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kym 56

Got my date

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Hi Everyone,

Finally received my surgery date 15th March 2017. Looking forward to it, not scared of surgery, but a bit nervous about afterwards. Hoping I can cope with changes. My Dr. has had me increase my exercise in preparation and also stay on healthy diet. I am always hungry though, but eating healthy, low calorie food helps a bit. I've had gastric band surgery which went fairly well I was quite happy with the result, I got down to a BMI of 25, but had complications and had to have band removed. I put nearly all my weight back on, so now I'm having  gastric bypass. Hopefully I will have the same results with this surgery. I know the more weight I lose, the more I can exercise. Good luck to anyone else who is going through the process of getting to the weight they want to be.

Kym 56

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That's exciting Kym - March 15 is just a month away.

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Yes not long now. Waiting is hard, I'm raring to go.

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Good luck Kym. You should actually have better results with the bypass surgery than you had with the band. I had my original surgery at Wakefield St Hospital back in 1986. I'm still waiting for my revisional surgery date because it is being done in the public system this time. I'm a bit like you are, in that I'm not really scared about the actual surgery, but I am concerned about how things will go afterwards. Interesting really that we both have the same concerns. We both should have this down pat given we've been there and done this before.....mind you my original surgery was so long ago I can hardly remember.

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Hi Aussie H

, My lapband was in 2007 and I didn't have much trouble losing because I seemed to gain more energy. But when I had to have lapband removed I put most of back on over 2year period. It wasn't bad after lapband I guess I'm just anxious. I hope you don't have too long of a wait, public system can be dreadful can't it. Did the give you any idea of wait time. I don't whether I would have bothered but have weight related complications, plus it will be nice to be a bit thinner. I am sure you'll be fine just have a bit anxierty like me.

All the best for a speedy recovery and new you.

Kym 56

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My case is a bit unusual Kym so nothing is really straightforward regarding booking the surgery. I was put on the surgical waitlist back in November and when I saw the surgeon  in January he told me I could expect "to hear any day now". I'm not holding my breathe. That said I've not had to jump through any hoops with regard to getting approvals from psychs, dieticians etc and no required weightloss. I did have to have a second endoscopy to determine why pain had reoccurred since my first one about a year earlier. My case then went straight to the MDT for discussion on how to tackle the issue. The original plan was to do this last year but my husband died suddenly and I was having second thoughts so wasn't ready for this size surgery at the time. For now I'm quite okay with waiting as I seem to have the pain side of things under control. I'll likely get a bit antsy if that ramps up again though.

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Hope you get it sorted soon living with pain is not good thing, glad your pain has eased at the moment. Sorry to hear about your Husband. 

I had problems with my band, lots of pain, all went away when I had it out. Maybe we can spur each on as we go.

Thanks for replying

Kym 56 

 

 

 

 

 

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How are you doing Kym? Hope your pre-op diet is going well. The wait for my surgery date is over now. Only 5 months from listing to surgery, so all in all not long for the public hospital system.

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Hi Aussie H,

Glad to hear your wait is over. I heard that it could be up to a couple of years but I'm glad it was sooner father than later for you. My wait has been 12months but I only have 6 days to go now thank goodness. The waiting is the hard part, the rest I will take how it comes. My pre-op diet is going well not as hard as I thought. Please let me know how you go.. Best of luck.

Kym 56

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Yeah its often about 4 years from start to surgery in the public system. My surgeon said I wouldn't have even got a look--in for his list normally.  He generally only deals with BMIs >50 with major commodities. That said he does many gastrointestinal cancer surgeries. I wasn't looking to have surgery when my adventure began. I stumbled upon a very convenient shortcut and actually haven't had to jump through any hoops because I had an endoscopy done locally, and the visiting surgeon on the day was head bariatric surgeon at the hospital where I'm having my surgery. Once he saw the state of my previous surgery (from the inside) the wheels started turning. He actually referred me to himself in the city, and even bypassed the usual long wait for outpatients clinic system. I've deliberately chosen not to name him as he seems to like the anonymity of his role when he visits here...even the local doctors here didn't seem to know what his normal role is in the city. I see him around my home town quite often (in fact I saw him from a distance today) and he always acknowledges me by name when he sees me, so I think it important to protect his privacy given he doesn't normally advertise his bariatric specialty.

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It was a luck break. What's meant to be is meant to be. He seems very caring and that's what you need in these cases.I started about a year ago  but had to wait 12months waiting period for health insurance. I've had lots of appointments with different ones  and lost a little weight but I'm glad it is finally time. I just got a list of appointments for after. Ithought it was going to be less appointments after but they are the experts. It cost a lot of money much more than I thought from research  but hopefully will be worth it. I check into the public system but they said I would have to wait 5 years and needed to get it done sooner. But at least its all paid now.  I had my last appointment today and all went well, so I'm clear for next Wednesday. I hope yours will be soon and we can look forward the next part of this journey. Wishing you all the best for a swift and healthy outcome.  outcome.

Kym 56

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Same to you Kym. Is Justin doing your surgery? They sure are expensive. My sister got a lapband from him over 2 years ago now. She said the psych was useless and always cancelling consults, plus because they were phone consults none of the fee was covered by insurance. She ended up giving up on him, pity really because she probably needs more help than she's had. She sings high praises to the dieticians though as well as the general practioner she sees there (i forget her name).

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Yes Justin, he did my lap band in 2007. I like them but I'm like your sister I think psych on the phone is a bit useless. I'm not covered for extras only hospital, my mistake quite expensive for all the appointments. I've got extras now maybe a waste of money we'll see I guess. I think they all about the same money wise. There are two general practioners mine is Helen Patroney I'm not sure of the other ones name is. The dieticians seems nice to me also .Do you have to see all these extra people as well or just the surgeon and dietician. They seem to be most important, Do you know much about your follow up. I didn't realize it quite as intense afterwards, when had lap band it was just dietician and general practioner. Anyway thanks for communicating with me.

Kym 56

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Helen is the doctor my sister sees. She really likes her. I know she doesn't deal with the pysch at all after he cancelled her last 3 scheduled appointments. She reckons he's useless anyway. She also didn't see the exercise physio after about 12 months. She was paid up on the dieticians website for a while but has pretty much let that go as well. They have a free Facebook Page that even I follow, and let's face it most of us are educated enough to be able to do our own research if we need help. Are you going sleeve or bypass?

As for me, I skipped the normal processes that others have to endure in the public hospital system. So no psych evaluation, no dietician or pre-surgery weightloss program etc. The surgeon has discussed everything with the multi-disciplinery team though as well as had discussions with bariatric surgeons from other hospitals.  The surgeon told me the only hoop I had to jump through was the 4 week pre-op diet which in my case is two optifast per day and one meal. I've yet to see the full instructions  as the paperwork is still on the way. I did have to have a second endoscopy to see how much room the surgeon would have to do a reversal...Turned out not enough so bypass is the only option. He had previously had me take a barium swallow test after my first endoscopy so that didn't need repeating either. He actually organised for all these to happen on one of his visits to my local hospital. He was going to order an esophageal manometry test, but the MDT decided that wasn't necessary as the surgery was required regardless of the result. I'd recently had an abdominal/pelvic CT Scan for something else so didn't have to have that again, and no sleep aponea test was required because the anesthecist didn't see any issues at my endoscopy. So far the only thing I've had to pay is the gap on my barium swallow test which was about $180. I will of course have the standard pre-op tests at my pre-op clinic before surgery, but my GP did a ton of bloods a month ago so there wouldn't be any surprises that could delay surgery. As for follow-up requirements I really have no idea what will be required other than three monthly checkups with the surgeon for the first 12 months, then yearly until he says otherwise. From memory I think he said that'll be for 5years. I'm hoping he'll organise that I can do those in my home town when he's rostered here. We have dieticians and physios here so he might refer me to them...I'll just have to wait and see I guess. I'll let you know when I find out.

Edited by Aussie H

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Hi Aussie H,

Seems like you are well organized. I'm not sure who I'll be seeing after initial visit post op. I know I will have to see Helen and probably the dietician, but I know they want me to do 10000 steps a day and that is pretty straight forward. I don't think I need to see psych as I never had any problems after the lap band. I suppose only time will tell. I also had recent blood tests with my gp that were all good. I have to have my last blood before surgery on Tuesday but I'm not worried about that.  Helen is assisting Justin with surgery. I like them both. find them easy to talk to. So far I have spent about $5000 on out pocket expenses, maybe a lot more to come. Have extras now but not sure how lpng before I can claim. Even the health benefits are expensive but when I weigh it up it is probably money well spent, less money for the bad foods. It would be good for you if you can get to visit with your specialist at home, makes more sense. I don't know how long after I have to see my doctors, I didn't even think to ask about that.  I am having bypass the surgeon said it was the best option for me. I didn't have a preference so was happy with his choice. Reading all the information on the forum I think I prefer the bypass now.  I wished I had gone down the road of bypass the first time, but it's easy to say that in hind sight. I am lucky I live near Marion so getting to appointments Is easy for me, I think you are lucky you didn't have to go to a lot of pre-op appointment it would have been an ordeal for you to organize. I'm getting a bit nervous about mine now it is so close, I'll be glad when it's this time next week. I get nervous before all operations, I am a bit of a wuss.

Kym 56

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My visits are at 2 weeks, then 3,6,9 &12 months. Yearly after that. That's providing all goes to plan. Minimum of 5 days in hospital because it is a revision, followed by two weeks where I have to stay in the city. The week I get to come home coincides with the surgeon's week at my local hospital.....not sure if that's coincidental or planned, but it was something he said he was thinking about at one of my consults. 

I've only had to see him in Adelaide once, and I suspect that was really just so a patient file could be started at the hospital where the surgery is taking place. The only thing he did when I was there was give me the surgical information sheet and basically discuss where things would go from there. I've seen him many times here though, and he did both of my endoscopies. I suspect I've seen him far more than most of his city patients do, which has really given me confidence to go ahead with him doing the surgery.

I definitely won't be walking 10,000 steps a day. I have to get this surgery out of the way before I have a fusion surgery in my foot. That requires 3 months in a non-weightbearing cast. At least for now I can do some walking but it's very limited.

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Sounds like you have a bit of trial to go through, hopefully next year will be more peaceful for you. Is your scheduled appointments just with surgeon or team of specialists. I think yours sounds like a good plan would suit me, I have to see 5 different ones in the first month. How far do you live from Adelaide. It is good that your specialist travels to your town. I am getting so nervous about my surgery, can't remember to much about last time so it couldn't have been to bad. I just don't like being put to sleep, no pain just unrealistic fear. I'm glad we have been able to communicate it has made me feel less anxious. What will you be able to do for your exercise, or will that be something you won't be able to do for awhile. I am luck that that I can do my walking also I enjoy it, especially by the beach. I have been busy last couple days make some different soups and freezing in small quantity. Also sugar free drinks pre-packed. I have heard a lot of different things about coffee, whether we can have decaf or not for 3months. Do you know anything about it ?  I think my dietician told me something about it but I've gotten mixed up with all that I've read. Have you received a date yet? It's a bit of pressure when you know you're having it but don't know when. Are you going to the QEH or somewhere else. I had my lap band out FMC, had a great surgeon think his name was Chisholm or something like that. He works privately also but I had already been with Justin so thought best to go with him. I have lost 6kg in the last 11days on the optifast. I've been on it before but haven't lost that much in such a short time, mostly fluid I guess. I'm not having any trouble with hunger, but everyone around me seems to having my favourite foods. I heard that loosing weight helps with feet issues, I don't know if this applies to your particular issues. Hopefully it will help you'

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Honestly I've been told nothing about diet after surgery. All I've been told I'd about two optifast daily for 4 weeks before surgery. I do that now anyway. I doubt I'll see much weightloss on the pre-op diet as I've already lost 21kg since mid Oct, and I've been in a stall now for 3 weeks. There are so many foods my stomach doesn't tolerate right now that optifast is just easier. The foot issue isn't going away with weightloss, if anything it is just getting worse. I've been told the only answer is a navicular-cuniform fusion but my BMI needs to be <30 before it can be done. I've done the cast and boot stuff, cortisone shots etc but nothing so far as done any good. NSAIDs helped for about 6 weeks but then my surgeon said to stop them immediately. Most of the time I can use my exercise bike but I admit I've been pretty slack about that lately as I've been away a lot or had visitors staying here. I'm only two weeks away from spending 3 weeks in the Adelaide Hills dog sitting for my brother while he and his wife head overseas. Then I'll be back home for about two weeks before heading back to Adelaide for surgery. I live about 3 hours away, and yes I'm going to QEH. Not the nicest of hospitals, or the most convenient, but I do like the surgeon. I'm hoping the paperwork for surgery, which still hasn't arrived, might shed some more light on the do's and don'ts. I'll let you know.

Good luck with your surgery, I'm sure all will be fine. Only two days to go now. I'll send my best thoughts your way on Wednesday. I'm like you in that surgery makes me very scared. I cope reasonably well until it gets really close. I'm so bad I did actually try to walk out on the day of my initial WLS. I couldn't help but think I was allowing someone to slice me open and the surgery wasn't even a medical necessity. Plus I thought the surgeon was an arrogant jerk. It was only that the anesthecist rocked up and told me that regardless of whether I had the WLS, pre-op tests had shown that i really needed to have my gallbladder removed that I chose to stay. All of a sudden the surgery became a medical necessity. Knowing I would be opened up anyway, it was a no-brainer to continue with the WLS as well. Now I have my date I'm starting to buy up fresh veggies to make my own soups and purees, just so I have them frozen for when I come home. Really working on trying to get things in order at home as well, because I live alone since my husband passed away. Certain things I couldn't bring myself to do before but that's all happening now.

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It's hard facing these things on your own. I have my 22 year old daughter who lives with me, she is a great support and will help me out when I came home. I  had to have optifast for all 3 meals but only for 2 weeks.  I plain to have them for the first 2 weeks after with soup for alternatives. The dietician said I can use optifast but mixed with low fat milk to make more protein. So it won't be much longer before surgery. I didn't really have worries about my lap band surgery, I was totally sick of myself and ready for change. I hope it's easy for you this time around. It will be all worth it and you'll feel much better in 12months from now. Is your family supportive, some mine are very supportive and some are still trying to talk me out of it. I am ver determined though since making my mind up. I.ve watch video of the actual surgery, I usually squeamish but found it quite interesting. The QEH is the hospital I was going to go to have mine at but they have a rule if you have lap band out  you have to wait 5 years for revision surgery, but I think it also depends on which Dr. that you see. I can't wait until 6 months aren't quite as strict in terms of food. I think that I won't have much trouble with food choices as it hasn't been that hard so far just head hunger and I just find something to occupy myself with. Using your exercise bike should give you the exercise but it's hard if you are in pain hopefully everything will settle a bit after your surgeries. Your journey is a bit more complicated then mine but I hope you will be happy with the final result. Please keep me informed on how you are going, I too wish you all the best .

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Waiting for 5 years after lapband removal is crazy!!! I guess they hope that by having such a huge waiting time will send those who can manage it into the private system.

I've only told two members of my family exactly what the surgery is that I'm having. A couple of others know it is corrective surgery from the old one but there's no other option available. I know from past history (both my own and my sisters lapband surgery) they the aren't fans of any form of weight loss surgery. 

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I've told everyone in my family, some are supportive, some are not, but I have to do what is right for me. I can understand that they may think if you've had one surgery that you should wait longer than someone who hasn't, but it does depend on circumstances. Any way I managed to find the money,. luckier than some.  I've been for my last blood test and all set for tomorrow. I've lost 27 cm from all over my body since being on the shakes, but I can't really tell from looking. I hope it will stay off now. I can't wait to look more natural, got awhile to go yet I guess. I'm sorry you still have to wait, waiting was the most stressful for me, I'm just impatient. Any way hopefully the next weeks will go quickly, especially seeing your busy. I will message ou when I get home from hospital. Keep well.

Kym 56

 

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Best wishes for tomorrow Kym. Hope everything runs as smooth as clockwork for you.

I'm not at all fussed by waiting. Have 3 weeks house-sitting in Birdwood that takes me until Easter. Meanwhile my 88 year old mother is having knee replacement surgery on 27/3 and I'll be the only one available to keep an eye on my dad. I also have to get the plans together for dad's 90th birthday celebration which is less than 4 weeks after my surgery. So I've got a fair bit to keep me occupied for the next few weeks.

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Thanks Aussie, and like I said I'll let you know how I went when I get home. I'm glad you are busy, don't get stressed with it all. Thanks again for your support you don't know how much easier you have made it for me.

Kym 56

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All the best for today Kym. I'm thinking of you and hoping all goes well.

My date has just been pushed back to May 4. Oh well won't feel guilty now about having a hot cross bun on Good Friday!!!

Edited by Aussie H

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Thanks for your warm wishes. Enjoy your hot cross bun lol. I got out Sun night had some complications to sort out before they would let me leave. But nave been a bit flat since I got home and hardly awake because of painkillers. I started just taking panadol today seems to control soreness and not feeling so weak or dizzy. Seem to do nothing but eat and drink at the moment. I am sorry to hear they put your date back, but hopefully the time will go fast for you, especially with easter. I have a very busy family easter this year we usually have one large family picnic and all 27 of my children and grandchildren get there, this year it is spread over Sat and Sun. And no more hot cross buns for me. But at least I should be on a soft diet by then. I haven.t been walking yet, I thought I would have but I think I need a little more time. For me the surgery wasn't as bad as I thought very little pain most just a bit of discomfort but I was able to get up and use bathroom by myself. The only thing I found was everything so different, so sweet, but if I persist with it, it tones down after a little while. I have to go hospital with daughter in the morning she has surgery on her sinus and has no-one to go with her. It will be a test of my ability to stay awake and also co-ordinate my meals and drinks. Anyway I better go no I have to get up four and half hours.

All the Best

Kyh 56

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