Went to Charleston (West Virginia) for my surgery consult for weight loss surgery on Tuesday January 21st (2020). While I am getting used to the outcome of the visit, I am not really happy right now.
Most of you know I wanted the duodenal switch surgery. It is by far THE most effective weight loss surgery there is. Dr Shin says NO. He thinks I have too many health problems to survive the surgery (the surgery would be 4 hours) and all he is willing to do on me is the gastric sleeve. (about 1 hour surgery) The sleeve is actually the “top” part of the duodenal switch, but he will not do the “rerouting” part. That is the malabsorptive part and the reason the duodenal switch is so very, very effective. And it is the only surgery shown to put diabetes type 2 into remission.
Dr Shin says after a couple of years if I show “great” weight loss he will consider the second part. Ok, so there is hope, the only problem is the gastric sleeve is not very effective in the vast majority of people, with most regaining the weight in a couple of years, so that this is probably a pipe dream.
Will I still have the surgery, Yes I will. I don’t feel I have a choice at this point.
The person I spoke to in the waiting room had the sleeve. She lost 100 pounds, but had regained a significant amount of weight. I probably have zero chance at putting my type 2 diabetes into remission. This was my main goal. I have a great A1c (5.8 – up from 5.2 last year) but it comes at a very high physical cost of 2 different insulins and pills. I take over 60 units of long acting insulin, up to 100 units of fast acting insulin, and 2000mg of metformin a day. I “pass out” at least once a day from high sugar. (I have an appointment with a new doctor for that in March.)
Dr Shin says people who do not do well on the sleeve “cheat”. Says if I do what he says I will lose about 150 pounds and be able to keep it off. I WILL try my best. But I honestly don’t know if I am so “special” as to do so much better and different than everyone else that has the surgery. He says I AM that different because I lost over 100 pounds on my own and have kept most of it off for 4 years. I hope he is right. He said he simply does not see that in his practice.
I really will try. I am trying to console myself with the fact that probably no other doctor would even consider the sleeve with my medical issues and Dr Shin IS willing to do that one. I really do intend to throw myself into this process 100 percent. I just really needed to explain my feelings on the whole thing. My husband really is a good man but when I tried to explain the feelings I was having he just got mad and said “so you are not even going to try are you?” I just told him that was not what I was trying to say and I just quit talking about it and have bottled it up for 2 days.
So, I will probably try to blog my journey with this. I hope you all don’t get tired of hearing about it! This is the last blog (at least that is my intention) about not getting the switch. From here forward I will concentrate on what I CAN have instead of what I can’t. I hope to blog in a few days about all the processes I have to do in the next 4 months to get this done! Boy there is a whole bunch of stuff to do!
EDIT TO ADD ON MARCH 1ST 2020 = (SORRY FOR THE ALL CAPS - JUST WANT THIS TO STAND OUT)
I HAVE MOVED ON SINCE THIS BLOG - I NO LONGER CARE ABOUT THE SWITCH AND BELIEVE I CAN MAKE THE SLEEVE WORK FOR ME. I AM VERY EXCITED!!!!