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Rob Nissam

Duodenal Switch Patients
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Posts posted by Rob Nissam


  1. 4 hours ago, FifiLux said:

    I have two bad knees, just bone on bone, and would not be able to walk or stand for long without being in agony that night in bed and sore for a day or two afterwards. Since the surgery the pain is much less, nearly zero, I do so much more and just have the aches I think would be normal from the exertion.

    For my upcoming trips (work and holiday ones) I will be on my feet a lot and doing a lot of walking so I am still going to get what has become my annual knee injections in the hospital in advance and bring a muscle gel with me on the trips but it is more just so I am not impacted at all while away so I can enjoy it. I am hoping that the ortho surgeon will say to give it longer before he sees a need to replace the knees now that there is considerably less weight on them.

    My worst problem is to go down the stairs,especially the left knee.Thank you very much for your help!


  2. 4 hours ago, summerseeker said:

    I had Hidradenitis suppurativa in my 40's . I was going through the change and had 3 family deaths, My body and mind couldn't cope. My skin and mind exploded, it was a terrible time for me. I had help for the conditions and eventually the conditions abated to tolerable levels. Every now and then I would have break outs but they became less and less.

    Now I have had no real symptoms for the 3 years since surgery. Is it a body or age thing ? I can see only the worst scars now with some black on the skin, it scratches off easily. I hope you can put it behind you too

    After VSG,I had the diagnostic and every day got worse breakouts,nothing helps for almost 7 years(Humira,Otezla,etc).Recently,like 4 months ago,I stop the whey Protein and dairy products,limited my carbs and sugar,start consuming pork and lard again(just the opposite of the Dermatologists advices)and suddenly I had no more flare-ups.Your testimonials bring me hopes.Thank you!


  3. 4 hours ago, BabySpoons said:

    I am no longer taking Allopurinol for gout and knee pain is completely gone. I had to have a few adjustments from my chiropractor as I lost the weight. All the excess weight I was carrying really had my body out of alignment.

    I never had HS but I did have Pilaris Keratosis which is gone as well. I was told on this forum that others had this skin condition resolve after WLS.

    Good luck Rob!!

    Thank you very much for sharing your valuable experience!


  4. 4 hours ago, ShoppGirl said:

    Ooh the gas pain. Ugh. My dr refused to give me like gas ex. He kept saying to walk but I WAS walking SO much that the nurses all knew me but I was there for 5 days.

    Just talking about gas,Carbon dioxide (CO2) is the most common gas used in laparoscopic surgery to inflate the patient's abdomen, or create pneumoperitoneum,in the case that you feel pain at any label in your left shoulder,specifically the rotator cuff,is a consequence of CO2;in that case you can contact an Sports Medicine Specialist Doctor and explain the situation or,don't waste time and resources and check in YouTube for excellent videos of simple excercises to resolve it.You are doing excellent,I wish you good luck again!


  5. 9 hours ago, ShoppGirl said:

    Anyways, grab that iv pile and walk walk walk. It doesn’t matter how fast you go, just that you do it.

    Walking is the best,with or without any surgery;swimming is another good option.Start to enjoy your new life,you deserve it.


  6. 9 hours ago, ShoppGirl said:

    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.

    The range of common channel length is 200 to 300 cm,we agree in 275 cm.


  7. On 8/8/2024 at 12:58 AM, ShoppGirl said:

    Isn’t it weird the difference in recovery. Last time I was up and doing everything for myself the same day. This time, same preop and same dr and I’m in pain still on day 2. I don’t junk it’s gas pain either because I haven’t tooted once. They did also take my gallbladder so perhaps that’s the difference.

    Congratulations and I wish you a complete recovery soon!Plus,you are very lucky they removed your gallbladder,before it starts giving problems.In your case,witch common channel length was decided?I had the appointment with the surgeon today,he told me that the length of my common channel will be 275 cm(I 100% agree),when he start the surgery first check the sleeve and if necessary to resize he will do it.The surgery will be laparoscopic and will take 30 to 45 minutes.Tomorrow the patient advocate is going to call me for the next steps.Good luck!


  8. On 3/19/2024 at 11:38 AM, ShoppGirl said:

    Okay I am a second timer. I had gastric sleeve 3/9/21 and I gained it back. I am considering the SADI and I am looking for information about it. I have posted on the revision forums and the duodenal switch forum without response. Is this just a really rare procedure or am I posting in the wrong place? I worry that even if this is the right surgery for me I may regret it if I can’t find the support along the way because it is less common.

    Hi,2 hours ago I finished the psychologist evaluation clearness,probably I'll have the Sadi's surgery in a month and half.Like you,I had a previous gastric sleeve surgery(4/2017) without the expected results,that's the reason of the revision.I'm a 64 year old male,and 310 lbs.I wish you the best in your next surgery and I'll be following your posts as a valuable information resource .Thanks a lot!

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