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Bariatric Surgery/Questions Answered by Expert Diminishing Dawn

SubjectDate Asked
Lab work?2/1/2012
  Q: I had RNY 4 yrs ago this May. I never have had a complete list of bloodwork that 99 % other RNY ...
  A: This is vitaladys lab list. She's considered an expert on obesityhelp -- great site ...
OHIP qualification & referal1/19/2012
  Q: I think I meet OHIP's requirements for bariatric surgery and I think that a surgeon would choose a ...
  A: Dr glazer is an internist. He is the doctor who most goes over your case history. He would follow ...
OHIP qualification & referal1/18/2012
  Q: I think I meet OHIP's requirements for bariatric surgery and I think that a surgeon would choose a ...
  A: You definitely have extenuating circumstances which would make you possibly go through more hoops ...
Leak Test12/17/2011
  Q: my doctor recently registered me for bariatric surgery in Ontario and his office told me it would be ...
  A: Surgeons do a standard leak test when inside you but seem to do the second one sometimes - perhaps ...
question please8/18/2011
  Q: i am 22 years old, 5 foot 8 and i weigh 340 pounds, do i qualify for surgery? i have been trying so ...
  A: We meet at the Hospice near Jefferson and Tecumseh the first Tuesday of every month from 7 to 9 pm. ...
question please8/18/2011
  Q: i am 22 years old, 5 foot 8 and i weigh 340 pounds, do i qualify for surgery? i have been trying so ...
  A: You more than qualify for surgery. To qualify you need a bmi of 40 so there should be no issues ...
smoking & gastric bypass surgery4/25/2011
  Q: I'm wondering if you could clarify a question for me. I live in Ontario and will be attending my ...
  A: It is supposed to be 6 months free before surgery so I would think that most centres will not give ...
OHIP Referral3/3/2011
  Q: I am turning 25 years old. I currently have a BMI of 44.9. As per my OB/GYN Iam infertile due to my ...
  A: All you need is a bmi of 40. You qualify just fine. Your doctor has to submit your name to the ...
OHIP and covering my bariatric surgery1/21/2011
  Q: First of all the email is my wife's email as mine has been acting up and I have not been receiving ...
  A: What do you want to know? You typically need a bmi of 40 to qualify if that is what you are asking. ...
referral forms11/6/2010
  Q: I was instructed to take the referral form to my physician to be completed then submit it to the ...
  A: The form it seems has been taken down now that the registry has been put up. Your doctor will need ...
Referral10/29/2010
  Q: I have a question regarding referrals. I apologize if this question was asked by someone else and I ...
  A: Technically, if you meet the qualifications, your doctor SHOULD refer you. It is not his place to ...
approval10/13/2010
  Q: I was just wondering i'm going to thunder bay in November for my appointments with the ...
  A: You don't need to sweat it. You are more than qualified to have surgery. You need only a bmi of 40 ...
smoking and bariatric surgery8/12/2010
  Q: I will be having the sleeve in the very near future and I smoke. I have two questions. First what ...
  A: Complications emerge with breathing in surgery. Anytime that you are "put under" you have the risk ...
eating slower and wieght loss8/3/2010
  Q: I had gastric bypass in july of last year. I am worried that at this point there will be no more ...
  A: The first 1.5-2 years are considered your "window of opportunity" for weight loss. Keep watching ...
A year after gastric bypass8/3/2010
  Q: Im afraid that this far out i will be unable to lose anymore weight. Is it true that after a year ...
  A: False. The pouch does not quit working. Malabsorption diminishes over time (the body is really ...
smoking and referral for gastric bypass7/25/2010
  Q: I recently decided, through my thought and research that I am ready to take the step to have a ...
  A: Absolutely. I have a power point from an assessment centre and that's what they say - you must be ...
Referral process7/20/2010
  Q: I am looking for a bariatric surgen/ clinic in ontario that does not require a referal from my ...
  A: You will need a doctor to fill out your form for the referral. You can have any doctor do it if you ...
Questions about RYN5/24/2010
  Q: I was very close to having my RNY in the US but then OHIP changes came and my hope seems to be ...
  A: They do have the same general criteria although of course different doctors might have different ...
2 year post Roux En Y4/14/2010
  Q: For 7 months I have been gaining 2-3 lbs./month.I have NOT changed my eating habits-I eat the same ...
  A: It is not unusual at the 2 year mark to have some "bounceback" weight. Most RNY patients have a ...
support group4/2/2010
  Q: This really isn't a question as such. I will be seeing the nurse at the Windsor Assessment Center ...
  A: Sorry but I have no definitive number for you. Again, it really varies person to person. When I went ...
bariatric assessment4/2/2010
  Q: This really isn't a question as such. I will be seeing the nurse at the Windsor Assessment Center ...
  A: The Windsor Centre has a team approach which means that you will have a barrage of appointments and ...
Assessment/process3/29/2010
  Q: My name is Jean I am 28 years old and have been struggling from obesity all my life. I have went up ...
  A: You need to have the following to have surgery: This referral should be completed by the referring ...
MGB again3/17/2010
  Q: I was just wondering about OHIP coverage...I have already had the MGB in Bay City Michigan in July ...
  A: Not likely. Referrals to the USA are all but done yet except for some odd cases. You'd have to ...
Qualification3/16/2010
  Q: My name is Samantha. I am 20 years old, i am 5'2 and 220lb. my uncle is actually having an RNY this ...
  A: I don't know of any surgeon that won't take patients over 18 years old so I don't think you have to ...
hi3/10/2010
  Q: i am 15 years old and 110 kg. i want to do the sergery but i dont know if i can to it in this ...
  A: It all depends on your surgeon's wishes. Some do perform the surgery on teenagers, some demand that ...
GASTRIC BYPASS/OHIP3/9/2010
  Q: I am going to see my Doctor this Thursday to try and persuade him into backing me for this surgery, ...
  A: Do not do the prior approval. They are no longer taking them. To get surgery now, you must go ...
plateau?2/6/2010
  Q: I had my Laparoscopic Roux-en-Y surgery in June of 2007. I was 32, 248 lbs., @ 5'7". At my ...
  A: There's no magic formula. You are over 2 years out, the malabsorption is no longer an issue for you. ...
Do I qualify for gastric bypass surgery?2/1/2010
  Q: I am 5'4 and 3/4 I wiegh 236lbs I live in ontario and was wondering if I would qualify fo rgastric ...
  A: Absolutely you qualify. For surgery in Ontario you need a bmi of 40 to qualify. Your bmi is ...
Appointments & Travel1/27/2010
  Q: I live in Northern Ontario and I need to go to Downsview 3 separate times before my roux en y ...
  A: http://www.health.gov.on.ca/en/public/publications/ohip/northern.aspx THis is the information on ...
What I need to be approved by OHIP1/4/2010
  Q: I've been looking into the Gastric Bypass for the last few months now. I recently had a pap done and ...
  A: I have good news and bad news for you! Many people did the option of going to the States for the ...
Sleeve gastrectomy11/28/2009
  Q: You have been very helpful in giving a realistic picture of what I how surgery would affect my life. ...
  A: It depends if you want OHIP to pay for it or if you want to pay for it out of your pocket. If you ...
gastric bypass ohip approval10/3/2009
  Q: i live in Ontario and i have researched gastric bypass roux en y procedure.i am planning to have the ...
  A: Whether you have diabetes under control or not, you still have diabetes. That is still a significant ...
Gastric Sleeve Surgery9/7/2009
  Q: I am 5 weeks post-op from my Gastric Sleeve surgery. To this day I am having a hard time keeping ...
  A: I am not a surgeon. That's who you should be talking to directly. I cannot give you medical advice. ...
OHIP Coverage9/6/2009
  Q: I have reviewed comments where by people have stated that OHIP covered their surgery. I am looking ...
  A: Would you want to get surgery in Canada or in the States? If you want to have it in Canada, it is a ...
Am I a candidate do you think??8/4/2009
  Q: I am a 39-year-old woman who weighs approximately 210 lbs (I stopped weighing myself after this) and ...
  A: Ontario makes it really easy. You have one of two choices. Your doctor makes a referral to a ...
Am I a candidate do you think??8/3/2009
  Q: I am a 39-year-old woman who weighs approximately 210 lbs (I stopped weighing myself after this) and ...
  A: It depends what province you are in as you did not say. Some have health coverage for gastric ...
gastric bypass surgery5/28/2009
  Q: i am 41 i weigh 240 im only 5 foot tall and have gained huge amount of weight just around middle i ...
  A: Your bmi is around 47 which more than qualifies you for the surgery. The process differs ...
OHIP4/22/2009
  Q: Dawn, My husband Dave has applied for out of country coverage. I have been reading how difficult it ...
  A: Did your doctor sign a box on page 2 for death or tissue damage. He has all the big criteria needed ...
Paying for my own surgery4/9/2009
  Q: my BMI is 35 and I am considering having gastric bypass surgery out of the country. Paying for it ...
  A: I don't want to sound like I'm telling you what to do as it is a very personal decision to have ...
RNY Surgery2/14/2009
  Q: I am in the process of trying to get approval for OOC weight loss surgery.I seen my family Dr ...
  A: Yes you are correct, I am the same Dawn:) OHIP's approval rate is declining now. Because of more ...
Some question about bariatric surgery1/19/2009
  Q: I'm inquiring on the paper work involved. I've been looking into this for roughly a year now and ...
  A: You have different options here. ...
OHIP & MGB12/12/2008
  Q: Very recently, OHIP decided to reject coverage for the Mini-Gastric Bypass procedure. Do you have ...
  A: MGB has been covered for a long time. If you are referring to the issue of it being very recently ...
vitamins11/10/2008
  Q: Also any thing else you think may be important for me to know would help so much. Kind Regards Kelly ...
  A: Have you had the rny? With vitamins, bariatric vitamins are not absolutely necessary as long as ...
lap band8/31/2008
  Q: I had pancreatitis last year due to gall stones, in which a pseudocyst developed. The surgeon ...
  A: I am by no means an expert in Lapbanding, however, I am knowledgeable enough to know that ...

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Diminishing Dawn

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Expertise

I will help anyone with general questions about roux en y gastric bypass specifically and my own personal experiences. I am specificially looking to help other Ontarians with learning about the process and qualifying for surgery through OHIP. I can answer general questions about the complications, lifestyle and requirements of roux en y surgery. I am not an expert in all forms of bariatric surgery so if you are inquiring about such things as Lapband, Duodenal Switch, I can only answer general questions about them. I had roux en y laproscopic surgery.

Experience

I had my surgery in 2006, am very active in the WLS community and run a local support group. I am a researcher as well and enjoy sharing what I learn with others.

Organizations
Local WLS support Group.

Publications
http://home.cogeco.ca/~diminishingdawn obesityhelp Ontario forum

Education/Credentials
None. University Educated but not in Bariatrics!

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