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Dr. Callery

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About Dr. Callery

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    Bariatric Surgeon

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    San Diego, CA


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  2. I haven't been on this forum for many years so thought I'd give an update.  I had my RNY in 2002, pre-op 273+lb, 5'6", 46 yrs old.  I have never regretted my surgery.  It saved my life.  It has been a wonderful tool despite my challenges over the years.  I am a serious sugar addict and was able to regain slowly 60 lbs..  I still feel some restriction from my pouch thank God, but grazing on food / sugar throughout the day is why I gained weight.  I've had problems with anemia and vitamin deficiencies during times that I didn't consistently take my vitamins which are critical.  My diabetes went away for 14 yrs but returned with my weight regain or possibly because I was destined to eventually get diabetes anyway since I am 65 yrs old.  I am so grateful that I haven't been morbidly obese for the past 18 yrs. Surgery changed my life.

    I am now actively involved in Overeaters Anonymous online zoom meetings to help me with my addiction to sugar and abnormal relationship with food.  It has helped me immensely.  If you are struggling, consider going to OA.  Surgery helps with weight loss but doesn't cure food addiction.

  3. How can I lose weight? I had Gastric on 2010 and have gained 28 pounds. Help!

  4. Hello Dr. Callery!

    i was sleeved 5-12-17.. a few days ago.. I made the mistake to eat what I now think was a dense, heavy soup. I am now feeling like I'm walking around carriyng a Rock for a stomach. I'm afraid I might have unstitched something, i had WLS in Mexico which is why I can't just go to Drs. Office. But I don't want to overreact and end up in the Emergency for something that could just go away on its own. Any advise? Thank You!

  5. Hi Dr. I had the sleeve done one 4-25-17 and I had a hernia also fixed. But I'm having upper abd. Pain when I drink or eat anything.  It really hurts but it only stays for 7sec then goes away.  I don't understand?

  6. CzJ, Most people are pretty anxious before surgery no matter how prepared they are. I can't give personal medical advice. In our practice we generally prescribe about 4 low dose (0.25 mg) Xanex tabs during the prep op visit. Patients can take one each night for a couple of nights before surgery and then take the other two when they hop in the car to be driven to the hospital. We find that the minor tranquilizer improves sleep, greatly reduces anxiety in the hospital, and according to medical reports may help reduce post op pain. We thoroughly discuss the surgery along with risks, complica
  7. When blood sugar drops, people get an adrenalin surge. This causes rapid heart rate, sweating, and anxiety. People do often wake up if they are hypoglycemic. But sometimes they do not. The sugar can fall far enough and fast enough that the brain goes into a stupor, coma, sometimes convulsions, and death without fully awakening the patient. The patient could partially awaken, but not have the mental capacity to recognize the situation. Rare, but scary.
  8. VSGJV, Erratic changes in heart rate are not normal. The may or may not be pathological, but are not normal. You did the right thing by seeking medical attention. If they continue ask your APN to refer you to an internist or cardiologist for further evaluation. Dr. Callery
  9. Dear Obsidian, 1. You should only go to surgery if and when you are ready. No one should push you into it. And you shouldn't push yourself. There certainly are risks to surgery as well as benefits, and there are heavy patients who clean up their diet, exercise regularly, and lead very satisfying lives. They have the latitude to eat and celebrate as they wish. They may shorten their life expectancy and incur accelerated health problems, but it's a trade off. They have more freedom and no short term or long term surgical risks or side effects. 2. Oral anti-appetite drugs help people lo
  10. Dear Elisa, Post op weight loss is a long term proposition. Much of the early weight loss is loss of excess water weight. The first 20 or 30 pounds usually goes quickly, and then weight loss slows down. Almost nobody loses weight in a smooth way. The weight goes down a little, then there's a pause. Then there is more weight loss, then another pause. If your weight is stable for a couple of weeks or more you're at a plateau, but day to day fluctuations in weight loss don't mean much. So take the long view. Over the long run, working out is helpful for overall health both physical and
  11. Dear Annegirl, Most of the time people gain a few pounds of fluid weight during the hospitalization. When you're under stress, your pituitary gland secretes a hormone called vasopressin, AKA, antidiuretic hormone. Vasopressin causes the kidneys to conserve salt and water. This is a defensive move by your body to conserve fluids. When the stress is resolved, the hormone is no longer secreted, and the kidneys let the excess water go. You urinate the excess fluids. You had complications, were under stress longer, and held on to more fluid. Most of the time the body takes care of this on its
  12. Dear Blameithonthegenes, A significant drop in blood sugar following meals or snacks is called reactive hypoglycemia. This phenomenon, also called late dumping, is seen in a substantial number of gastric bypass patients, and may also be seen occasionally after sleeve gastrectomy. At times blood sugars can drop dangerously low causing decreased mental status and even loss of consciousness. Fatal traffic accidents caused by decreased level of consciousness have been reported. Fatality from profound nighttime hypoglycemia is conceivable, but I have not seen it reported in th
  13. Dear Connie77, I can't give personal medical advice, because I don't know all the details of your situation. Here are some general points. Lap gastric bypass after Nissen fundoplication is feasible, but is one of the most technically advanced bariatric procedures. The Nissen wrap is taken down (unwrapped. If there is a recurrent hiatus hernia, it is repaired. Then the gastric bypass is performed. There is usually a lot of scar tissue, and it very tricky to unwrap the stomach safely. The biggest risk is damage to the esophagus causing a leak followed by a stomach staple line leak. Th
  14. Dear Brenda, Several things can happen as time goes by. Your pouch can stretch a little. The gastrojejunostomy (the connection of pouch to the small intestine) can widen. You can change your dietary habits to accommodate more food. You can eat richer food with more calories per serving. There may be changes in your internal metabolic signaling that alter your weight set point and make you hungrier. All of these changes can result in greater calorie intake and result in weight regain. One way to estimate your "pouch size" is to obtain an 8 or 12 oz container of large curd cottage chee
  15. Dear Bigfuzzy, Contact your surgeon's office and ask the office to send you a list of the blood tests that he or she recommends. I can't comment on your particular medical situation or give you personal recommendations. The routine blood work that we generally recommend for patients every 6 months is as follows: -CBC, Chemistry panel -Iron, TIBC -Vitamins A, B1, B12, D -Whole molecule parathyroid hormone -Bone density studies on selected patients Many PCPs will also get a lipid panel and HgA1C when appropriate. It's very important to remember that each patie
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