Hi Melissa,
I had my surgery at 440 pounds. Dr. Smith in Marietta, Georgia.
I wanted it done laparoscopically, and from someone who'd take Medicare (at that time he did, now I hear he doesn't).
No other surgeon in the United States would take me and do the Duodenal Switch all in one operation (don't know if you've heard much about the Duodenal Switch, but some surgeons prefer to do the sleeve gastectomy first, have the patient lose weight, then go under the knife again for the intestinal portion of the DS).
I also had sleep apnea (extraordinarily severe, and barely treatable on the bipap machine), high blood pressure, and was borderline diabetic, but not on any prescriptions for it.
Congratulations on having lost so much weight pre-surgery. That's a helluva hard task, if you ask me. Then again, I was at the very end of my dieting rope and then some. My metabolism was so broken that I'd diet for two weeks, see very little change, and the weight would come back something fierce.
What to expect? Well, regardless of what type of surgery you have, I'd expect to be in the hospital for at least a few days. I was in for a total of 5 days. While in the hospital, what I found the most valuable was - of all things - my sister. When the nurses weren't able to help me, she was there by my side. I wouldn't have made it without her.
Sometimes the hospital staff was so busy with other patients that I'd wait in my room for an hour for a response from any of them. That's with pushing the button a gazillion times for help. The times I needed most attention was when I was worried about my PICC-line site (my arm swelled up like a balloon, and when the nurse finally came to see what was going on, she was taken aback, called the surgeon right away, and I was taken to get an ultrasound to look for blood clots immediately); when I sat on the toilet, and couldn't wipe for myself because I couldn't twist or turn cuz of my abdomen (my sister came in before the nursing staff did!! they were just going to let me sit in my own waste!!??!!); when I started to feel pain.
Hope I didn't overwhelm you with my hospital experience.
The surgeon was impeccable. The hospital experience sucked bigtime.
I hope you have an excellent surgery, and smooth sailing in recovery.
-anne s.
Learning about the DS? An excellent resource is www.dsfacts.com
For scientific studies about the DS and more, "friend" me, and then click on my profile. Best of luck on your journey.