MintyMew

rharriet62, I couldn't agree more. I think we all have 'issues' that got us to where we are... that is why I'm seriously considering therapy along with my surgery. I've been once already, and she was great. She specializes in weight-loss issues, and she gave me a lot of things to look forward to/ and to look out for. I just wish more people had the resources/ insurance to cover the therapy/maintainence part of our journey. Especially because of the addiction issues that often arise....

My doctor and I 'had the talk', and he recommended the Rouen-Y for me also (this is a highly recommended doctor). He based his recommendation on a few factors: 1. I'm young and healthy (besides the obvious 297 lbs!) So, I can tolerate the surgery (no complications like diabetes,etc.) 2. I need a life-change; he says the band has a lifespan of about 15 yrs, and then it needs to be removed/replaced. At my age, that would mean several replacements, to manage my weight. In my research I found that the Rouen-Y has been around, and studied for something like 60yrs, and that is part of why the insurance does cover it... it's what they know. So, even though there are risks (like with all surgeries) they are still relatively low. You have to ask a lot of questions (look for forums with recommended questions to ask your surgeon), and make a decision based on what you feel comfortable with. *** Keep in mind, it can also be done laparoscopically too. My surgeon is going to do mine through the same type 'portals' as he uses for LapBanding. There won't be big scars, or a 'grand opening' of me! LOL. He said that usually only occurs when the person is over a certain size or complications. Don't worry... ask more questions. All the best!

NurseAmy, Can I ask if you did insurance or self-pay? My insurance will pay for the more RNY but not LapBand. I have a friend in the medical field and she seems pro-Ruen Y. She shared some "info" with me, but I'm skeptical. My husband is scared of the more invasive approach, but I don't know if we can afford the LapBand out-of-pocket. I visited Spivak, and I liked him a lot, but right away his assistant at the desk told me that he doesn't take my insurance. (Bummer). What made you decide to go with Spivak?

:confused: I was able to attend a seminar at Dr.Spivak's office, and was impressed. He was informative and straight forward. He was very proactive in answering the "unasked" questions and risks. He did mention that the first year's follow-up visits are included in his initail fee. Is that the same or different from Dr.Speigel? I also wanted to attend a seminar at Dr.Speigel's office, but his website doesn't show any being offered at this time. I'm reading A LOT of negative comments on the internet about how busy he is, and the lack of customer service in his office has me concerned... Does anyone have a resource, or can you direct me to a site that gives some sort of comparision of these and other doctors? p.s. anyone have an experience using "JourneyLite"? I've signed up to attend one of their seminars as well. I'm very excited about beginning this journey, and I want to tell you all how helpful it is to be able to get your feedback. It makes a daunting, and often times scary experience much easier to begin... Thank you.:typing: