Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Musings: "the Rules" Are All Over The Place



Recommended Posts

Is anybody else bothered by the fact that every doc seems to have his/her own sets of rules/guidelines/instructions post surgery? "The RULES" are all over the map, which seems so haphazard to me...you'd think by now there would be a Best Practices consensus for a Gastric Sleeve post op regimen.

Share this post


Link to post
Share on other sites

Same with pre op. For example, some doc's want a 2 week pre-op diet, some 1 week, some even days.

Differences like this could drive a person crazy. :wacko:

Share this post


Link to post
Share on other sites

Yes it's crazy. I am reassured by the strictness of my Doctors orders. I think. better to error on the side of caution.

Share this post


Link to post
Share on other sites

Some doctors want you on a liquid preop. Some low carb. I wonder how naughty it would be to do low carb instead of liquid. Would they really know?

My goal is to get my bmi lowered so that maybe I'm not required to do the liver shrinking part. It's 40 now and my (hopeful) surgery is near feb.

Share this post


Link to post
Share on other sites

Check to see if your doctor is in the network of a certified "Bariatric Center of Excellence". They have best practices.

Share this post


Link to post
Share on other sites

Some doctors want you on a liquid preop. Some low carb. I wonder how naughty it would be to do low carb instead of liquid. Would they really know?

My goal is to get my bmi lowered so that maybe I'm not required to do the liver shrinking part. It's 40 now and my (hopeful) surgery is near feb.

One thing has nothing to do with the other. You can have a low BMI and still have a fatty liver. Cutting sugar and carbs right before surgery will shrink your liver to make surgery easier and less risky.

There is more than one way to do this, but each doctor decides how they want it done and then direct their patients accordingly. The docs try to simplify the plan and also "idiot proof" it. That's why they don't give us options. If they did, a certain percentage of people would not understand and get it wrong.

Share this post


Link to post
Share on other sites

Hm. Actually I just finished dr alvarezs book and he states that if your bmi is 35 or lower, you may not have to do the PRE op 1-2 week diet. *shrug*

Share this post


Link to post
Share on other sites

That's why I said you CAN have a fatty liver. Not that you WILL have a fatty liver. I also did not realize our BMI was that low.

Share this post


Link to post
Share on other sites

Check to see if your doctor is in the network of a certified "Bariatric Center of Excellence". They have best practices.

My surgeon and facility are in the network, but are some of the most liberal postop. They allow whole pills from Day 1-no crushing , puréed meat x3 meals 1st day home, and even order NSAIDs for excessive pain (Celebrex). Go figure!

Share this post


Link to post
Share on other sites

Hm. Actually I just finished dr alvarezs book and he states that if your bmi is 35 or lower, you may not have to do the PRE op 1-2 week diet. *shrug*

Well until you are on the table the doctor won't know how your liver is. It is best to err on the side of caution and do a low carb pre-op diet. I only had to do a week, did nine days, and my doc did not need to make the extra, "hole" to use the liver lifter...............what a good thing!

Share this post


Link to post
Share on other sites

i have noticed and it makes me a little irritated! but i guess i will just listen to my doc!

Share this post


Link to post
Share on other sites

I have a question can yall help me with it? I have to lose at least 15lbs is it better to just go on liquids now? I have been watching what I eat but instead picked up a pound not bad compared to the 20 I picked up in one month on a eating frenzy when i got the mirena. And do I need to take any Vitamins?

Thank you in advance wls is in Dec

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×