Mhy12784

Why do you think its a leak ? Many of those things are normalish for post op. Just from what you describe dehydration would be my biggest concern, followed by anxiety. I mean a leak is possible, but its 8 days post op and your symptoms are very generalized

I think an anesthesia almost accidentally used a 32 (for the bypass) on a sleeve (which is a 36). And if that would have happened it could cause leaks and be rather dangerous for the patient. So he standardized it to use the same size bougie for all patients and reduce the chances for a mistake. Theres small stuff like that which happens ALL the time that transforms the way that your care is performed.

Fortunately 8 teaspoons of metamucil isnt THAT much. But fiber absorbs fluid including medication. So its possible that it could absorb some of the miralax negating its effects. Of course metamucil also has laxative effects, so I dont think youll have too many problems. However I imagine youre going to feel insanely incredibly bloated and probably have a ton of cramping and possibly stomach pain from the metamucil. I know I would be if I took that much

Did you have an ultrasound of your gallbladder prior to surgery ? What foods are you eating post op giving you pains?

Not every surgeon uses the same size bougie or calibration tube. For example the surgeon I work with used to use a 32 french bougie for bypasses and a 36 for sleeves. Now just uses a 36 for everybody. I imagine all surgeons will use the same size for all of their patients (possibly a different size for sleeve vs bypass) 'I think the size really isnt as important as people are making it out to be. Like having a bigger/smaller tube isnt going to determine how successful someone is

My biggest concern would definitely be dehydration. Its one of the most common complications of the bypass, and not urinating enough is usually a sign of dehydration. Not to say it couldnt be something else but...

Not a fan of the way that surgeon performed the surgery in that video, or the fact that they used mesh (even if a biologic) on a clean contaminated case. But thats the thing theres so many techniques, that the surgery can look very different from surgeon to surgeon

Its based on the anatomy of the stomach. They dont measure or anything like that, but all patients are left with "roughly" the same amount. With the bypass on the other hand they actually measure the intestines, and are much more precise. With the bypass the anastomosis is manually sutured vs the sleeve which is just reduced by stapling. This is why the sleeve is considered a technically "simple" surgery and the bypass much more complicated. There are different techniques and approaches as well as different products that surgeons use. So the approach can be very different from surgeon to surgeon. But the basic summary is sleeve is ballparked based on anatomy, the bypass is measured and precise.

Mini gastric bypass, reversal, and likely any complications of it arent covered by many if not all insurances. I wouldnt even be sniffing around something like that unless im really wealthy, or dead set on paying cash for a procedure.

Is there any evidence to suggest that this actually works? Sounds like BS to me I'm sure they could help you feel better and stuff and maybe less pain post op. But I don't see how a binder is gonna make your skin healthier and more elastic or change your genetics or the amount of weight you lose

2 scrambled eggs is 180 calories. I'd hardly constitute thst as a broken sleeve. You're adjusting to changes, get used to it

Is a family history of diabetes your sole reason for having a bypass over a sleeve? That wouldn't be enough for me to get a bypass over a sleeve. I'm getting a bypass because I have severe severe GERD and wouldn't tolerate a sleeve. If you're an ideal candidate for a sleeve, I would certainly prefer one over a bypass if it was me.

Honestly one day won't make a difference at all, and they would never notice. Patients cheat on their two week diets all the time (not saying it's a good thing). But a 13 day diet vs a 14 is a completely moot point. Use Thanksgiving as your food funeral, then move on the next day with the next chapter of your life. If you legit stick to your preoperative diet for the next 13 days without cheating and being strict you'll be primed and good to go for your surgery. If you really want to play it conservatively maybe start your preop diet a couple days before Thanksgiving, then celebrate Thanksgiving normally, then go back to full speed ahead

It sounds very likely that its a lactose intolerance issue. Your first protein shake was isolate (which by definition is lactose free). Now you switched to a protein with concentrate. Gas X will do nothing for lactose intolerance symptoms. Best avoiding lactose intolerance for a while, then seeing if you can ever tolerate it again once youre feeling better

They put your stomach in formalin which is basically poison, not to mention its surely a pietri dish for bacteria. They all look mostly the same.

They have you taking advil immediately postup sleeve gastrectomy?

A hiatal hernia being diagnosed shouldnt have any impact whatsoever on when your surgery is scheduled. Some surgeon wont do preop endscopys/upper gis, some will do them months before, others close to DOS. Whether they find or dont find a hiatal hernia makes no difference.

You a coffee/caffeine drinker ? Caffeine withdrawl could cause that. Or it could be from a sudden/drastic change in the amount of carbs youre eating daily as well

Any issues with your breathing/nose/cpap ?

First exparel allergy ive heard of. What happened ?

Fixing a Hiatal hernia is one or two sutures and is a relatively quick fix. It shouldn't change recovery or pain much at all. If you're getting bad acid reflux it will likely improve that but that's about all

That's a great trick, I haven't done that in ages. Da Vinci also makes some good sugar free syrups you can add to your shakes for some variety (as sugar free pudding only comes in a handful, da Vinci has like 60+ flavors) Another option is to just make sugar free protein pudding, which is basically the exact same ingredients (assuming you're using milk) just now you can eat it.

I've seen lots of patients who had open surgery. A gallbladder open is less worse than some other stuff. For a sleeve it probably won't make much of a difference for a competent surgeon, but I sure wouldn't want to go to a surgeon who isn't very experienced. I'd say it's very rare for them to not be able to do a sleeve laparscopic though, so wouldn't be worried. It'll probably take extra long but that's all I just hope that you're not having the same surgeon do your sleeve who did the gallbladder though

This is relatively helpful https://www.med.unc.edu/gisurgery/files/contraindications-to-weight-loss-surgery

I mean lung disease is a vague term. For example many bariatric patients have sleep apnea, which is technically a lung disease. And theyre encouraged to get bariatric surgery to improve it. I think the severity of it will play a part too. Its certainly not completely contraindicated. I have had patients who came in for lung surgery with plans to come back for bariatrics later in the year. Just an educated guess, but I would think the major determinant would be if bariatric surgery will impair your ability to successfully treat your autoimmune lung disease in the long term (ie frequent use of steroids). But I think the odds are it wont be much of an issue