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kym 56

Got my date

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So happy to see an update Kym 56. I was wondering how you were getting on.

I'm fine with the delay in my surgery. The surgeon was the one who asked for the date change so I know he would have his reasons. The best part for me is knowing I should get to come home earlier in my recovery because he will be the duty surgeon at my local hospital. Yay!!! If something goes wrong I'll be able to see him, someone that other  patients operated on that day won't get. They'll have to make do with his 2IC. That could well be the reason he asked for the change of date in the first place. I know it was something he was taking into consideration because most of our local doctors here are rubbish....and some of the rostered visiting surgeon's aren't much better.

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Glad things are falling into place for you, although I know from my own experience that while you are waiting time seems to crawl, better if your busy though. It will be better if you can have a doctor you have confidence in. I drove myself to Marion today and got my haircut. Feels much better now. Was going to do some shopping, but wasn't really up to that. My taste is coming, had my first decent cup of tea. Everything seems to be getting back to normal now. I have only lost 3kg since surgery, but I guess that is enough. It will be interesting to see if  your experience is similar to mine, I hear than can be a lot of differences. Mine was pretty positive apart from some breathing difficulties, which I have been having trouble with for last six months, nothing do with surgery. Those pain killers they give you in hospital are different, I was hallucinating first couple days, don't think I could handle being a drug addict, I like to be in control, but did it's job.

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Posted (edited)

It will be interesting to compare experiences I think given we are both revisions, and both starting with similarly low BMIs. I just had a call from a dietician which I wasn't expecting. Told me nothing I didn't already know about the pre-op diet, but was nice to finally get some contact about it. She's going to post me more information. Also to finally be given a contact number should I have any questions regarding the pre-op diet. Up until the call I was feeling like I was being left entirely on my own. I'm not expecting any great weightloss prior to my surgery though because I've pretty much been on the same diet for the past six months as my 4 week pre-op diet is. 

Good to hear your already able to get out and about, albeit without as much energy as you might like. Was your bypass done laprascopically or open. I'm assuming laproscopic if you're already driving.

Edited by Aussie H

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no it was open. apparently it is harder to do laprascopically in a revision, Which way are you having yours. I us a pillow when I'm driving. Sounds like the ball is rolling for you now. I'm pleased that my capacity for eating has diminished. I have to remind myself to eat and only in very small amounts. I never had this lack of appetite with the band. When do you start your pre-op diet, I think it is the hardest part. I just had the hospital ring me to see if I was doing ok, or had any questions. I don't  know how these people get back to work in 6 days, I'm still dragging my feet. I read that if you start with a lower BMI you lose your weight slower, will be interesting to find out won't it. I don't have any particular weight goal, but would like to get to more normal BMI.

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I've been told to expect an open surgery. Initially he wasn't even going to attempt laproscopic but when I last saw him it sounded as though they may give it a try. I had heard from someone that consulted Justin that he doesn't do any laproscopic bypasses. I just assumed because you were already driving that maybe yours was. Seems odd that after an open hysterectomy they don't let you drive for 4-6 weeks yet after a bypass you could. I hope I can because I want to come home as soon as possible. My pre-op diet starts on April 6. Had a call from a dietician yesterday. Let's just say I wasn't very impressed with her knowledge so hope I won't be having to deal with her after surgery. We have local dieticians that I'd rather see than dealing with someone who is happy to prove her ignorance. She's sending me some kind of information package that I'm having sent to my parents address as I'm heading to Adelaide on Monday and won't be back until Easter. Pre-op is April 10 and l was told to expect it to last 3 to 4 hours.....geez I hope not!!! The day after I have to see my ortho in Port Pirie and I'd really like to squeeze in a pedicure before he starts mucking about with my foot.

The pre-op diet doesn't bother me because it's pretty much how I've eaten for the last 6 months. 2 meal replacements and one meal per day. Might need to do some minor tweaking with the meal but I've already done the sugar lows, headaches etc. It should just be another 4 weeks of the same really. If there's a bowel prep etc then no doubt they'll throw that at me during the pre-op. That's certainly the way Flinders broke the news before my hysterectomy..

I have so many things I need to get organised, including my dad's 90th birthday celebration, before my surgery that I won't even have much time to think about it. Probably best that way. My surgeon reckons low BMI patients still lose a lot of weight after bypass, but he didn't say how fast it comes off. That's one of the reasons they don't offer WLS to low BMI patients unless there are very compelling reasons. He has told me he'll be following up on me very closely though.

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It sounds like you have a very caring Dr. They told you could drive as long as you were off strong painkillers. You just need a cushion to protect your stomach. I have only been driving small distances though and some people need strong pain relief for longer. I hope you have a good an experience as me, as I think I got off pretty easy. I would say a hysterectomy would be much worse, I know my c sections were more painful and took longer recovery time. I didn't do any bowel prep, I don't know why. I have the exercise person appointment on the 29th to let me know what exercises I can start doing. I'm glad to hear that low BMI patients can lose a lot of weight and I not to concerned if takes awhile, as long as it happens. My pre-op appointment only lasted about half an hour, but had to fill in a questionnaire before hand. Hope your Dad's birthday goes well, it will keep you pretty busy for awhile. I'm planning my first shopping trip next Friday with one of my Daughters, have to start doing a bit of walking. Won't  be long now before your pre-op diet starts., then time will start to fly for you. Do your surgeon say why he was following you up very closely, it wasn't because he was worried you would lose to much weight was it ? I have always wondered how you would stopping losing weight when your in the right weight range. I don't think I'll be seeing Justin from now on, I think I only see Helen and the dietician. My GP is very good if I have any concerns.

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I could only speculate on his reasons. I know he is very concerned about leaks (it is a revision after all so much more prone to leaks) and he has expressed some other concerns surrounding the changes that will have to be made from normal bypass surgery due to the known prior damage from my original surgery. It would actually be much easier for him to see me than his other patients as he is the rostered general surgeon at my local hospital every 7 weeks, so no going through his normal clinic obstacle course to get to him.

I know there has been a lot of inter hospital collaboration regarding my surgery, maybe that has something to do with it.

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Oh I thought it might have something to do with low BMI, my mistake. It must set your mind at ease, see that he will be following you up personally. Also handy that he works at your local hospital. I have read so many comments on here about post-op I must be so lucky as I have had a relatively ease time, nothing to complain about. I hope I don't jinx myself speaking to soon. Have you left already for your stay in Adelaide. My doctor didn't say there was any damage  from prior surgery, although prior to surgery he did say that he might not be able to complete the bypass if there was significant scarring at the sight. I have my first challenge tomorrow night, my grandson birthday tea. I have to find something to take for tea, easy to travel food. Last day of fluids and I am looking to the next step.

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Yes I drove down yesterday. Gosh it's cold here in the Hills. Got my pre-booked flu shot out of the way as soon as I got here, and the shopping has started. I wish I'd bought one of my big fluffy dressing gowns with me, but I refuse to buy another one as I have so many at home already.

I do think low BMI is also in the mix as he has said that malnutrition will be something he needs to monitor very carefully, but really its anyone's guess what he might be up to. He has many medical journal articles that he's authored or co-authored so I wouldn't be surprised if I become his next one...haha!!!! I really don't mind given that kind of thing only helps others who might come across similar problems in their practice.

The scar tissue is definitely problematic. We know there is lots showing from the endoscopies that he did...that is the reason for the bypass in the first place. I'm not holding my breathe it will even happen. The reality is I expect to wake up after surgery and be told they couldn't do it due to scarring. I guess that's part of the reason I've been so unphased by the delays that have happened already and changes in plans going forward. Initially I was going to have a laprascopic examination of the abdomen to see just what was in there...that went out the windows somewhere in all the meetings and consults with other surgeons. I gather they concluded there was no need as they were going to have to try the surgery anyway and I guess attempt to at least remove as much scar tissue as possible even just as a pre-surgery to the main event.

I will just have to wait until I wake up after surgery to find out what they did. Looks from my arrival time for hospital I'm first up on the day, which they usually save for the easy cases and then get the more time consuming surgeries later. Could mean I'm the only one scheduled for that day, which would certainly explain him putting it back a week. Oh well...only time will tell!!!!

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It sounds very complicated, but he is obviously a very experienced professional. I'm sure that you won't be disappointed when you wake up. In difficult situations you need a surgeon with skill and expertise. Hopefully you will be first up, waiting for hours is frustrating and nerve-racking.  How was your trip down, it's a bit of long drive. It was quite chilly today, nice for a change. I've gotten out my fluffy dressing gown tonight. I prefer colder weather to hot. I'm not looking forward to daylight saving finishing gets dark to early. Don't worry about your surgery it will all work out I'm sure. I was worried a lot before surgery from what the surgeon told me, but everything went smoothly. They have to tell you all possible outcomes just to keep you fully informed. Anyway I hope you are enjoying your stay. 

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My resolve to not buy yet another fluffy dressing robe went out the window about 30 seconds after seeing they were almost half price at Harris Scarfes when I was in there yesterday. At least I bought a normal size one this time rather than a plus size. Thought I might actually leave it here at my brothers instead of taking it home when I go. I don't stay here a lot, but I do tend to stay here when I do come to the city.

Had to call the dietician yesterday after the pre-op diet paperwork arrived. She is a complete waste of space. Very cookie cutter in that she couldn't deviate from the norm at all. Despite telling her on Friday that the surgeon had given me info regarding what I needed to do pre-op because of my specific needs, she just sent out the bog-standard info for intensive phase optifast. I would be in excruciating pain if I followed that and explained AGAIN why, but all she could say was just do what I'm already doing then. It doesn't auger well for post surgery! I'll definitely be asking the surgeon for a referral to someone else after surgery. I'd rather work with a local dietician that has no bariatric experience but is prepared to learn and work with me as an individual, than be stuck with someone that can't/won't tailor their advice to an individual's needs. I'm still not sure how I'll deal with the pre-op diet but I only have to be on it 4 days before my pre-op clinic visit so I'll probably just wing it as best I can to ensure that I'm in ketosis on the day and ask at the hospital. At least if there's any problem they can contact the surgeon for guidance.

I've booked a manicure and pedicure for the morning before my pre-op appointment close to the hospital. Mostly because I have to see the ortho in Port Pirie the next day and I'd like my feet in reasonable nick before he examines them. The plus side of that is I'll be checking them out because I think I might book a day spa type appointment for the day before surgery then stay in a motel that night closer to the hospital. While I've never had a massage before, I think it might help to relax me a bit and take my mind off what's about to happen. Mind you that'll go right out the window if there's a huge bowel prep required that day. Did you have to do a bowel prep before your surgery? 

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I think a massage sounds like a wonderful idea should be very relaxing. I didn't have any bowel prep they said it wasn't necessary for this surgery, you would think it would be, maybe your surgeon is different though. The surgery was pretty laid back I thought, except that I was in ICU for a night. I don't blame you for buying a dressing gown it has been pretty cold lately. It's hard to resist a bargain under those circumstances. I finally went shopping yesterday, bought some jeans, something I haven't worn for a long time and bought some clothes in one size smaller not buying much as hopefully will lose more. I managed to get 7000 steps in for the day, best I've done since my surgery, now just have to keep it up. I went out  to tea last night, had a child serve, I didn't eat it all but I paid for it. I was ill all night, a quarter of a cup seems to be my limit. I won't do that again in a hurry. I see my dietician in about 10 days, I think I will have to talk to her about it see where I went wrong. My dietician seems quite good I think you need to feel confident in there ability for your piece of mind. How much longer do you have in Adelaide? I suppose ou are missing home. It is nice to get away but always nice to get back home again.

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I'm here until the Thursday before Easter. Have a doctors appt at 3pm that day at home that I have to keep or I'll be spending Easter without pain relief. My brother arrives home that morning so his animals won't be alone for very long. 7000 steps is pretty good. I used to manage about 14000 before the stress fractures stopped that. I'm lucky now to manage about 500 before the foot tells me I've had enough. I'm really hoping the ortho will decide I've lost enough now to get the required surgery listed. He said I had to get the BMI under 30. I'm not quite there but he should surely accept that I'm committed to losing the weight now. My GP reckons he should sort it now particularly given the ultrasound that came with my recent cortisone shot showed major deterioration over the past 12 months. Seems losing weight didn't help it at all....i could have told them that. Plus the bypass should see me at a minimum maintain the weight loss for some time.

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It is a bit hard to lose weight and keep it off if you can't exercise. You must have been really dedicated to have done as well as you have. Surely your doctor would understand this, your so close to a 30 BMI. Best steps I've gotten to was 1200, but usually manage a range of between 8ooo and 10000, its about all I do for exercise. Maybe that will change when I lose some of my excess weight and get more energy. How do you manage driving such a long distance when you are in a lot of pain. Hopefully this will be the year to get it all sorted. It must be very frustrating for you, knowing all this stuff needs to happen but having to wait around for the arrangements.

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Driving is becoming far more challenging these days. I haven't been able to drive my manual Ute for more than a year now. I had my brother in law pick that up and he uses it regularly in his business. He'll buy it eventually...... so he says. The long drive to the city is done in an automatic with cruise control...that's a lifesaver. I have reasonably good pain control in the mornings so tend to save my driving for that time of day before the pain kicks in from moving about on it too much. I do admit the drive to the city last week was pushing it a bit far, but I'd had little problem with the trip up until now. Doctor says as long as I can manage to brake hard if required it should be okay....but he would prefer if I was only driving shorter distances. That's just not always possible. I have to drive barefoot though as the foot swells up and  the pain intensifies. Of course once they do the surgery and I'm in a cast for 3 months I won't be able to drive at all. I do have a gopher though which hubby bought for me before he died last year, so I will be able to at least get to the shops or appointments locally. Seeing the ortho next Tuesday, so will see what he has to say then. I suspect he'll just tell me to get a new MRI done and come back in a couple of months. I won't be happy....but what can you do!!! At least by then I will hopefully have had the bypass and be under the 30 BMI.

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Seems like you have to jump through a lot of hoops to get your health back. I suppose its worth it when you get the results you are hoping for, I don't know how I'd manage if I couldn't drive for 3months. I drive every day for one reason or another. I used to drive up to Port Pirie quite a bit  about 6 or 7 years ago, as one of daughters was living there. I found the trip quite tiring. You must have great willpower to cope on such a long drive and with the pain as well.  I don't think you'll have any trouble getting under 30 BMI once you've had bypass. I seem to be going down quite steadily, slow but steady. All I seem to do is eat and drink, I have 5 or 6 small meals a day. It  is not  been quite 3 weeks for me and I've lost about 6kgs, I just hope I can maintain that weight loss for a while. Anyway hope you can the response you are hoping for when you see your specialist.

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Not driving will definitely be limiting but the no weight bearing for 3 months will be far worse. I've missed out on doing so many things the past couple of years that I'm just looking at those 3 months as being a means to an end. The fusion surgery can be so dicey that in my mind it is a one off chance to get mobility back, so I'll be doing everything I'm told. Will be difficult given I live by myself but I also can't ask anyone else to put themselves out for that long. At least these days there is online shopping and I can hire a cleaner for the time I need one.  Anyway that is still likely to be at least 12 months down the track so I'm not going to let future potential issues become hurdles to me now.

Great to hear you're already down 6kg. Considering your starting BMI was quite low you have to be relieved to see that drop. I have my pre-op on Monday afternoon so will be interested to find out what the final outcome of the surgeon's pre-op diet vs dietician's pre-op diet might be. That starts on Thursday for me so I'll just do the 4 days however I feel like doing it at the time. It seriously won't make much difference for those 4 days when the liquid diet is a 4 week one, plus my BMI is already far below what that program is used to seeing.

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It makes you feel guilty when you get your BMI low, like that you could do on your own, even though know you can't. I tried for a lot of years up and down gradually gaining more and more. I've only lost a bit since surgery, but have lost 15kg from beginning of process and already my blood pressure, blood sugar levels and my cholesterol levels are back to normal and I feel like I'm getting my energy back. I can only imagine how hard it must be for you, having to wait 12 months to have your problem sorted let alone 3 months incapacitated. I have to go back for my 4 week review next Wednesday, the time has gone fast. I'm trying more varieties of food now which is nicer, the liquid diet got quite boring. I've been out for dinner several times the food always smells nice, but I don't have any trouble with hunger as I don't feel hungry. I'm just eating because its time to eat.

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I don't feel "guilty" at all, but I do feel frustrated by medical people that continue to make negative comments regarding why someone my size is even having WLS. Seems they have no idea concerning other reasons for having bypass surgery. I can see this becoming even more commonplace over the next few weeks, and my stress levels rising considerably because of it.  My pre-op diet started today....fun fun....4 weeks of it! Hopefully it goes as quickly as your 4 weeks post surgery seems to have!

I've always been a pretty good loser, at least to about the weight I'm currently at. What I've never managed to do is maintain. I'm hoping that will change this time. My pre-op appointment at the hospital is Monday, then off to the ortho on Tuesday. I'm really glad I've gotten so close to the BMI goal the ortho set before my bypass surgery. In my head at least, it shows him I'm very serious about having the foot surgery. Pain has been a very strong motivator. Plus it is proof that losing weight didn't help even a little bit. The foot is in a far worse state now than it was six months ago when I last saw him. Even if for whatever reason the bypass doesn't happen, then the ortho no longer has the obesity excuse to fall back to as a reason to deny the foot surgery. In that instance I'd need to let the pain be the motivator for maintaining the current weightloss.

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Pain is a strong motivator that's for sure. It seems weird that losing weight hasn't helped with your foot, must be a completely different issue. Though losing weight is very good for yourself esteem. If I was you, I would not let other people bother you with the silly comments. You are getting these surgeries for your health and people who haven't been it your situation don't understand. It is none of their business anyway. It's not an easy way out, who wants surgery if they had an alternative.  I had some negative comments from some family members, but I just had to overlook it and follow the path that was right for me. I am glad you started your pre-op diet and I hope the time goes fast for you. I hope you can keep your stress down, try to imagine a time when surgeries are done and you've recovered. I suppose you will have a lot of rehabilitation with your foot surgery. I am experiencing what they call a stall, I haven't lost any weight in 4 or 5 days, but I'm happy with what I've lost so far. I'll just have to be patient and see what happens.

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