Search the Community

it'll be ok mKat, they will take care of whatever it is and who knows, maybe that is the cause of your weight gain and then you wont have to get the band.

I just had my lap band surgery on 11/2/09. I'm 5 days post-op and feel pretty good except some intermittent pain under my left rib cage. Dr. Hoffman and the staff and the comprehensive weight loss center are amazing. I started my journey in August @ 277 and was 247 on the day of surgery. By keeping my food logs and following the south beach/low glycemic diet as well as exercising it's been easy. As a matter of fact, I'm chomping at the bit to get back to the gym. Right now I'm only able to tolerate 1 to 2 oz of protein shake every hour and am down 6 lbs since surgery. I have my follow-up with Dr. Hoffman on Tuesday. I also like the fact that they have the weight loss support group that meets monthly. I went even prior to having my surgery and it was great to talk with everyone that was there. I'm hoping to go to this months meeting and then I'll be there regularly starting in January (had conflict with bowling on Wednesdays). I saw a bunch of post regarding weight gain and my advise it to start doing food logs again and jump on the south beach wagon again. Make sure you're getting your exercise too. I swear by the food logs. It makes you accountable for your choices. Surgery is a tool but you have to be incontrol of what you put in your mouth.

Remember that each of us starts in a different place. Even if we were to find someone the same age,gender,height,HW, and SW, you STILL wouldn’t be able to compare yourself because there are so many many complicated factors and biological systems involved with weight gain and weight loss. I guess about the only people who could compare themselves would be identical twins, and even that could be dangerous. As of today I’ve lost 88 pounds PO and my surgery was 2-6-19. I know many in my February group who’ve blown me out of the water in number of pounds lost, but I’m less than 4 pounds from GW and couldn’t be happier with my progress. My progress was “slow,and steady”, but I’m almost there. I won’t quite hit GW by Saturday, and the story of this entire process for me has been falling short of monthly weight loss goals (I think in the 8 months PO, I’ve only hit a goal on time just ONCE) but I’m going to keep plugging away and working the plan. Guys, this is a marathon, not a sprint bc it is something that will have to be managed for the REST OF OUR LIVES.

I have not but only about 2 months out of surgery. Steroids will be the culprit to that weight gain I believe. I would suggest quit eating chocolate and bisquits (Are you talking about what we Yanks call cookies?)

I would never recommend depo to anyone. I would say birth control is a good idea, you can get low hormone ones and honestly if you are keeping yourself in check you should be fine. My antidepressant has a high weight gain probability, I've been on it 3-4 months and lost weight. I also keep myself in check.

Val, I am glad u have some relief, I know when I was too tight it wasn't worth the weight I lost. I was miserable. Heal first, then worry about your diet. Linda, it is so nice to see you back. if your weight gain is from slider foods, I don't think a fill will help. I am speaking from experience. Eat protien and see if u feel full and then you'll know.........It is hard, because I also let myself slide and now the thought of meat and cheese and eggs make me sick sometimes...keep us posted and just know you are not alone we are all struggling. the band is not the easy way out, it is just a tool, we still have to work hard to get to our goal.......vicki

I don't understand how you think that eating pizza and three slices at that is on the list of what you can eat foods. Nothing on your diet that you have listed is healthy. Especially all the soda you are drinking. Soda causes weight gain and hinders weight loss. I think the real problem here is you are eating with the same mentality you did before you got the band. I am not sayin a slice of pizza now and then is bad but no way can I now or before any fills could eat three slices of pizza. If you are just trying to make our hair stand up then you have done your job. If you seriously are eating like you stated then no way would any of us lose weight. I don't see why if you have good cuts of meat that are tenderly cooked that you can not eat them. Some days for me its hit and miss but the days that I can eat meat I take advantage of it. The days I cant eat meat I find other things that are healthy and not pizza and soda. You have to know that those things are what got you over weight to begin with. Why not some cottage cheese instead of meat with some fruit on it. Why not some nicely cooked seasoned beans. Your choice of foods is why you did not do well with the band so it probably is a good idea for you to get it out. If you don't change your eating habits once the band is in place then it will not help you do its job. You have to help. Point blank.

I'm in.. I've lost my motivation lately and have been eating a lot of snacks and slider foods... resulting in a 10 pound weight gain :smile2::thumbdown: I need to be accountable!!!

I did a bunch of research on the sleeve because I was considering it. I found out that their were a lot of people who got the sleeve and complained of weight gain 3 years out. Most doctors said it was due to stretching of the stomach. So you are not alone! I'm sorry to hear about your struggle. Just remember how much you have lost instead of the little you've gained. Stay positive and keep us updated!

No judgment from me! I have just had my 4th WLS as well! I was banded in 2004, had slippage and issues and it was removed in 2005....lost about 30 pounds. Decided to try again with the band about 2 years later. I seemed to have the same issues as you: too tight or if full of liquids my eating was somewhat restricted but could certainly get down junk food! Lost weight, gained weight...up and down over the years....In 2012 did a revision to the sleeve....Lost 30 pounds and that was ALL I ever lost..Even though I could eat very little.....(I have had to self-pay for all of my surgeries)....On May 30, 2017 I did a revision from the Sleeve to Bypass......Have lost only 20 lbs so far....my eating is somewhat restricted but I do have any "dumping issues" so sweets are not a problem even though I have restricted them. I ate a cookie to see how my body would react.....No issues here. So I have to be extremely disciplined with my eating, otherwise I will not lose weight. I eat about 900 calories a day and am exercising 5-6 days a week. I do have a food restriction on how much I can eat at a time and have eaten too much already and it came back up! But I thought my stomach was going to be the size of a walnut after this surgery but I can certainly eat more food than the size of a walnut! Will see how my weight loss journey goes over the next 12 months!!

I've been banded as of 24 days ago. I didn't lose much weight pre-op, but in total lost around 17lbs. I was told my first fill is in 6 weeks which will be may 3rd. I have not been very active but am watching what I'm eating and am feeling frustrated because my weight goes from 234-238lbs which goes back & forth. I'm getting annoyed with my scale and I don't know what the problem is. I have not gotten stuck, but also feel that I have no restriction when I eat. Can someone explain what I'm doing wrong?

I don't show if you should or shouldn't have cheat days, but I know I do with regards to what I eat, but I still make sure to not eat too frequently. It works for me, but that could be just me. Also, if I'm going to "cheat" I just try and make sure to work out extra both that day and the next. When I'm doing vigorous cycling I might even need to eat an extra 600 calories just to get me through a five hour ride. But I always lose weight when I do those long rids, even if I end the day over 1500 calories. Today I went on just a 2 hour ride but according to myfitnesspal that's over 1600 calories and I doubt I'll eat over 900 for the day. This is not a diet, it's a way of life. Change those old ways of thinking about dieting that led to yo yo cycles of weight gain. If you want something, earn it, and enjoy it. No guilt required. That's my two cents.

There is a lot of science now that is demonstrating links to obesity not just in sugared soda, but also diet. It creates chemical changes in your gut and hormonal changes that contribute to weight gain. I'm a lifelong Coke addict and I swore of soda completely. I would recommend you do the same. The point of getting this surgery is to make a permanent change. That has to include mental changes and if you think you'll just eventually go back to how you used to do things, you'll gain weight back. Commit to change. Let go of the soda. Just my two cents, I know I'm not a veteran but I DO read a lot.

Your not alone in having a weight gain after a year or more. I'm a sleeve four and a half years out. I've had to work off a regain. This is just a set back. You can get back on track. You can get your body back in weight loss mode without being dependant on pills. My two cents on pills: Pills are not long term sustainable for weight loss. Majority of them don't work. Phentermine has side effects and most people gain weight once the prescription is over. Weight loss and maintaining is work. There are no shortcuts. some things to try: Log your food and stick to your weight loss calories and macros for the day You are over a year out. Get rid of the shakes. Real whole foods will keep you feeling more satiated. Sleeves can consume more food years out. Eat more veggies with your Protein to fill the extra space and keep your calories down. It will help with hunger Spread meals out 5 to 6 meals a day Get temptation food out of the house Keep healthy options for sweet and salty cravings in the house find counselor or therapist Join a weight loss challenge. If you use Myfitnesspal food log - download app here: myfitnesspal Just give me 10 days challenge: https://community.myfitnesspal.com/en/discussion/10721257/just-give-me-10-days-round-66 January 2019 weight loss challenge on bariatricpal. (Feb challenge is in the works) https://www.bariatricpal.com/topic/421742-❤-january-2019-challenge-❤/

@Lynda486 I was just about to start a thread called 3 week stall and weight gain until I saw this thread.. I am experiencing the same. I have not lost for about a week in fact I've gained 2 lbs. I JUST got the surgery Oct 1. I haven't even logged the two lb weight gain because I want to deny it. It happened around day 21 of the surgey. I've added soft foods in and I think that's why. I'm hitting my protein and fluid goals I just happen to be eating more real food. I never go past 350 calories a day and I get two 30 minutes walks in a day. I don't understand and I weigh several times a day and at the grocery store. I'm reading the responses and they give me some comfort but this is disheartening to have gone through this and now I've gained??? I did better pre-op...OMG..wondering what I did to myself and regretting this surgery. I'm not constipated at all everything is working on that front. Everyone says you lose the most the 1st six months of surgery and now I've stopped.

wow, that is a long way off, but you will no doubt enjoy the holiday fiests. Just be mindful and do the best you can and worry about the weight gain later, you'll do fine. Me on the other hand, I have delved into the peanut butter cups and cant stop myself......aaaaahhhhh!!!!

Honestly I wish I could give you all hugs, I can't believe the nerve of some people that are supposed to be supportive of you - more so mothers and grandmothers I noticed where the huge contenders for the biggest bitch title. As for me, I can still remember every year in primary school we would have sports day, and we'd have to do like tests or whatever to see who would be competing on the day - anyway they got us to run like 200m or so and I start running (I'm not a runner by the way) and next thing you know I hear all this laughter behind me, no child should have to deal with that ever - so needless to say I walked the rest of the way. Then in year 7 (after having chemo and a disease that caused scarring on my lungs so obviously I couldnt breathe as well) it was sports again, the teacher I had at the time just kept saying I was lethargic and some other word I can't remember and she just kept saying it and saying it, now every year they have fetes so if they still have them on after I've lost the weight I'm gonna go their and see what she's like - I mean who knows, I could actually sue her for discrimination - it's happened here in aus and it's definitely contributed to my weight gain

Okay, interesting about weight gain. I have just had my sleeve for about 4 weeks. Converted from lapland. I can hardly get anything down, and I get satisfied. Obviously, I better enjoy this "honeymoon" because it appears the ability to eat more and want more creeps back in. Best to all of you for getting back on track. YOU CAN DO IT!

Papa - this is a great list. I have saved it so I can re-read it when I need a refresher. I think the 2nd mistake could be expanded to include the need to understand why you got into the situation where you needed WLS - what your inappropriate behaviors were (portion control, carb addiction, etc) and what your triggers were.etc. This may take going through conseling to find out and address them. If a person doesn't figure out what drove them to end up where they were before surgery, I think they are likely to end up there again in a few years. People who have significant weight gain never address the underlying issues. They figure out how to abuse their sleeve and meet those unmet needs. The sleeve to me is only one of the tools I am using to end up being a thinner, healthy person. Best of luck in getting to your goal, Papa Jack. You are doing outstanding!

1st Mistake: Not Taking Vitamins, supplements, or Minerals Every WLS patient has specific nutritional needs depending on the type of surgery you have had. Not only is it a good idea to ask your surgeon for guidelines, but also consult with an experienced WLS nutritionist. Understand there is not a standard practice that all surgeons and nutritionists follow in guiding WLS patients. So, it is important to do your own research, get your lab tests done regularly, and learn how to read the results. Some conditions and symptoms that can occur when you are deficient in vitamins, supplements, or minerals include: Osteoporosis; pernicious anemia; muscle spasms; high blood pressure; burning tongue; fatigue; loss of appetite; weakness; constipation and diarrhea; numbness and tingling in the hands and feet; being tired, lethargic, or dizzy; forgetfulness, and lowered immune functioning. Keep in mind, too, that some conditions caused by not taking your vitamins, supplements, or minerals are irreversible. 2nd Mistake: Assuming You Have Been Cured of Your Obesity A "pink cloud" or honeymoon experience is common following WLS. When you are feeling better than you have in years, and the weight is coming off easily, it's hard to imagine you will ever struggle again. But unfortunately, it is very common for WLS patients to not lose to their goal weight or to regain some of their weight back. A small weight regain may be normal, but huge gains usually can be avoided with support, education, effort, and careful attention to living a healthy WLS lifestyle. For most WLSers, if you don't change what you've always done, you're going to keep getting what you've always gotten -- even after weight loss surgery. 3rd Mistake: Drinking with Meals Yes, it's hard for some people to avoid drinking with meals, but the tool of not drinking with meals is a critical key to long-term success. If you drink while you eat, your food washes out of your stomach much more quickly, you can eat more, you get hungry sooner, and you are at more risk for snacking. Being too hungry is much more likely to lead to poor food choices and/or overeating. 4th Mistake: Not Eating Right Of course everyone should eat right, but in this society eating right is a challenge. You have to make it as easy on yourself as possible. Eat all your meals--don't skip. Don't keep unhealthy food in sight where it will call to you all the time. Try to feed yourself at regular intervals so that you aren't as tempted to make a poor choice. And consider having a couple of absolutes: for example, avoid fried foods completely, avoid sugary foods, always use low-fat options, or only eat in a restaurant once a week. Choose your "absolutes" based on your trigger foods and your self knowledge about what foods and/or situations are problematic for you. 5th Mistake: Not Drinking Enough Water Most WLS patients are at risk for dehydration. Drinking a minimum of 64 oz. of water per day will help you avoid this risk. Adequate water intake will also help you flush out your system as you lose weight and avoid kidney stones. Drinking enough water helps with your weight loss, too. 6th Mistake: Grazing Many people who have had WLS regret that they ever started grazing, which is nibbling small amounts here and there over the course of the day. It's one thing to eat the three to five small meals you and your doctor agree you need. It's something else altogether when you start to graze, eating any number of unplanned Snacks. Grazing can easily make your weight creep up. Eating enough at meal time, and eating planned snacks when necessary, will help you resist grazing. Make a plan for what you will do when you crave food, but are not truly hungry. For example, take up a hobby to keep your hands busy or call on someone in your support group for encouragement. 7th Mistake: Not Exercising Regularly Exercise is one of the best weapons a WLS patient has to fight weight regain. Not only does exercise boost your spirits, it is a great way to keep your metabolism running strong. When you exercise, you build muscle. The more muscle you have, the more calories your body will burn, even at rest! 8th Mistake: Eating the Wrong Carbs (or Eating Too Much) Let's face it, refined carbohydrates are addictive. If you eat refined carbohydrates they will make you crave more refined carbohydrates. There are plenty of complex carbohydrates to choose from, which have beneficial vitamins. For example, if you can handle pastas, try whole grain Kamut pasta--in moderation, of course. (Kamut Pasta doesn't have the flavor some people find unpleasant in the whole wheat pastas.) Try using your complex carbohydrates as "condiments," rather than as the center point of your meal. Try sprinkling a tablespoon of brown rice on your stir-fried meat and veggies. 9th Mistake: Going Back to Drinking Soda Drinking soda is controversial in WLS circles. Some people claim soda stretches your stomach or pouch. What we know it does is keep you from getting the hydration your body requires after WLS--because when you're drinking soda, you're not drinking water! In addition, diet soda has been connected to weight gain in the general population. The best thing you can do is find other, healthier drinks to fall in love with. They are out there. 10th Mistake: Drinking Alcohol If you drank alcohol before surgery, you are likely to want to resume drinking alcohol following surgery. Most surgeons recommend waiting one year after surgery. And it is in your best interest to understand the consequences of drinking alcohol before you do it. Alcohol is connected with weight regain, because alcohol has 7 calories per gram, while Protein and vegetables have 4 calories per gram. Also, some people develop an addiction to alcohol after WLS, so be very cautious. Depending on your type of WLS, you may get drunker, quicker after surgery, which can cause health problems and put you in dangerous situations. If you think you have a drinking problem, get help right away. Putting off stopping drinking doesn't make it any easier, and could make you a lot sicker[/b]

Thanks, I am glad that I'm not the only one who experiences these things! So I have many, many more years to look forward to? Missy, it does suck! About the weight gain, I have a conundrum...I gained 10 pounds OVERNIGHT! I imagined you could gain a few, but 10?

I start my 2 week pre-op diet on July 2. I have my shakes ready, my freezer is full of chicken, fish and veggies. I started taking my multi-vitamin faithfully, post-op prescriptions are purchased. Phew, I am so ready for this. I went to the mall to buy my 10yr old new shoes. We spent less than hour and my knees and back are killing me. Some days I feel like I am carrying weights under my clothes, it's miserable and some days suffocating. I was not always a big girl. I was 130 lbs when i married 21 yrs ago. I never struggled with weight through high school or as a child. However, when i began having children my weight began to increase. I have blamed it on pregnancies for years and one day I noticed something very strange about my appearance. My face was swollen, my hair was falling out and my joints were becomeing increasingly painful. After many weeks of testing and different doctors, the end result came back as a form of Lupus. I had already had part of my throid removed, and just prior to getting my test results I had back surgery. This only impacted my weight gain...along with a lot of emotional eating. I am not completely innocent, I enjoy food and flavor. I enjoy trying new things to eat. I overindulged myself to 250 lbs. If I keep going, I will gain more weight. Somedays I would eat because it was the only thing to do. Somedays I would eat because I wanted to get the junk food out of my house and I felt guilty throwing it away. Somedays I would eat healthy and feel so good about not bloating and hurting...that didn't last long. So here I am...at the end of my rope grasping for life. I am so greatful to have this chance to find the old me again. I don't need a new me, I want that girl that used to walk with pride, cared about her appearance and new she could do anything I set my mind to. Look out world, she's coming back!

Hi everyone, I'd like to share a horrible experience I had this past weekend while attending a holiday get together with family. This is a pretty long post so I apologize in advance for any long winded-ness. I was banded back in July of this year. So far, I have had no complications and few, if any, side effects. I have had one fill and so far have lost 73 pounds. I have been very pleased with my experience and results and I do not want anyone to think that the following story is meant as a deterrent to those considering the lap-band, or gastric surgery in general. I am sharing this as a way to provide a perspective from a first hand experience with band abuse/misuse. A little background: I have struggled with binge eating disorder since childhood. A lot, if not the majority of people on this forum, can relate to this. I was diagnosed at a young age with major depressive disorder, and I believe that the eating disorders that have plagued me my whole life are a direct result. During a major episode I would purposefully and mindfully eat until experiencing severe abdominal pain. Looking back I can recognize this as an act of self harm. These episodes ultimately led to stomach stretching and weight gain. I struggled with weight my whole life, and after hitting my highest weight of 325 and my blood pressure reaching stroke level, I decided enough was enough. I took a long, hard look at how I was living my life and did extensive research on how I could turn things around. I knew my track record with weight loss (up and down, on and on), and after reading and talking to a few doctors, I decided bariatric surgery was for me. The rest is history. I have done very well sticking to the prescribed diet. I recognize real hunger cues, head hunger, and signals that I am full or satiated. I only keep good, nutritious food in the house and when I eat out I preplan my meals. I track my calories and macros and micros. My Water intake is on point. I work out hard 3x a week. I made the lifestyle change happen and have stayed on track. That is, until this weekend. My husband and I traveled to his parents' home for an early Christmas celebration as I have to work during the holiday weekend coming up. Extended family were in attendance, presents were exchanged, and of course, there was a plethora of food. All of it fabulously rich and fatty. Some absolutely swimming in cream or oil. Every single item smelling and tasting delicious. As the evening wore on my guard dropped more and more. A bite here, a nibble there, and before I knew it I was painfully full. By the end of the festivities I was miserable, my stomach feeling stretched taut like a balloon. Feeling guilty and sluggish, I retired to the sofa after helping with the clean up. Sitting bolt upright, I concentrated on relaxing and allowing the food to travel through the band and into the lower part of my stomach. After some time, I felt enough relief to shower and retire to bed with my husband. I chocked it up to poor planning and bad decision making and resolved to learn from the experience and get back on track in the morning. Around 2:00 AM I began experiencing the absolute worst abdominal pain I had felt in my entire life. I can only describe it as someone reaching inside of me and trying to squeeze and rip out my stomach while I was alive and conscious. All of it was located in my stomach. I was not experiencing intestinal cramps or discomfort. I did have some mild nausea but nothing that indicated to me right then that I may need to vomit. I chewed some Tums. After the powder hit my stomach I immediately felt the urge to vomit. The problem with vomiting with the band is, if the food has already moved past the stoma created by the band, then it is near impossible to actually produce any vomitous. Each time I wretched small amounts of mucus or saliva were produced, but little more. I tried drinking small sips of water, only to have it come right back up. The pain only became worse and worse. I became pretty scared at this point. My husband kept asking if I needed him to take me to the ER. I held off, thinking "if I can just wait it out, maybe it will go away." I also knew with the symptoms I was presenting any small town hospital would just pop me with some phenergan, maybe give me a GI cocktail, and send me home with a huge bill. My husband was concerned my band my have slipped, which was a major possibility at this point. My father-in-law heard me wretching and came out to check on me. The pain in my abdomen was so severe that I was unable to even sit down. He offered me a phenergan tablet and a lortab. I took both, hoping maybe I could hold them both down long enough to get some pain relief and to stop dry heaving. (I know, I know, never take anyone's medication but your own. But I had scripts for both of these things at home). Suddenly, after 5 more minutes of suffering, I felt it coming. I can only liken it to the pulling back of the shores of an ocean before the tsunami. You just knew something bad was coming. I knew right then sh*t was about to get REAL. I ran to the bathroom, and almost immediately everything came up. I finally, FINALLY vomited, but it was not the cathartic experience vomiting normally is. The narrow opening of the band creates a high pressure area, and it takes a ridiculous amount of force to get partially digested food from the lower part of the stomach back into the pouch and then up and out of the esophagus and mouth. I'm trying to NOT be completely disgusting, but it was very much like when you place a thumb over the end of a water hose. With the force of a thousand suns, out cam every rich, fatty, and greasy piece of food I had eaten earlier in the evening. The pain was magnified 10 fold for the duration and I felt like my head was going to explode. I have never in my life had my abdominal muscles work in such a fashion. But finally, mercifully, after everything came up, the pain and nausea were immediately gone. Afterwards I went to bed and slept like the dead. Being so thankful that I was no longer in such searing pain I didn't notice the aftereffects of my episode. I have petechiae covering my cheeks, nose, temples, and forehead. It is so severe it looks from a distance like a bad sunburn. I have included two photos of this. The hard lesson I learned from this is that I can never, EVER become comfortable or complacent now that I have been banded. Just one night of poor decisions can cause serious damage. I know that I am very lucky that I didn't have a band slip. I don't ever want to experience that kind of pain again. My stomach can no longer handle the kinds of foods I used to eat all the time. Be careful this holiday season, my friends. Do your best to stay on track while enjoying time with family this year. I discovered on my own that it is all too easy to fall into the over-eating trap again, and I paid for it.

I have UHC Choice Plus. My case manager just got all my stuff sent to UHC yesterday so I am still waiting to hear whether I am approved or not. I have not had a BMI over 40 for five years and I actually just barely made the weight at my last weigh in (UHC required me to do a 6 month Dr. supervised diet) and I also don't have any comorbidities so I am very nervous about what they are going to say. This really doesn't anwer your question, but I guess I'm trying to say I hope they overlook the BMI and just look at the weight gain over the years. Good luck to you!

I had Dr. Kurian when my 1st band was placed on oct 2007. I lost weight gained it back due to steriods. I didnt go bAck to her since 2012 . We found out there was a leak in my band so she put xray dye to see if it will stay since its more thick. I went back didnt work. I made another appt with dr. Kurian to talk about surgery n i wAited over 2 hrs n she said can the nurse practioner see u??? I gotta go get my hair done i am already a half hr late n her hair dresser doesnt like when she is late! I couldnt believe it! She ditched me to get her damn hair done!!!! So i ditched her and a dr i worl for referred me to Dr. Bradley Schwack. Boy did i wish he was in NYU before i let kurian touch me! Dr. Schwack just replaced my bAnd on march 1,2013. He told me he replaced my whole band cause nothing looked righg n dr. KuriAn plAced my band low n thAts probably a big reason why when my band wAs full before the leak i still felt hungry. He is great! He listens to u n answers all your questions and he doesnt try to rush u out of the room to see his next patient. I was so nervous when i was there on the operating table crying cause I was so nervous. N he wAs right there with me telling me everything will be alright. Another main reason about Dr. Kurian that i dont like is... My sis in law (my bros wife) had gastric bypass ln nov. 2007 and she passes away in march cuz they found her intestines were twisted. When I called Dr. KuriAn thAt my sis in law passed away i feel like she didnt really care... So that was the biggest reaSon as to why i was so nervous and crying when Dr. Schwack did it cause i was so upset what happened to my sis in law n i didnt wanna be the same. My niece and 2 nephews lost their mom at such a young age its just so terrible to me till this day.