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Surgical consent form and risks. I'M SCARED!!!
frust8 replied to HopefullXOXOXO's topic in Gastric Sleeve Surgery Forums
Hopefull,do you need an older perspective? I am 72, [emoji70]going to have RnY surgery within a few months and anticipating it being great. Yes I too read the" coulda" list, like the others said,there is more danger walking downstairs and you might fall, you could choke on your Breakfast, get run over by a bus or car, none of that has happened yet? Good, and the likely-ness of any of the others happening, even less likely. Life is a gamble but with all the advances in science and medicine you are holding a winning hand. I too will have my surgery in a teaching hospital, that doesn't worry me because those are the best cutting edge facilities. Shoot when I'm sprawled out, if I can help with their instruction, okay. I'm sure my doctor will have me surrounded with the best of the best, if there are junior doctors they will also be trained well or they won't be allowed to be present. Those bad things you've heard about are more likely to happen to someone my age. Am I concerned? Heck no, my life with surgery will be vastly superior to the life I currently live. I have had arthritis since 25, every bone is or has ached, I have had 2 knee replacements, I have a plate and 12 screws in my upper right arm that fixed a fracture. I have had a bunch of minor breaks that ache, they ache more because I am and have been obese for years. You do get sick and tired of being sick and tired. You have an opportunity to have your body repaired, realigned and made better. Do not wait as long as I have---please. Your skin will go back into shape and smooth out as you lose weight. Mine will probably look like a Shar pei, but guess what, its better to be a loose skinned puppy than lie dead in a casket. I may not have too many more years on this earth but I want to live them healthier fitter and smaller. The trade off for me: surgery and a renewed life vs. obesity and the chance of death? I chose life, [emoji13]my journey started in August 2015, many bumps and twists in the road there,but I'm sticking through to the finish. I feel I can do naught else. If you feel scared,if you feel nervous, talk to me. I have had a lot of life experiences, some scarred me but most have made me stronger. I am a tough old female [emoji70]who's going to win this battle. The world will not vanquish [emoji626]Major General frust8, I will fire every gun and cannon at my disposal until.[emoji606] my war is won[emoji121]. Can you do any less? Come join me if you can.[emoji14][emoji14][emoji14] Sent from my VS880PP using BariatricPal mobile app -
Okay, I'm confused. (Not uncommon, but I thought I had this one figured out) I had my regularly scheduled meeting with my nurse at the bariatric clinic today. One of the things she commented on is that I'm not eating enough carbs... insert confused emoji here. I'm a type 2 diabetic for five years and had gestational diabetes before then, and somewhere along the way I had been told/read/somehow absorbed the idea that I'm supposed to be eating than less than 100g of carbs (net) per day. My nurse was shocked that I was trying to keep my carbs 'that low'. She wants my carbs to be 50% of my macros. I currently am striving for less than 35%. 50%, which works out to 200g (total) carbs per day on a 1500-1600 calorie diet, just feels like way too much. Am I completely off base? Have I been misinformed all this time? I'm not looking to go keto or Atkins right now, just keeping my carbs low enough to keep my blood sugars controlled and to lose the 10% that my surgeon requires. I don't get to see my nutritionist again until May. Any insight would be appreciated.
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Anyone worried that eating behaviors wont change after surgery
Beautfully Flawed posted a topic in Gastric Sleeve Surgery Forums
Hey everyone!! First time on Bariatric Pal, so glad to be here, so I have decided to do have the sleeve, I'm almost done with my classes required by Kaiser and its likely I will have surgery the early summer months. My problem is changing emotional eating and staying mindful that when I'm bored, sad, happy, I don't always need to eat, so since these behaviors must be addressed prior to surgery I have been receiving therapy to help tackle the issue. Anyone have the same issue? If so any ideas? -
I live on Vancouver, Wa. Here is what the surgeons office emailed me when I asked why this diet The surgeon’s choose to utilize the skim milk diet prior to bariatric surgery due to it’s effectiveness in shrinking the liver in a short period of time, the simplicity which promotes compliance and it’s low cost! They have had great success with this plan over the years and feel the weight loss prior to surgery decreases the amount of surgical time, which is a benefit for the patient. Sent from my SAMSUNG-SM-G920AZ using BariatricPal mobile app
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Surgical consent form and risks. I'M SCARED!!!
Losebig replied to HopefullXOXOXO's topic in Gastric Sleeve Surgery Forums
If they're too rushed to adequately answer questions for you I would question your choice of surgeon. MGH is a great hospital, but in MA we are blessed with dozens of good hospitals and some great bariatric practices. I went to Emerson Hospital and they're practice is super attentive, they take plenty of time to go over everything and answer questions (even the surgeon does). They're a center of excellence for bariatric surgery, so do things like track their own complication statistics and a bunch of other best practices. I don't have first hand knowledge, but Lowell General also has a well known center of excellence. For the consent form - at least mine listed things that were talked about (you mention many, though there was nothing about a liver biopsy). The stats they used in the consent were the national stats for complication (VS the practice ones, which were far better). Unfortunately this is major surgery and while complication rates are very low - the normal risks of any surgery apply (including everything up to death). The important thing is to understand what the rates are for your specific practice and what the surgeon thinks your personal risk is. In my case I was less risky than the average case and the risk of complications for the practice averages was so low that the drive to the hospital was more risky than the vast majority of the complications. -
Surgical consent form and risks. I'M SCARED!!!
Creekimp13 replied to HopefullXOXOXO's topic in Gastric Sleeve Surgery Forums
Surgery should always be looked at as risk -vs- benefit. If you don't believe that the benefits justify the risk....you shouldn't do it. If you do believe the benefits justify the risk...you should. It's really that simple. To me....this looks like you're not yet ready to accept the risks. About fatty liver disease. Most people getting surgery (greater than 75% of obese people) already have fatty liver disease. I'm guessing the biopsy would be to stage it, if you have a particularly unhealthy looking liver at the time of surgery. Weight loss surgery generally helps to treat it. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5061986/ If you have questions about any of this....talk to your doctor. It's what he/she is there for. This surgery is safer now than gallbladder surgery. Particularly, with the preventative labs and imaging you'll be doing, (chest x-ray, ekg, imaging of your stomach, lab work)...there shouldn't be too many surprises. At a major hospital like Mass General, you'll be in good hands. When weighing your benefits vs risks... make sure you include the risks of obesity: increased risk of heart attack and stroke, increased risk of several cancers, increased risk of loss of mobility, increased risk of cellulitis, diabetes, sleep apnea, etc...etc... You really do need to be 100% sure that you're comfortable with the decision you're making. My first bariatric surgery consultation was almost 20 years ago...and I had my surgery almost 4 months ago:) Part of me wishes I'd done this years ago...because I'm feeling fantastic and believe I made the right decision. The other part of me is glad I waited because time and research opened up more options, and I found a group I absolutely love and feel comfortable with. What ever you decide....best wishes:) -
Dental issues after Gastric Bypass things they never tell you!
Creekimp13 replied to Datsweetbabydoll 2's topic in Gastric Bypass Surgery Forums
I do think that bariatric surgeons should make one of the prerequisites of surgery....having a clean dental bill of health at the time of surgery. Mine never asked me about my teeth, nor did he ever look in my mouth. I was kinda...shocked...by this. I think this is important because tooth infections are dangerous. They can migrate to your heart valves and kidney and cause life threatening infections. And while I don't think that bariatric surgery by itself will cause catastrophic dental issues, I do think that more care needs to be taken with dental upkeep in the years following bariatric surgery because our mouths are exposed to food more often and we don't always brush after our many tiny meals. Emphasis needs to be placed on the potential of tooth problems if you fail to take your calcium and D. Emphasis should also be placed on increasing routine maintenance....brushing more often with more little meals. Would be really cool if dentists offered a bariatric surgery consult to give advice about increased dental hygiene and the importance of resolving any existing issues before surgery and about taking calcium. I just had a check up and my teeth are healthy, no issues. But I know a lot of folks neglect their teeth for one reason or another and it would be wise to provide some education at the bariatric surgeon's office. -
People making decision difficult
WildcatGirl71 replied to jiggyiggy120's topic in Gastric Bypass Surgery Forums
You need to do what is best for you. No one else. Postponing a chance to be healthier and possibly avoid serious long term health issues should not be an option. Diet and exercise alone works for some people but there are those of us that needs that extra help. Majority of us can lose a few pounds (or a lot) but it comes right back. Bariatric surgery is the best option to help us maintain and keep it off. It’s not an easy way out and will never replace diet and exercise. Surgery is merely a tool to help it stick. You will still be able to workout with your friend after surgery. I hope you choose what is best for you and not wait to start living your best life. -
Hi Folks, I did not find a topic of patients travelling within the EU and Turkey for BARIATRIC surgery. Your personal experiences in this forum can be very useful to people of our fraternity. Cost wise, Turkey bypass cost is just over £3k and Riga or Lithuania is about 30%+. The UK costs are a minimum of £11k. This makes medical travel very cost effective. I was advised in the Emirates that Turkish hospitals are very good. Can we generalize though? I do understand that one cannot be overtly critical. The goal being - minimizing risk. I have come a cross various clinics with reviews that are questionable. I cannot obviously trust all service providers with myself. I look forward to all replies and thank you all in anticipation. I wish all those having surgery ,wherever you may be , the very best of luck with your new body. Sent from my Z1 using BariatricPal mobile app
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how long was your pre-op diet?
star2017 replied to spotsuns's topic in Gastric Sleeve Surgery Forums
I start mine on Tuesday. It'll be a 14 day clear sugar free liquid diet and I'm only allowed one bariatric approve approved protein bar a day. Surgery April 10th -
What vitamins do you recommend?
Lannie replied to beccaconaty87's topic in Gastric Sleeve Surgery Forums
Bariatric Advantage has a chewable multivitamin that reminds me of a starburst. This one didn't upset my stomach. https://www.bariatricadvantage.com/multivitamin_chewy_bite -
Is the sleeve right for me? BMI 27.4
sideeye replied to Mgr98's topic in Gastric Sleeve Surgery Forums
The reason why bariatric surgery is the most successful procedure for severely overweight people is because it resets your metabolic floor, to an extent. Normal dieting doesn't do that. Basically, if you're an identical twin and you gain to 350 while your sister stays at 150, if you diet your metabolism generally doesn't recover to match your sister's - you CAN diet down to 150, but to stay at that weight you'll have to ingest far, far fewer calories than your sister does to maintain and that means you feel like you're starving the whole time. It's a weird spooky piece of science that hasn't quite been cracked yet, but bariatric surgery seems to avoid that trap. That's why many of us get it; not just because we can lose weight and feel restriction, but because it means when we get to 150 we can ingest a reasonable amount of daily calories without gaining again. Your metabolism isn't at that stage yet, in fact your metabolism sounds like it's pretty manageable. And the issues you're describing sound psychological, like food addiction, or might be metabolic like PCOS. Both of those are manageable without surgery, especially if you're tackling it now when you're still young and close to a healthy weight. When people say they're having weight loss surgery to prevent getting ill or grinding down their knees, they're talking about something that is the logical trajectory of inaction from their current weight. You're not there yet, you're talking about the surgery to prevent getting obese and in turn prevent other complications. But you're not obese, so tackle that part first. It's called "weight loss surgery" for a reason, and is not "prevention of weight gain surgery" for that same reason. Don't get sliced up without exhausting all available options for managing your weight while you're still in a healthy range. This is not a quick fix and it definitely won't prevent you from eating enough calories to gain if you're still working through a food fixation. That's why YouTube is full of regain videos. -
Yep you got it perfect. I was in Columbus today, had to consult my lawyer on East Broad Street. When I have my surgery, which I don't have a firm date for, it will be at O.S.U.-Wexner Medical Center.[emoji381] Have next appointment in April[emoji414], I'm transferring records from another bariatric program there(quite a story to tell) and depending on any further requirements , could be Early May but surely before my high school reunion in August, my gut instinct mid May, but the same gut instinct told me to trust the prior program and it was wrong then. I remain committed to obtain my surgery, don't know if I'll have to crawl over broken glass to get it, but for my future health it needs to be done. I'm wandering around with a 46+ BMI[emoji26], I have lost 30lbs from my highest weight but I may have reached a natural set point because although my portions have reduced in size, and I've tried dropping all the bed things like soda, bread and its carbohydrate family like rice and [emoji501]Pasta, I drink flavored no calorie Water or plain water.[emoji477] But the weight loss has slowed down. Maybe I can start replacing meals with Protein Drinks or as the Weather moderates-' walk or exercise more. I also cut out pies, cakes, Cookies never ate that much candy so that was easy to give up. I am trying to be a good little presurg, will I get rewarded soon? Gosh I hope so![emoji68][emoji13] Sent from my VS880PP using BariatricPal mobile app
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Any April 2018 Sleevers?!?!
Sleeved36 replied to Itsnicoleee's topic in Gastric Sleeve Surgery Forums
Calcium blocks iron absorption. Vitamin c helps iron absorption. Just make sure you take calcium supplements separate from your multivitamin. Opurity/Unjury has calcium supplements and vitamins that are meant for bariatric patients. I realize this is the second time I am recommending Unjury, I don't work for them or anything. I just find it easier to place 1 online order for all my stuff instead of going to a bunch of stores. I took care of a young man who didn't take his calcium after gastric bypass and his teeth started deteriorating. He was sweet, I felt bad for him. -
Any April 2018 Sleevers?!?!
Sleeved36 replied to Itsnicoleee's topic in Gastric Sleeve Surgery Forums
I don't have a surgery date yet, but have been trying different liquid things. I really like the chicken broth/soup from Unjury. It has 20 grams of protein. Unjury also has pea protein that I like added to soups. For some reason unflavored whey protein adds a strange aftertaste/texture to soups that is just disgusting to me. Everyone has different opinions, those are just my few favorites. I would also like to hear other people's ideas. No matter what, find a vitamin routine that works for you and remember not to take calcium and iron at the same time. Supplements for life are important; vitamin/mineral deficiencies can be serious. I am a nurse and have seen all sorts of bad stuff happen to bariatric patients that don't take thier vitamins. Don't let it be you! -
What's Your Goal For The Week?
MrsGamgee replied to kakatlady612's topic in General Weight Loss Surgery Discussions
Ok, so last week's goal sucked big time... the only thing I accomplished was to keep my carb count down (not Atkins or keto level, but definitely lower for me) and gained 5lbs!!!! How the heck does that happen? (Question: am I the only one who doesn't record the bounces up on my ticker?) Seriously, the only bad thing I ate was some onion rings when the family went to A&W for lunch. I *know* it's water and constipation... my fingers feel like sausages and I'm bloated like crazy. I have an appointment at the bariatric clinic with my nurse tomorrow morning, which I'm not stoked about. I looked for any possible way I could legitimately cancel, but there's just nothing... and really I need to go. My program only allows 3 no-shows/re-scheduled appointments before they kick you to the curb, and I've already had one due to a completely brain dead moment, inputting the wrong time for an appointment on my calendar and I showed up way late. So this week's goals... 1- go to this horrible-no-good weigh-in where I know my nurse is going to give me serious side-eye when I step on the scale. 2 - work out 4 days this week (already did 2!). 3 - keep working on lowering my carbs and upping my protein. Here's to a much better week... -
Doctors in St. Louis, MO/Hannibal MO/Quincy, IL
Snapple posted a topic in Weight Loss Surgeons & Hospitals
Hello! I am looking for a bariatric surgeons in the St. Louis or Hannibal, MO/Quincy, IL area that you have gone with. Thank you! -
Hi, I'd really appreciate to hear from any patients that may have travelled to Turkey or Eastern Europe for BARIATRIC surgery. I am considering to travel for surgery. Any assistance by way of personal/ family experiences will be much appreciated. Sent from my Z1 using BariatricPal mobile app
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Illinois Plans Under Medicaid Covering WLS
frust8 replied to bb1008's topic in Insurance & Financing
Let me guess, Illinicare thinks obesity is an avoidable disease, you chose to have it. Ooh that's why people blow places,like that up, sheer frustration. Well Mr Bureaucrats, I have had it for years and it isn't fun. It is a slavemaster that is not easy to.escape. Refusing to cover bariatric surgery is a simplistic answer to a complex multi-faceted problem. But it is cheaper for them this way and,they worship their budget and bottom line[emoji19] Sent from my VS880PP using BariatricPal mobile app -
Illinois Plans Under Medicaid Covering WLS
TeePalmer replied to bb1008's topic in Insurance & Financing
I have Illinicare and I was also told over the phone they do not cover bariatric surgery... -
I've had a minor set back. My knee was causing me pain, so I took a month off. I went to a doctor then was referred to a specialist. Looks like I need surgery. My patella has arthritic growths that are digging into the soft tissue beneath. Good news is that it is not related to my lifting. Bad news is that he said it was "maturity related". I.E. he called me old! I have started lifting again, but with a renewed focus on my form. I must have been getting sloppy before because I don't seem to have the pain after deadlifting nor squatting. But I played volleyball with my daughters and that inflamed it pretty bad. Surgery will need to happen, but I want to push it off as long as I can. Since you are trying to lose weight again, are you following a bariatric diet currently?
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ESOPHAGOGASTRODUODENSCOPY ( Do others have this done two weeks before surgery??
frust8 replied to apositivelife4me's topic in Gastric Sleeve Surgery Forums
Make sure you're committed enough by going through such testing. I have been seeking mine since August 2015 I would do anything ,personally,short of selling a kidney, which I could spare since I was born with 3, to receive my surgery. Perhaps I'm so committed I need to be committed to the loony bin. Just put me in the padded area with all the people whose insurances are jerking them around.[emoji26] Although that's not my exact problem I still feel a certain kinship with them. My EGD was last December 2017, done by my gastroenterologist instead of a bariatric or general surgeon. I had absolutely no problems including no sore throat or other discomforts afterwards. Found out I have gastritis in addition to Hector my itty bitty ulcer in the antrum. I am hopeful my future surgery will make him stay asleep and that the gastritis will get better. I'm on Dexilant 60mg every morning. Is it helping? Well the day I missed a dose I was pretty miserable.[emoji26] And I don't have h. pylori so Hector came from excessive NASID usage. Sent from my VS880PP using BariatricPal mobile app -
My butt aches when I sit too long
Healthy_life2 replied to Mattymatt's topic in Gastric Bypass Surgery Forums
Welcome to bariatric bony @ss syndrome. -
Do You Attend Support Group Meetings in RL?
Healthy_life2 replied to FluffyChix's topic in General Weight Loss Surgery Discussions
In the first stages I went. Meetings are mostly geared for people in weight loss phase. I rarely go to meetings now. I only go when I get calls from local surgery friends. We still support each other. It's also a chance to just talk and go have coffee before the meeting. It helped to get the basics down. Veterans seem to come back when they have a gain or struggling. our groups are put on by the hospital. We have support group once a month ran by a nurse A behavior change class - four classes at night for a month. A Psychiatrist teaches the curriculum. An amazing bariatric cooking class. The dietician has a large kitchen with overhead cameras. Two 70 inch TV to view. Mostly it's just social. Best part is you get to sample the food. -
This one recipe I found looks good. I still have a week before I can try it: https://www.foodcoach.me/recipe/italian-chicken-puree-bariatric-pureed-diet/
