I am a current patient of Dr. Elairiny's and have experienced a slip. I was in the office last week and he was pushing me to have the DS. I definately do not want the switch and am a self pay. I also found out that when I had my surgery that I was not given a discount by Inova Fx. Hospital when reviewing costs with Dr. E's insurance office guru. I am looking into second opinion at John's Hopkins. I like Dr. E but in retrospect when I would call with an issue it would take a day for someone to get back to me and then to blamed for my slip was insulting. I have been on a soft diet now for 2 months and still have occasional problems. best of luck to you.