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Yet Another Failure?

It's been over a month since I've seen any weight loss. I remain at 241 regardless of how much or how little I eat. I'm still hungry an hour or so after eating and can only hold out for so long. Prior to deciding to go with gastric banding, I reach a peak weight of 283. I was able to get down to 253 on my own, but the only time I was able to get lower was when I couldn't eat for several weeks due to a severe sinus/ear infection. It feels like it's happening again - I've reached a set point and my body is not going to let go. I guess this harkens back to the severely restricted momma mandated diets of my youth. I'm seeing my NUT today - hopefully she'll have some insight. Guess I should've gone for the GB after all.:biggrin:
RavenClaw779

RavenClaw779

3
 

Wow - What A Difference 50 Pounds Makes

At my highest I was 283 - now I'm 235...almost 50 pounds off. What really brought it home to me was went I took my five-year-old niece to the beach last weekend. Any one who has a small child knows that after a long day of play, with no nap, "cranky" makes PMS look like a walk in the park. So, when my niece whines, "Aunt Jill my legs hurt when I'm walking(chafing in a wet bathing suit)!" I had no choice but to pick her up and carry all 45+/- pound of little girl to the car. That is a lot to lug! That was what I was dragging around with me for the past seven years. No wonder my back no longer aches and my feet don't bother me and I can actually walk from my office to the downtown area for lunch. No - I'm not "thin" - yet - but I'm slowly but surely on my way.:smile2:
RavenClaw779

RavenClaw779

4
 

Wow - Am I surprised!

Last night was the second night I wore the BiPap. I managed to wear it for about five hours and I vaguely remember taking it off to get up to use the bathroom so I must've just left it off. NTL I am surprisingly rested and clear-head. Thinking of this machine as a "spa treatment" i.e., my "beauty" sleep has helped.
RavenClaw779

RavenClaw779

1
 

Winding down and some helpful day before hints

All the chores are done, suitcase packed and I'm winding down with a delicious mug of Sirloin Beef Stock - actually quite good or perhaps I really am losing my mind.   btreiger reminded me to bring a pillow to pad my stomach on the ride home - great idea and one not even mentioned by the hospital staff.   Here are some prep tips: * If you have to do a "cleansing" do a test run on the weekend. If I hadn't and had following the timing per the nurse, I'd still be on the toilet at the time of my surgery!   *The numerous trips to the bathroom create what I like to call "Burning Butt". 'Roid cream will only make this worse. Must have - kid's flushable wipes(very gentle) and diaper rash cream(w/zinc oxide and cod liver oil). Yes, it smells but if you 'butter you buns' when you take your MOM as time goes by it's a lot less irritating. Also keep some reading material in the bathroom - you'll be in there so much you can read the whole Harry Potter series!   *Don't forget to bring your insurance card and your health care proxy. Yes, it's a low risk surgery, but it is surgery so make sure your support person knows your wishes.   I'd write more, but I gotta run!
RavenClaw779

RavenClaw779

2
 

What it Cost!?

Since January, $41,683 has been billed to my insurance company for services related to my procedure. The entire surgical charge was $26,829 - excluding the anesthesia. The procedure itself was billed at $17,735 - for a 45 minute pop. What's funny is my carrier's Reasonable & Customary for the surgery alone is $3,130 - so that's what Ellis gets paid. My portion of the entire surgical day - $389. My entire portion of the surgical process plus lead up - $1,482.00 I couldn't pay what they billed my carrier - who could? I'd be curious to see what my charges would've been if I'd pay out-of-pocket cash. Ellis will of course, write of the difference between billed/paid and my coinsurance on their taxes. Is it any wonder real reform is needed?
RavenClaw779

RavenClaw779

1
 

Weight Watchers, Mastectomy Bras & My Band

Despite only gaining 9 pounds during chemo, my weight bounced right back up to where I was at the beginning of last year. My docs tell me the steroids can have delayed and lasting effects - great. Feeling almost like my old self most days but since starting Arimidex, I have days when I'm beat and my lower back aches like I've been digging ditches. Yet another side effect - but whew! only have to take this drug for five years! A friend got me to try Weight Watchers with her and though it's only been a few weeks, it seems to be helping. Still able to get all the protein I need - it's just so much simpler to have x amount of points to work with rather than the elaborate charts I seemed to be keeping noting protein, calories, carbs, fat etc. Well - I've tried everything else!!   On a strange note - like most women who've had mastectomies, I was professionally fitted for my special bras and prosthetics. The prosthetics add about 3 pounds of weight and are -to be blunt - HUGE! When not holstered, I tend to leave them laying on my bed where they look like two wrinkle breasts just fell off and landed. When worn - gee, it's just as great as wearing a bra before - still having to pull up my right strap while tugging down on the left. It's the first thing off when I get home - just like before. The really strange thing though is that I can't eat while wearing the bra - ANYTHING - and I'm throwing up. I first noticed this when I had to wear a compression bra post-surgery and was throwing up yogurt. Apparently the bra band in combination with the lap band creates some sort of vacuum. This is really great as I now have to either avoid going out to eat, go out wearing a big sweater and no bra, or find a creative way to unhook my bra before eating. Thankfully when I don't eat in public everyone assumes it's because of my band - I just don't admit its the OUTSIDE band...
RavenClaw779

RavenClaw779

0
 

Veggie Mary Update

Made the Veggie Mary this morning with the Bariatric Eating "Pure" unflavored protein product and added a little garlic and pepper - very good. Even tasted the powder by itself - NO FLAVOR! Will order some today - my quest is over!:thumbup:
RavenClaw779

RavenClaw779

2
 

Today's Laugh

S-i-l#1 called today on the pretext of asking me a legal question. "So how much have you lost?" Rather than give JabberJaws more fuel for her gossip machine I just said, "a bit". Hee Hee - it was fun to listen to her squirm: "...so how much did you weigh at the start?" * "Too much for my frame" "...how much do you plan to lose?" * "Enough to lower my BMI to a normal range." "Will you ever weigh what you did when I first met you?" * "Who knows - do you know what you weighed when I met you?"   God - One good BM and I turn into such a Bee-Atch!   Sidebar - Yes, I'd love to weigh what I did then (140) and it's definately a goal, but is it realistic that I could go from 283 to 140 - Not very likely!
RavenClaw779

RavenClaw779

1
 

Thoughts on Insurance

There was a forum question re; doctors "scamming" patients which got me thinking. I have a commercial insurance background and stay on top of my medical insurance claims as I've had a number of denials over the years which were actually mistakes on the part of the carrier's claims adjustor.   Sadly, turnover in insurance companies is high. Burnout especially in the claims area is understandable due to the stress. Often the people hired have minimal experience in the field and no medical background. It really is in your best interest to know your policy and ask questions.   I don't think the United States needs universal health care, but we sure do need reform and oversight. Here are some great example from my own claims generating from the pre-surgical process:   *Basic Bloodwork $832(Billed to BCBS); $104 (BCBS - Allowed) - Required although I'd just had bi-annual labs with my primary two months prior.   *Medifast Nurse (15mins) $82.22(Billed to BCBS); $22.93 (BCBS - Allowed) - Didn't even include the Medifast product   *Pulmonologist (30 mins) $263 (Billed to BCBS); $134(BCBS - Allowed) - Wow; he asked the same questions already asked by another dept at the same facility and available online. Listened to my heart and lungs and told me that despite no flags for sleep apnea I had to go to sleep lab and have another "pre-surgical" appt with him.   This is why I love the Mayo Clinic. Their doctors are salaried and while their services are not cheap, they test because it's necessary not to gin up charges.
RavenClaw779

RavenClaw779

1
 

This & That

A friend of the family was visiting last weekend. She hadn't seen me since July and commented that she could tell I've lost weight. Glad someone could - the scale doesn't seem to be moving at all. Maybe she was just being nice? Nevertheless, I am noticing clothes that I've been wearing all along are starting to become noticibly loose; my favorite career pants are suddenly too long and catching on my heels, my favorite casual henley with the pearl trim- falling of my shoulder. Wondered why people were looking at me funny at the grocery store...then I glanced down and HELLO PLAYTEX! Maybe I should be glad my journey is taking longer - the family friend I wrote about in a prior blog entry was photographed at a recent wedding. Looked like they were either sick or going through chemo. Gaunt and jaundice in appeareance and according to someone who was at the event, running to the bathroom what seemed like every 15 minutes, not eating, but quaffing the booze like no tomorrow. Apparently extremely happy to tell everyone how people keep saying, "You're getting too thin!" and "You look anorexic!" Ended up in the hospital again - this time for dehydration.   My family keeps asking me if this is normal - based on what I've experience and what I read online about everyone else - NO!
RavenClaw779

RavenClaw779

0
 

Third Anniversary - The Most Expensive 22 Pounds Loss Ever!

Coming up on three years since I was banded. The eight months post surgery was understably the adjustment prior. The following year a wash due to cancer surgery and treatment. Things had actually started to move in the right direction until July '12 when the problems started. I'm 22 pounds lower than the day of surgery - given all the expenses involved, that's about $1,500 a pound. To whit, I am 50+ pounds lower than my highest weight, but as a size 18w ain't no one going to call me "slim" - and I'm still a Type II diabetic.   The problems, which have been bothering me since July - please, if you're having any issues, go to your WLS ASAP - continue regardless of the medications. I have my follow up to the endoscopy this week.   Yesterday was classic. Out late the night before, so I slept in 'til about 10am(for me a real treat). Got up and had coffee. Not hungry, so I was working around the house i.e., on my feet on on the go. Around 2:30pm I felt hungry, so I made myself a piece of toast with Smart Balance. According to my WLS, I should be able to eat this... Nibbled it down and then it came back up or the course of six trips to the bathroom. Waited a bit and settle my stomach with some tea.   Around 7pm, I managed yogurt with no problems. Several hours later I was hungry again, so I scrambled 1/4 egg sub and cooked 1/4 oatmeal. The eggs I ate standing - no problem. Took my oatmeal downstairs to eat while watching TV. Got it down no problem. Watched an episode of a fav show on my DVR - fast forwarding through commercials, so sitting for about 45 minutes. Went back upstairs to go to bed. Felt blocked and stuffed, but thought it was all in my head. Took my bedtime meds and just made it to the bathroom for another three episodes of vomiting.   I'd hoped that having this procedure would mean that I could finally stop thinking about food all the time. Instead I'm thinking about it even more. What I can and can't eat. How I can avoid eating in social situations. How I can pretend eat so I can fake my way through family dinners. Knowing what I should eat, should be able to eat but choosing the slider route to be safe. God how I envy those with no food issues!
RavenClaw779

RavenClaw779

4
 

Things to Be Thankful For

...and it ain't the fabulous restriction provided by my first fill. Stuck to the clear liquids for 24 hours following my fill and was extremely hungry - in fact when I go too long without eating something real, I get a migraine - so by Thursday morning I was ready to kick some serious a-- ...made it through most of the day on broth and shakes but by that night I was on to mashed potatos and beans. Now it's 2 days since my fill and I am back on regular food, have no restriction and am hungry less than two hours after eating - and I can eat well over a cup with no PB. This is strange as I had PB situations prior to the fill. The PA who did my fill said the band was really, "sucking up" the saline. Call me crazy, but I'm wondering if my band is defective - I shouldn't be feeling LESS restriction than before the fill - Right? I am thankful that my Vanguard fund is bouncing back after the low point in 2008 and my "spring line" for the local artist venue sold out...and I haven't gained any weight...nor have I lost. :tongue_smilie:
RavenClaw779

RavenClaw779

1
 

The Psycho PsyD

Here's a laugh...a gal from my baratric support group and a family friend both saw the same PsyD as I did and we all came to the conclusion that this woman was nuts or just doing it for the money.   In my case she asked me over the phone for my insurance info so she could confirm my coverage. At the consult she told me since I hadn't met my deductible I'd have to pay her out of pocket then and there. When I told her this wasn't the way my plan worked she had a mini-meltdown and I ponied up rather than to reschedule what turned out to be pointless.   She wasn't able to finish the survey and had to call me one night the following week to finish up!?! Then she emailed me my invoice and told me she'd also file it with my insurance company. When she didn't, I sent her a reminder note and she told me that since she'd sent me the invoice it was my job to handle reimbursement!?!?   I called my insurance company to find out how to do this and they told me it was her job and that she'd overcharged me - i.e., not the negotiated rate for my carrier. They're planning to review her contract and advise her that she's in the wrong!:rolleyes2:
RavenClaw779

RavenClaw779

1
 

The Ongoing CPAP Saga

Today I got a phone call at work from "Lincare" calling to set up an appt to fit me with a "BiPap". The first opening was 3/17! I explained that I'm only doing this as a condition for surgery which is scheduled for 3/9. Magically, they're able to see me on 3/4 and even more incredible - they already have my insurance info and plan # - excuse me, isn't that my private info to disclose? Hopefully I can lease rather than buy something I doubt I'll use beyond my surgery date.
RavenClaw779

RavenClaw779

3
 

The No-Progress Zone

Lost 10 pounds the first week after surgery; lost 31 in the three months prior. Have gained four pounds; then dropped two. My husband asked me what the point of the surgery was, since it was my own efforts that made the most significant change? Good Question. I have no restriction, and can eat normal foods, although the oddest things make me queasy - today it was two pretzels I ate as a precurser to my Oracea. The first fill is next week...I haven't been doing as well as I should with my protein shakes, so I actually had to force myself to work in a few extras yesterday which helped on the scale. A lot of the time I'm not hungry, so I find myself going too long between meals and then being ravenous.
RavenClaw779

RavenClaw779

1
 

The Nick of Time

(Making up for not blogging for a few days) I realize just how lucky I am to have had my procedure before health care reform really kicks in as who knows what might be "excluded" down the road. Plus, as a result of all the pre-surgical testing I've been checked from head to toe and found to be in excellent health despite my weight and Type II diabetes. I consider myself very lucky that if I am able to tackle the weight problem, I can likely avoid the heart disease, stroke and osteoarthritus history prevalent in my family, and perhaps a recurrence of my breast cancer. Three weeks post-surgery and my doc has reduced my Metformin to once a day and my testing reveals BG within normal(non-diabetic) values - Yea!
RavenClaw779

RavenClaw779

2
 

The Neighbor from Hell

When we moved from VA six years ago, we found that most of our neighbors were really friendly - except for one couple. From the get-go these people would not say "Hello" or even acknowledge us. We live across the street and two doors down - within eye and ear shot. After witnessing a few incidents of some rough treatment by the parents to their kids and each other, we figured we were blessed NOT to have made their acquaintence.   So imagine my surprise last holiday season when I was up on a ladder helping the hubs hang lights. He was out of sight(on the roof) when I hear a loud voice(rocking a Sopranos accent) call out, "OMG Should someone that SIZE be on a ladder!?!" It was Mrs. Charming Neighbor. Neither my husband and I acknowledged the comment. I sure clarified for me why they didn't like me/us - my weight - what else could it be?   Several weeks later we attended a neighborhood Christmas party. I was floored when our next door neighbor extended her sympathies - apparently she'd heard from Mrs. Charming Neighbor that my husband and I were having problems?! Huh - apparently the fact that my husband was out-of-town for a week long business trip, followed by a trip back to VA to finalize the sale on the house equaled him "leaving me"!? A couple of weeks after that, we had our 6 and 8 year-old niece and nephew spend the weekend while mom & dad a some time off. We don't have kids of our own. Was I surprised to hear the rumor that we were only allowed visitation rights?! Ugh! Today was the icing on the cake. I'm out cleaning up the yard in prep for my spring planting, when I hear Mrs. Charming Neighbor bellow, " Looks like LardAss has finally lost some weight!" Ah, but this time Ms. Nice Girl didn't keep her mouth shut - I bellowed right back, "You're right and thanks for noticing! Too Bad Your Mouth Is As Fat As Ever!" My husband - who took the day off -was rolling with laughter in the garage!:mad:
RavenClaw779

RavenClaw779

5
 

The Fourth Fill

Had #4 on Friday and the experience was par for the course. My appointment was @ 9:30am...I was still waiting at 11:30am along with a fairly crowded waiting room. True brilliance on the part of the scheduling department - only one NP on duty. Many interesting conversations in the waiting room and nice to know I'm not the only one who is hungry all the time and wondering when they're going to get "there". Think we were all a bit taken aback when the NP came out to call someone back and was advised in passing that the doctor had slipped an additional patient into the NP's schedule. Her mini-me meltdown of shrieking, "Where does she think I'm going to find room in my schedule - I'm already booked solid?!!?" made me want to re-schedule then and there! My own fill, while unremarkable(quick; not painful; no backwash) was confusing? disappointing? left me in the dark? I thought after the last fill I had 5.5cc in the band. That was based on this same NP telling me she put 1.5cc in at the last fill. I told her I'm hungry an hour after eating and my loud howling stomach during meetings was getting annoying, so she told me I definitely need a fill(ya think?) and advised that she wouldn't be as aggressive as last time...so she put .6cc in and told me I now have 4.8cc in my band. Huh? So instead of the 1.5cc Fill #3 I actually got .2cc and that's aggressive? When questioned I couldn't get a straight answer - of course I can do the math, but I'd like to know accurately how much is in there. Does explain why I've been so hungry and why- BIG SURPRISE - two hours after eating this morning, I'm hungry AGAIN! Next fill is 8/25 - unless I get bold and try to get in in about two weeks....:closedeyes:
RavenClaw779

RavenClaw779

3
 

The First Fill

Arrived 10 minutes late for my 10:45am appt and thought they'd have to reschedule - but as usual they're running late and I sit for another half hour - guess it's a good thing my afternoon was free.   The nurse took me back and got me on the scale - then the PA came in to do the fill. He was really nice and it was painless - 2.5cc.   What was really interesting is that I go back in another two weeks for another fill and apparently every two weeks until... The PA told me the first three fills are "no charge" - Gee for close to 30K they ought to be free!   Clear liquids today, so I have a raging "no food" headache, but I found that these "test tubes" of liquid protein (100 cal/0 carb/0 fat/25g protein) while not tasty did do the trick.
RavenClaw779

RavenClaw779

4
 

The Cookie Jar

When I was a little girl, my grandmother had a "tattletale" cookie jar. It was what Grandmama called a "German Hausfrau" - the part that held the cookies was her full skirt of dotted swiss and the top was her head and torso. She was a plump lady(the cookie jar - not Gran) with a kerchief over her curly hair; rosy cheeks and her mouth was an open "O". One arm was raised and held a rolling pin the other hand was raised with one finger caught mid-wag as in "naughty - naughty". When you lifted her torso to get a cookie, a voice box in the torso would cry out "Mama! Mama!". That cookie jar came to mind the other day when reading some of the comments other bandsters post. If you're a doctor, nurse or other bariatric professional, please say so. If not, if you're just like me - banded and providing your anecdotal account of what you're going through, please - for the sake of your readers - drop the preachy, holier than thou, dogmatic, goody-2-toes, "I always do just what my doctor, nurse etc say to do delivery of your message. Reading it can be a real burn-out:w00t:!
RavenClaw779

RavenClaw779

1
 

The Apple Don't Fall Far From the Tree?

*Warning - A totally non-WLS rant posted because it's my blog and I'll post what I want to:tt2:   My s-i-l hates to drive at night, so I'll be trucking down to the city to pick up my college age niece. Apparently she has a medical issue which she could've had taken care of at her university health center, but when her mother(my s-i-l) suggested this, my niece had a meltdown and demanded Momma make her an appt at home and fly her in. What a surprise! Momma does what baby wants. She may be 19, but emotionally more like 15...like her group of college friends who hang out together living a "high school but away from home" type of lifestyle. 20-some years ago when I was in college, we were a lot more mature and aware of key world issues. The effect of helicopter parents?! It's scary when my niece tells me she doesn't like kids but wants to teach 'cause she'll get lots of time off. Wow - just who I want educating the future!   Back to the "Apple" topic - my niece is now upset because her mother told the doctor about the problem when she made the appt. Apparently, my niece wanted her to just say that it's for a "check up" (& no - this is not a woman issue)! My s-i-l (rightly so) told her that the doctor needs to know the real reason so as not to waste time. S-i-l wonders what her baby is thinking?!!   RU kidding? Here's where it "falls from the tree"...my s-i-l is a DM2 who tries to deny it. It took 3 years of warnings of pre-diabetes and then 6 mos after diagnosis to get her on oral meds. She's still not testing and tries to "trick" her labs by fasting for several days prior or eating "healthy" the week before. Of course, the numbers are still bad because she's non-compliant and hasn't educated herself. She calls me post doctor visit to report that the doctor wants her on more "meds" because her "numbers are bad" and she feels he's probably getting paid by the pharmacutical companies to give her more "stuff". So I say - "Could be - what new meds does he want? what were your labs?". She says..wait for it.... "I dunno - I wasn't paying attention!". Excuse me? What is more personal than a visit to your doctor - how can you not pay attention when it's your health?? This then leads to a conversation we've had before of how her health plan works and me telling her again to print me a copy and I'll review it...which she forgets - as usual. I guess I'm not too surprised as this is some one who wishes she were back in high school, doesn't read the paper or watch the news, and threw a fit when her boss told her she was going to have to take some tech classes - started crying and shouting that she "didn't want to learn anything new!" I'm actually fond of my s-i-l as apart from the tendency to gossip she is a very kind and non-judgmental person(wish I could be more like that) - but I often feel like I'm dealing with a child.   Not surprising - her mother (my m-i-l) is the same way. No, she doesn't want to go back to high school - instead she's fiercely independent...sort of. She's moderately more aware of what's going on in the world, but so flightly she only grasps half the story. When she doesn't get her own way - or doesn't get buy-in from the "fam" she just goes off and does whatever she wants then let's the rest of us pick up the pieces, the tab...whatever. When it comes to medical issues - see above. She takes whatever scripts the doctor writes but doesn't know why..."I'm not going to take this Liptor anymore - I don't feel any different...". She's still seeing this ancient doc-in-box who treated her mother. She nixed her prior doc because the doctor did an Alzheimer's test on her and was concerned enough to contact my s-i-l. Par for course, my m-i-l wanted my s-i-l to keep it a secret - Right! Her driving skills have always been sub-par and now they're even worse. Sunday night was a classic - when after two glasses of wine she was red-eyed, staggering and slurring but refused to give up her keys or let someone else drive her home and my s-i-l tells me, "She's not drunk - I'd know!"(sorta like, "She doesn't have memory issues - I'd know!") I'm torn between making a confidential call to the DMV before she hurts someone or herself or just stepping back and letting her kids take responsibility. Sigh - good to vent and hope it gives my readers a laugh; I'm sure plenty of you are in the boat.
RavenClaw779

RavenClaw779

2
 

The (No) Sleep Lab

Checked in at 7pm and immediately had to get into my PJ's. Thought it odd until the whole wiring process began - took almost an hour. Nice room - set up like a hotel with a half bath, but way too warm for me. And since I usually go to bed between 11:30 and 1:00am, 10:30pm was tough.   Barely slept - too warm, two fans going was unbelievably loud - sort of felt like a hot summer night when the A/C has died and you dooze at most. I'm punchy now and ready for bed - it's only 7pm!
RavenClaw779

RavenClaw779

1
 

Swallowed (my pride) & Went Back to My WLS and ....

Had my quarterly follow up with my oncologist on Thursday and mentioned the 'Jill's Rules' as applies to eating. He urged me to go see my WLS and I did on Friday. I was ashamed that I'd gotten down to 216 and have been now hovering at 223 - 227 since July and have been blaming myself for not trying hard enough. When I laid this all out to my WLS, he assured me that it wasn't me, it was the band and told me I should've come in when this first started. He took all the fluid out of the band(4cc) and I'm to follow up with him on Monday. He's concerned that my stomach has mushroomed over the band and that due to the amount of time I waited before coming in, I may have scar tissue which would mean additional surgery. So far so good though - was able to eat an english muffin and a scrambled egg for breakfast yesterday in 20 minutes and actually got to go out to dinner with my husband, eat while sitting down and wearing a bra without having to run to the bathroom in agony. It felt so good to feel normal I almost cried!
RavenClaw779

RavenClaw779

4
 

Survivor to Thriver

My whole GB experience has made me more mindful of the "why" behind my complusive overeating(binging) - my abusive childhood. While I'm still searching for a local therapist to work with one-on-one, I found the Adult Survivors of Child Abuse website and a promising self-help workbook(downloadable for free from their site) titled Survivor to Thriver. I'm facing the fact that regardless of dietary changes, and my new "tool", until I address what's driving my "drive" to eat, my success may be limited.
RavenClaw779

RavenClaw779

1
 

Surgical Clearance w/My Primary

Got the once over from my primary doctor; review of vitals, meds, allergies, urine screening. Together we reviewed the reports from the cardiologist(no concerns), the abdominal ultrasound, upper GI, chest x-ray - all normal. In fact after Friday's appt. with the surgeon and the diagnosis of "fatty liver" I was researching on WebMD and Mayo Clinic and getting worried, so I asked my doctor about it. He said that it's commen in obese patients, but that according to the ultrasound, and the radiologist's report, my liver was of normal size and condition - no mention of "fatty liver"?!   Was also talked about the need of a CPAP and reviewed the report from the pulmonologist. My doc was stumped as to why the report states, "no indication of sleep apnea" but the pulmonologist put the sleep lab/cpap in as a recommended follow up.   My doctor told me to have the surgeon call him and he would support me not having a cpap. Hope I don't end up having gone through all this for nothing.
RavenClaw779

RavenClaw779

1
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