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About cmykphoto

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  • Birthday 01/09/1971

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  • Surgeon
    Dr. Keith Kim
  • Hospital
    Celebration Health, Celebration, Fl
  1. Hi everyone!! I have not been on the forums in a long time. I apologize for my absence I need serious help. I have gained a lot of my weight back. It's horrible My Dr had me get upper GI done to see if my pouch has expanded. It has not! But, I am able to eat larger meals then I used to. I know I have a grazing problem and have been working on that big time for a long while. But, no weight loss. Also, I am not exercising So, my question is this: Aside from getting back into a serious exercise plan what kind of FOOD plan should I use. I need structure so if I can follow a specific program. I thought I heard that the South Beach diet is good for weight gain after RNY. Any advice or opinions on a structured eating plan? I feel desperate and am mortified I have regained so much weight Thanks everyone, Karla
  2. Hi!! Thanks for writing me And yes we are ready to start a family. But, my health has to be first. For many reasons other then weight and childbearing.... As for the revision - my insurance isn't rejecting it. I have not even gotten to that point yet My surgeon won't do a revision unless I have a Fistula. I had the CT scan on Tuesday so I am hoping to know the results about the fistula and my hernia. I am blessed that my hubby works for Siemens (largest single employer in all of Europe last I heard) and so working for a big company like that we can get awesome health care. We have United Health Care - he got us their best coverage (90/10) etc... So, my hope will be that if I need a revision I will not have to go through what I went through with Cigna 6 years ago. I had to go through 3 appeals! And, then on the Thursday before my surgery it got approved. Believe me, I try so hard not to beat myself up. But, I just cannot believe that all I fought for to get the surgery, the aftermath massive transition (we all know all too well!!) that I let it all go. At least I know I did in part. Grazing is my downfall. Always has been - even before the surgery. UGH! BUT, I do have to say that I never in all my years post-op I have NEVER gained this much weight in one single year. I was in shock, tears, shock and more tears when they weighed me. I think the weight gain might be a reason my surgeon may suspect a fistula. And how crazy is it to actually hope you have a fistula so your (speaking about me here) will do the RNY revision! That is crazy! What I do not get is that WLS is supposed to be a tool (and I know all too well I took this for granted) to lose weight and lead a healthy life - possibly extending our lives from obesity. So, why would surgeons refuse to do a revision? I have done a lot of research and yes, there are additional risks. Complications and instead of a .5-1% morbidity it goes up to 2%. But, shouldn't this be MY choice? After reading and spending time really thinking about it etc... Should I not be the one to choose if I want a revision? These are rhetorical questions that I would love to be saying to my surgeon right now My biggest question I have (and I will be asking my surgeon as well about this as I want to hear his 'scientific' response) is that yes, going back to the basics is all well and good. But, what if my pouch has stretched out so much? I don't know how to know if it has grown. I am sure it has being 6 years post-op. But, is going back to the basics of my original pouch size reasonable or even realistic? I dunno... I have SO many questions to ask Dr. Kim or at least have his nurse ask for me and give me some answers to some of these questions. New post-ops! Never ever take your eyes off the ball. I did it and now I am fighting to get back. It sucks.
  3. How 'processed' is imatation crab? I know for the first month I would get SO sick eating anyting remotely processed.. Now, I am okay - but WHOA my first experience with that was AWFUL! Hubby and I are at Costco - they have food cooking stations and I tried what was supposed to be a true chicken nugget with next to no 'processing'. OMG. I could not run to the bathroom fast enough! And Costco is huge!
  4. Well, the grocery store is on my list of to-do's so I will find out As now I am cravig it and will get it hehhehehe
  5. When I had my RNY my surgeon said 6 months. Exactly 6 months. I was totally freaking out up until then. I was calling the office a few times asking if this was normal.... And at 6 months my hair did stop falling out. It is so strange how it is scientifically 6 months. Maybe different for others - but my surgeon tells everyone 6 months out and at six months I stopped losing hair! YAY!!
  6. Ditto... I love it too. But, I have not had it in a while and am not sure on the protein content? Now I am thinking about it and will probably get it on my next grocery store visit But, is the protein good for imatation crab? I hope it is!
  7. Oh, I do have the RNY. not the lapband. I put lap as a short for I had my surgery done laparoscopic not open...
  8. This is a concern for me as well. I know we would wait way past a few months to start trying. But, for women that are over 40 it could take me months and months to even get pregnant anyway. But, we would never take anything like this lightly and would wait until I am physically much better (losing most of the gained weight). And I am currently researching all over the place about women with RNY and pregnancy to see more results on 'when' to start trying after RNY for someone my age Things change SO dramatically (fertility wise) when you turn 40. Your chances of getting pregnant are significantly reduced. I think I heard Dr. Sanjay Gupta (CNN doctor) say something like 5% after 40! I have no concrete data on this and it's on my research list. Also, my very good friend who is an OBGYN would help with decisions too. She had consulted with a doctor who was doing research on women who had pregnancies after WLS. So, she is well informed on my anatomy and it's issues
  9. Xan, No worries! I never thought your thoughts were mean at all or trying to discourage me from the revision I am the kind of person that wants to hear the truth of things whether I want to hear them or not. My surgeon did talk to me about going back to the basics. Measure out 5 ounces etc.... That I have no problem with (I say that now but after I start it I may disagree with myself! But, would going back to the basics work for someone who has enlarged their pouch so much? I guess that will be found out by doing the 5 day test... I am 5'x5" and honestly do not know my exact weight. When the nurse said I had gained 43 pounds in one year I was in tears. So, I am thinking I am either at or close to my original surgical weight. I just could not bear to hear or see the exact number. My main concern and hubby's is that I get healthy. The other realistic concern is that he travels A LOT because I am not taking in nearly the amount of income I used to at all. So, he had to take a traveling position within Siemens to keep us afloat. I cannot even imagine having a child, trying to rebuild my business, and then add to that a revision of my RNY. And because of finances hubby still has to travel 90% of the year. No joke. Just cannot see how it is feasible to do all of that in that order. But, will of course do the 5 day test, see what the surgeon says about my hernia and if I do have a fistula. Then proceed to working my butt off on losing this weight. GRAZING is my enemy!!! UGH! Working at home makes it so EASY to do.... Ugh.... I cannot thank you all enough for talking to me about this I don't feel so alone in this. No one I know has had WLS so it's hard for them to understand the complexities of my concerns... Thank you all so deeply
  10. Carolanne, We have not tried to get pregnant yet.... I own my own business and due to the economy has taken a deep decline financially. So, I was SO successful and busy before that it just did not seem like the right time to get pregnant. Now I am trying to revive my business desperately. My husband is a senior mechanical engineer with Seimens (his specialty are gas turbines that run power plants). So, he travels A LOT. Months at a time sometimes. He is really gifted at what he does and he is also multilingual so that makes him in demand even more! But, I have no known infertility issues. My concern is my age (turning 40 in January) and my weight. Don't get me wrong I have friends who have gotten pregnant while being as overweight as I am. But, they are much younger then me. Do you mind me asking how old you were when you began your family? I am not sure how long I would have to wait after the revision to start trying.... That is one thing I am trying to do a lot of research on now... I hate this and if any short term post op's are reading this - please do not make the mistakes I have made.
  11. Thank you Xan I will definitely do the 5 day pouch test. I read a lot about here too. What I am now researching is about how soon can we start trying for a family after the revision. My husband is the best MAN on the planet and wants my health to be priority. He says I am his second half and he cannot imagine life without me How wonderful is he?!! I am so lucky Him being the best person, best husband and best friend would make me feel so devastated if I cannot get pregnant. Because of my grazing and regaining. I have a good friend who is a OBGYN and she has told me that women do of course get pregnant after 40 and it's happening more and more. She knows my whole medical history. She did say that losing most of my weight will significantly improve our chances and will be easier for me during the pregnancy. I really want to stay clear of fertility treatments (will do it if necessary of course) but am terrified of having multiples!! So, now with time and weight against me I am still left with the question of what to do. Hubby wants my health to be the best it can be and would rather wait on trying for a family until I am healthier. I guess the first step is to do that 5 day pouch test. Then find out from my current surgeon the results of the CT scan. Am I facing a hernia surgery or a hernia and a full RNY revision due to the fistula? If no fistula and my pouch is the correct size (this I am pretty certain is not so as I can eat A LOT more at one sitting then I used to). Then I will have to research other surgeons. That has added a whole other stress as I trust Dr. Kim so much. My surgeon is Dr. Keith Kim in Celebration, Fl. From what I have read is so SO respected in the industry. Why he will not do a revision is really beyond me....
  12. Hi!! Okay, so I had my original lap RNY in December of 05. I have gained a significant amount of weight within the last 2 years. I do know a lot of it is from me grazing I work from home so it's easy - not an excuse though Went to see my surgeon last week for a few reasons. I feel like I have an ulcer and was pretty certain I have a large hernia. So, he put me on nexium and scheduled a CT scan and blood work. He did schedule the CT to see if I have a fistula as well as he thinks I 'may' have one due to my rapid weight gain. I did ask him about doing a revision of my original RNY. He flat out said no. Too many complications and risks for me. The only reason he does revisions is to fix fistulas. So, if my CT scan comes back and shows a hernia and no fistula then I am out of luck getting a revision. This is so frustrating as I have read so much (especially here) that revision RNY's are successful. I so much want a second chance. I am almost 40 over 250 pounds and my husband and I want to start a family. So, not only do I have my age against me in getting pregnant but add me being so overweight lowers my chances even more. I left his office in tears. I won't be able to bear it if we cannot get pregnant because I failed my surgery. I am heart wrenched about this. Every time I really think about it (like writing this) I am in tears. I know for sure I have the hernia but do knot know about the fistula. At this point I pray I do have it so he will redo my RNY. Any advice anyone can offer? Thank you all so much, Karla
  13. Well, I met with my surgeon Dr. Kim last week and his conclusion is that I do have a hernia. And it's not in a good location from what he 'felt'. He was pressing so hard on my hernia that it HURT a lot for the rest of the day And, he suspects I may have a fistula. I have regained a lot of weight in the last 1.5 years.... I just thought my pouch got a lot bigger due to the fact that I was NOT following the rules at all I asked him about doing a revision on my RNY and he said that because of the increased potential of having complications he does not do revisions. Unless it's for a fistula. So, had the CT scan done today and should find out soon I hope about the results. A little unnerved about what is happening. Just want to know NOW And, is it really that unreasonable to ask for a revision of my Lap RNY? I desperately want to have a second chance at doing my body and the surgery right BUT I have one other concern. Hubby and I want to have a child. I will be 40 in January and am just terrified of having this child while I am so overweight and even being able to get pregnant at this late age WITH the complication of being overweight. So, I feel so sad, lost and confused.
  14. Hi!! Kind if worried and scared here.... I posted below that my surgeon is certain I have a type of hernia that must be repaired. Not an optional hernia repair because of it's location. He also thinks I may have a fistula. He said he would have redo my RNY surgery. At first I was thrilled about the possibility of getting a revision so it can help me shed SO much weight I have gained back But, he is a very frank, stick to the facts kind of guy. He said the risks for post-op complications go up a lot rather then the first RNY. And, that the mortality rate goes up to 2% instead of the max of 1% for first time RNY. So, if in the end I do not want a full revision because of the fistula do I have to have one anyway to fix the fistula? If I have both is it possible that can he do both surgeries at once? He is conservative BUT, his patient's comfort level and health is most important. And last question I swear! He scheduled a CT scan for all of the above. Does the CT scan detect a fistula and hernias? Thank you all so much! I am more then worried and getting scared. Anxiety is going through the roof..... Thank you all again - I am SO happy there is a forum out there for WLS. Karla
  15. Hi! Well, I know I have a hernia in my upper abdomen area. My gastric surgeon says it could be at ring (called it something and for the life of me cannot remember where he is very certain it is). He also suspects a fistula due to other symptoms I am having. He ordered a CT scan for both. I read something just now online about someone getting a MRI to find a fistula. So, can a CT find a fistula? Or should I call my surgeons office and request a MRI instead? Thank you all so much