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30 min no fluids before and after food at stage 2 soft food?
lilac lass posted a topic in POST-Operation Weight Loss Surgery Q&A
HI, I was sleeved 12-6. My doctor said I could go to stage two, soft food on Christmas. But here is my confusion, when I first started meeting with the NUT in July, she went over the nutrition program. I did well on it and was good at not eating 30 minutes before and after meals. After surgery, my doctor said not to focus on fluids and timing with the Protein shakes. That made sense since I wasn't really eating any food, just an occasional bit of apple sauce. The NUT from the office has resigned and they don't have new one yet so I don't have one to ask. So tomorrow when I take a few bites of soft food, do I go back to the 30 minute break before and after the food? Is it now or at the next final stage of full bariatric diet? It makes sense to have a gap without fluids now, my stomach isn't big, but I wanted to know what you did. -
Anyone else been sleeved at Baptist Memorial North in Oxford?
Msa662 posted a topic in Gastric Sleeve Surgery Forums
My surgery date is March 4th and I'm really looking forward to it. And I have become very comfortable with Dr. Michael King, he definitely knows his stuff. Any other persons been to Oxford for bariatric surgery? What was your experience? -
How long between insurance approval and surgery?
frust8 replied to Taycakes's topic in Insurance & Financing
My former verdompt bariatric center routinely booked out 6 weeks to the Day of prerequirements being completed. The new one since I'm comng in with the different consults already done, 3 weeks? I want the absolute soonest they will give me. Have that 2 hour appointment with the in-house and I hope decent Psychologist Dr Kramer April 25th, after that the ball is in their court as long as they play nicely. If not I'll play The Band Perry's song "Done." If you don't know the lyrics, one of my favorite lines Mama said I should always play nice But she didn't know you when she gave that advice. I'm through with you lah dee dah! I get a whole lot braver (and maybe foolhardy) when I am pissed, which I am at the bait-and- switch or hurry -up-and- wait tactics with all these bariatric personages. Give me some satisfaction, I've worked hard enough to get it![emoji13][emoji50][emoji13] Sent from my VS880PP using BariatricPal mobile app -
ProteinFirst: A True First in Coffee Creamers available at the BariatricPal Store!
Alex Brecher posted a topic in Protein, Vitamins, and Supplements
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Stopped taking Metformin -- signs of low blood sugar
MKinVA replied to MsC's topic in Gastric Sleeve Surgery Forums
I have Type 2 diabetes as well. I remember seeing an interview on 60 Minutes a couple years ago where they were interviewing a group of people who had gastric bypass surgery. They mentioned that one of the effects of bariatric surgery was immediate "curing" of diabetes. It seems that the removal of the lower portion of the stomach causes a hormonal change which has a positive effect on blood sugar and how your body processes it. I think I am remembering correctly. -
I think my insurance will cover the surgery, but it has a history of not covering stuff 100%. For my mom's knee replacement surgery, for example, it only covered around 80%, and she had to have the surgery or be put in a wheelchair. Of course, I don't know if that was their usual practice for every surgery, or if it was just because the doctor wasn't a participator in their insurance program (don't know if he was or not). I have found several bariatric surgeons that do participate in my insurance program, so I am hoping to get it covered 100%. I am just hoping they consider my health conditions that are caused by my weight to be severe enough to cover it.
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Hi everyone, I am about 15 months out of surgery, and feel very discouraged. I have lost 13 lbs. in all and have about 120 left to go. I don't feel the band helps me because I don't eat out of hunger, I am an emotional eater and the band doesn't do anything for your emotions. I recently met with my doctor and am trying to willpower my way through. But it makes me so sad and I really feel like a failure. I mean, who but me has bariatric surgery and then doesn't lose weight? If I could tell you how people who know about my surgery look at me...mix of disgust, pity and amazement. I am seeing a therapist, and I am spending time on eating disorders recovery websites (something fishy is really good). I feel sure now that I have an eating disorder. I had it before I was banded but didn't know it until I realized that my hunger level has nothing to do with how much I want to eat. So now I'm like, Oh, I have an eating disorder, not a hunger problem, and thinking that the whole band thing was a big mistake for me. I vomit a lot, but keep eating. I just throw up, eat more, throw up, eat more, and so on. It really sucks. I just feel really bad about myself right now. Like a total failure. And ashamed, and embarrassed, and alone. I even feel alone in regretting getting the band. I don't know what I'm looking for here, just thought I'd put myself out there and hope that the universe comes together to support me.
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every insurance company AND surgeon are different, and each may require certain pre-op things including: -apt with family doctor and written letter from them In full support of surgery -supervised nutritionist classes and on-on-one nutritional counseling that requires you to keep food logs, count calories, Protein, fat, etc. plus Fluid intake, Vitamins, supplements... - psych consult (my surgeon required more than one apt) and sometimes ongoing psych appts for counseling - multiple appts with the surgeon themselves -cardiac clearance, usually including a stress test - Upper endoscopy or EGD or barium swallow - Pulmonary Function testing and apt with Pulmonologist - MAJOR amounts of bloodwork including thyroid, liver, kidney function, lipids (cholesterol), diabetes screen including fasting blood sugar, A1C, blood insulin levels, various hormone levels, complete metabolic panel, CBC, pregnancy test, and more... - sleep Study and if positive, a 30 day compliance with CPAP machine (the machines have an SD card that stores the data of compliance and it is downloaded)... - Some require proof of ongoing weight loss efforts either through gym, trainer, formal programs like Weight Watchers, etc, and I have seen some require that proof for a 6-12 month timeframe - Required attendance to a bariatric support group for a period of time At the time of surgery, the hospital may also require a chest x-ray, urinalysis and pre-op blood work and EKG and more. These were my requirements. Luckily, I breezed through most of this within a couple of months and just wrapping up my nutrition appts! Like I said, they are all different. Then, there are also some insurance companies that barely require anything at all other than a BMI of 40!
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So today I got an e-mail back from my doctor saying to call the Bariatric nurse and set up an appt with the surgeon. It's currently scheduled for August 12. This is a little disappointing but I'm glad to have it scheduled. I'm just praying that in the next month I'll be able to go under the knife and have this pre-surgery battle done with. I'm ready for the post-surgery battle to begin. I ate some candy today because I was down, it was before I talked to the dept but I told myself I would do double at the gym tomorrow as pennance. Anyway a lot else happened today and I am very exhausted so I'm just going to pass out here and now.:thumbup:
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So today I got an e-mail back from my doctor saying to call the Bariatric nurse and set up an appt with the surgeon. It's currently scheduled for August 12. This is a little disappointing but I'm glad to have it scheduled. I'm just praying that in the next month I'll be able to go under the knife and have this pre-surgery battle done with. I'm ready for the post-surgery battle to begin. I ate some candy today because I was down, it was before I talked to the dept but I told myself I would do double at the gym tomorrow as pennance. Anyway a lot else happened today and I am very exhausted so I'm just going to pass out here and now.:smile:
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Negativity in Surgery Support Group Meetings
Chelly replied to James Marusek's topic in Gastric Bypass Surgery Forums
I just from the monthly Bariatric meetings I go to and it was very supportive. I've never have heard anyone being really negative about any of the surgeries they've had. I look forward to going every month and sometimes I go to a second one. So no problem here. -
Negativity in Surgery Support Group Meetings
James Marusek posted a topic in Gastric Bypass Surgery Forums
I have attended about a half a dozen bariatric surgery support group meetings prior to surgery and about a dozen after surgery. When I first started going to these, it threw me for a loop. It was one horror story after another. I was almost at the point of rethinking the operation. But then I realized that those that attended these meeting presented a distorted view of the surgery. Most regulars had problems and some were significant ones. Most individuals who had surgery and didn't experience problems by and large did not attend these meetings. If everything was going well, why go to the meetings! I turned some of this negativity around by adding solutions when I brought up problems and by informing new members that the discussions were somewhat distorted. Has anyone else experienced this problem? -
So I told my boss this morning that I am planning on bariatric surgery and that date will be in October or November. I don't have a date yet. She asked me to wait until December since it's elective. I really don't want to wait until the holidays dang it. I want this done ASAP. Not wait a month and half after my last dr appt. tempted to just hit fmla up and do it sooner anyways since they can't stop fmla. But is it worth it to piss off my boss? I work for a large hospital and the October/November months are our inspection window this year. What do you all think? Should I discuss this with the HR dept?
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Post Bariatric Surgery 15 yrs out. Need to know if safe to take a belly fat reducer product
sherwill67 posted a topic in Gastric Bypass Surgery Forums
Have a band of belly fat in midriff area that I cannot seem to get rid of. 15 yrs out from surgery March 1999. When I had my tummy tuck done, the doctor did not do this area and suggested lyposuction in 2002. Does anyone know if any of the advertised belly fat reducing supplements are safe for bariatrics to use and do they work? Thanks -
Wow, that is so awful. I'm so sorry. Definitely file a complaint. It will help others avoid having to go through what you went through. A center of excellence is important to have, but as we can see, it doesn't seem to guarantee bedside manner and attentive care, which it should. I read through what it takes to be a center of excellence, and it involves the following (the disease-state in our cases would be bariatric surgery, essentially, I think): Board certified specialist and subspecialties in the disease-state Current diagnostic and treatment technology Standardized (where applicable) care plans If surgical services are involved standardized surgical and medical device packs Unique or innovative service not found in the service area Long-term sustainable business plan Dedicated full-time CoE director or manager Center defined capital budget for acquisition of new technology, devices etc Outcomes better than the national average Active satisfaction measurement of physicians, payers and patients Patient referrals from what would be considered outside of the normal hospital or health system service area Fully developed patient disease-state educational materials (and that doesn't mean a pamphlet from an association or pharma) Outcome case studies Transparency dashboard which reports surgical and treatment outcomes, case mix index, mortality and morbidity data, financial indicators, satisfaction rates for physician, payer and patient, quality measures, market share, etc Joint Commission CoE certification*(Leon) Other third party external accreditation's if available for the disease-state The disease-state is a core competency of the organization Centers brand name and brand architecture is consistent with and fully integrated into the hospital or other providers brand plan.
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Hi, I have a Band that I've had for 7 years. Time went by and I slowly stopped changing my eating habits and I gained weight. Pretty stable for most of the time, but recently I've gained a LOT of weight. I'm strongly focused on my food addiction. You know, "I HAVE to have this or that so I don't go crazy.!" behaviours. .And I'm doing surprisingly well. I have a LCSW-R that I work with, she's a huge help. Anyway, I "think" my pouch has shrunk because I find I cannot eatan average person's full meal, like I used to. I'm losing weight, and respecting the Band again. I'm changing Surgeons, and will be discussing with him about having the RNY. I've been a member of Bariatric Pal for a few years, and have been studying, learning and changing due to all the great people on here. I bought Alex's book on RNY, it's fascinating! I read that some people , when they have the RNY, they revision to the band as well as contnuing with their RNY life. Has anybody ever heard of this in face to face world? I mean, I'll ask my future surgeon, but I was just seeking some info here, from you guys. It kind of makes sense to me, but I've never heard of it. I was looking into having the band removed and having the RNY. But now I hear of this. What do YOU think?
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So I got to meet my new surgeon yesterday. My employment has a special clause that says "all Bariatric surgeries will be done at..." So even though I was in a WONDERFUL program, if I want to be revised, I must switch. Not very happy about that since the follow up and guidance is really poor with my hospital vs the competitors hospital (btw, they carry the blue center of distinction from bcbs). Anyway, I refuse to stop defeated so forward we go. Plus the best news ever is that after surgery I can return to my program. I'm feeling special!! Fast forward, I met her and she is nice and supportive of my revision. I was worried that she would see my continued weight loss as a cure and the band would not need to be removed despite my severe reflux, slight dilatation, and now slipping (which is what I thought happened but could never prove!) and she doesn't want to wait for surgery. So EGD is scheduled and we meet again may 17th to see what insurance says (which I hope isn't a problem, I have looked at policy and it should go through but never know with them!) Then I get my date! It's been a long road but the light at the end is getting brighter!!! Just wanted to share with my friends here.
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I think stress makes you gain weight. My job is very stressful and I gained a lot of weight over a very short period of time. My eating habits did not change so I can only think it was the stress. I was converted from band to bypass 4/3. My surgeon was able to do it in one surgery which was the only thing I was stressing about prior to surgery. She warned me ahead do time that often there is so much scar tissue that she cannot safely do the bypass. You have to heal and they do it at a later time. My insurance has a dollar cap on bariatric procedures so if I did not get it converted in one surgery I was not going to be able to have a second due to costs. After all the worry she was able to do it but the surgery was very long. It took better than 4 hours. Do not worry about the weight gain and try to desires as you are able. I go for a walk or listen to music or read to help with the stress. Good luck to you!! Jennie
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Dr. Dennis Lewis - Dr. Lewis Patients
WyominGirl replied to Summer of 09's topic in Weight Loss Surgeons & Hospitals
What would you like to know? I can tell you the Dr. Lewis and his staff are top notch. The aftercare is a HUGE piece of being banded and I am so thankful to have them on my side. We have other bariatric patients in our support group and their after care is laughable in comparision. I don't check LPT oftern so feel free to email me: my2buckaroos@yahoo -
Traditional Bypass Vs. Sleeve
DLCoggin replied to Butterfly66's topic in Gastric Bypass Surgery Forums
RNY and sleeve both have their advantages and disadvantages. Some factors to consider: Sleeve is still relatively new - about 15 years. RNY has been done in various forms since the 1950's. RNY is by far the most common bariatric surgery. Approximately 80% of all bariatric surgeries worldwide are RNY. Becuse of the two factors above, there is a great deal more experience and long term statistical information on the outcomes of RNY surgeries compared to sleeve. This may be part of the reason that some insurance companies are still hesitant to cover the sleeve. RNY is more invasive than sleeve but average weight loss for RNY patients is substantially higher than it is for sleeve patients. That may change as more experience is gained with sleeve and better procedures and techniques are developed. RNY is widely acknowledged as the single most effective "treatment" for type 2 diabetes currently available to medical science. RNY has a greater risk of malnutrition than sleeve because RNY involves both restriction and malabsorption while sleeve is restrictive only. Both surgeries appear to be equally safe as far as mortality goes. However, non life-threatening post-op complications such as infections are more common for the more invasive RNY than they are for sleeve. -
Does your surgeon know the budget you have to work with?? My bariatric center stressed the cost of what I would need to make sure I was prepared for the expense this journey would be. It is not possible to get your Protein and Vitamin needs met on a Ramen noodle budget. Even though my food intake has went down tremendously my grocery bill has still went up significantly! Unfortunately it is expensive to eat healthy. And quality shakes and Vitamins are costly. I hope you are prepared for this! Sent from my SM-G930R4 using the BariatricPal App
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Gastric Bypass Advantages and Disadvantages
BarkerBariatrics posted a topic in Gastric Bypass Surgery Forums
Dr Wade Barker talks about the advantages and disadvantages of gastric bypass. Dr. Wade Barker performs both open and laparoscopic gastric bypass surgery at his Dallas/Ft. Worth bariatric surgery center. Depending on your health and your weight loss goals, Dr. Barker will recommend the procedure that is right for you. http://adjingo.2cimple.com/web/camp/publishpreview/2959 -
Has anyone got the book advertised on here about the sleeve?
Miss Mac replied to JourneyToLife's topic in PRE-Operation Weight Loss Surgery Q&A
Yep. I bought the sleeve book as the download version. Very informative. I know that once I am on the far side of the sleeve, I will refer to it more. I also bought the Emotional First Aid. That one was recommended for my bariatric program. -
Healthier is a matter of perspective. Are you looking for higher Protein content? Lower sugar content? I've read lots of great recipes for homemade protein ice cream. Both of my go-to bariatric food websites, theworldaccordingtoeggface.com and bariatricfoodie.com, both have recipes for protein ice cream. For low sugar, you would just have to look around. Your local place might have some sugar free option, not sure about Diary Queen. For store bought stuff, I prefer pre-portioned stuff. It keeps me from having to measure out servings...because my tiny tummy is not going to tell me it's full of ice cream in only 1/2 cup or whatever a "serving" is on the label. I like the Breyer's/Edy's Carbwise ice cream bars line...although, I count total carbs rather than net carbs, so have to really read the label to figure out the total carb count. I think the last time I bought some, the total carbs was around 11 carbs..which I can work into my day. ~Kat
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The Guys Room -vs- The Powder Room Ladies Gone Wild
kakatlady612 replied to Creekimp13's topic in Website Assistance & Suggestions
1 vote for the next,president of Bariatric Pal Ms FLUFFY CHIX! Sent from my VS880PP using BariatricPal mobile app
