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seattleslew

Gastric Sleeve Patients
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    seattleslew reacted to fit2Bme2014 for a blog entry, My VSG experience   
    My surgery was Wednesday, April 2nd. I'm amazed at how well I am doing. I'm sitting here, on my bed, just chilling cause you know, I just had major abdominal surgery and probably shouldn't be up doing my normal things. Lol!
     
    All silliness aside, my heart goes out to those of you who haven't had such an easy time. Please be kind to yourselves and get well soon.
     
    Several of you have asked if I would talk about my experience having the VSG surgery. Here it goes:
     
    The ninth day before surgery, I started a modified liquid diet (2 shakes & 1 low-calorie frozen entrée) for five days.
     
    The two days before surgery I was on a clear liquid diet (with a magnesium citrate chaser to 'clean me out').
     
    4/2 Wednesday - Surgery Day. I couldn't have anything by mouth, not even ice chips.
     
    Before surgery a nurse put a Transderm Scōp® patch (Scopolamine) behind my ear to help prevent nausea. During surgery my doctor found a small hiatal hernia which she fixed. When the surgery was completed she did a 'leak' test. Everything went well, and I was transferred to recovery and then to my room where my family was waiting for me.
     
    Once I was back in my room, I was told that they would have me up and walking within four hours. I couldn't have anything by mouth until the next day when I would have another leak test.
     
    My mouth and throat were so dry; I honestly think that might've been the worst part.
     
    About four hours later the nurse and aid came in to get me up for a walk. Though I was uncomfortable, mostly because of the JP drain, I didn't require any assistance getting up and ended up walking to the end of the hall causing my nurse and several others to remark, "wow! What a good job! We never see "these" patients do that."
     
    Yeah, "these" patients. Smh
     
    Through the night they would poke and prod me with needles. One of the test was a blood sugar. Though I have never had an issue with blood sugar, my numbers were above 120 two times. Interestingly, this is quite normal for patients who just gone through surgery.
     
    Their protocol for bariatric patients is, if the blood sugar is over hundred, they are given insulin. So when the second test came in high, I was given insulin. Their reasoning is, you heal better and have less chance of infection when your numbers are below 100.
     
    4/3 Thursday - The next morning I was taken to radiology for another leak test. I had to drink yellow colored contrast so that they could watch where liquid went after I swallowed it. I asked the tech if my doctor was there and how soon she be reading report, because I was so thirsty. The radiologist, behind the partition, called out to me and said everything looked great. About an hour later I was started on clear liquids.
     
    My first meal consisted of: chamomile tea, broth, and cherry Jell-O. Along with my meal came a measured medicine cup. And, I was told to drink 15 mL every 15 minutes and track it on the form provided. I could tolerate everything except the Jell-O.
     
    I had a PCA (patient-controlled analgesia infusion pump) which was removed once the IV in my hand infiltrated the next day. At that point I started receiving Roxicet which is a liquid Percocet.
     
    I continued to get up either on my own or when it was suggested and each time, walked a little further. One of my nurse remarked she was very impressed because again, "'these' patients need continual prodding to get up."
     
    I ran a low-grade fever of about 100.4 throughout my stay. It was normal the day was released.
     
    4/4 Friday - that morning I was instructed to drink 30 mL every 15 minutes and track it. My release was dependent on whether or not I could self-hydrate enough. I was able to take a shower on my own and dress in pajamas that I had brought from home. I continued to take walks every few hours.
     
    I was released that afternoon. Yay!!
     
    The entire time in the hospital, I had very minimal nausea, no vomiting and the pain was easily controlled with medication; I should mention the pain specifically related to the JP drain was pretty startling at times.
     
    4/5 First full day home. I started phase 2 diet which consists of smooth foods, purées and 60-80g of protein in a liquid supplement. My surgeon requires her patients to walk 30 minutes each day, even if it's in increments. So, I went to Walmart to pick up my prescriptions and walked the store for 30 minutes. By the end I was pretty wiped out.
     
    I've had very minimal nausea, no vomiting and the pain has been easily controlled with the Roxicet. I feel weak, especially when I forget that I've had surgery and overdo it. Several times I've felt shaky and/or dizzy. My muscles feel a bit noodily. I've been able to handle all of my self-care and meals without help, i'm just slower than normal.
     
    I was also sent home with a prescription for the Scōp® patch and a sublingual anti-nausea medication; if you have a tendency toward nausea, I suggest you talk to Dr. about these meds.
     
    I'm still a bit swollen but not as much as my first day home.
     
    Oh! The gas pains. They're pretty sporadic and only last 10 to 60 seconds, but boy oh boy do they smart!!
     
    I know this is pretty long; I hope that it's helped somebody out there. If you have any questions, feel free to post them below or send me a private message.

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