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How do you get your doctor to support revision?
lizonaplane replied to QueenWiki's topic in Revision Weight Loss Surgery Forums (NEW!)
I think if you frame the reason you want a revision as "weight loss" it's likely you will not have much support, because weight loss from revision is often not much. Your best bet is probably to work with a therapist who specializes in eating disorders and bariatric issues. Especially since you developed pica after your first surgery. While it makes sense to get a revision if you have GERD (not sure about the hernia!), you should keep in mind that you may not lose very much. Also, you can try some other remedies for GERD, like not eating 3-4 hours before lying down, sleeping with the head of your bed elevated, etc. Good luck, and mega-congrats on losing 225lb!! -
How do you get your doctor to support revision?
QueenWiki posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hi, I'm new! I had a sleeve in 2008 and it gave me GERD. I ended up gaining more weight than I lost due to severe anemia and pica. Then I did keto and lost 225lbs but it still isn't enough. I also have a hernia but it isn't really impactful. I told my doctor that I want revision surgery (but i didn't mention gerd or the hernia, just weight loss) and he is like, "see a dietitian." Also I do not have the same doctor or even live in the same area as I did in 2008. Literally any advice or comments are appreciated here. -
Best of luck to you! My tip is to ask A LOT of questions. I was afraid to at first, and I regret that. Now I'm suffering horrible GERD and looking to revision from sleeve to bypass as a self-pay patient. 😪 In the end, you will know what is right for you!!! I look forward to your journey!!!
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7 yrs post sleeve---now revising to RNY due to GERD
newsam1154 replied to gabbykittyvsg's topic in Revision Weight Loss Surgery Forums (NEW!)
I hope you are doing well! I am also getting revision due to GERD. I have found ZERO relief. Life is miserable. -
February 2022 Surgery Buddies
sleever314 replied to MeganMyers's topic in PRE-Operation Weight Loss Surgery Q&A
2wks out from revision sleeve to RNY best decision I’ve could have ever made. I feel so good now finally. Was becoming short of breath easily and racing pulse going to the bathroom. That now seems to have subsided, but cannot poop regularly and milk of magnesium doesn’t really help. -
February 2022 Surgery Buddies
karenkeitt replied to MeganMyers's topic in PRE-Operation Weight Loss Surgery Q&A
Revision of gastric bypass done on 2/8 in Concord, North Carolina. Can’t wait for soft foods. -
Sleeping on incisions
shriner37 replied to shriner37's topic in POST-Operation Weight Loss Surgery Q&A
Thanks. Yes, every day gets better. This is revision surgery for me so I've been through this with the sleeve, but it was 2015 and some of the details are a bit fuzzy in my memory. I'm a side sleeper and I think after the first surgery I was able to sleep on my side after 3-4 nights. It seems like the incision pain went away quicker this time than last, although this time the gas pains lasted longer. -
April 2022 Surgery Buddies
PurpleAngel73 replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
No. No revisions. It's my first weight loss surgery! I can't wait! I'm excited [emoji16]!!! Sent from my SM-G960U1 using BariatricPal mobile app -
Yes unfortunately, your hunger does come back but what helps is all you’ve learnt about yourself & your eating habits. Like is what you’re feeling real hunger or head hunger? If it’s head hunger, try a strategy to help manage those feelings (distraction, glass of water, go for a walk, etc.). You said you feel like you’ve put on weight but have you actually put on weight? But you’re not alone worrying about possible or real weight gain. Doesn’t really matter how far along you are, possible weight gain can make you anxious & reflecting on your eating behaviours & your physical & emotional health is the first place to start & then start making any necessary changes. I’m currently battling a small gain so I’ve been revising my food choices & portion sizes. Have I become a little complacent? Is my metabolism slowing a little? Do I need to up my activity? Am I meeting my protein & fluid goals? Is my body ‘settling’ into a new happy place? Should it become my new happy place - more head work? Is my HRT the wrong dose now as I’ve been getting acne lately (WTF?!?!?)? So I’ve started by adding a little more activity, been more vigilant about my water intake, reduced my fruit intake, didn’t have wine at our girls’ lunch. We’ve got this. All the best.
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Anyone's primary doctor was against the operation?
gabbykittyvsg replied to Starky's topic in PRE-Operation Weight Loss Surgery Q&A
I saw my doc this week for a pre op physical and she couldn't be more excited for my revision to bypass What a big contrast to the doc I had when I had the sleeve. Sent from my Z6201V using BariatricPal mobile app -
This topic is a large part of why my first surgery wasn't more successful. I was quite the party guy, hanging out with friends every weekend who drank lots of beer and ate snacks while shooting the breeze at the lake. Unfortunately six months or so after the sleeve I was able to train myself how to drink beer again, and also learned that most snack foods are "slider" foods. This stalled my weight loss at about 60% of my goal. The other thing I learned was that the restriction lessened over time. By five years out I was able to eat almost a regular plate of food. There was still restriction on solid protein (I could only eat about 4 oz of steak) but I could eventually add reasonable side dishes to it. I'd say before surgery I would eat a very large portion, while after I was able to eat a much smaller version of a normal plate of food. While most folks Thanksgiving plates were heaping masses of food, mine was a few ounces of turkey and an assortment of maybe an ounce of each item I wanted to try. I just did a revision to gastric bypass due to hiatal hernia and GERD, but i am looking at this as a second chance to get it right. Six years out from my first surgery my lifestyle has changed enough that not drinking, or only having an occasional glass of wine or cocktail, now is fine with me. Success with weight loss surgery truly does require lifestyle change. The sleeve or pouch is a tool. Its maximum benefits are the first year after surgery. It continues to be a tool after but without a change in lifestyle the benefits won't last forever.
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I had a revision due to gerd and during the liquid and puree phase, I did not feel any restriction. Once I entered solid foods, I absolutely did and still do. I can not eat more than 2 ounces of protein at a time and a little veggies/fruit, and it keeps me full for about 3-4 hours. I am a little over 6 months. I'm close to goal and the weight loss has been steady. It is a definite learning curve though. My "I'm satisfied" flag does not come up till 30 to 40 min later so I've learned to always measure my food beforehand to avoid anything uncomfortable later and to chew a lot.
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Another Tummy Tuck Experience
Toesinthewater replied to Toesinthewater's topic in Plastic & Reconstructive Surgery
Goal of the future scar revision is to move the incision under the tattoo down closer to where my underwear are and to remove more of the tattoo so that the incision looks more like a "handlebar" and less like a "grin". FYI: What's left of the tattoo is the half that was originally above my belly button so you can have some idea how much skin was removed. The tummy tuck didn't give me my 20 something stomach back but I'm happy with the results so far. The "final" result won't be apparent for several more months. Plus the lipo should help. -
April 2022 Surgery Buddies
Bmordan replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
Revision? Did you have the sleeve prior? -
I had my TT (muscle repair, no lipo*) on 1/10/22. Recovery was what I expected pain wise but not time wise. For some crazy reason I thought I would bounce back in a couple of weeks - NOPE! The first week I needed help doing everything (except wiping my hiney - thank God). The drains were removed on day 8 which did not come quickly enough. I haven't had any major complications, just a minor (small hematoma) that resolved on its own. I'm still a bit tender but I can now sneeze/laugh/cough without my eyes tearing up. My scar is healing ahead of schedule (per surgeon). I tried silicone tape (week 3) but it made me itch so I just massage my scar with coconut oil daily but I do forget some days. I will be having scar revision in the future but that was always part of the plan. I have a high belly button and I also had a tattoo around my belly button. Not one of my smartest moves but what can I say, I was 20 something at the time. My surgeon does not make "T" incisions due to blood supply concerns. Also, since the entire tattoo could not be removed, I didn't want a totally distorted tattoo. So my scar at this time is higher than both he and I would prefer. The scar revision is an office procedure with local anesthesia so I didn't object. I chose to "stage" my lipo after my tummy tuck. I'm scheduled for lipo on 2/28/22. Why you may ask. I'm having multiple sites done (knees, inner thighs, saddle bags, and flanks). By doing it in "stages" the lipo of the flanks can be more "aggressive" than if I had it with the TT.
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Just starting the Bariatric Process surgery in 4 months
kristenaz replied to Lisa MK's topic in Gastric Bypass Surgery Forums
Hi Lisa! I am about the same time out until my surgery. I will be getting a revision surgery from the lap band to the RNY bypass. Sounds like you are off to a good start and already losing weight! I am trying to do WW right now, but the weight is barely moving. I would be happy to be your weight loss friend during this journey. I just bought a helpful book on Amazon called “The Big Book on Gastric Bypass” By Alex Brecher. Have you started your classes yet? -
Has anyone used the vitamin patches?
Tomo replied to JessiPhoenix's topic in Protein, Vitamins, and Supplements
Throughout my sleeve, I used PatchMD and blood tests were always good. I now use the PatchAID multi plus since PatchMD changed their amount on a couple of the vitamins. Because I wasn't sure how the PatchAID worked, I was a little nervous but two weeks ago, I received my 6 month comprehensive blood test results (revision VSG to RNY), and everything was in range. The iron, ferritin, calcium, Vit D, A, E, Zinc, Magnesium... Etc. were all in center range. If any were low, I was planning to go to chewables but since everything checked out ok again, I'll probably still continue the patches since they are convenient. Right now my average calories is 715 calories per day and I know it is hard to eat nutritionally sound on <800 calorie diet so I think the patches have helped. -
Revision completed - VSG to RNY
shriner37 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Yesterday my surgeon did my hernia repair surgery to repair a substantial Hiatal Hernia and to do a revision from Sleeve to RNY. What I found out after surgery was there wasn't actually any hernia repair completed, just the revision. I was told by the surgeon's PA that conversion from sleeve to bypass pretty much permanently resolves most potential hiatal hernia issues. Recovery and first night seemed very similar to what I underwent with the sleeve in 2015. I do believe I am more sore at a couple of the incision sites than I was the first time. The most painful was where they had placed a couple of surgical drains which were removed this morning before discharge. Relaxing at home this first day isn't really relaxing, as almost any movement, and certainly getting in and out of chars, causes significant discomfort. I'm not one to usually take serious pain meds, but I did start using the Oxycodone that was prescribed to help reduce the pain. But other than incision pain the process was flawless. The surgery center specializes in bariatric surgeries so they have the routine down very well. There were only six patients in the center yesterday, and with three nurses working each had two patients. Great responsiveness. -
revision Gastric Sleeve to SIPS
RickM replied to tracey1027's topic in PRE-Operation Weight Loss Surgery Q&A
No direct experience, as the surgeons I am associated with primarily do the "traditional" BPD/DS, but the process would be the same. As to whether or not the sleeve is redone as part of the revision depends on the surgeon's preference and what condition the sleeve is in. The surgeon who has adopted our local support group only does the resleeve if it is needed, if there are any problems or defects with it. There were a lot of sloppy sleeves done in the early days of the VSG (say, 8-12 ago) as surgeons worked up the learning curve getting their techniques right ("twenty years of doing bypasses and they think they know how to do a sleeve...." to paraphrase one prominent surgeon.) As with any revision, count on weight loss being slower and less than with a virgin WLS (I like to think of it this way - our stomach was originally 32-64 oz capacity, and after WLS, even with some stretch and adaptation it may hold 6-8 oz,, so don't expect as big of a change the second time around.) If you are doing the revision for additional weight loss or correcting regain, try to seriously get a handle on why the first one had problems and correct those before proceeding. Good luck ...- 1 reply
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Has anyone on here had a revision from Sleeve to SIPS ? I have an appointment next week with a surgeon about it.. Just wondering to they make your stomach smaller again or they just do the rest of the surgery? How long to recover from this surgery? Have you lost any weight since the surgery?
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Any So Cal Kaiser members starting the journey?
Orinskye replied to Angel_Mom21's topic in Weight Loss Surgeons & Hospitals
Yeah I do have extra skin but it’s easy to hide under clothes. Maybe someday I will get the extra skin removed. i am still actually losing weight… I haven’t stabilized yet. My goal weight was 195 but I just kept losing. My intake that I can do seems to be more in line with the limited quantities of bypass patients rather than sleeve. But everyone is different, so who knows. i am told it is impossible to lose “too much” and that the weight loss will eventually Peter off and stop. I revised my goal weight down to 165 pounds which would put me at ten pounds more to go. the way my body seems to work is I stall for a long time, then drop a ton of weight quickly (ten pounds) …. Then stall again for a while… then drop more…. i have sensitive skin and the excess skin does cause rashes to occur. I get them under my breasts, in my midline area by my belly button and with the skin overhang in the pelvic region. They say that if you have documented skin conditions like I do then they will take care of the extra skin… but it’s recommended to wait a couple years. I think it also has to be overhanging by a certain amount. (I think I remember my pcp saying it has to hang lower than the pelvis bone) -
February 2022 Surgery Buddies
AB2B replied to MeganMyers's topic in PRE-Operation Weight Loss Surgery Q&A
I am a few days away and so excited and nervous all at the same time. Thank you all for sharing and keeping us updated. It helps so much for us who are waiting and have questions. My surgery is a revision from sleeve to bypass due to Hiatal Hernia which my surgeon will repair, GERD and never getting to goal with some weight gain. 2017 HW 284 I’m 5’3 LW after sleeve 194 after I juiced for three days to break the 200’s. Then two years ago I gained up to 224 and I turned vegetarian. Got down to 187. Then COVID hit. I have gained and lost the same 30 lbs for the last few years. Now my current weight is 225. My revision is set for Thursday, 2/17. I am hopeful all my efforts will get me to goal this time. I’m scared to end up the same. Wish me luck. -
Revision from VSG to RNY with hernia repair
southernbanded replied to shriner37's topic in Revision Weight Loss Surgery Forums (NEW!)
I am happy to hear you are seeing much success since your revision. I received notice that my biopsies came back showing Barretts Esophagus. Insurance is still denying saying that it was caused by acid reflux which was a complication caused by having VSG. As if I wanted to have Barretts Esophagus when I had VSG... ridiculous. -
Revision from VSG to RNY with hernia repair
mae7365 replied to shriner37's topic in Revision Weight Loss Surgery Forums (NEW!)
I have Aetna, and my revision due to GERD and esophagitis was covered and I was not required to meet any of the pre-surgical bariatric parameters like diet, psych eval etc. I also had hernia repair, but the primary reason for the revision was the GERD and esophagus damage. I did have to have all the medical tests that proved I had GERD and esophagitis. The RNY revision was medically necessary and insurance approved and covered the surgery. I have lost 60 pounds since the revision surgery which has been a very pleasant side effect of the revision. Being able to sleep without acid in my mouth has been wonderful! -
Fallen off the wagon at 3 months post op
lizonaplane replied to ac0181's topic in POST-Operation Weight Loss Surgery Q&A
I agree with trying to see a therapist, but that can be very hard to find if you didn't do your surgery with a big surgery center in the US or where you live. I've heard that places outside the US (especially Mexico, Turkey, etc) don't provide much support after surgery, and I know from experience that finding a therapist trained in weight issues can be very hard. I would try to work on things like figuring out what you are feeling when you decide to order take out. Are you tired, bored, sad, angry, lonely? If any of these things are the problem, eating take out is not the solution. If you wait until you are over tired or way too hungry to eat, you are more likely to make bad choices with what to eat. It's not hard to keep better choices on hand. Try keeping low sugar flavored Greek yogurt, tuna, protein shakes, cheese, fruit, etc on hand. I travel a lot so I eat out, but I try to choose the best possible option (high protein, low carb) and when I'm home, I make something with ground turkey or chicken like chili, taco meat, ground turkey stroganoff, etc and divide it in portions to freeze so I always have something that takes two minutes to heat up. It takes much less time than ordering take out. I don't wait after drinking to eat (my surgery center said we didn't have to) but I definitely don't drink after eating - it's painful to me, plus we were told it would just flush the food down our stomach and we'd be hungry sooner. Try to get yourself to track, even if it's only every other day. You said you've been working since May 2021 on getting this surgery. There's no second chance after this. Even if you have a revision surgery, you may not lose much weight. It's now or never.
