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Sharyn S.’s Posts

Sharyn S.
on 9/12/12 5:54 pm
Topic: RE: IVF filter
Hematologists don't do surgery.  You need a cardiac surgeon or a general surgeon.  If you don't know one, ask your bariatric surgeon to recommend one.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 8/15/12 2:48 pm
Topic: RE: What's your favorite form of exercise?
Gossiping.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 8/3/12 4:21 pm
Topic: RE: Bookmarks!
Ditto.  Yet one more thing about this site that sucks.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 7/27/12 6:40 pm
Topic: RE: HCA Employees HELP- OR ANYONE ELSE
If I'm not mistaken, they pay 100% after a $2000 copay.  LapBand and RNY only.  At an HCA facility.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 7/8/12 8:40 pm
Topic: RE: pain meds post op
If your pain medicine is Lortab, Norco, or Vicoden (among others), you should NOT take Tylenol in between doses.  All of those medications contain Tylenol and additional Tylenol could become toxic, causing liver failure. 

Call your surgeon.  They may increase the dosage or shorten the time between doses.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 6/30/12 12:27 pm
Topic: RE: Polycystic Ovarian Syndrome
I used to have a period every 3-6 months.  Now, every 32 days like freakin' clockwork.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 6/7/12 5:46 pm
Topic: RE: How to prevent blood pressure.
My first thougth was, "Well, you want a little blood pressure."

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 5/20/12 11:43 am
Topic: RE: My Friend Died After RNY,DS and then Reversal

Every surgery poses a risk for complications.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 5/11/12 3:56 pm
Topic: RE: Please help- husband had surgery 4/3, can't pee
If you currently have a temp of 101, you need to go to the ER.  That could be a sign of surgical site infection.

And you should have never been discharged without having urinated first.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 5/10/12 8:31 pm
Topic: RE: Please help- husband had surgery 4/3, can't pee

Didn't you receive instructions to follow up with your surgeon???  When is your next appointment with the plastic surgeon???  If it is more than a week away, I would call the office and ask.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 5/5/12 9:56 pm
Topic: RE: what is difference between VBG and Lap

Vertical Banded Gastroplasty

 

Vertical Banded GastroplastyVertical banded gastroplasty (VGB) also known as stomach stapling is a surgical procedure meant to limit and reduce food intake and not to interfere with normal digestive process. That is a positive side of this procedure because complete absorption of nutrients in the food is uninterrupted.

This restrictive weight loss surgery can be done in two ways: open where under general anesthetic surgeon makes an incision several inches long in the patient’s upper abdomen, and other, performed through laparoscopic, through very small incisions. Anyway, upper stomach is stapled vertically to create a small pouch where the rest of the stomach is separated by a band whose purpose is to make emptying of food from the pouch slower what results with patient feeling full for longer.

Candidates for vertical banded gastroplasty are patients with a body mass index (BMI) of 35 or higher but after the procedure, it usually takes around 18 to 24 months to lose 50% of patient’s excess body weight.

Many short term and long-term risks are present such as regaining weight, ongoing vomiting and heartburn as well as psychological problems.

 

Vertical Sleeve Gastrectomy

Vertical Sleeve GastrectomyThe Vertical Sleeve Gastrectomy procedure (also known as Sleeve Gastrectomy, Vertical Gastrectomy, Gastric Reduction) is a purely restrictive operation. In this procedure, the surgeon removes a large portion of patient’s stomach, about 85% of it and remaining part is put together with staples. The new shape of the stomach is banana like and measures from 1-5 ounces (30-150cc). The idea is to limit the food that patient will be able to intake and therefore to lose weight. A good thing is that all the nerves to the stomach and the outlet valve (pylorus) remain undamaged so all the functions of the stomach stay in use.

This procedure is also performed through laparoscopic and certainly is not reversible. The candidates for it would be patients with a body mass index (BMI) of 40 or more and that is someone with at least 100 pounds over their recommended weight. Also, someone with a BMI of 35 or more with a serious medical condition as sleep apnea, type 2 diabetes or heart disease that might get better with weight loss is also a good candidate for weight loss.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 5/4/12 8:26 pm
Topic: RE: Confused about calcium
Does anyone else have this problem and is crushing them ok???

Yes and yes.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 4/5/12 6:21 am
Topic: RE: Please help- husband had surgery 4/3, can't pee
While not "normal," the inability to urinate after surgery is a known side of effect of anesthesia.

One of the medications they use is a paralytic.  The surgeon doesn't want you jumping all over the operating table.  The bladder is a muscle.

When they administer the reversal agents after the surgery is complete, the large muscles (arms, legs, back, etc.) wake almost immediately.  The small muscles of the bowel and bladder are much slower to wake up.  That's why we nurses are so worried about our patients peeing and pooping after surgery.

I have had to send patients home with a Foley catheter on several occasions due to their inability to pee.  It will happen, it just may take some time.

Be patient.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 4/4/12 10:31 pm
Topic: RE: Gallbladder US showed sludge - surgery??
If you are symptomatic with sludge, you should have the gallbladder out.  It's not gonna get better.

I once had a patient who ignored his sludgy gallbladder and he ended up with a gangrenous infection, in the hospital for a month, and got sent home on TPN for a month.  That guy nearly died.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 3/31/12 8:49 pm
Topic: RE: Financial stress
That's what I was thinking, too, Maria.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 3/29/12 10:05 pm
Topic: RE: "Special" Vitamin considerations for RNY
1) Calcium Citrate needed - As I understand it, Calcium Carbonate is not well absorbed in ANYONE but not at all in post RNY - correct. Any other form of Calcium recommended?

Citrate is the best.

2) B12 - must be sublingual/nasal because of missing intrinsic factor

Correct.

3) D3 - must be dry instead of gel coated - Why? Would Carlsons Liquid be okay?

Vitamins A, D, E,  and K are fat soluble.  RNYers malabsorb fat.  Vitamins A, D, E, and K must be in dry form so they can be absorbed.

4) Iron - I have read soooooooo much about how toxic iron supplements are to the body and cancer causing but I keep on supplementing because the doctor says so - ferronyl 65 mg elemental iron.... Why do RNY need this for life? 

95% of all mineral and vitamin absorbtion occurs in the duodenum, which is the portion of the small intestine that is bypassed in the RNY.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 3/24/12 8:07 pm
Topic: RE: DUMPING
Dumping is dumping, whether it is caused by sugar or fat.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 3/24/12 8:02 pm
Topic: RE: I Wish I Never Had Wls
Holy crap.  First time I've ever agreed with anything you've ever said.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 3/22/12 11:39 am
Topic: RE: thank you chick fil a
I don't care what is on their menu, they will not get one gay dollar from me, as they are run by a homophobic organization.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 3/16/12 10:34 am
Topic: RE: GLBTA
*Like*

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 3/15/12 3:40 pm
Topic: RE: GLBTA
Image Detail

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 3/10/12 8:08 pm, edited 3/10/12 8:13 pm
Topic: RE: Hello...still trying to decide between bypass and ds.
I am 8 years post-RNY and a success.  I have mild reactive hypoglycemia, which is a side effect that they don't tell you about too much.  Many are debillitated by it.  I am not.

I will say that if I were having WLS today, I would choose the DS.  There is better weight loss, long term maintenance, and no dumping or reactive hypoglycemia.  Better cure rate for diabetes.  More normal post-op eating pattern.  You can take NSAIDS.

I don't regret having the RNY, but I would choose the DS today, especially if I were self pay.

ETA:  I take a lot of vitamins and minerals.  I take them 7 times a day.  But, I took a crap ton of prescription medications before RNY.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 3/6/12 12:54 pm, edited 3/6/12 12:56 pm
Topic: RE: why am I doing this
I'll probably get moderated for this reply, but quite frankly, I don't give a damn anymore.

WTF are you people thinking???  You were given a diet progression for a reason.  Keep to it for your health, safety, and to lose the weight you want. 

Your internal incisions have not healed yet and you run the risk of disrupting the suture line.  You could get a major infection and die, never mind not losing all the weight you want.

And you people who are telling her it's okay, just chew and spit or swish & spit cola are only enabling the OP.

Anne, all this bad, bad advice is the result of your "cleaning up the Main Board."  Are you happy???

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 3/2/12 6:32 pm
Topic: RE: Woman problems and surgery
Post menopausal women should NOT have vaginal bleeding.  Taking care of that situation absolutely takes priority over WLS.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Sharyn S.
on 3/2/12 11:48 am
Topic: RE: Am I Bleeding?
Those bruises are probably from the blood thinner injections, especially if you are still giving them to yourself.  Bruising tends to occur near the ingection site quite frequently.

I would not worry about it.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012