I've been here a few months and posted a few times, but now that I have an actual surgery date I feel it's time to more directly introduce myself. So...hello, happy and scared to be here. I write in essays so this'll probably be long. I am scheduled for September 25th with Dr. Guerron from Duke in Durham, NC. I live about an hour and 40 minutes away, and didn't like the local bariatric surgeons (who were really pushing the RnY). I am getting the DS (two anastomoses) and will need to discuss CC length with my surgeon in the next pre-op visit as others have said he may do non traditional (200-300) length. After much deliberation I will ask to go no longer than 150 as there is at least one study conducted comparing 100 to 200 showing roughly equal weight loss but more significant regain with the 200 CC length. I know that CC length is not the full picture, and I would much prefer to individualize it based on the Hess method, but it's not like I can insist on that. I originally was going for the sleeve, but after learning about the DS and delving into the outcomes data I feel the DS is the way to go. Adding to my anxieties is that I had an older brother who died a couple of years after getting the RnY. The death was not directly attributable to the surgery but he had too much malnutrition so had a surgery to reverse as much as they can, and something happened in that second surgery which led him to become very medically fragile, never walk again and have organ damage so that he died a while later. My parents are terrified of me getting bariatric surgery, I didn't tell them anything until recently but they made it clear they don't want me to have it but want to be kept in the loop. They don't want to lose their only other child. I don't think my brother's experience means I am going to have bad outcomes but it does make surgery scarier and it worries my parents. Prior to getting the date I kind of felt that something would get in the way but it looks like it is going to happen. I know it's not the best plan but I've been eating some of my favorite foods while I can. I like sweets, bakery type things and fruits, which of course are what to avoid the most, so there will be some adjustment. I am 5'6' 275lbs with a BMI of about 44. I am 36 years old, married, with a 8 yr old son. I have high blood pressure, on 3 bp meds. My blood sugar is not great and in the pre-diabetes range. I am doing this for my health. I have been obese all my adult life so really am not sure how it would feel like otherwise. In a way the weight loss itself is going to feel uncomfortable as I've always avoided focusing too much on the scale and as I am uncomfortable with people commenting on noticing when I lose weight, but will have to deal with that. I am a clinical psychologist, mostly doing indv psychotherapy part of an organization, and am very passionate about my work. I love what I do but the organizational/administrative stuff has been really getting to me. I have been burning out a bit so in a way looking forward to surgery in order to have a good amount of time away from work (taking 4 weeks and possibly half time for two more weeks if I need it). So...thanks for being here. I don't have a local support group so I am very happy to find this group online.