|
Post by bellacherie on Jan 9, 2012 20:00:24 GMT -5
just wondering
|
|
|
Post by Joanne on Jan 9, 2012 20:06:38 GMT -5
The worse of both worlds. Is this what they're proposing to you instead of a DS?
An ERNY is an extended RNY. It's an RNY with more of the intestines bypassed. You still have a pouch, and all the rules and do's and don'ts of the pouch, but you have a little more malabsorption. It's still an RNY. I've also seen it referred to as a Distal RNY
Edited: Oops, thought this was on the DS forum, since I've seen you there asking about the DS.
|
|
|
Post by NHpod9 on Jan 9, 2012 20:16:13 GMT -5
I have a distal RNY or ERNY. I was not given a choice in the matter, and in fact, only know about it because I asked my surgeon's office post-op. I can't say its the worst of both worlds yet, as I'm only 5 months out. However, so far, I've kept most of my vitamin levels at appropriate levels.
|
|
|
Post by Joanne on Jan 9, 2012 20:24:29 GMT -5
I have a distal RNY or ERNY. I was not given a choice in the matter, and in fact, only know about it because I asked my surgeon's office post-op. I can't say its the worst of both worlds yet, as I'm only 5 months out. However, so far, I've kept most of my vitamin levels at appropriate levels. You know, I thought about my words after I realized I had posted this on the RNY forum, and not the DS forum like I thought. I was afraid that it might be taken too harshly. But ultimately, I'm not a post deleter so I thought I'd let it stay. To me, comparing it to my DS, it is the worse of both worlds. I would much prefer my stomach to a pouch - BUT - that doesn't mean that people dont and cant do well with it. I didnt mean to discourage anyone who has an ERNY. Vitalady has one and she's one of my WLS heros. My point was for a pre-op, comparing an ERNY to a DS.
|
|
|
Post by NHpod9 on Jan 9, 2012 20:40:07 GMT -5
No worries Joanne; I wasn't offended. I've heard the "worst of both worlds" a lot and it does concern me. I'm too much of a newbie to confirm it yet. So far, my weight loss has been average to others and I've not had any vitamin deficiencies.
|
|
|
Post by hala2215 on Jan 11, 2012 19:02:56 GMT -5
No worries Joanne; I wasn't offended. I've heard the "worst of both worlds" a lot and it does concern me. I'm too much of a newbie to confirm it yet. So far, my weight loss has been average to others and I've not had any vitamin deficiencies. You just a few month away. Most of deficiencies may not show up until later. I hope you do not relay on your doc to tell you your labs are OK but that you are getting a copy and charting it to see if your levels are stable or they are going down (which would mean you need to start supplementing more) or they are going up. I relayed on my doc to tell me my results are good. If I took care and check them - I would have notice that they did not order my ferritin and some others. And eventually my ferritin dropped from 100 to 10... And I was advised to take more iron... and more iron... while I was strugling... a year later.. my doc sent me to hematologist and I got iron infusions. And I checked my other "normal" numbers... they were "in norm" but not optimum for me to feel good.. so please make sure your doc orders all the blood work that is really essential - and check the results...
|
|
|
Post by NHpod9 on Jan 11, 2012 19:35:49 GMT -5
Interesting that you should post this today, Hala. I had a check-in surgical appointment this afternoon. It should have been my 3mth check-up, but they kept rescheduling it. Anyway, I brought with me a list of labs I would like ordered for my 6mth check, which was a lot more than what she wanted to order. She said, in essence, that it would be a waste of time to order the ones that I wanted.
I am tracking my numbers, but to be truthful, I'm still learning what some of them mean and what the optimum numbers are. Plus, I already do not trust what I've been told by that office, as they say my levels are fine, but I think some of them might be low.
For example, my ferritin is at 50. Since the range is 30-400, she stated it was fine. However, it is very close to the lowest number...not sure how fine that is. My vitamin D is at 33, which also falls within normal range of 15-75, but I know that should be around 80. So, I wrote that I don't have any vitamin deficiencies, as that is what I was told, but I'm not quite sure if I should believe fully what the surgeon's PA tells me. (Other than the one time I met the surgeon preop, I only ever deal with the PA.)
|
|
|
Post by So Blessed on Jan 12, 2012 10:21:24 GMT -5
I'm not quite sure if I should believe fully what the surgeon's PA tells me. (Other than the one time I met the surgeon preop, I only ever deal with the PA.)
I really liked my surgeon, but she started using a PA who did not give me reliable nutritional information. I switched over to another doctor for followup care.
|
|
|
Post by littlesky on Feb 10, 2012 8:21:46 GMT -5
My surgeon only wants to test my thyroid and my protein and calcium levels. He says thats all that needed.
So I go to my pcp and hand him the list of what I want done and he orders it for me. He has learned that I know what I'm talking about and he doesn't hardly question me on anything RNY related...lol.
He's really a good guy tho, especially since he isn't a dr. He's an emergency nurse practitioner. He listens to what I have to say way better than any dr i've ever had. He has a great bedside manner about him.
|
|
|
Post by losingsally on Aug 12, 2012 6:58:53 GMT -5
I have a RNY pouch with a 200cm common channel. NO dumping, malabsorb fat like crazy, and maintain well. Labs are great, health is very good. So I find I have the best of both, malabsorbsion and portion limits. It does means I eat often, but as far as I am concerned. that a positive. I don't sit around wanting to eat, but worrying about eating too much, because frequent small amounts works out great. When I first started out, I had 3 meals a day, no snacks cuz I stayed full for hours. So at 7 years out, I'm feeling fine with what I have.
|
|
|
Post by chicarita on Aug 12, 2012 15:52:46 GMT -5
Interesting that you should post this today, Hala. I had a check-in surgical appointment this afternoon. It should have been my 3mth check-up, but they kept rescheduling it. Anyway, I brought with me a list of labs I would like ordered for my 6mth check, which was a lot more than what she wanted to order. She said, in essence, that it would be a waste of time to order the ones that I wanted. I am tracking my numbers, but to be truthful, I'm still learning what some of them mean and what the optimum numbers are. Plus, I already do not trust what I've been told by that office, as they say my levels are fine, but I think some of them might be low. For example, my ferritin is at 50. Since the range is 30-400, she stated it was fine. However, it is very close to the lowest number...not sure how fine that is. My vitamin D is at 33, which also falls within normal range of 15-75, but I know that should be around 80. So, I wrote that I don't have any vitamin deficiencies, as that is what I was told, but I'm not quite sure if I should believe fully what the surgeon's PA tells me. (Other than the one time I met the surgeon preop, I only ever deal with the PA.) Both of these numbers concern me, neither are fine but it really depends on where they were. I suspect they are dropping and you need to fix that quickly. Understand these doctors mean well. They just look at the lab slip and as long as nothing is high or low they say "all clear". But there is a LOT that goes on that could drive those numbers down further before your next set of labs. And those aren't easy to get up once they get too low. What are you taking for supplementation? Sent from my iPad using ProBoards
|
|