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Post by goodkel on Aug 27, 2013 22:04:47 GMT -5
Herron is a good choice, in general. I think doing the hernia surgery with someone who is also a bariatric surgeon is a good idea, given your desire to keep WLS in the picture for the future. If you can use the same surgeon for both, that only works to your advantage. If Herron for some reason doesn't do hernias of this type, he can coordinate with another surgeon at Sinai, be involved, consult with that surgeon when/if the time comes for WLS, etc. Also it would be great if you could get the hernia done lap, if that's an option. Sinai can certainly manage that. But, Herron already told him that he didn't weigh enough for the DS, which is bullshit: "Contacted him last week and got a response today. He can meet with me in the Fall but based on what he has read and seen so far on me, he said he would recommend against the sleeve or BPD-DS and would suggest RNY as best option. Additionally, he said my BMI is not high enough to warrant the side effects that accompany a DS." Read more: weightlosssurgery.proboards.com/index.cgi?action=display&board=talk&thread=7138&page=9#ixzz2dEGi51Nr
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Post by newyorkbitch on Aug 27, 2013 22:23:02 GMT -5
It's not bullshit. Think about it. There may be reasons to dissuade this guy from having a DS. Herron is smart, and a good guy.
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Post by goodkel on Aug 27, 2013 23:05:28 GMT -5
It's not bullshit. Think about it. There may be reasons to dissuade this guy from having a DS. Herron is smart, and a good guy. Oh I am sure that there are many reasons why a surgeon would not elect to give him the DS, but as far as BMI, nyuboi qualifies. BMI of 40 or 35 with comorbidities.
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Post by kennyk on Aug 27, 2013 23:08:42 GMT -5
Even though I agree completely (WITH EVERYONE) that you put out the fire first then rehab the house (fix the puke, worry about WLS after) I can't help wonder if you ever contacted Dr. Subhash Kini at Mount Sinai. As I had mentioned to you in PM, he took my insurance where Inabnet (whom I was originally refered to) did not. Kenny
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Post by willowrayne on Aug 28, 2013 0:35:24 GMT -5
It might sound unreasonable but I wouldn't go to a WL surgeon for a hernia repair unless it was being done as all one surgery. That's just me.
Sent from my SAMSUNG-SGH-I777 using proboards
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Post by nyuboi on Aug 28, 2013 17:25:55 GMT -5
Herron is a good choice, in general. I think doing the hernia surgery with someone who is also a bariatric surgeon is a good idea, given your desire to keep WLS in the picture for the future. If you can use the same surgeon for both, that only works to your advantage. If Herron for some reason doesn't do hernias of this type, he can coordinate with another surgeon at Sinai, be involved, consult with that surgeon when/if the time comes for WLS, etc. Also it would be great if you could get the hernia done lap, if that's an option. Sinai can certainly manage that. I do like the idea of keeping it all with one surgeon. Of course, I would have to wait until October to have Herron do the hernia.
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Post by nyuboi on Aug 28, 2013 17:32:19 GMT -5
Herron is a good choice, in general. I think doing the hernia surgery with someone who is also a bariatric surgeon is a good idea, given your desire to keep WLS in the picture for the future. If you can use the same surgeon for both, that only works to your advantage. If Herron for some reason doesn't do hernias of this type, he can coordinate with another surgeon at Sinai, be involved, consult with that surgeon when/if the time comes for WLS, etc. Also it would be great if you could get the hernia done lap, if that's an option. Sinai can certainly manage that. But, Herron already told him that he didn't weigh enough for the DS, which is bullshit: "Contacted him last week and got a response today. He can meet with me in the Fall but based on what he has read and seen so far on me, he said he would recommend against the sleeve or BPD-DS and would suggest RNY as best option. Additionally, he said my BMI is not high enough to warrant the side effects that accompany a DS." Read more: weightlosssurgery.proboards.com/index.cgi?action=display&board=talk&thread=7138&page=9#ixzz2dEGi51NrGoodkel, I agree completely about that comment being b.s. I follow Lenox Hill's position: If a patient is eligible for one WLS, then all types should be on the table for discussion. My BMI is now 40. (I need a 35 with my insurance cause of the health problems). I don't like when doctors require a 50 BMI for DS, and a 40 for everything else. If I am taking DS off the table (now or in the future) I want it to be cause of health reasons and the GERD, not because of only being 100 pounds overweight and my BMI being "an RNY category." Some of these doctors will say im overweight enough for lap-band, sleeve, RNY, but NOT a DS.
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Post by nyuboi on Aug 28, 2013 17:36:48 GMT -5
Well over 5 years ago, I heard Herron essentially said he was no longer doing DSs (in fact, I may have heard it from his mouth directly, though I can't swear to it, when I was calling DS surgeons to try to get them to provide positive written comments about the DS for the Medicare Public Comments on their revisions to the bariatric surgery guidelines in 2005). I don't believe I've seen a new Herron DSer on the message boards since then. Interesting point. I know Dr. Inabnet currently does DSes, even when I had a 33 BMI he was willing to do a DS on me as long as we left the common channel at 150. He gave me the choice of all procedures, although suggesting RNY cause of GERD. But he didn't say your weight doesn't justify DS or anything like that.
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Post by nyuboi on Aug 28, 2013 17:38:58 GMT -5
Even though I agree completely ( WITH EVERYONE) that you put out the fire first then rehab the house (fix the puke, worry about WLS after) I can't help wonder if you ever contacted Dr. Subhash Kini at Mount Sinai. As I had mentioned to you in PM, he took my insurance where Inabnet (whom I was originally refered to) did not. Kenny Thank you for the PM and the feedback. I will look into this. His hospital doesn't take my insurance though.
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Post by newyorkbitch on Aug 29, 2013 19:34:54 GMT -5
I thought you could switch insurance and then Sinai would be included.
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Post by nyuboi on Aug 30, 2013 1:15:32 GMT -5
I thought you could switch insurance and then Sinai would be included. Yes I can switch Oct 1st. to a plan that takes the hospital. I will look into the surgeon.
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Post by newyorkbitch on Aug 30, 2013 7:48:32 GMT -5
nyuboi, you are so obsessed with getting WLS now, that you are going to end up with an RNY and basically eliminate your chances of getting a DS in the future. That is very, very foolish.
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Post by goodkel on Aug 30, 2013 12:46:04 GMT -5
nyuboi, you are so obsessed with getting WLS now, that you are going to end up with an RNY and basically eliminate your chances of getting a DS in the future. That is very, very foolish. Sigh. I agree. Nyuboi, you are not the only one who would like this all resolved as quickly as possible so we can move on to your post op gas issues, but will be doing yourself no favor trying to rush this. That hernia is a separate issue and needs to be resolved BEFORE you have weight loss surgery, not during. Trying to get them done at the same time has done nothing but remove the DS from your choice of options.
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Post by Girlrocker on Aug 30, 2013 13:34:01 GMT -5
*also sighs* 9 pages of amazing, experrt feedback, advice, guidance, support, and you still don't 'hear'. Hopefully, others who might be in a similar situation or dealing with other issues HAVE learned something at least. I sure have. And for anyone ever questioning the support on this site, taken aback by some of the direct, tough delivery of the info, I will point them to this thread. nyuboi, you are so obsessed with getting WLS now, that you are going to end up with an RNY and basically eliminate your chances of getting a DS in the future. That is very, very foolish. Sigh. I agree. Nyuboi, you are not the only one who would like this all resolved as quickly as possible so we can move on to your post op gas issues, but will be doing yourself no favor trying to rush this. That hernia is a separate issue and needs to be resolved BEFORE you have weight loss surgery, not during. Trying to get them done at the same time has done nothing but remove the DS from your choice of options.
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Post by kennyk on Aug 30, 2013 13:40:29 GMT -5
nyuboi, you are so obsessed with getting WLS now, that you are going to end up with an RNY and basically eliminate your chances of getting a DS in the future. That is very, very foolish. Sigh. I agree. Nyuboi, you are not the only one who would like this all resolved as quickly as possible so we can move on to your post op gas issues....... I KNOW somebody had to pee a little when they read that! Sorry NYB... That was fricken funny!!!
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Post by Deleted on Aug 30, 2013 15:20:17 GMT -5
*also sighs* 9 pages of amazing, experrt feedback, advice, guidance, support, and you still don't 'hear'. Hopefully, others who might be in a similar situation or dealing with other issues HAVE learned something at least. I sure have. And for anyone ever questioning the support on this site, taken aback by some of the direct, tough delivery of the info, I will point them to this thread. Sigh. I agree. Nyuboi, you are not the only one who would like this all resolved as quickly as possible so we can move on to your post op gas issues, but will be doing yourself no favor trying to rush this. That hernia is a separate issue and needs to be resolved BEFORE you have weight loss surgery, not during. Trying to get them done at the same time has done nothing but remove the DS from your choice of options. The nice thing is that it's all here for other readers to reap the benefits.
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Post by PrettyGirlBounce on Aug 30, 2013 15:21:19 GMT -5
268 replies. That has to be a ProBoards record.
Like Sharyl said, I hope at a minimum that lurkers or newbies get SOMETHING from all of this priceless information and sound advice. I definitely learned a thing or two on pages 1-3 or so. I keep checking back to see if there is a resolution to be had yet.
Okay, this makes 269. Carry on.
P.S. Once again, good luck with your decision (if you in fact decide to make one). Hope you get things resolved.
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Post by nyuboi on Aug 30, 2013 16:10:14 GMT -5
I AM open to the idea of doing the hernia first and seeing if my issues go away so I can get DS in the future. I am not disputing this. I was going to, per NYB's suggestion, discuss with Herron making a two-step plan like this.
I thought we were talking about insurance issues so I have a surgeon to discuss this with and do the first phase. My posts were about hospital options. So everyone agrees to wait till October on the hernia then so I can have Mt. Sinai over NYU? Or am I fine getting the hernia done now at NYU? Ideally, I can make a two step plan. Fix hernia, if GERD is better later on get DS, if not get RNY.
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Post by newyorkbitch on Aug 30, 2013 16:53:46 GMT -5
If you can add Mt Sinai to the mix in your insurance, you should. It is always better to have more than one option so you can choose what feels right for you. Personally, I would choose the team at Mt Sinai over NYU without even hesitating.
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Post by Deleted on Aug 30, 2013 17:47:13 GMT -5
A hernia repair is very, very, very common so why in the world would you wait if you have insurance? This isn't open heart surgery and I am sure there are 100 qualified surgeons in your area who perform hernia repairs 5 times a day. Just top the dram and get it done.
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Post by kennyk on Aug 30, 2013 18:18:44 GMT -5
Ok it took over 270 posts but your getting a little snippy people! Lol Seriously nyuboi, not all docs on same plans inabet Not on my plan but Kini was. And all of that put aside just to chime in Go fix your hernia first anyway!!
Then we can address The post op gas!!!
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Post by newyorkbitch on Aug 30, 2013 18:53:10 GMT -5
I still think the best place to do your hernia is Sinai, and then they can do your WLS too when the time comes. Check the insurance situation for all the docs in the group. It is a particularly good group of surgeons. I think there is a great advantage in doing your hernia repair with the same group who could eventually do your WLS.
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Post by newyorkbitch on Aug 30, 2013 19:01:35 GMT -5
In my opinion, it really really matters what hospital you have surgery in. In NYC....in order of my preference.....Cornell, Columbia-Pres, Sinai, NYU, Lenox Hill. Special Surgery if it's an orthopedic surgery. I know Roslin is at Lenox Hill. But if something went really wrong....I'd rather be at Cornell, or Columbia-Pres or Sinai.
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Post by nyuboi on Aug 30, 2013 19:55:46 GMT -5
A hernia repair is very, very, very common so why in the world would you wait if you have insurance? This isn't open heart surgery and I am sure there are 100 qualified surgeons in your area who perform hernia repairs 5 times a day. Just top the dram and get it done. People on here suggested I try to keep it all with one surgeon or the same hospital for when I get the WLS.
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Post by nyuboi on Aug 30, 2013 19:57:27 GMT -5
I still think the best place to do your hernia is Sinai, and then they can do your WLS too when the time comes. Check the insurance situation for all the docs in the group. It is a particularly good group of surgeons. I think there is a great advantage in doing your hernia repair with the same group who could eventually do your WLS. I agree 100%.
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Post by nyuboi on Aug 30, 2013 20:00:31 GMT -5
In my opinion, it really really matters what hospital you have surgery in. In NYC....in order of my preference.....Cornell, Columbia-Pres, Sinai, NYU, Lenox Hill. Special Surgery if it's an orthopedic surgery. I know Roslin is at Lenox Hill. But if something went really wrong....I'd rather be at Cornell, or Columbia-Pres or Sinai. Thank you. Special surgery, for people that don't know, is hospital for special surgery -- specialty hospital for orthopedics, went there for my hand. Thanks for your preference of the NYC hospitals. This is really helpful feedback, newyorkbitch.
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Post by chandani on Aug 30, 2013 20:02:13 GMT -5
this is exactly the type of stuff that makes me afraid to post. everyone is gaining up on him when this is supposed to be a SUPPORT forum. constructive critiscm is one thing, this is not that. spent an hour reading all of these. he clearly explained theres more to it than acid reflux, there is esophageal damage from the lap band and motility disorders. the best bpd-ds surgeons in the country have told him an RNY is the way to go because of HIS specific issues. his band came out almost a year ago, if his issues havent healed by now i doubt telling him to wait another year is going to do much. the hiatal hernia alone does not produce "extreme vomitting" there is stuff here besides that. he already did a 2 step process by not having the ds at the time the band came out, it sounds like he waited to see if the lapband issues would resolve and they have not. nyuboi, just because some people here were not successful with gastric bypass doesnt mean you wont be. it is still a solid surgery, and one that the best surgeons said you need for numerous reasons. if you decide to move forward with it now and do it the way the doctors wanted then dont feel bad by what everyone is writing. just do it. the rny is going to make you the most healthy, dont let everyone on here let you forget the great advice you got from the ds doctors. the ds is not for everyone, and when you finally accepted that you second-guessed yourself from the attack of just a few people. some meant well, but others just went about the delivery in the wrong way. and again we are not doctors. the doctors told you the lapband messed you up and that the bpd-ds can do it further. i wouldnt doubt that you will be afraid to tell ppl on here that you chose the gastric bypass even if you did get that in sept. you had a plan in place on what doctors said, then changed your mind even about the hospitals and surgeons and procedure. dont let everyone make you crazy. if you think the surgeons are right you dont owe anyone an explanation to get the bypass like you planned. i have pm'ed you.
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Post by Paula on Aug 30, 2013 20:15:20 GMT -5
And yet...apparently you aren't too scared to complain about people.
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Post by maggiesara on Aug 30, 2013 20:30:24 GMT -5
FWIW, I have a massive loathing for Special Surgery. I have no doubt that their surgical care is top-notch, but their non-surgical care -- that is, the medical and nursing care -- is shockingly bad. When my father was there, four years ago, it was an absolute nightmare. I spent an hour on the phone with the resident, telling her about my father's alcohol use and use of painkillers; not a single sentence of this made it onto his chart, with the result that he was essentially thrown into the DTs while in recovery from surgery. He was in a state of absolutely raving dementia, and the nurses couldn't seem to understand this: They would ask him to do something, he wouldn't understand, and their response would be to talk louder, as though he were deaf. This happened over and over again, because there was no continuity whatsoever in the nursing staff; he was there for nearly three weeks, and if he had the same nurse twice I'd be really surprised. And when I tried to address the problem of his dementia with the doctor in charge of his medical care (as opposed, again, to his surgical care), the doctor said, oh, he's just fine. I said, he's calling me 20 times a day to bring scissors so he can stab the nurses. And the doctor just chuckled and essentially told me not to worry my little head about it. And don't get me started on the absolutely useless, shamefully bad social-services department. IMO, this hospital absolutely bites it.
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Post by Deleted on Aug 30, 2013 20:34:48 GMT -5
A hernia repair is very, very, very common so why in the world would you wait if you have insurance? This isn't open heart surgery and I am sure there are 100 qualified surgeons in your area who perform hernia repairs 5 times a day. Just top the dram and get it done. It's a complex hiatal hernia, further complicated by his crap band issues. It's not your basic rupture, as my dad used to call them. As much of a PITA as all this dithering is, it is indeed a not-simple problem that he has.
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