Weight Loss Surgery Directory

Joanne B.’s Posts

Topic: RE: What should I eat..I'm 1 month post op
 Just a note on the Vitamin D you're taking - from the amount I'm assuming it's the soft gels?  Are they green or brown with liquid in them?  If that's what you're taking, they're not useful to us.  The Vitamin D in them is suspended in oil, and we dont absorb the oil, therefore we dont absorb the Vitamin.

The type of Vitamin D you need is called "Dry" Vitamin D.  Vitalady.com is a good place to buy that.
Topic: RE: A questIon about the DS and Weight Regain
 I  know many DS'ers in real life, and talk to even dozens more online.  I dont know ANYONE who has gained back all, or even a significant part of their weight.  I do know many who have gained a portion, such as 10, 20, 30 pounds.  

The people who have what we call "bounceback", are often times people who lost a bit much, ended up skinny, and bounced back somewhere they're still happy with.

I've maintained my 150 pound loss now, with my weight being stable for over a year.  I do notice that it would be easier for me to gain, for example a week out of town eating in restaurants and not really watching carbs will make the scale drift up a pound or two - but it also comes off just as easily for me now.


Topic: RE: Just curious about your percentage of weight loss and extra skin....
 I lost 100% of my excess weight.  I then had plastics which took off about another 10 pounds.  

I was 45 when I had my DS (48 now).  I have before/after picutres of plastics on my profile if you want to see the skin.
Topic: RE: Time off
 I think 4 weeks is average.  I've seen people go back to desk jobs in about 2 weeks, but I wouldn't have personally been able to do that.  I ended up taking 8 weeks, but I had great disability insurance so finances weren't an issue.  I travel by plane every week for business and when I went back I wanted to make sure I was 100% ready for it.
Topic: RE: 2 Weeks Post Op, what were you eating?
 Hi Gina,

The first few weeks are really rough.  It might just be trial and error to see what your new stomach is going to like, for now.  It will get better.  If the tomato soup isnt sitting well today, try it again in a few days if you want.  It can really change that quickly.

Try soft, mushy things that seem appealing to you, and dont pu**** too hard.  Hydration is the most important thing at this point.

Hope you're doing ok and continue to heal well.
Topic: RE: 2 year 8 month update =)
 Hi,
I remember you very well!

Nice to see you post, and congratulations.  You were always very pretty, and now you are stunning.  And so tiny!

Congrats on your beautiful baby, as well
Topic: RE: Which one should I try for???
 Here are a few links you should read:

www.dsfactss.com


Below is a link to a presentation done about revision surgery - why the gastric bypass (also known as the RNY), and LapBand fail a good percentage of people.  If you look at failed proceudres and revisions, you will see that there are many people that regain weight witht he gastirc bypass, and it is not always their fault - ie lack of willpower.  It has to do with the mechanics of the surgery.  I only know of one person here *****vised the other way - from a DS to an RNY, and that particlular instance has some sketchy detials.
www.obesityhelp.com/forums/amos/4416773/quotDoes-the-Patient -Fail-the-Procedure-or-Does-the/
Topic: RE: had my SURGERY
 Hey, you did it!
Congratulations!

Recovery is not easy, but it does get better every day.  Hang in there.  Remember the most imporant things you need to do are to drink at least 64oz fluid every day, so you dont get dehydrated, and walk for a bit, even if just around your house, so you dont get a blood clot.  Sip, rest, walk.  It will be a full time job for the first week or so.

Glad to see you home and posting!
Topic: RE: 4 days out and have a few questions
 Moving around will help with the gas, and your bowels.  Also remember that you're not eating much solid food, so you might not have that much in you to go.  And pain meds will slow down your digestive process.

Sounds like you're on a good path to recovery.  It gets better each day.

Congratulations
Topic: RE: stuck at 80
Please dont assume you know anything about me.  Angry?  I'm actually chuckling to myself about your holier than thou, passive-aggressive, know-it-all attitude.  

I've already seen you get run off of one board, but see you came back to press your luck here.

Oh, and good luck with your job trying to recruit people for whatever "paid research" you admitted elsewhere that you're doing.  Or are you not disclosing that here?

Either way, I'm done with you.

Topic: RE: stuck at 80
A PROFESSIONAL person?  What exactly is that?  What type of profession?  I have a degree and am a professional person.  The OP didn't come here to ask a surgeon, did she?  No, she asked a message board and will get a variety of answers.

What type of DS certification are you getting?  Who gives that out and what is required?  I've never heard of such a thing.

And FWIW, I'm not angry at anyone, certainly not the OP.  Although I do think you are giving bad advice.
Topic: RE: stuck at 80
 Do you have any obesity related co-morbidites, like sleep apnea or diabetes?  Without them, no way will you get approved, even with a 35 BMI
Topic: RE: stuck at 80
 No!
You obvioiusly didn't understand my sarcasm, so let me be more blunt to you, and to the original poster.

The requirements for a revision are the same, if not more strict, than the original surgery.  The requirements are a BMI >40, or >35 WITH co-morbidities.  Some may also be approved if there is a medical reason for failure on the original procedure (ie band slippage, or perhaps severe reactive hypoglycemia with an RNY).  These are much more difficult to get approved than a primary procedure.  In fact, some insurance companies insitute a once in a lifetime bariatric clause.

Finances aside, no responsible surgeon would do a bariatric procedure on someone with 40 pounds to lose!  Think about that.  The risks dont outweight the benefits.  No patient, properly considering the facts, would want to do that either.  With 40 pounds to lose, and no obesity related co-morbidites, the reasons for surgery tilt more towards cosmetic than health.  Please notice I said "tilt more" - not that they ARE simply cosmetic.  It's all a risk/benefit equation.  

The original poster is a victim of what many surgeons do - sell you on the sleeve and then tell you if it  doesnt work you can get the DS.  Why would they do this?  Because they dont do the DS.  We can say that here over and over again, because we've seen way too many situations like this one.

"Technically" - yes, the sleeve is the first part of the DS.  Good luck getting insurance to approve it, though, once you lost your MORBID obesity.  Good luck finding a responsible surgeon to do it with only 40 pounds to lose and no co-morbidities.  And think really hard if you want to go through that just to lose 40 pounds, when there are no other medical issues at hand.
Topic: RE: stuck at 80
 Really?  Please explain to me how a revision is possible without meeting minimum BMI requirements, or having some other type of serious medical issue with the original surgery.  I'd really like to understand what you mean here.
Topic: RE: Question??
Probably not.  The insurance qualifications for a revision are at least the same, if not more strict, than the initial procedure.  With 40 pounds to lose you're no longer morbidly obese.  

I dont want to come across as "I told you so" to people, but this is one of the key reasons why we say "Think Twice, Cut Once".  The "wait and see how you do" with the sleeve only often results in a scenario like this, someone remaining obese or overweight, and stuck in limbo between not being thrilled with their results, but not being obese enough to qualify for a revision.  u 
Topic: RE: Amuse me-playing the waiting game!
 I logged my progress into a spreadsheet.

My anniversary is the 9th of every month, so I'll post my weights each month:

I'm just a hair under 5'7".  I must stand more straight after losing weight, because I had always been exactly 5'6" - but I measured myself at multiple doctors over the past year, and I am definitely 5'7" now.  Odd....

Starting 11/9/09:  296
Month 1 December:  271
Month 2 January: 255
Month 3 February: 242
Month 4 March: 230
Month 5 April: 220
Month 6 May: 211
Month 7 June: 202
Month 8 July: 192
Month 9 August: 185
Month 10 September: 175
Month 11 October: 170
Month 12 November: 166 (One year)
Month 13 December: 160
Month 14 January: 154 (Goal:  Normal BMI)
Month 15 February: 152
Month 16 March: 151
Month 17 April: 151
Month 18 May: 149
Month 19: June: 146
Month 20: July: 145
Month 21: August: 145
Month 22: September: 145
Month 23: October: 143
Month 24: November: 142 (Two year)

I stopped tracking after two years, and I bounce around in the mid 140's now.




Topic: RE: Post Op Ds Eating
Hi Gina,

For me, early out, being full felt more like a lump high up in my chest.  Just take breaks between bites and sips to make sure everything is settling with you.  At your stage, one extra bite could make the difference between satisifed, and OMG I'm going to explode.  Learn the quantities you can eat - and know that it''s going to change A LOT in the upcoming months.

My early go-to things were a lot like Major Mom said.

-Tomato soup (try it with melted cheese)
-Yogurt
-Scrambled egg
-Egg drop soup
-Melted brie

Think about things that are soft.  Roslin explained it to me like things that you could mush up with a cheap plastic fork.  Start there
Topic: RE: terrified
 It's normal to be so nervous.  It's a big, life changing step.  There are risks to having the surgery, but fortunately they are very rare.  The thing to remember is there are big risks in remaining obese.  Your chances of having something bad happen to your health because you're obese are far more than your chances of having something bad happen due to the surgery.  It's just that we get comfortable with being obese day by day, so the risks of staying that way dont seem real - but they are.

Just keep thinking about all the  positie reasons you're doing this - for yourself and your children.  Know that it's normal to be scared.  We all were.  There would be something wrong with you if you weren't scared.

You can do this.  Hang in there.
Topic: RE: Pictures showing my journey
I dont think people will see them if they're not friends with you on Facebook.

You can upload them to your profile here,  (Go up to the top to "MY OH", them photos.  
Then what you can do is open your post in one window, the OH photos you uploaded in the second window, and do a 'copy" and "paste"
Topic: RE: Question about Recovery...
 Prior to my DS I had surgery a few times - a gallbladder removal, and ectopic pregnancy, and an open hysterectomy.  By far the DS was the toughest recovery.

By a few weeks out, you will definitely be up and about walking - but you will be very tired.  So you might technically be able to do it, but I dont think you'll enjoy yourself as much.

The other thing to consider is that some complications might not show themselves that quickly.  You really are at higher risk for things like blood clots for about 30 days after surgery.  You have to decide if being that far away from your surgeon so early out is what you want.  Also, with the risk of blood clots it will be essential that you stop frequently on that 6 hour car trip and get out and walk around.

Also if your vacation is a non refundable type thing, you really dont know how you'll feel or what complications you might have, however unlikely, until you go through it.

For me, I wouldn't do it - but it's your decision.  I think you "could" do it in terms of you shouldn't be bed-ridden and in pain, but the question you'll have to answer for youself is "should" you do it.
Topic: RE: So...life after DS???
 Hi there,
I'm 2 1/2 years out from my DS.  I'll do my best to answer your questions.

1.  Most people return at about 4-6 weeks.  I took off 8 weeks, but mostly because I had great short term disability insurance so didntt feel rushed to return.  I probably could have gone back around 5-6 weeks, but not much before that.

2.  Expect to take a lot, and then consider yourself lucky if you dont.  I take about 18-20 pills a day.  I would rather take vitamins than my old hypertension medication, etc. so it's not a big deal to me.

3.  I assume you're asking about how do you know what vitamins you'll need?  Good question.  Most surgeons dont recommend nearly enough.  Best advice is to start with what we call the Vitalday plan (Vitalady specializes in bariatrics, and really knows her stuff).  You will have to have labs to check your levels, and know how to adjust.  There is a lot of support online to help you.  


4.  You'll have to have your labs done more frequently during the first year, at least every 6 months, if  not every 3.  After that you can move to every 6 months.  My surgeon orders my labs.  I had to educate my PCP with drawings and diagrams.  I also had him talk to my surgeon, which helped.

5.  The frequent poop, and associated problems are grossly exaggerated.  Yes, you will go more often, and yes, it will smell worse.  But it can be largely controlled by what you eat.  Different people are bothered by different things.  For me, I can tolerate everything but white rice.  No one should nottice a thing.  The vast majority of DS'ers go to the bathroom once, maybe twice every mornintg.  I know almost as many that are constipated.  I dont even go every day.

6.  I wouldnt go as far as to say that high fat is a requriement - at least not as in what you might be assuming.  I noticed in the otther thread that someone advised you against hte DS if you dont like to eat high fat food.  Just because we malabsorb fat, it doesnt mean that we're required to eat a ton of fat.  I just eat "to taste".  Meaning I go ahead and use cream in my coffee.  I use a lot of butter.  I use full fat / regular cheese and salad dressing.  But I dont gorge on fat, or sit there eating fatty things.  You will need a certain amount to stay regular, but that's all I do.  If that isn't enough, things like peanut butter on a spoon, an avocado, or even olive oill drizzled on something is just fine.  

7.  My insurance covers my labs, you just have to make sure the lab uses the right codes.  It does not cover vitamins.  My vitamins are about $60 a month.  But I dont have many of the Rx's I had from before surgery (like high blood pressure medication).  I'm not a good value shopper, I bet I could cut some of that money out if I was smarter about it.

Have you been to www.dsfacts.com?

Also, I dont know if you're aware, but most of th DS'ers have left this board to join another one.  We're not allowed to post  the link to it here, but it shouldn't be too hard to find.  I rarely post here anymore myself but popped in tonight and thought your questions were good ones and I wanted to help.  Please feel free to PM me, as well. if you would like  I dont come here very often any longer.

-Joanne

Topic: RE: finanincing surgery
 You could also try to take a temporary job that offers insurance to cover.  I've always heard that Starbucks insurance policy covers WLS.  Not sure about revisions, but it's another route you could take.  What are you revising from/ to?
Topic: RE: A Few Questions - Soon to have my DS on June 2
 The problem with the ADEK combo's is that they're not in the right combination for a DS'er.  Your labs and levels will vary from person to person, and taking a combo vitamin like that will not let you individually adjut levels.  

For example, you might find that your A is too high, and your D is too low - so what do you do?  You cant take an ADEK to raise your D, because your A is already too high. 

That's why most people recommend taking individual supplements.  You will have to monitor your labs and tweak what you take accordingly.  Aim to be in the "high" side of normal for each value.  Labs might not tank in one month, three months, or even a year...but they can and do in time and you have to stay on top of this.
Topic: RE: I wish I found this SOONER! (BlenderBottle)
 Love my blender botttes!

I also just put the wire ball in the dishwasher.  I just put it over one of the spokes, easy peasy
Topic: RE: Am I the only one?
You're right!  Far better that he throw caution to the wind and possibly kill her.  How many DS's have you performed yourself?