ShoppGirl

Well hang in there. There are tons of people on here that are eager to help. You just need the right person to come along who has had similar experience.

That’s absurd. They are getting paid the same what difference does it make. Did your surgeon pass his patients along to anyone when he retired. I know I’ve had a couple of providers who did that and I got a letter in the mail about it. If you didn’t get one maybe your PCP could do some asking around And help you out. Although I suppose your PCP should honestly be able to help you anyways if you aren’t having any physical issues related to the surgery. You really just need nutritional advice related to your blood sugar issues from someone. A good dietician may even be able to help. I see people post on here that have very knowledgable nutritionist and dietitians but around me I haven’t had the best of luck with them. I really hope you find someone to help you out. It seems crazy to me that that surgical office would turn you away.

Thanks. I had my one week post op today and the pathology came back and I did in fact have gall stones. My surgeon did not discuss the channel length with me. Nor did he give me the option to resize my sleeve. He believes that the risks are too great for the difference it would make for me but he did also do several tests to get a good picture of my sleeve before we landed on the SADI as opposed to the bypass. Perhaps if my sleeve was larger he would have steered me towards the bypass. My surgery was robotic this time my sleeve was just laparoscopic I’m curious now what my channel length is. Not that I really know what would better one way or another. So it turns out that my pain was almost entirely from gas because I was in a great deal of it until the morning of day when I finally passed a lot of gas and with each time I felt more and more relief. I did walk quite a bit but in retrospect I would’ve walked even more if I had known how much better that toot was going to make me feel. I walked everytime I got up anyways, like to pee brush my teeth or when they woke me up in the middle of the night even. I finally pressed the issue that they switch out my IV pole machine thing. Mine had a very weak battery and even being unhooked that short time while I walked it depleted it so much that it set off alarms they had to come shut off. It was super annoying for them as well and I felt like they were acting annoyed with me as if it was my fault for calling them rather than just accepting that beeping going on all day and night. I am a super light sleeper and it went off other times too so I finally said don’t you have other patients that don’t have to unhook it so many times a day that you could switch with mine. They did and we were all happier for it. Anyways, grab that iv pile and walk walk walk. It doesn’t matter how fast you go, just that you do it. And if you have to toot or belch do not hold it in no matter what. I don’t care who is on the room. Get it out and explain later. Although the doctors and nurses should understand anyways. That was really tough for me but after the relief the first one brought I didn’t care anymore. 😆 I forget. Do you have your date Yet??

Have you considered getting started for your follow ups with another practice? It sounds like you could benefit from someone with some medical expertise to help get gpu into a routine that with work for you. Others who have experienced this may have some suggestions but Most offices have a NP that can probably help quite a bit with the blood sugar while maintaining your weight as well.

Great minds think alike. lol

This won’t help when you are out but I read that a coffee mug warmer can be fitted with a saucer plate to keep a small portion of food warm. I don’t remember what portions were like at three months but if your home you could always go for seconds if need be. Also a tip for leftovers is to bring your own takeaway container because they are far less bulky and can fit into a cooler but also because you can do it right away so that you aren’t left with a plate that looks like you haven’t touched it.

I am really hoping that my husband and I can go on a vacation. Any vacation honestly. It has been so many years since we have had one. Between my insecurities and anxieties about my weight and the physical limitations we just haven’t found anything that seems exciting enough both of us to justify the expense. We could really use some“us” time and my husband would never admit but he would benefit from some time off. I think I may suggest to him that we go somewhere to celebrate when I hit my goal. Then we have a while to work out the details. I always wanted to go to Alaska but I think that’s mostly because I knew that it wouldn’t be too hot for me like so many other common vacation spots. I really hope that my heat tolerance goes up a bit and I can expand my options to different places. I am still only a week out so I have time to add to my list. I’m sure as my mental health improves jt will be easier for me to imagine some of these things for myself.

Wow these are all amazing ideas. I have struggled with Depression so long due to my Bipolar Disorder but exacerbated by the weight that I have just been dreaming of doing normal things like going to family functions without tremendous anxiety about my weight or physically being able to handle the outdoor activities without dying because of the heat and physically being able to keep up with the house chores and mentally feeling well enough to do any of that. I can’t even wait to start dreaming of action packed vacations and things like that. You guys are giving me tons of inspiration.

I just noticed that you are talking about a revision. With the revision there really are more than just the main options. They will most likely do a few tests beforehand to get the best picture of what’s going on inside. I had a endoscopy, a barium swallow study and. A gastric emptying study.done before we decided for certain that the SADI was right for me. Some doctors will convert a bypass to Sadi I believe but they can also do something to revise only the pouch. I forget what they call that. Honestly when I comes to revision I know this isn’t exactly true but it almost seems like they make it up as they go 😆 they really do get a good look at your very unique circumstances and take all the knowledge they have from all the procedures they can do and come up with a plan that will work best for you. The names for the surgery get really difficult at that point because really what they actually do from one revision to the next is going to vary depending on the patient and the surgeon. Some surgeons for instance would’ve made my pouch smaller during the revision. Mine doesn’t think it’s worth it given the risks it brings. I would really recommend that you get started with a surgeon and see what options they even offer you and if you don’t love them maybe even get a second opinion because not all surgeons will approach it the same way and some don’t perform all of the procedures there are to offer either.

Had my one week post op appt today. She said my incisions look good but when she was cleaning one of them mostly because I was scared since the bandage came off in the shower and it was bleeding she noticed my pain lying on the table and getting up. She told me that I am trying to be too tough and that I need to take my pain meds. I ended up talking to her about that again today and she said if I don’t want to take them thatI could take Tylenol and try a muscle relaxer which I just picked up both and came home with the groceries popped the trunk and went inside. My husband took the hint since I had already texted him that I was hurting pretty bad. lol. I mostly talked to her about my gallbladder since I didn’t know anything about that ahead of time and didn’t much care while I was in the hospital. She made it sound like for most people it’s not really that big of a deal. I may have some issues with super rich and greasy foods but for most people that’s about it. She also started me in B-12 injections. She said it usually ends up being required witb the SADI but now with the gallbladder thing too she may as well just start me now. I am starting with once a month and we will tweak it from there depending on labs. So I picked that up too and ordered the sharps container and medical grade alcohol swabs. Wish me luck since I can’t even look when I get a shot. I feel like I have had to learn so much this week. A lot of surprised but am still just rolling with the punches. My biggest thing that’s pulling me through right now is that Sunday I get to have purées. 😆 Good luck to the two having surgery tomorrow and I hope that everyone else is going well with preop and recovery. ❤️‍🩹

Back to the topic. I think this forum and Dr Weiners website have been far more informative than any classes or support groups. I really do think they should standardize it all though. Would be way less stressful for the patient.

@MrsFitz I got a call back from the NP and she said not to use heat on the incisions. She said it’s okay on back or below the incisions but nothing but ice on the incisions. I am also glad I called though because she said if I really don’t want pain meds she would call me in a muscle relaxer and that and a Tylenol should help.

Yay. So excited for you. That was my arrival time too. I had to wake up at 3:30 to drink Gatorade?! I think I would have been up anyways though with so much on my mind. Best of luck tomorrow.

I’ve never dumped but some people do dump on too much fat? Another thing could be a peanut allergy. We can develop allergies anytime? I’m sure others will have more ideas from personal experience but those are the two things that come to my mind. Sounds a little scary. Hope you feel better soon.

So awesome!!

Yikes. That sounds like you are going to look like a pin cushion. Your needle may be a little longer than what my B-12 will be. She said it’s short so you just punch it in like a dart and it doesn’t go into the muscle or anything. I have to start with once a month and then we will check labs a couple of times starting with my next appointment at one month and tweak it from there. whats odd with the gallbladder is that i never had any symptoms. But they got the pathology report back which of course I don’t understand but the NP said it was very inflamed and I had gallstones. So I guess the timing was good to keep me from going through all this again in a few months. I am going to take it more easy. A Heating pad sounds like it would feel good. I’m going to call right now and ask if that’s okay.

The SADI is a modified version of the DS where when they bypass a portion of the bowels they only need “Single Anastmosis,” which means connection and is the first two letters of the acronym SADI, instead of two anastomosis that the DS uses. They are both almost a combination or the sleeve and bypass to simplify it. They combine the sleeved stomach for restriction with the bypassed intestine for malabsorption. In terms of least to most aggressive it’s sleeve, bypass, SADI, then DS. The SADI is fairly new and is considered to be a relatively safe option with that single connection lessening the risk for leaks by at least half and overall risks are less than the DS considering the weight loss is not a lot less. Like the DS it can be done in one surgery or in two steps beginning with a sleeve first and then completing the bypass portion In a second operation later (often after a patient loses enough weight to make the bypass portion safe or as in my case if they do not lose adequate weight or experience regain after the sleeve). You may also see the SADI referred to as the modified switch or SIPS surgery. And the -S in SADI-S just means with sleeve as in when the two components are done at the same time in one operation.

I am a revision so I hwe sleeve 3.5 years ago and it did tend to go in spurts for me too. A few days with nothing lost and then a couple of pounds drop. Or a week or two worth 3-4 pound loss. Apparently that’s not at all uncommon.

Tomorrow is my first post op appointment with the NP. I had an enexpexted gall bladder removal with my revision so I am working my way through a couple of reason for diet changes. They actually didn’t give me any info on the gallbladder. I guess I should’ve asked more questions but they acted like it was just a useless organ but now I’m being told there is a little more to it. I just googled though and it’s pretty consistent that I shouldn’t have had the cafe latte shake I had today with caffeine. i stopped googling since I tend to create a anxiety spiral when I do that and I see the NP tomorrow but I’m wondering for those of you that got your gallbladder out what I should ask her about tomorrow?

Oh that’s reassuring. Thanks.

I am. I literally just came from my one week post op. I had an unexpected gall bladder removal so a lot of my appt was my fears about that. Seems like the scary stuff is far less likely and the most likely will just be the issues with fatty food. She also cleaned my incision from the drain that came uncovered in the shower just because I’m over anxious about infection and when she seen how much pain I’m in when I laid down And sat up she said that I need to be on pain meds and I’m trying to be too tough. I just placed my Walmart order and added Tylenol. I’m gonna try they first. She also said with the SADI that it’s not uncommon to have issues with B12 but now that we add in the gall bladder thing she wants to start me on monthly injections. This should be interesting since i can’t even look when someone else gives me a shot. Guess like anything else I will get used to it.

At least your program tried. Mine doesn’t even have anything in the way of patient education. They send you the nutritionist because because its a requirement but as any in of the providers or staff in their office and you will get a different answer bout nutrition specifics. This even includes the pre op and liquid diets and even the book they give you doesn’t match what they say. Then to complicate things even further they send in a nutritionist at the hospital with a whole differnt little book. Not sure what to follow. Just tried to pick tne most restrictive and hope For ghe best.

In terms of clothing you guys also consider waist tightener pins and them sweater clips for dresses and tops. They are fairly reasonable and can be used throughout all the sizes to make them last a bit longer.

I am not sure what your post surgery diet is but mine allows part skim ricotta And low fat mozzarella as well as low calorie marinara. The parmasen she used I did not add to mine.

I wasn’t really given a post op diet specific to the gallbladder removal either but when I googled it a couple of sites had a post op diet specific to the removal and mentioned the high fat and as well as no caffeine, alcohol or carbonation And slowly introducing fiber. I assumed they didn’t mention itr since most surgeons do not allow any of these Early out anyways but mine does allow a Little caffeine. The latte shake has caffeine. I am truly hoping ir doesn’t cause many issues. Especially with absorption and cholesterol like yours. Mild but slowly increasing cholesterol and knee pain are my two comorbidities and what I hoped to resolve with the weight loss (the cholesterol runs in the family even for thin people though).. Also, if my bipolar meds do not absorb I have no clue what I will do. I don’t even want to think of what a disaster that could be. It’s day 8 now and so far I feel okay. Usually if I miss it two days pills in a row I feel different. My prescribing dr says that they are mostly absorbed by the stomach membrane so I shouldn’t notice much change with my revision since they aren’t touching my sleeve. I just didn’t know to ask about the gallbladder thing. I was in such bad pain when they told me they removed it I I honestly didn’t even want to worry about that part until I was feeling better. It sounds like I really shouldn’t even begin to jump to any conclusions though since you’re and your family’s experience were so different. Maybe more of a wait and see what happems sort of thing and why they really didn’t mention much about it.