, 2013 19:21:51 GMT -5
You don't need (or want) WLS if you're only 40 lbs overweight. FORGET WLS for now. I am not 40 pounds overweight. I am 100. BMI is 39.9
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Post by newyorkbitch on Aug 12, 2013 19:24:08 GMT -5
And with the Nissen you could lost 50 lbs, and then you'd be a scant 50 lbs overweight.
People around here are going to get tired, quickly, of telling you the same thing over and over again, but here I go again:
Fix the damn hiatal hernia and GERD issues. Go to Cornell. Get that done and then take a big pause and see how your HEALTH is. And then if WLS is still indicated, A YEAR FROM NOW, you'll go down that road IF IT MAKES SENSE THEN.
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Post by nyuboi on Aug 12, 2013 19:27:32 GMT -5
And with the Nissen you could lost 50 lbs, and then you'd be a scant 50 lbs overweight. People around here are going to get tired, quickly, of telling you the same thing over and over again, but here I go again: Fix the damn hiatal hernia and GERD issues. Go to Cornell. Get that done and then take a big pause and see how your HEALTH is. And then if WLS is still indicated, A YEAR FROM NOW, you'll go down that road IF IT MAKES SENSE THEN. I got your message. I wasn't fighting it. I was clarifying my weight because Diana's post confused some to thinking I was currently 40 pounds overweight. Although I will say: a here ago on here (June 2012) some people told me to wait a year on the DS. I waited, and my BMI went from 33 to 39. It has been over a year. Roslin didn't want to do an RNY just to induce weight loss, he was using it to address my health problems, esophagus, and GERD, weight loss secondary. The Cornell motility center and surgeons that did the GERD consults and monitoring with the Bravo implant and all suggested an RNY for the acid reflux. They said, as others did, that a Nissen is not as effective for people 100 pounds overweight. I did consult them for the hiatal hernia, and they did the pH acidity level testing for days when I wore the bravo implant home. (Also did achalasia testing with them and an endoscopy). Their conclusion was to pursue an RNY, and only if I couldn't do that, a Nissen with the understanding it may not be effective. (And this wasn't a bariatric surgeon, it was the GI surgeon)...
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Post by newyorkbitch on Aug 12, 2013 19:34:35 GMT -5
Then go back to Cornell and do the RNY if that's what they're willing to do.
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Post by nyuboi on Aug 12, 2013 19:38:30 GMT -5
Then go back to Cornell and do the RNY if that's what they're willing to do. This is what I'm leaning towards (possibly NYU though instead of Cornell). The RNY just seems to be where everything is pointing towards. Will fix the GERD, and also serve as a WLS.
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Post by newyorkbitch on Aug 12, 2013 20:22:28 GMT -5
Go to Cornell. Better doctors, much better hospital. NYU bariatric surgery program is not good.
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Post by nyuboi on Aug 14, 2013 17:58:59 GMT -5
Go to Cornell. Better doctors, much better hospital. NYU bariatric surgery program is not good. The director at Cornell (Pomp) doesn't take my insurance. The director at NYU (Fielding) does. Well actually he doesn't either, but he's working it out with my insurance company and making an exception for me. And, as my username says, I'm an "NYU Boi." j/k...
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Post by Deleted on Aug 14, 2013 21:37:26 GMT -5
So you're going to use the surgeon with, um, HOW MANY claims against him?
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Post by newyorkbitch on Aug 14, 2013 22:52:53 GMT -5
I think this is a mistake, nyuboi. Your case is potentially complex. You need a surgeon with a whole lot of varied abdominal surgery experience, not just somebody who does bariatric procedures. Who else at Cornell does take your insurance, in Pomp's department? And what about Inabnet or Dan Herron at Sinai? What about Bessler at Columbia-Pres? What insurance do you have?
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Post by kyal on Aug 15, 2013 1:06:06 GMT -5
Fielding is an Aussie and a hack at that. This one is gonna do what he wants anyway. Like taking to a brick. Attachments:
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Post by meq815 on Aug 15, 2013 9:29:00 GMT -5
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Post by Paula on Aug 15, 2013 15:08:50 GMT -5
Sadly I think you are just so hellbent on getting a bariatric procedure, Paul, that you are not seeing the bigger picture. Everything seems to go back to the hernia. FIX IT FIRST and then see where you stand. No sense jumping out of a perfectly good frying pan and into the fire below it.
I've read your posts going all the way back. I still am of the opinion that you think WLS is going to be this magic bullet fix. So this would explain a lot about the mentality you are showing in this thread. You've posted your dietary choices and comfort foods. High carbs and RNYs don't work, Paul. If you listen to nothing else I say, listen to me on this, ok? High carb eating is what had me needed to revise my RNY to a DS.
My worry for you is that you've got a bariatric surgery ASAP being dangled in front of you...and you have extreme tunnel vision. You want to avoid more surgery by getting your hernia fixed and getting an RNY at the same time? What happens if you need to revise that RNY at another time in life? Don't think it can't happen. Im living proof it does.
Seriously, fix the hernia and see where that takes you BEFORE making a decision about WLS. Don't make things worse for yourself than it needs to be or already is.
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Post by Joanne on Aug 15, 2013 17:55:04 GMT -5
Please listen to what everyone is saying. NYB knows the NYC surgeons well and is giving you good advice.
Even with your issues with Roslin, he said the same thing when you cut through it. You said he told you that you're thinking of yourself as a WLS patient when you're really a patient with an urgent health issue to be fixed who incidentally wants to lose weight. Fix the first problem first and cross the WLS if and when needed. You already made a mistake with the LapBand, don't rush to another. Even if the RNY is the *best* choice for you, you're not emotionally ready for it.
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Post by goodkel on Aug 15, 2013 20:54:28 GMT -5
Please listen to what everyone is saying. NYB knows the NYC surgeons well and is giving you good advice. Even with your issues with Roslin, he said the same thing when you cut through it. You said he told you that you're thinking of yourself as a WLS patient when you're really a patient with an urgent health issue to be fixed who incidentally wants to lose weight. Fix the first problem first and cross the WLS if and when needed. You already made a mistake with the LapBand, don't rush to another. Even if the RNY is the *best* choice for you, you're not emotionally ready for it. Agree!
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Post by PrettyGirlBounce on Aug 15, 2013 21:05:39 GMT -5
Sadly I think you are just so hellbent on getting a bariatric procedure, Paul, that you are not seeing the bigger picture. Everything seems to go back to the hernia. FIX IT FIRST and then see where you stand. No sense jumping out of a perfectly good frying pan and into the fire below it. I've read your posts going all the way back. I still am of the opinion that you think WLS is going to be this magic bullet fix. So this would explain a lot about the mentality you are showing in this thread. You've posted your dietary choices and comfort foods. High carbs and RNYs don't work, Paul. If you listen to nothing else I say, listen to me on this, ok? High carb eating is what had me needed to revise my RNY to a DS. My worry for you is that you've got a bariatric surgery ASAP being dangled in front of you...and you have extreme tunnel vision. You want to avoid more surgery by getting your hernia fixed and getting an RNY at the same time? What happens if you need to revise that RNY at another time in life? Don't think it can't happen. Im living proof it does. Seriously, fix the hernia and see where that takes you BEFORE making a decision about WLS. Don't make things worse for yourself than it needs to be or already is. ^^^^ THIS. *ROUND OF APPLAUSE* Best advice this guy can get...whether he takes it or not is still to be figured out. It's a shame.
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Post by Deleted on Aug 15, 2013 23:10:54 GMT -5
Sadly I think you are just so hellbent on getting a bariatric procedure, Paul, that you are not seeing the bigger picture. Everything seems to go back to the hernia. FIX IT FIRST and then see where you stand. No sense jumping out of a perfectly good frying pan and into the fire below it. I've read your posts going all the way back. I still am of the opinion that you think WLS is going to be this magic bullet fix. So this would explain a lot about the mentality you are showing in this thread. You've posted your dietary choices and comfort foods. High carbs and RNYs don't work, Paul. If you listen to nothing else I say, listen to me on this, ok? High carb eating is what had me needed to revise my RNY to a DS. My worry for you is that you've got a bariatric surgery ASAP being dangled in front of you...and you have extreme tunnel vision. You want to avoid more surgery by getting your hernia fixed and getting an RNY at the same time? What happens if you need to revise that RNY at another time in life? Don't think it can't happen. Im living proof it does. Seriously, fix the hernia and see where that takes you BEFORE making a decision about WLS. Don't make things worse for yourself than it needs to be or already is.
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Post by nyuboi on Aug 16, 2013 1:31:07 GMT -5
So you're going to use the surgeon with, um, HOW MANY claims against him? Roslin was quoted in the media as saying he would let Fielding operate on him anyday, that he is excellent. He Is ranked as a top surgeon in the Castle Connolly review books. Inabnet referred to him as a world-class surgeon. I agree about the claims. Another surgeon told me to google NY Post and Fielding. I also don't like that they love the lap-band at NYU. :/ Columbia (Bessler) doesn't take my ins. Mt. Sinai (Inabnet) doesn't either. Cornell (Pomp) doesn't. Although I didn't check if theres associates at any of these places that does. There must be... They wouldn't be ranked as top doctors though. I'll look into if theres any other options. I need someone experienced with revisional procedures. And I don't think the associates at those hospitals ever did a DS, and Fielding has done many. (Granted im likely getting an RNY). Fielding basically said its up to me between RNY, BPD, and DS. He said its what level of risk I want to take with the DS and the acid reflux, but he doesn't recommend it. He actually suggests the above in that order.
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Post by nyuboi on Aug 16, 2013 1:35:24 GMT -5
I think this is a mistake, nyuboi. Your case is potentially complex. You need a surgeon with a whole lot of varied abdominal surgery experience, not just somebody who does bariatric procedures. Who else at Cornell does take your insurance, in Pomp's department? And what about Inabnet or Dan Herron at Sinai? What about Bessler at Columbia-Pres? What insurance do you have? I have United Healthcare HMO. Bessler doesn't take it. I have to check about Herron at Mt. Sinai but I know the hospital as a whole doesn't participate, and if theres any associates under Pomp at Cornell I'll look into. I do have the option of switching to HIP, but they may be tougher with approving bariatric surgery. I know United Healthcare will approve me based on 39 BMI and sleep apnea, including a DS (which HIP/EmblemHealth might require a 50 BMI on, i'd have to check..) There must be someone at Columbia and Cornell who take it. I will do some research.
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Post by nyuboi on Aug 16, 2013 1:36:56 GMT -5
Fielding is an Aussie and a hack at that. I know the Aussie thing, he referred to my hernia as a "bloody hiatal hernia" and said Roslin was his fellow "mate." LOL. I know he has done many DS's in Australia though.
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Post by nyuboi on Aug 16, 2013 1:47:50 GMT -5
My worry for you is that you've got a bariatric surgery ASAP being dangled in front of you...and you have extreme tunnel vision. You're right about this. I know I am not seeing the big picture. I am just so sick of waiting on the WLS. :/ I'll think about this. Again though, what if my BMI drops? I am positive on wanting WLS, positive. What I am not positive about is an RNY over a DS, which brings me to agreeing with you: ** The major advantage to doing what you say is that I might be a better candidate for a DS if my acid reflux goes away with the hernia repair, instead of rushing into the RNY just because I know its the safest with my current situation. **
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Post by Joanne on Aug 16, 2013 9:49:16 GMT -5
Why are you looking at your BMI dropping as a BAD thing?
If I had a BMI <40 and never needed WLS, I would have been ecstatic! No one WANTS to be at the point of needing surgery. You have to question your own motivations.
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