Before & After

 
 
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Goals

keep most of my hair :)
14 People
 in progress, 
9 People
 achieved this
lower my resting heart rate
0 People
 in progress, 
1 Person
 achieved this
lose weight!
4 People
 in progress, 
1 Person
 achieved this
reverse my Type 2 Diabetes
15 People
 in progress, 
18 People
 achieved this
reduce or eliminate my hemoroids
0 People
 in progress, 
1 Person
 achieved this
Surgeon Testimonial

Eric DeMaria, M.D.
Dr. DeMaria has a significant amount of experience with Bariatric Surgery and in his position as Director of the Duke University Medical Center Weight Loss Surgery Program he trains other surgeons during their fellowship at Duke. The program that Dr. DeMaria directs at Duke is comprehensive and has a significant emphasis on aftercare which is comprised of medical, psychological and nutritional support at 3 wks, 3 months, 6 months and 1 year postop. I have found all of the staff, from the office, nurses, to the dietician to be helpful and available. I had my Lap-RNY 06-05-07. While Dr. DeMaria is without question very competent, he perforated my colon during the surgery. Normally this would require a conversion to an open procedure, but Dr. DeMaria was able to re-sect the colon laparoscopically. I have done well since my surgery and have lost all of my excess weight. I have talked with Dr. DeMaria at length about my concerns that while it is important for bariatric programs to provide a significant amount of support through the weight loss process, but that it is at least as important, if not more to provide significant support as you enter the maintenance phase of this life-changing journey. I'm delighted to say that he is a strong proponent of long-term bariatric aftercare and has opened a practice that focuses on the 'whole' bariatric patient in the long term; medical follow-up/management, nutritional support, psychiatric/behavioral support, and physiological/exercise. I hope this becomes a model to support the bariatric patient population.
Member Interests
  • Dogs - I have Havanese ... Like chocolate I haven't met one I don't like :)
  • Meeting People - As my children say-Mom do you know everyone? Not yet, but I'm workiing on it : )
  • Singing - I love to sing ... However, my children are embarassed when people turn around
  • Shopping, Bargain Hunting & Auctions - OMGoodness! I love great deals! Like 500 sq ft of great tile for $5.00!
  • Photography - I love photography in general, viewing or creating
  • Scrapbooks - I started doing this about 15 years ago ... still so much to do. I love it!
  • Interior Decoration - I am often told I have an eye for it ... I love to stage homes for sale
  • Mentoring - I love to watch a flower unfold ... that's what happens when mentor young or old
  • Genealogy & Family History - I'm reasearching the family history of my children ... We are definitely muts!
  • Computer and Internet Surfing - I started using the internet long before AOL ... It's still amazing!

Barbara C.'s Journey

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Describe your behavioral and emotional battle with weight control before learning about bariatric surgery.
I was an overweight child and became an obese adolescent and adult. I experienced a huge weight gain on the occasion of my marriage, ballooning up to 217 pounds. Unfortunately, I have never been able to get and keep my weight under 225 for more than six months. In spite of multiple efforts at dieting including HCG shots, Weight Watchers, Grapefruit, Cabbage Soup, Cambridge, many over the counter diets (Dexitrim, Hoodia, etc.), Slimfast, Jenny Craig, Nutrisystem, Hypnosis, Registered Dietician and Personal Trainer, Medifast, medically supervised VCL diet, Shaklee Shakes, Oprah/Bob Greene diet. With each attempt I have lost some weight, however when the diet effort stops, the weight comes back, often more. When I...
Barbara C.'s Blog
Barbara C.'s Blog

Article about the Effectiveness of Anti-Depressants after RNY
posted 1/28/13 7:03 pm

Those of you who have followed me for some time are probably aware that I suffer from debilitatingly Severe Clinical Depression and Anxiety. Often, people will PM me and ask me if and what type of impact RNY had on my depression and on the medications that I take to try to mitigate and manage my depressive symptoms.

I have to say that I have a great psychiatrist and she was really very good about closely monitoring me after my surgery to watch for signs that I might not be getting the full effect of the medications. When I had my surgery, there were not yet any studies documenting what happens to patients taking SSRIs which are among the cornerstone of the medication arsenal for dealing with depression. A small recent study released March 2012, examined the impact RNY has on patients that had been taking SSRIs to see how it effected level of the SSRIs found in their bloodstream. Their clinical research bears out what happened to me. Basically, the patients had been taking the drugs prior to their RNY. They tested the level of SSRI in the patients prior to the RNY, 1 month post op, 3 months post op, 6 months post op and 12 months post op and found that about 2/3 of the patients were likely to experience about a 50% loss in efficacy about 1 month post op, but that most patients were experiencing a rebound to close to normal levels by the time they were 6 months post op.

Here is a link to an article about the study.

I think that the take away here is that if you are on anti-depressants, you want to be sure that your health care providers are aware of this short term issue and that they monitor you closely to ensure your mental health. Remember that there are a number of other issues also at play when you have any surgery, but especially WLS because you are losing a coping mechanism that you have come to rely upon since you no longer have food as a crutch/drug of choice to lean on after surgery. Hopefully, if you do have depressive issues, you'll be working with a counselor through your weight loss phase to help you navigate the feelings, concerns, and issues that come up in a way that will allow you to maximize your weight loss opportunity and long term maintenance.




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