Clematis
Well-Known Member
- Joined
- Sep 5, 2015
- Messages
- 1,705
We all know the confusion caused by the term Duodenal Switch being applied to a variety of different WLS procedures such as the SADI, SIPS, Loop-DS and a DS with an unacceptably long common channel. But it's not over once you get the surgery. Once you have a DS you'll battle medical personnel calling what you had a "gastric bypass" and when you say you didn't have that they'll say "ok, roux-en-y" and you have to say, uh no not that.
Well I just had an endoscopy and on all the reports, discharge instructions, etc it says I have a VERTICAL BANDED GASTROPLASTY with a POUCH, despite a long discussion with the gastroenterologist and my providing a ream of diagrams, operative reports and data to show what I did have. Four photos of my stomach are labeled "evidence of vertical banded gastroplexy." (And what an idiot that makes him look like! BTW he has never scoped a VSG or a VBG so doesn't know shit about the appearance of either.)
When I objected, the gastro shrugged and said the software didn't have a vertical sleeve gastrectomy option so he picked something "close". (It only shared the same first word, for crissakes.) I was livid and pointed out that another physician would likely believe the report of another physician than my description of what I knew I had. In an emergency abdominal surgery situation, especially when I was unconscious, a surgeon might spend hours looking for the "missing" band that I never had in the first place. Worse, would I wake up from said surgery WITH a damned band that the surgeon thought had been misplaced??? Seriously, if the software didn't have the option for "ovary" would it be labeled "testicle, undescended" just because it was sorta in the same ballpark? "Sorta" does not work in medicine.
Already my PCP has contacted me to say I must have been given the wrong surgery in that third world Mexican hospital... without considering that the fancy-branded Cleveland Clinic physician was flat out wrong.
We are currently battling this out and I may seek legal options if it is not resolved in the next week.
This problem is rampant. Last year I had a stomach x-ray at University Hospitals where the radiologist (also unfamiliar with VSG or DS) said I had a RNY with a stoma.
Don't let incorrect medical notation put you in grave danger. Demand -- IN WRITING -- that medical professionals amend your file to reflect your actual condition. And follow up.
(THIS errant and dangerous nomenclature is what ASMBS should be addressing.)
Well I just had an endoscopy and on all the reports, discharge instructions, etc it says I have a VERTICAL BANDED GASTROPLASTY with a POUCH, despite a long discussion with the gastroenterologist and my providing a ream of diagrams, operative reports and data to show what I did have. Four photos of my stomach are labeled "evidence of vertical banded gastroplexy." (And what an idiot that makes him look like! BTW he has never scoped a VSG or a VBG so doesn't know shit about the appearance of either.)
When I objected, the gastro shrugged and said the software didn't have a vertical sleeve gastrectomy option so he picked something "close". (It only shared the same first word, for crissakes.) I was livid and pointed out that another physician would likely believe the report of another physician than my description of what I knew I had. In an emergency abdominal surgery situation, especially when I was unconscious, a surgeon might spend hours looking for the "missing" band that I never had in the first place. Worse, would I wake up from said surgery WITH a damned band that the surgeon thought had been misplaced??? Seriously, if the software didn't have the option for "ovary" would it be labeled "testicle, undescended" just because it was sorta in the same ballpark? "Sorta" does not work in medicine.
Already my PCP has contacted me to say I must have been given the wrong surgery in that third world Mexican hospital... without considering that the fancy-branded Cleveland Clinic physician was flat out wrong.
We are currently battling this out and I may seek legal options if it is not resolved in the next week.
This problem is rampant. Last year I had a stomach x-ray at University Hospitals where the radiologist (also unfamiliar with VSG or DS) said I had a RNY with a stoma.
Don't let incorrect medical notation put you in grave danger. Demand -- IN WRITING -- that medical professionals amend your file to reflect your actual condition. And follow up.
(THIS errant and dangerous nomenclature is what ASMBS should be addressing.)
