Aussie H

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Everything posted by Aussie H

  1. Did you bring medications to the hospital ?

    I didn't take my medications....turns out I should have because the hospital didn't have what I was taking. When they eventually got some they kept forgetting to give them to me. I thought because they were time release that they'd prescribe something else.....needless to say they didn't. Big mistake on my part!!!! Edit to Add: these were pain meds prescribed by my ortho. The anesthecist factored me taking these into account when he prescribed my post surgical pain relief. Consequently I was seriously under dosed.
  2. Hi y'all!

    It's not that easy where I live unfortunately. We have a very real doctor shortage in town and the nearest towns are an hours drive away. Plus we need a local doctor should we end up in hospital for some reason. I'm just hanging in with mine for now, desperately trying to educate him. Unfortunately all our doctors are professional immigrants, usually trained in India or thereabouts where bariatric surgeries are not by any stretch commonplace procedures. Changing from one to another will likely just shift the problem. It may well be a case of better the devil you know! Sorry to hear of your daughter's attitude. Hopefully it will improve with time when she can realise how much healthier and happier you are. I'm actually seeing my oldest son this weekend for the first time in over a year. He's in for a shock. While he knows I've had surgery, I've had to pre-warn him that I look very different but that he doesn't need to worry because I'm healthy. My biggest concern is that I'm starting to look (skin wise) like his malnourished father did before he died. His dad hid his illness from the kids, so I'm very concerned he'll think I'm doing something similar. I'll definitely be covering up the loose skin while he's here. Last time we saw each other was the day we scattered his father's ashes. I'm about 100lbs lighter than then, so it would be easy for him to get that deja vu feeling.....I know even I get it sometimes myself when I see myself in a mirror.
  3. Hi y'all!

    I'm similar in the who to tell part. Prior to my surgery I only told a couple of my siblings. Friends knew I was having some gastric surgery due to health issues I was having prior, but although I knew bypass was the plan going in, I really wasn't sure it would happen so I decided it wasn't worth telling people the plan. This design was cemented when the first "friend" I did tell before surgery was very toxic in her response.... her reaction was enough. Even my family doctor was very negative about the surgeon's plan and unfortunately he still is being very difficult about followup testing protocols. We probably all know of people who've regained, and I do think it's actually handy knowledge to have if we're close to those people and can see how that regain has happened regardless of what they might be telling us about their eating habits. In my real life (as opposed to cyberspace life) I don't know a single person who hasn't regained the majority of their WLS weightloss, and I know so many folk who've had WLS. We don't need those levels of negativity prior to surgery though. I do tell people now because I find it shuts down the negative Nellies, plus it opens up conversations with others that could benefit from WLS themselves. I think the very real benefit of this forum is actually dealing with people who've had real and long term success who are happy to share their advice and struggles to maintain their weightloss. The hardest thing I find these days about surgery related conversations is dealing with people heading into surgery who either are already talking about how they will eat around it, or with unrealistic views about how "easy" their upcoming journey will be. It's really hard not to think they're heading into failure....but then again I have to ask myself who am I to judge their actions or decisions. I certainly wouldn't openly comment to anyone about their decisions because it's none of my business, but I get really angry at myself that I can't help but judge them in my head for their attitude. I find myself having to go back to my memory of an article I read prior to my surgery where a survey was done of bariatric surgeons regarding their success in determining which patients would have long term success and who would be longer term failures after their surgery. The results showed even they had very limited success with their predictions, so I tell myself there's no way I could know about others, and more importantly no way others can predict what my future will hold.
  4. Getting sick before surgery?

    Definitely DO NOT get a flu shot so close to your surgery without your surgeon's consent. My surgery was very close to being cancelled because I had one about 6 weeks prior to my surgery date. It's not worth the risk. In fact this close to surgery you really shouldn't be doing anything that could put you at risk of surgery cancellation. This includes changing medications (including over the counter medications) without your surgeon's okay.
  5. 6 month surgiversary!

    @Trish1967 I did have to ask my surgeon to order them himself at my last visit. Needless to say he was very angry that my doctor was being so hard to get along with. He did tell me he'd be writing to him about it, but my doctor certainly hasn't mentioned any letter of that kind to me. It's actually okay for now while I still see the surgeon 3 monthly, the real problem will happen when those visits drop back to yearly but the blood tests are still 3 monthly or later twice yearly. It's totally outrageous to me that this is an issue. I've even asked him if I need to get a new doctor with bariatric experience just to make sure I'm looked after properly. While he says that's unnecessary, I'm still not convinced. The problem for me is that the nearest bariatric GP is a 3 hour drive from where I live
  6. Don't know what to eat!

    Scary thought isn't it! For all the talk about resetting your metabolic "set point" which they say happens at some point after WLS, I've yet to hear a studied explanation of how that actually happens (and when)....probably because no-one seems to know. While I can see logic in the higher calories earlier out giving an edge on metabolic rates later, I certainly wouldn't stake my life on the theory. That said there is evidence that lapbands cause a significant lowering of metabolic rate over time and therefore make maintaining weightloss harder (along with losing less excess weight on average) so maybe there is an element of truth in there, particularly for those whose surgery is purely restrictive. I'm still not cleared for any exercise yet, just for standard Activities for Daily Living, but I seriously need to get into some just to strengthen my core and loose some more of my belly. GRRR!!!!! This belly fat is doing my head in. Hopefully not long now.....but I definitely see my honeymoon period slipping away from me rapidly.
  7. Don't know what to eat!

    I've been on about 1100 -1200 most days since about month 3 and still losing. Dietician would be happier if I was on around 1500. They're all different. There is a school of thought though that the sooner you can get the calories up the higher your metabolic rate will be when you reach maintenance.....meaning you'll be able to maintain on a higher calorie count. Whether that is the case in practice or not, I've no idea. I don't believe in the calories in calories out theory anyway.....I believe that's far too simplistic an approach and doesn't explain why some people lose weight and others don't at certain calorific intakes....let alone the energy taken to burn certain types of food over others. In the end you just have to work out what works for you.
  8. My dietician had a very severe chat to me about my protien intake this week. She said the standard after bypass is 1g per kilo of weight.....and that is just to maintain current muscle mass. If you are low carbing then you need to add more protien because your body will be burning through some of it for energy. So for me at about 72kg (that's around 160lb I need 72g daily just to maintain existing muscle mass. I need to increase muscle mass currently so my target is around 100g daily at the absolute minimum. Bypassers malabsorb protien as well as everything else they eat.
  9. Pre op weight loss

    I'm also a low carb advocate. Get your body into ketosis and you will lose. I personally used meal replacement shakes for about 7 months prior to my surgery, two a day plus a low carb evening meal. I lost over 60lb in that time. Sure it's an unsustainable way to keep weight off for the rest of your life (and not particularly pleasurable either), but you only have to get yourself to surgery. After surgery you don't need to concern yourself about the longer term problems associated with meal replacement diet maintenance. Plus your liver will thank you for it!!!
  10. 4+ years post-op Carbs, fat, fiber, sugar

    If your surgery was bypass then your protien goal seems a bit low. You should definitely be aiming for the 90g as a minimum at your current weight. If you are going to keep carbs low then your body will need to use some of your protien intake for energy, meaning at your lower figure you simply won't be getting enough to maintain your muscle mass.
  11. Preoperative clearance with PCP

    I had to have EKG, lung function test and a whole raft of blood tests done as part of my pre-op testing. That happened at the hospital though rather than my doctors office. My doctor was totally against me having my WLS so it was a benefit that he had no involvement in the process at all.
  12. Getting sick before surgery?

    I had a flu shot about 6 weeks prior to my surgery and was ill enough that my surgery almost had to be cancelled. Be VERY careful regarding having a shot before surgery. The vaccine we had for the past winter in Australia caused many issues with the newer strain added. I personally know many people who were ill after it this year, all who had never had problems in prior years. Some actually ended up hospitalised as a result of the vaccines. Check with your surgeon's office before you have the vaccine. That said there's no harm in hitting the immunity booster vitamins, and probiotic between now and surgery time.
  13. Stressed!

    They absolutely carry far more risk of complications than first time WLS. Many surgeons will also only perform revisions via open abdominal surgery which also increases some risk factors over the usual first time around laproscopic procedures. From memory there is some information posted in the Ask the Dr section here that covers he extra risks for revisions. I remember reading it before my revision. Unfortunately many people heading into revisional surgeries don't realise just how much extra risk there is as their original surgeries were so low risk and usually went off without a hitch.
  14. Need thoughts and prayers!

    Sorry I've just caught up with this Michael. I've been out of tele-communication range for a week or so. While a pleasant change truth be told, catching up on stuff is taking forever. Glad to hear surgery went well and is over and done with. Hopefully any problems are also now well in the past.
  15. 6 month surgiversary!

    Congrats from me as well Trish....both on the weightloss and the PCP find. I've decided I need to go hunting for a new one as well. I'm just waiting for my foot to improve enough that I don't need the pain meds that my current doctor is happily prescribing for now. Pain meds can be very difficult to get here and that's especially true when changing to new doctors. I know my current doctor is anti-WLS and that is proving quite difficult for me. I get arguments from him about ordering the standard 3 monthly blood tests the surgeon wants, and to be honest that's grating very heavily on me right now. He also insists on telling me how perfect those results are whenever I see him, despite me telling him the surgeon isn't happy with them. Of course the surgeon is looking at how they are changing rather than just one test figure in isolation, plus he's concerned about different tests than the family doctor is. It's hard when you can't trust your doctor. I'm also struggling with the doctor insisting on prescribing time release meds that really don't work for me. It seems that I have to bring that up at every visit!!!!! Not good enough in my books, especially given he doesn't seem to believe me when I tell him they pass through my body still whole.
  16. Pre op appointment

    I agree with all the above @Boymom1202. My pre-op liquid diet was 4 weeks but I was pretty much on it for about 7 months prior to my surgery. I lost the majority of my excess weight before surgery so I pretty much fell off the wagon during the 4 week pre-op diet. In my case that didn't matter.....but I don't recommend following in my footsteps in that regard. Best of luck with your run up to surgery, and of course the actual procedure. Life is full of great surprises afterwards.
  17. Hi y'all!

    I'm another that had no nerves going into my surgery. I was well prepared and knew my surgeon was because we had a very different path to surgery than most. I was lucky I guess in that I was also under anesthesia within about 15 minutes of being taken into the pre-op area, and I was in that area about 20 minutes after arrival at the hospital. I was also an early morning admission which helps immensely if you're not thinking about it all day while waiting. My only concern was actually whether I'd wake up having had the procedure completed as there was some doubt in my case whether it was going to be possible to complete it. That was the first thing I asked when I came to....and once I knew it was in fact done, I just lay back and relaxed for the rest of the day. Very unlike my first go around at WLS where I actually made a run for the exit after hospital check-in. They did stop me, and I did have the surgery, but it was very touch and go that time. Best wishes heading into yours. I hope you have as smooth a run as I did.
  18. Stressed!

    If this surgery is something you still believe you want to go ahead with, I'd be taking the time to have a very frank discussion with your surgeon. Ask about his complication rates and tell him about your friend. He might have an explanation as to how the kind of issues your friend is giving might have occurred, along with what he does to prevent them happening to his patients. Unfortunately different surgeon's have varying levels of experience and skill when it comes to bariatric surgery and this can show in their complication rates. For what it is worth, my surgeon told me that revisional surgery carries 20x the risk of post surgical leaks. It was by far his biggest concern heading into mine. Existing scar tissue is problematic for sealing well after stapling. Anatomically you are different to your friend, your surgeons likely have different skill levels, and the hospitals you're using may also have differing levels of aftercare. Only you can decide what's best for you right now. Even if you choose not to go ahead with the surgery right now, you can still have it a later time should you feel more confident then. All too often we really don't see the potential complications of surgery until we watch someone we know suffer them. I hope everything turns around for your friend quickly.
  19. My sister died suddenly tonight

    @Cardamom77. I'm so sorry to hear about the loss of your sister. I lost my husband during the run up to my surgery. In my case it was the surgeon that put a time delay in because he wasn't prepared to allow me to make such a life changing decision at the time. This was despite the fact that the actual decision had been made months earlier with my husband very much a party to the decision. In hindsight I suspect the surgeon was probably was right to delay the surgery, and I certainly benefited from the extra time I had. That is not to say you should delay, we're all different, and what is good for some isn't necessarily good for others. My best advice would be to go with your gut feeling. Give yourself a few days at least before you make any major changes. Best wishes moving forward.
  20. Long term post op medical care?

    I'm currently on three monthly visits still with my surgeon, which after two years drop back to annual visits. Really thankful for this as my GP (aka family doctor) is proving to be completely useless and ill-informed about bariatric surgery patients. My sister who is 3 years out from her WLS, goes back to her surgeon's practice where there are GPs with specialist bariatric experience. She actually suggested that I just see her doctor at that practise when I need to because they technically aren't specialists so no referral required. That practice is a 4 hour drive from me though, so isn't really the best option. As long as everything is fine with you, then really all mine does at this stage is look at the regular blood test results and give any advice on issues I may have. Many post-op will also have regular dietician visits after surgery until things stabilise, or as necessary. In my experience though these also need to have bariatric experience. Mine doesn't and she's as useless as %$@# on a bull. Its in your best long term interests NerdyLady to find a bariatric practise that can do your regular checkups for you....even if it isn't the place that did your surgery. I can also concur with Michael...followups are life long.
  21. I'm alive!!!!

    Youll need to stay upright and sit soon....just to make room for all the new arrivals we're expecting this month. Seriously though....welcome to the bench!!!!
  22. Normal BMI.

    Looking fine Res Ipsa!!! Definitely not overweight in my eyes. Honestly, my dietician said at a "normal BMI" she thought I was underweight. My old family doctor told me the same thing when I saw him recently. While we all know that BMI is a flawed measure when it comes to healthy weights, unfortunately it is the measure the medical profession uses. Here in Australia it is also a measure that can exclude you from various services in the public hospital system. Take my case as an foot surgery unless BMI is below 30. In fact I couldn't even get a referral to a specialist that could perform the surgery I needed until I was below that mark. They use the same mark in many hospitals for plastic surgery of any kind. No hip or knee replacements if BMI exceeds 35. No surgery at all in rural hospitals in my state if BMI exceeds 45, and some go as low as 35. For me the best part of getting under 25 was knowing that it didn't matter what I was wearing or what time of day I was being weighed, I'd still be under the 30 BMI. In the past I'd be holding my breath when weighed in a hospital just hoping to come in under whatever the requirement was at the time. I realised how much I was released from that worry the day I was checked in for foot surgery. I was looking down for the figure on the scale not realising that there was a simultaneous laser measurement of my height happening. When the nurse wrote my measurement down I was 8cm shorter than I really am....and I still didn't batt an eyelid qt the error. It's a great feeling. I'm loving seeing these normal BMI threads popping up. These days they are all coming from people I've known here since before we all had surgeries. I love seeing that we're all doing so well, and I doubt any of us believed at the beginning of the year that we'd be making posts like this before the year was out. We might have hoped for it, but I know I never even believed it possible as I'm very much in uncharted waters at my current weight, and have been for at least the last 25lbs. No idea if it's different for those who've been "normal" before....but I was born overweight.
  23. Have faith in your surgeon wick. I was in a similar situation prior to my revisional surgery. The surgeon couldn't make any guarantees before surgery, but everything seems to be working fine now. Being able to eat meat, and in my case, veggies again has been life-changing, after living pretty much on soft carbs for so long. Until they actually get inside you though they really can't know for sure what's going on. I recently had my 6 month post-op and made a point to tell the surgeon that he had resolved the problem that prior to surgery he had expressed some doubts about. His response was he wouldn't make any promises prior to surgery because there was an element of the unknown, even though everyone he consulted with beforehand believed the revision I had would indeed fix the problem. He said it wasn't like someone who came in with abdominal pain and was found to have gallstones, where he could guarantee that surgery would relieve their pain. If you don't trust your surgeon then maybe bailing is a solution while you find one you can trust. If you do trust your surgeon though then stick with his program and allow them to do their job. Good luck. I hope you find the relief I did and can move forward after surgery with a much extended range of foods that you can comfortably eat.
  24. Normal BMI.

    I wondered the same thing Gretta. My surgeon, and doctor all used the BMI as the determinant for calculating % excess weightloss. So in their books hitting the 24.9BMI was the 100% excess weight lost mark. That doesn't mean that you stop at that point necessarily as normal BMI has a fairly large range for most people, but BMI was definitely the marker. My dietician uses an even higher marker that takes into account other factors like age and highest and lowest weights over your lifetime. In her books I was at 100% when I was still very much overweight by BMI standards.
  25. Normal BMI.

    Woohoo!!!!!! I have the same thoughts about the usefulness of BMI as a measure.....but getting into the "normal" range is a magical feeling!!!!! Congrats Jen.