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Born in Missouri

Gastric Bypass Patients
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Posts posted by Born in Missouri


  1. The “Fat Tax” Is Everywhere, From Retail to the Nail Salon

    Clothing stores and salons keep charging plus-size customers more.

    https://www.racked.com/2018/5/21/17369488/fat-tax-retail-new-look-salon-plus-size-upcharging

    Size is a sensitive subject in the clothing business. So when one of Britain’s most popular and affordable clothing giants was found to charge more for plus-size clothing, it was accused of imposing a “fat tax” on women.

    “Obviously it costs more to make plus-size clothing because of the amount of fabric used, but if the pricing metric is going to be based on size, then every size should be priced differently."

    “If smaller-sized people aren’t getting discounts, then plus-sized people shouldn’t have to pay a surplus."

    “We rarely see ‘tall’ and ‘maternity’ editions of clothing being priced differently. It’s cruel and unfair to single out one body type.”

    Fashion’s ‘fat tax’: Bigger women furious at having to pay more for clothes

    https://www.news.com.au/lifestyle/fashion/designers/fashions-fat-tax-bigger-women-furious-at-having-to-pay-more-for-clothes/news-story/b170b879bd535dd7bc8d1724e1aaa59e


  2. There is probably nothing you need to do, Jingle123423. However, they are less likely to use you now that you are in their "old" range. Who "woulda thunk" that 45 is old? That being said, if you are the only possible match for someone, how could they deny them the prospect of having a matching donor?

    If you have a number to call or an email for the registry, contact them and ask them a few questions about your donation and if your status has changed. Thank you for signing up. I have a special blood status, which would include my bone marrow, but I'm probably too old for them now. Barely a senior citizen, but no longer in their optimal range.


  3. 1 hour ago, 2shea said:

    I have chosen to undergo an ESG for the fact that it is a minimally invasive non-surgical option, however, in Australia it is not covered by medicare thus private health insurance will not also contribute, so in fact it is more expensive for me. If I had chosen a VSG or RNY I would be covered and would have out of pocket costs of approx $5000 (though that does depend on the surgeon and the required support plan).

    My ESG, including the after procedure support for 18 months is $17,000. I also have travel costs - airfares and accommodation to pay. It is not readily available in my state and the one doctor who may do it, wouldn't have done that many procedures, so would lack experience.

    I am a member of three FB groups for ESG and there are some people reporting that they do not feel any restriction or very little restriction. It is possible that it is doctor error or the stitches have loosened for some reason. My doctor for instance will no longer do ESG for anyone who previously had a gastric balloon he has found that the stitches do not hold. The reason has yet to be determined.

    Note that in general the average weight to be lost with an ESG will be lower than VSG or RNY but many people have achieved more than the average.

    I am not counting down the days to my ESG yet, but the time is passing quickly and in about five weeks I commence my pre-op diet.

    Please keep us informed, 2shea . I had never heard of this procedure until today (which is why I posted information about it. Not that my lack of knowledge about something is postworthy in itself.:) )


  4. As surgical wounds are healing, there are often some distinct changes that occur to the skin both around and near the wound. A few things that one can expect – and things to watch out for:

    https://advancedtissue.com/2013/12/3-ways-know-difference-healing-infected-surgical-wounds/

    A study was conducted that looked at patient incision care and other discharge concerns. The study found that knowledge of incision care and amount of information received about incision care were rated low. The five most frequently mentioned postdischarge concerns included bowel trouble at home, wound pain at home, looking for wound complications, watching for wound infection, and activity limitations. (This study is 12 years old. Hopefully, knowledge of incision and discharge care has improved drastically.)

    https://www.o-wm.com/content/bariatric-surgery-patient-incision-care-and-discharge-concerns


  5. Why does my wound itch?

    The skin contains specialized nerve fibers that detect when the dermis is being irritated and send signals to the spinal cord, communicating that there is an itch. This is known as "mechanical stress".

    Wound healing also elicits mechanical stress that activates itching. As it heals, the cells around the wound proliferate, which means the margins around the wound grow and migrate inwards toward the base. In fact, the cells follow an electrical pathway at a voltage that is different than the margin so they can tell where the base is. The cells then unite at the center, attach together and contract to pull the wound shut. This process creates a mechanical stress that activates the itch nerves and tells the spinal cord to scratch.

    The dangers of scratching

    Scratching a wound that is trying to heal can cause damage to the new tissue that has grown to replace and repair the damaged tissue. If this happens, it can slow the healing process, which leaves your body susceptible to wound infection longer and can result in excessive scarring. Additionally, it can cause potentially harmful bacteria on the hands to transfer to the wound, again putting you at a higher risk of developing an infection.

    To find out more, including tips to reduce itching:

    https://advancedtissue.com/2014/10/understanding-wound-healing-itching-dilemma/


  6. Talk about feeling unwanted. :44_frowning2: Too old and too fat. I guess that's that.

    :44_frowning2::44_frowning2: :44_frowning2: :44_frowning2: :44_frowning2: :44_frowning2: :44_frowning2: :44_frowning2: :44_frowning2: :44_frowning2: :44_frowning2:

    The donor weight guidelines state that for people joining the registry, the maximum acceptable weight would be a person's weight associated with a body mass index (BMI) of 40*. To see the maximum weight (in pounds) for a given height (in feet and inches), see the chart below.

    *BMI Formula: weight (lb) / height (in) 2 x 703. Calculate BMI by dividing weight in pounds (lbs) by height in inches (in) squared and multiplying by a conversion factor of 703.

    Example: Weight = 150 lbs, Height = 5'5" (65")
    Calculation: [150 ÷ (65) 2 ] x 703 = 24.96

    https://bethematch.org/support-the-cause/donate-bone-marrow/join-the-marrow-registry/weight-guidelines-for-joining/

    Too old? Pay $100 and you're allowed to join.

    If you are between the ages of 18 and 44 patients especially need you. Research shows that cells from younger donors lead to more successful transplants. Doctors request donors in the 18-44 age group 85% of the time.

    At donor registry drives, we focus on adding registry members most likely to donate. If you are between the ages of 45 and 60 and want to join the registry, you're welcome to join online with a $100 tax-deductible payment to cover the cost to join.


  7. “How would your life be different if…You stopped making negative judgmental assumptions about people you encounter? Let today be the day…You look for the good in everyone you meet and respect their journey.”
    ―Steve Maraboli

    .

    “If someone isn't what others want them to be, the others become angry. Everyone seems to have a clear idea of how other people should lead their lives, but none about his or her own.”
    ―Paulo Coelho

    .

    “As long as we continue to live as if we are what we do, what we have, and what other people think about us, we will remain filled with judgments, opinions, evaluations, and condemnations. We will remain addicted to putting people and things in their "right" place.”
    ―Henri J.M. Nouwen


  8. “Stepping onto a brand-new path is difficult, but not more difficult than remaining in a situation, which is not nurturing to the whole woman.”
    ―Maya Angelou

    .

    “It’s only after you’ve stepped outside your comfort zone that you begin to change, grow, and transform.”
    ―Roy T. Bennett

    .

    “We are taught you must blame your father, your sisters, your brothers, the school, the teachers - but never blame yourself. It's never your fault. But it's always your fault, because if you wanted to change you're the one who has got to change.”
    ―Katharine Hepburn


  9. “They always say time changes things, but you actually have to change them yourself.”
    ―Andy Warhol
    .
    “We can't be afraid of change. You may feel very secure in the pond that you are in, but if you never venture out of it, you will never know that there is such a thing as an ocean, a sea. Holding onto something that is good for you now, may be the very reason why you don't have something better.”
    ―C. Joybell C.
    .
    “The present changes the past. Looking back you do not find what you left behind.”
    ―Kiran Desai


  10. “Yesterday I was clever, so I wanted to change the world. Today I am wise, so I am changing myself.”
    ― Rumi

    “You can't stop the future
    You can't rewind the past
    The only way to learn the secret
    ...is to press play.” ― Jay Asher

    “Life is a series of natural and spontaneous changes. Don't resist them; that only creates sorrow. Let reality be reality. Let things flow naturally forward in whatever way they like.”
    ―Lao Tzu
    .
    “If people refuse to look at you in a new light and they can only see you for what you were, only see you for the mistakes you've made, if they don't realize that you are not your mistakes, then they have to go.”
    ―Steve Maraboli


  11. There is one thought I can't get out of my head. What are the long-term effects of weight-loss surgery? Because WLS is still in its infancy in many respects, none of us can predict the outcome of our decision when we become old and frail and we are in need of all the nourishment we can get.

    We've limited our bodies to benefit us now, but later... what about then? What struggles do we face when every spoonful might count. I love older people to pieces. I enjoy their company. I'm genuinely interested in what they have to say about their lives, past and present. I've also noticed that many older people don't eat much. If the little I eat now is only partially being absorbed, what will happen when I get older... when I'll conceivably need all the nourishment I can get to live a long and healthy life?

    Let's hope that knowledge keeps pace with our surgeries. Heck, there are still unknowns about which medications are poorly absorbed as well as other unknowns about how our bodies process various Vitamins and minerals. Are we creating ailments that didn't exist on the same scale before millions of people embarked on these surgeries? Outside of pregnancy, I can't recall ever being concerned about a nutritional deficiency (well, except for Vitamin D, but that's because I abhor the sun and I'm too stubborn to spend even the lousy ten minutes required to absorb what I'd need.)


  12. I had a bypass on June 13, 2018. I have had virtually no appetite since day one. Appetite Zero.

    I'm not even close to meeting my Protein and Fluid requirements. Dismal levels of both, really. I probably take in fewer than 250 calories per day as well. This is not on purpose.

    The only thing I am able to maintain with any regularity is my Vitamin regime. And because I have more malabsorption issues as a bypass patient, I take the risk of deficiencies very seriously. Taking Vitamins is effortless. Eating not so much.

    I've been told not to worry, so I am not stewing about my protein, fluid, or calorie deficiencies any longer. I've been assured that this is temporary. How long is temporary? How many more days, weeks, months?

    My "problem" is not about gagging or restriction or any of the other reasons suggested. It is only my appetite. food is an afterthought. I only think about it in terms of "I guess I should probably try to eat something today."

    It's not that I've forgotten the look, taste, and enjoyment I received from certain foods in the past... Chipotle's hard-shell chicken tacos with tomatoes/cilantro, sour cream, and extra cheese come to mind... but I just don't have the craving to follow through with cooking favorite foods or seeking them out (like Chipolte's where my daughter has always offered me with an endless supply of gift cards for an occasional eating-out treat.)

    I'm a scratch cook. I can cook just about anything I put my mind to... but I have little interest in cooking anything now. I have an empty nest which means fewer mouths to feed. It's just my husband and me, so I mainly cook enough to satisfy his primitive "need to eat", but, for me, it's become a mindless chore and a bore.

    I have replied to other posts on this forum with pretty much the same words... mainly because very little changes from day to day. I know there are those who struggle with something at the other end of the spectrum: intense hunger. I can understand the frustration with that problem, too. Perhaps I should feel "lucky" that I have no appetite. I don't actually feel lucky, but I'm willing to accept my lack of appetite as temporary and a version of normal.


  13. The Society for Metabolic and Bariatric Surgery estimates that 18 million adults in the U.S. qualify for weight-loss surgery, but only about 1 percent actually do it. The length of recovery and cost concerns are the main reasons more people don't have such procedures.

    Endoscopic Sleeve Gastroplasty is a non-surgical weight loss procedure that is commonly referred to as ESG and also known as the incisionless gastric sleeve or the accordion procedure.

    Instead of incisions, stapling and removing parts of the stomach, a tiny camera and tools go down a patient's throat with a needle and thread. Specialized tools mark out guidelines in the stomach, sutures are placed in triangular patterns and the area is cinched together.

    Stomach size is reduced by 70 to 80 percent.

    ESG works by reducing the space inside your stomach and by slowing down the rate at which food empties from your stomach. Unlike the band, sleeve, and bypass, however, which are surgical procedures, the ESG procedure is non-surgical. Access to the stomach is gained not through incisions in the abdomen but endoscopically, i.e. through the mouth. Like the surgical procedures, the ESG is performed under general anesthesia, and it takes about 1 hour to complete.

    A device called the 'Overstitch' is inserted into the stomach and reduces the stomach capacity from the inside by stitching the stomach together with a series of approximately 6 stitches.

    https://www.healthierweight.co.uk/non-surgical-gastric-sleeve/esg-or-gastric-sleeve/

    https://www.mooremetabolics.com/weight-loss/endoscopic-sleeve-gastroplasty/

    http://bmiclinic.com.au/endoscopic-sleeve-gastroplasty/


  14. Most of the bariatric literature on thiamine deficiency surrounds gastric bypass, but it seems sleeve gastrectomy is not immune to this problem despite that, theoretically, sleeve gastrectomy experiences fewer malabsorption issues.
    Nutritional deficiencies are a recognized complication of bariatric surgery. Thiamine deficiency has been reported as a possible consequence of both restrictive and malabsorptive bariatric procedures. Most of the reported cases occurred after Roux-en-Y gastric bypass (RYGB) surgery; fewer were described after biliopancreatic diversion, vertical banded gastroplasty, or duodenal switch. Adults who have a high carbohydrate intake derived mainly from refined sugars and milled rice are at greater risk of developing thiamine deficiency because thiamine is absent from fats, oils, and refined sugars.
    Thiamine was the first Vitamin B to be discovered. It is absorbed in the proximal jejunum and is mainly stored in muscle as thiamine pyrophosphate. It has a biological half-life of 9-18 days. Patients who experience persistent vomiting after bariatric surgery are at risk of developing thiamine deficiency. Mild deficiency should be suspected if patients complain of apathy, anorexia, restlessness and generalized weakness. Prolonged deficiency leads to beriberi and/or Wernicke’s encephalopathy. The most common presenting symptom of thiamine deficiency is a pins-and-needles feeling in one’s extremities despite normal vitamin B12 and folate.
    The average time from surgery to onset of thiamine deficiency symptoms was 9 months. Persistent vomiting, alcoholism, and non-compliance with Vitamins are all contributing factors to thiamine-B1 deficiency.
    Treatment for those suspected of thiamine-B1 deficiency: 50-100mg of thiamine twice daily.


  15. “It is also well known that obese individuals face weight-bias job discrimination compared to non-obese individuals.
    “This positive change is more obvious for women, who are more discriminated against than men for work, because of their obesity."
    “It’s possible that losing weight helps people find work by improving their physical or mental health, or by making them less likely to experience weight-based discrimination when seeking employment.
    Have you experienced what you felt deep down was weight-related discrimination? What about after your surgery and after you lost weight? Any difference?


  16. Dang. I hate it when I show up and the fun is over. Wait... that sentence makes it sound like that my showing up halted the fun. Oh, well.

    I think I'd be insulted, hot or not. Men who objectify women are pretty much cavemen... dragging women around by their hair if they could (except for WLS women. Some of us "got" no hair!)


  17. I narrowed my decision to two programs. One at a larger hospital with a very structured in-house program that required participants to use their nutritionist, physiologist etc. The other program had no structure. It offered a list of possible nutritionists and psychologists to contact for pre-op evaluation. You were basically on your own in deciding what to do. The only requirement the second program had was attending a one-hour talk about bariatric surgery and nutrition with a Q&A afterward. It was very basic information and a waste of time to attend.

    I chose the second program. I don't like hovering professionals telling me what to do. I dislike rules and oversight and heavy-handed regimes. When I was told that I "had to" use their nutritionist (that the nutritionist I had already seen wasn't acceptable for their program), I knew that they would be sticklers every step of the way. I know some people thrive on structure and feel safe and cozy being told what to do and what not to do. I can't function that way. Even if it's for my own good, I don't like the idea of someone monitoring my behavior. While I feel as though I was tossed out on the curb sometimes, I'm doing okay. I have my primary doctor. I have my own kids (a pharmacist and two medical doctors) to look out for me, and I have myself. I'm not a clueless person waiting to be told what to do next or what I shouldn't be doing. If I ever find myself in a position in which I need help, I know how to ask for it. I just don't want "help" imposed on me. Does any of this resonate with anyone?


  18. 7 hours ago, BuzzVSG said:

    He is definitely a true friend. A friendship that has been built over two decades. In all due respect, you don't know the semantics of the early stages of the friendship. They were my feelings based upon actual social behavior on his part, and how do you know he didn't go out of his way? He actually did. However with that being said over the years he has matured as we all do and he is a good friend.

    You are correct. I did not know about his past. I tried (unsuccessfully) to read between the lines and give him the benefit of the doubt. It was a mistake on my part to make those assumptions. I feel empathy for the pain and hurt you experienced as a younger man. I'm sure it took a toll on your social confidence and self-esteem. Being a community of "fat people", we have all experienced different degrees of pain and self-imposed shame. Thank you for pointing out that I should not have made any assumptions about your friend when he was his younger self. I'm glad to hear that he has matured into a finer human being. Thank you for sharing your story.:)


  19. Only I Can Change My Life, No One Can Do It For Me

    The Struggle You Are In Today Is Developing The Strength You Need for Tomorrow

    The Road May Be Bumpy But Stay Committed To The Process

    If You Are Tired Of Starting Over, Stop Giving Up

    Be The Best Version Of You

    Be Stronger Than Your Excuse

    It’s Not A Diet, It’s A Lifestyle Change

    Doubt Kills More Dreams Than Failure Ever Will

    Will Is A Skill

    Nothing Tastes As Good As Being Thin Feels

    Stressed Spelled Backwards Is Desserts

    An Active Mind Cannot Exist In An Inactive Body

    Strive For Progress, Not Perfection

    Success Is Never Certain, Failure Is Never Final

    No Amount Of Security Is Worth The Suffering Of A Life Chained To A Routine That Has Killed Your Dreams

    A Goal Without A Plan Is Just A Wish

    Success Is The Sum Of Small Efforts, Repeated Day In And Day Out

    You Can’t Cross The Sea Merely By Standing And Staring At The Water

    --(attributions unknown)


  20. "Effort only fully releases its reward after a person refuses to quit.” --Napoleon Hill

    "Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, 'I will try again tomorrow.’" --Mary Anne Radmacher

    "It's hard to beat a person who never gives up.” --Babe Ruth

    "Patience, persistence, and perspiration make an unbeatable combination for success.” --Napoleon Hill

    "Energy and persistence conquer all things.” --Benjamin Franklin

    "Waiting for perfect is never as smart as making progress."--Seth Godin

    "Permanence, perseverance, and persistence in spite of all obstacles, discouragement, and impossibilities: It is this, that in all things distinguishes the strong soul from the weak.” --Thomas Carlyle

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