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Surgeon TestimonialGuillermo Alvarez M.D.Dr Alvarez was WONDERFUL!rn. rnI am an ex-surgical ICU nurse in the USA (nursing supervisor now)rn and I tell you,rnsurgeons are normally not a desirable grouprnon average, they are more of a ego filled people you do not want to be around. On top of that they, like our American PCPs, American surgeons are limited by the corporation that owns them or their group, or what the insurance is willing to pay them, on the amount of timernthey spend with you or the amount of care your insurance will pay them on you.rn.rnThis is not so with Mexican docs and for sure not so with Dr Alvarez!rnrnTheir time is their own. They can spendrnas much time as they want with you, it gives you the feelingrnof how it use to be, docs holding your hand and talking withrnyou for as long as you need, to you not a disease or a surgery, butrnyou as a person. WONDERFUL!!!rnrnAnd Dr. Alvarez was at the top of the line in attentive, compassionate, and professional care!rnI bragged about his excellent bedside manner and caring service he gave me and my friend for months after I got home!! He is hard to beat!rn.rnOther than the flight (I paid $145 plus tax Southwest Airlines), rnevery thing was covered including the hotel before and after.rnFirst thing we arrived into San Antonio andrnchecked into our hotel room provided, did I say room?rnrnIt was a Suite, a small nice apartment all to myself!rnrnWonderful, immediately things were beyondrnmy expectations, very good business practice.rn.rnThat eve we meet our coordinator Penny, whornwas by our sides thru it all, she even sat outside ourrnrooms at the hospital making sure all of our needs were meet, all the way to takingrnus to the airport Monday! She also shipped our luggage UPS for us so that we didn’t have to carry it home on the plane!!!! What a wonder that turned out to be! rn.rnThe next morning, was surgery day, Penny drove us in a van across the border about less than a mile to the hospital and Dr Alvarez’s office. rnYes, his hospital is just within one mile of the US border, thatrngave me great comfort!!!! I can't tell you how much it calmed me!!rnrnAnd have I mentioned yet that there is TWO Bariatric surgeons doingrnyour surgery, not one and an assistant, but TWO, Dr Alvarez and Dr Rodriguez,rnboth very very good surgeons. rnrnDr Alvarez himself was trained in Francernto do the sleeve and assisted in 50 sleeves before returning home!!!!rnDr Alvarez has alot of passion as a surgeon, a trued craftsmen, you know how some surgeons can be rough with your insides and others are gentle! Gentle means less pain and trauma, that's Dr Alvarez, a gentle craftsmen, his father is a surgeon too andrnhe and Dr Alvarez even do surgeries together!! He is very passionaternabout being a bariatric surgeon, quite a pleasant warm person to talk rnto, that is the kind of soul I want working on me!rnI did not require narcotics postop, none of the 3 of us did!!! I had onlyrna cramping feeling for about 2 days than that was all of the pain meds I took,rnI was ready to return to work in 5 days. I read of others that need narcoticsrnand weeks of recovery, not so with Dr Alvarez his surgery is a craft and he is very good at it. rnrnAnyway, We each talked with him personally,rnwhat a charmer!!!! He was so attentive and cared about our needs, and I had some special ones with my bad back and disinfectant allergies!! He loved the logistics of the whole thing, I really enjoyed his personality thru the whole couple of days.rn.rnAs we all finished our private Q&A with him, Penny and Dr Alvarez handed us each our own private cell phone with free longrndistance!!! WOW!! We could call home when ever we wanted and as often as we wanted!! cool. (next month they are installing wirelessrninternet in the hospital!!!)rn.rnNext, order was set on who is first, welllll, young go first and me the oldest went last, but since I had done so much prep work (liquid diet, balloons, by the way he that the balloons were a GREAT idea! ) they said I was great and took only 44 minutes!!rnMy stomach skin was loose from 30 days of liquid nutrient preop dieting and that made my intestines flat and empty, lungs in good shape from the exercising, YeeHaw!!.rnHe did not require the preop diet, but being a nurse, I knew it was best.rnrnAnd get this! rnMy biggest worry was leakage, Dr Alvarez and Dr Jose Rodriguez have a 0% leakage, I will repeat, rnthese guysrnare such 'surgical craftsmen'rnat what they do that they have 0% leakage,rnYES! 0% leakage!!!!rnI haven't talked to not one USA doc that can say that!!!rnrnThis is why he says he does so well, rnthey put 3 rows of staples and double hand stitch the seam, staples are very expensive, infact half the cost of the entire surgery! But, they care enough to make sure your surgery is done the best it can be. No one I checked with in the states did that!rnrnIt pays to have doctors that have done many many of these sleevesrnrnI can’t over state that!rnrnCame out of surgery and slept……haharn.rnI stopped my pain meds after the 2nd postop day, never even needed narcotics.rnrnI did Gas X thin strips every 8 hours from the point we could have ice chips on.rnrnWe got out of the hospital after two days,rnI have 4 holes straight across about 2 inches above my belly buttonrnand one in the middle under my breast bone (for the camera).rnI had no belly drain I might add, he said he stopped doing that as rnit was proven to be unneeded..rnOn my 4th day after surgery, I felt pretty good, not very tired, no pain, I felt like I could use a couple cups of coffee and that’s it.rn. rnI highly recommend Dr Alvarez and Dr Rodriguez, besides excellent prices, I feel like I was under excellent very detailed and caring care!rnrnDr A visited us at least 4 times a day, so very friendly. rnrnYou can go straight to Dr Alvarez's website at http://www.mache.com.mx/doc/index.htmrnrnrnThis was a Great experience!rnrnAnd now I have my Banana!!!!rnrn rnMarcellarnrn
|
315 pounds, right after 11 days post op, unknown Half way, 70 lbs lost
food funeral before weight at this time what will I look like?
preop liquid diet:
BEFORE AND HALFWAY PICS!! on July 27, 2007 5:29 am
BEFORE PICTURE 315 POUNDS:
PRE OP DIET BEGAN AT TIME OF PICTURE - 12/14/06
VSG 01/12/07

HALF WAY, LOST 70 POUNDS!
07/05/07
WEIGHT 245 POUNDS:
GOAL WEIGHT!! LOST 140 POUNDS!
WEIGHT 175 POUNDS!!:
???
1 comment | Leave a comment.
MY ADVICE TO FUTURE DR ALVAREZ VSG'ers on April 26, 2007 11:18 pm
I was asked about pain post op:
From what I have read and talked with other Dr A patients
and this includes myself
pain was minimal, very minimal.
I did not require narcotics, which is what people get on the 'pumps'
I only rec'd IV meds the nurses automatically gave me around the
clock the first 2 days. Dr A told me they were not narcotics, I believe they
were simular to Taradol, a non narcotic pain releiver.
Dr A is a gentle, caring, non-traumatizing surgeon,
damage that would cause pain
to surrounding tissue, the liver, etc, is very minimal.
It is like when I was a teen ager,
I had two friends go for their wisdom teeth to be removed,
one came back to school soon after, face barely swollen, looking and
feeling good,
the second friend was out for about a week, came back with large areas
of fading purple bruising
and chipmuck cheecks.
Same surgery,
Two different surgeons.
I have found that to be VERY true with surgeons in general surgery.
Most of us here are having the same surgery
but you will hear of some with horrible pain, on narcotic pumps,
and not feeling able to return to work for weeks,
then you will find people speaking of 'cramping only' or minimal pain,
and returning to work within days...
Same surgery,
different surgeons.
It is all about the
roughness or gentleness, and caring of the surgeon.
Egos are big in the surgeon world...
You will find with Dr A that you will probably not require narcotics
and will be feeling close to normal within a few days ( I was about 5 days
I could have easily returned to work). Narcotics are there if you
need them, but you probably won't.
If you go to his website and click on ONLINE CHAT, you will get someone
directly linked to Dr. A that will know the answers much better than I,
infact I know the person and she will give you true answers.
Dr Alvarez's Website, NOW has ONLINE 'LIVE' Q&A CHAT - click here!
I did have nausea the first night. The nurses came in and automatically gave me and my surgery twin IV meds for nausea and for pain.
My best advice is to relax and go with the experience. Your story of 'How you changed your life forever by getting your VSG' will be lifelong and wonderful. My life will never be the same as preop and that is truely glorious.
Dr Alvarez is very kind, I still email him with questions occasionally. He also gave me a DVD of my surgery! I'm not sure if he is still doing that, but that's COOL!
Pre-Op Stuff-
Here is the list I used before my surgery,
DON'T FORGET TO USE GAS X THIN STRIPS EVERY 8 HOURS AS SOON AS YOU
CAN TAKE IN ICE CHIPS!!!!!!!!!!!!!
I ordered a Magic Bullet off the internet
- a wonderful small blender that mixes glass size drinks,
you can make anything into full liquids with a little fluid added!
Long handled baby spoons with little bowl ordered
along with a silver spoon
2 beautiful china saucers off Ebay to eat my little meals in style,
don't use big plates, they will make you sad...AND you will try to eat too much,
but eligent english china saucers to eat your little meals in!!
The cups work well for my soups!

Start on a meal replacement drink ASAP so that you can
be in good 'low water' weight and body for surgery, no swollen ankles or SOB
or JUICEY LIVER!.
Dr A does not require that, but it will help in your surgery and post-op recovery,
I was ready to go back to work in 5 days, no problem
Also, from reading this board,
I bought a new large robe that came with me,
I will blow on 30 ballons every day until surgery
this is a lung excersise that works!
I will kept a couple balloons in my pocket and would pull one out when
ever I thought of it, MAN!! did it ever make a difference on my lung capacity
and recovery!!!!
Bring a vile or can/carton of your meal replacement or protein
one really should be enough, last day there really is only hospital jello and juice, then home.
Get a calling card (just in case)
and bring cell phone AND CHARGER!!!
Dr Alvarez provides you with a long distance free cell phone for your stay at the hospital
but I was a girl scout and always try to be prepared!
I ate alot out of 6 oz blue glass custard cups in the beginning and now occassionally,
they reall help, really made the
food seem BIGGER
http://www.amazon.com/Pyrex-Prepware-6-Ounce-Cobalt-Dessert/dp/B0000CF40S/ref=pd_bbs_sr_5/103-8118487-8591010?ie=UTF8&s=home-garden&qid=1178175388&sr=8-5
and a heating pad, although I never used it, others do,
just be sure sure sure to be religious with every 8 hours GAS X Thin Strips
Make sure you order a few different types of protein drinks, as the taste of each one gets yucky quick
if you eat just one type, change types often!
Be religious on your protein drinks, vitamins, carbs, and electrolytes
preop and POSTOP. Apple juice gave me alot of energy postop, it was also
one of the first things Dr Alvarez gave us. You will lose weight regardless of carbs or calories
for the first couple weeks! Think of your body healing,
take in what you NEED! Don't let fad diets get in the way of your health.
Stay healthy, this calculator tells you how much protein
you need a day, sip sip sip your H2O and protein drinks,
make sure they are meal replacement drinks while you are on liquids only!!
Afteryou start foods, then switch to protein only drinks.
Any meal replacement drink at the drug store will do,
Optifast is good also, look around!! http://www.unjury.com/reg/calculator.shtml
My favorite protein drink online is ProV60 chocolate,
60 grams in yummy chocolate!!! http://www.affordablesupplements.com/pro_v_60.asp
This is a HIGH QUALITY liquid vitamin that also has protein in it
Post op liquid vitamins https://www.vitaminlife.com/product-exec/product_id/36940 I drink the powder mix (has the most protein):
https://www.vitaminlife.com/product-exec/product_id/15513
High quality B12 spray http://shop.1asecure.com/prod.cfm?ProdID=172247&StID=3117
Post op Probiotics
EVERYONE NEEDS TO TAKE TO NOT SCREW UP
OUR IMMUNE SYSTEMS AFTER ANTIBIOTICS! http://www.obesityhelp.com/forums/VSG/a,messageboard/action, replies/board_id,5463/cat_id,5063/topic_id,3288913/
Post op fluids
http://www.obesityhelp.com/forums/VSG/a,messageboard/action, replies/board_id,5463/cat_id,5063/topic_id,3196146/
Liquid Phase
http://www.obesityhelp.com/forums/vsg/a,messageboard/board_i d,5463/cat_id,5063/topic_id,3270934/action,replies/
Mexican Docters and Passports
http://www.obesityhelp.com/forums/VSG/a,messageboard/action, replies/board_id,5463/cat_id,5063/topic_id,3195391/
How much did you lose?
http://www.obesityhelp.com/forums/vsg/a,messageboard/board_id,5463/cat_id,5063/topic_id,3272042/action,replies/
Hope this helps
.
1 comment | Leave a comment.
Post Op reflections on January 18, 2007 2:56 am
Well, as soon as I could do ice chips I started, as your throat is so dry from the intubation and 24 hours of NPO,
keep your throat moist with the chips and then the water sips. One gal didnt do this and still is having problems with sore throat, keep yours moist! Try not to lay down immediately after drinking the first
day or two, it made me nauseous. Almost everything seemed to have a tiny ache as a bubble would come up after each sip, but you have to keep practicing and sipping, it just gets better quicker if you do.
I dont understand why I had problems drinking without drinking air, but the problem has improved, just drink
slowly, sip sip, sometimes I would pat my chest like I was burping a baby and that even helped. There is a pressure
until the bubble burps out, but as I said every day that got better the more I drank and kept sipping water. And remember it takes alot of sips to get what you need! In otherwords, it takes
a zillion drops to fill an ocean and a zillion sips to reach 64 ozs!!!! haha Dehydation will make you fatigued and doesn't help your body at all!, which also I
want to say, I slept alot the first two days, then I was done and pretty much back to normal energy and the pain pretty much gone then too. It really really really pays to be on a preop nutrient liquid diet for 2 weeks prior whether or not anyone tells you to do it, and to blow those balloons! All the pain I really ever had was small
crampy feelings, not even like a period, very light in comparason. Nausea and dry heaves were my main problem the
first night because I could not sit with the head of my bed up like I was suppose too, I have a bad back and it has to be
flat, so that caused nausea, but I got over it and learnt to sit up fast when I did feel queezy.
All in all, it was a very tolerable couple of days, just keep a good attitude about yourself and what is happening, take it all how it comes and know that every hour it
all keeps getting better. I could tell improvements even as often as between each nap! And Dr Alvarez was there supporting me all the way, he is just a real nice person.
Marcella
2 comments | Leave a comment.
MEXICAN Surgeons....my experience on January 16, 2007 12:40 pm
Dr Alvarez was WONDERFUL!
.
I am an ex-surgical ICU nurse in the USA (nursing supervisor now)
and I tell you,
surgeons are normally not a desirable group
on average, they are more of a ego filled people you do not want to be around. On top of that
they, like our PCPs, are limited by the
corporation that owns them or their group, on the amount of time
they spend with you or the amount of care your insurance will pay them on you.
.
This is not so with Mexican docs and for sure not so with Dr Alvarez!
Their time is their own. They can spend
as much time as they want with you, it gives you the feeling
of how it use to be, docs holding your hand and talking with
you for as long as you need, to you not a disease or a surgery, but
you as a person. WONDERFUL!!!
And Dr. Alvarez was at the top of the line in attentive, compassionate, and professional care!
I bragged about his excellent bedside manner and caring service he gave me and my friend for months after
I got home!! He is hard to beat!
.
Other than the flight (I paid $145 plus tax Southwest Airlines),
every thing was covered including the hotel before and after.
First thing we arrived into
San Antonio and
checked into our hotel room provided, did I say room?
It was a Suite, a small nice apartment all to myself!
Wonderful, immediately things were beyond
my expectations, very good business practice.
.
That eve we meet our coordinator Penny, who
was by our sides thru it all, she even sat outside our
rooms at the hospital making sure all of our needs were
meet, all the way to taking
us to the airport Monday! She also shipped our
luggage UPS for us so that we didn’t have to carry it
home on the plane!!!! What a wonder that turned out
to be!
.
The next morning, was surgery day, Penny drove us in a van across the
border about less than a mile to the hospital and
Dr Alvarez’s office.
Yes, his hospital is just within one mile of the US border, that
gave me great comfort!!!! I can't tell you how much it calmed me!!
And have I mentioned yet that there is TWO Bariatric surgeons doing
your surgery, not one and an assistant, but TWO, Dr Alvarez and Dr Rodriguez,
both very very good surgeons.
Dr Alvarez himself was trained in France
to do the sleeve and assisted in 50 sleeves before returning home!!!!
Dr Alvarez has alot of passion as a surgeon, a trued craftsmen, you know how some surgeons can be rough with your insides and others are gentle! Gentle means less pain and trauma, that's Dr Alvarez, a gentle craftsmen, his father is a surgeon too and
he and Dr Alvarez even do surgeries together!! He is very passionate
about being a bariatric surgeon, quite a pleasant warm person to talk
to, that is the kind of soul I want working on me!
I did not require narcotics postop, none of the 3 of us did!!! I had only
a cramping feeling for about 2 days than that was all of the pain meds I took,
I was ready to return to work in 5 days. I read of others that need narcotics
and weeks of recovery, not so with Dr Alvarez his surgery is a craft and he is very good at it.
Anyway, We each talked with him personally,
what a charmer!!!! He was so attentive and cared about
our needs, and I had some special ones with my bad back
and disinfectant allergies!! He loved the logistics of the whole
thing, I really enjoyed his personality thru the whole couple of days.
.
As we all finished our private Q&A with him, Penny and Dr Alvarez
handed us each our own private cell phone with free long
distance!!! WOW!! We could call home when ever we wanted
and as often as we wanted!! cool. (next month they are installing wireless
internet in the hospital!!!)
.
Next, order was set on who is first, welllll, young go first and
me the oldest went last, but since I had done so much prep
work (liquid diet, balloons, by the way he that the balloons were a GREAT idea! )
they said I was great and took only 44 minutes!!
My stomach
skin was loose from 30 days of liquid nutrient preop dieting and that made my intestines flat and empty, lungs in good shape from the exercising, YeeHaw!!.
He did not require the preop diet, but being a nurse, I knew it was best.
And get this!
My biggest worry was leakage, Dr Alvarez and
Dr Jose Rodriguez have a 0% leakage, I will repeat,
these guys
are such 'surgical craftsmen' at what they do that they have 0% leakage,
YES! 0% leakage!!!!
I haven't talked to not one USA doc that can say that!!!
This is why he says he does so well,
they put 3 rows of staples and double hand stitch
the seam, staples are very expensive, infact half the cost of the entire
surgery! But, they care enough to make sure your surgery is done the
best it can be. No one I checked with in the states did that!
It pays to have doctors that have done many many of these sleeves
I can’t over state that!
Came out of surgery and slept……haha
.
I stopped my pain meds after the 2nd postop day, never even needed narcotics.
I did Gas X thin strips every 8 hours from the point we could have
ice chips on.
We got out of the hospital after two days,
I have 4 holes straight across about 2 inches above my belly button
and one in the middle under my breast bone (for the camera).
I had no belly drain I might add, he said he stopped doing that as
it was proven to be unneeded..
This is my 4th day after surgery , I feel pretty good, not very tired I feel like I could use a couple cups of coffee and that’s it.
.
I highly recommend Dr Alvarez and Dr Rodriguez, besides excellent prices, I feel like I was under excellent very detailed and caring care!
Dr A visited us at least 4 times a day, so very friendly.
The coordinator service I used was ISA,
but it may be easier to
just go straight to Dr A's Website!!!!!!!
You can go straight to Dr Alvarez's website at http://www.mache.com.mx/doc/index.htm
This was a Great experience!
And now I have my Banana!!!!

Marcella
PREOP STUFF -
About 3 1/2 weeks before surgery, I began the liquid diet. By January 12th,
surgery date, my ankles will be no longer swollen, my liver not so juicy, and I'm hoping a quick minimal pain recovery! The small dry liver is very important!
I collected 4 different types of plant based protein and nutrition drinks so that I did not get bored!
The two days before my preop diet started,
I did a Food Funeral I binged for those 2 days with 4 large pizzas and 5 pounds of homemade fudge! Yes, it felt good, but made be sick.
haha After that I was officially ready for a liquid meal replacement diet
to get me into good surgery shape
a good 'low water' weight and body for surgery, no swollen ankles or SOB.
Also, from reading this board,
I have bought a new large robe that will come with me,
I blew on 30 regular size ballons every day until surgery
this is to open up your lungs and excersise them, it helps to recover
from the asethsia and helps to prevent postop pneumonia
I brought a protein drink
a calling card (just in case) and my cell phone for the trip.
Dr Alvarez provides a cell phone to each patient with free long distance,
I called my mom as I was getting on the gurny to go to surgery!
It was a nice added bonus.
I ordered my Magic Bullet off Amazon
- a wonderful small blender that mixes glass size drinks,
you can make anything into full liquids with a little fluid added!
Long handled baby spoons with little bowl ordered
along with a silver spoon
2 beautiful china saucers off Ebay to eat my little meals in style,
no big plate, but eligent english china saucers!!
the cups will work well for my soups!
and a heating pad!

Adding this off of another thread to keep the info together:
To get your Passport FAST....
Go to the postoffice with a copy of your Birth Certificate
they will have you fill out an application and will take your passport photo there
at the postoffice for you,
you can do a expedited passport that will only take a week or two
for an additional $60
The whole thing is around $150
If you don't have a copy of your Birth Certificate go to the .gov site
they can issue one in the mail by filling out online application in
just a couple days! Just Google Birth Certificate
Good Luck
Hey, just wanted to add... when they sent me back my passport expedited,
the post office 'Lost It in the MAIL!' haha
didn't get it for 3 weeks after I applied..... then I forgot it when I left for surgery!!!!
hahaha
luckily with Dr Alvarez we didn't need one to cross over the border by van,
but
I will use it
when I reward myself with a special trip
after I've lost a certain amount of undetermined weight!!!!
2 comments | Leave a comment.
Leaving for Texas today, surgery tomorrow! on January 11, 2007 4:26 am
YEE HAW!!!
Yes I'm a
...LEAVING ON A JET PLANE....

hahah
converging onto San Antonio today
and our sweet wonderful Dr Alvarez tomorrow,
poor guy
will never know what hit him!
haha
Thank you for all your support everyone
I am
SO EXCITED!!!!
Marcella
1 comment | Leave a comment.
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