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About summerset

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  • Birthday 07/19/1977

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  1. Take a look Classification by severity[edit] The severity of reflux esophagitis is commonly classified into four grades according to the Los Angeles Classification:[6][7] Grade A One or more mucosal breaks < 5 mm in maximal length Grade B One or more mucosal breaks > 5mm, but without continuity across mucosal folds Grade C Mucosal breaks continuous between > 2 mucosal folds, but involving less than 75% of the esophageal circumference Grade D Mucosal breaks involving more than 75% of esophageal circumference It tells how much of the circumference of the esophagus has damaged mucosal tissue. Don't know if that helps?
  2. Just had gastroscopy today. Luckily neither esophagitis nor Barrett nor something even more evil. Pouch fine without inflammation. Anastomosis fine without inflammation. I need another hiatoplastic with gastropexia though. Surgeon recommended it but doesn't see a need to rush it because see-gastroscopy-results-above. Alternative would be wait-and-see-how-I-can-cope and have control-gastroscopy in a year. Hernia is back again.
  3. Any updates? Did everything went well so far? My yearly gastroscopy is due on Thursday and I have some flare ups as well recently (ok, admittedly I had residual symptoms throughout since my bypass 3.5 years ago). Last year everything came back fine (they didn't even take biopsies because everything looked just fine) but this year... I don't know. I'm always kind of nervous when the appointment is due but this time my anxiety's through the roof. You have to deal now with what I fear most. I wish you all the best.
  4. Plain water makes me want to gag so I'm completely with you on this.
  5. So it's just been a few days and you're still dealing with post-op stuff. It will get better in time. A short time. You're not the only one. The people dealing with depression or depressive episodes are definitely out there. If you're diagnosed with depression, medication might be something to consider if you're not already taking an antidepressant. I'd take a bet that you don't want to hear what I'm going to say now and you already seem to know it yourself anyway: they're absolutely right. This is your life now. Deal with it. If it's helpful in some kind of way: there are different protocols out there. We were allowed caffeine 4 weeks post-op. There are surgeons who don't mind carbonated beverages if they're calorie free. About chewing gum and using straws - can't remember someone even mentioning these things in the hospital I got surgery at. I'm chewing gum regularly, I drink carbonated (almost) calorie free beverages and I drink a gazillion cups of black coffee a day. It might also be helpful not to listen to the holier-than-the-pope zealots out there, especially if you're feeling vulnerable to their blubbering.
  6. Regarding the topic of "being ready": I sometimes think there is this big hype about "being ready for surgery". I had to think about ulcer patients receiving partial gastrectomy in the past (the times before anyone knew about H. pylori) when I re-visited this thread just now. Nobody asked them if they were "ready" for surgery. You had an emergency (bleeding, perforation), you got the surgery, you coped with it. And yes, there were for sure obese patients who received the surgery as well. I personally never have asked myself the question "am I ready for surgery" or "do I feel prepared well enough", at least not that I can remember. I remember being afraid of revision because of risks like pulmonary embolism etc. but I didn't think much about possible other stuff. Maybe these were just other times and maybe it made a difference that my revision was about GERD but this is the way it feels: I thought this surgery would be the right thing, I finally got it, I coped with the consequences and that's that. I'm sure there are other people around feeling and thinking like this.
  7. Having WLS is like learning to swim. You can read all about swimming you want. You can research proper technique and all the stuff. You can talk about swimming until you're blue in the face with trainers, coaches and swimmers. In the end nothing really prepares you for that moment when you hit the water. Imagine any other abdominal surgery. Would you have expected things being a breeze and feeling all well within the blink of an eye? I know that some people make it look like this and I had an easy recovery myself when it came to post-op pain as well. However, I felt tired for weeks.
  8. I think it can be a very fine line between "habit" and "obsession" or "something healthy becoming unhealthy". I'd say exercise has become something unhealthy when people are actually exercising even when sick with a cold or suffering from overuse injures because they get so nervous about "slacking" or "not burning calories" that they exercise anyway or when exercise gets the number one priority in life because you're so damn afraid of losing your gainz, no matter what. Same with "healthy eating". If you're out having a romantic dinner with your wife/husband and all you can think about is the menu and if it will fit your special needs - then I'd say there might be a problem going on. However, even that is only personal opinion.
  9. I think these people might just have changed obsession. You don't know how it looks inside their minds. Do they feel nervous when missing a training? Do they build their lives around training instead of the other way around? Do they obsess over "muscle definition" and "low body fat" rather than "weight" now? Over "macros" instead of "calories"? How often do they think about eating/nutrition? Strength training is a good thing to do but I'm getting suspicious about "testimonials about curing an ED with strength training". Sounds a lot like the raw vegan or keto or paleo or whatever you tubers who "healed" their eating disorder with veganism and/or being "all raw" or "paleo" etc.
  10. Yes, if one is at desired weight (or at a healthy weight, these two often seem to differ) does it really matter how much one is eating or being able to eat?
  11. Interestingly enough there seemed to be a DS hype in Germany some years ago. Patients who've got the DS talked about "having the Mercedes of WLS" while the classic RNY was the "VW". (Yes, that was the way some patients talked liked.) Well, the hype seems to be gone since quite a few years in Germany and I doubt it's because the DS gets you the best weight loss results possible.
  12. Weird, the people I've met ate quite a lot of fat to "get things going". Carbohydrates gave them smelly gas and made them gain weight.
  13. There are many reasons people choose an RNY or MGB over DS, Reflux being one of them. Insurance stuff. Surgeons that don't perform DS or perform DS only on very heavy patients and even then surgeons seem to have become more hesitant and perform a sleeve first with the option of a second surgery, being MGB, RNY or DS (that's how things seem to be in Germany). However, there are always the different mindsets of different populations to keep in mind as well. As for the better long term results: DS doesn't seem to automatically prevent weight gain and has a bigger potential of complications due to malabsorption. Patients have to watch it as well though in a different manner as it seems. I've met a few BPD/DS patients in the hospital and what they eat doesn't sound very appealing to me as well.
  14. Yeah, the difference between the two can be a fine line. I freely admit though that I use food as some kind of reward after exercising and the food tastes better after physical labour anyway but I've noticed that this seems to be a pretty normal thing to do (e. g. having non-alcoholic wheat beer after long bike rides, I know many people who do that). While I don't view exercise as some kind of punishment, it definitely feels good eating some mood-enhancing and relaxing food after some mood-enhancing and relaxing exercise. A cumulative effect so to say. Since a while I don't view this as a problem anymore. Food is meant to bring us pleasure after all and this makes totally sense from an evolutionary point of view. And what's considered "normal" anyway? "Normal" is what the majority of people around you do. The problems start when exercise starts to consume an unreasonable amount of time or when it has become the absolute highest priority on your list no matter what (e. g. exercising when sick or injured or neglecting other important things in your life).
  15. Almost all people are. I just have to look at my colleagues, e. g. all of them make their fair share of bad choices depending on taste, on mood, on whatever - even though they're not overweight, muscular, fit, or maybe just a little bit overweight or a bit skinny fat. "Food for fuel only forever" is some kind of wet fantasy that won't come true.