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Surgeon Testimonial

Guillermo Alvarez
I, like many of you reading this, did not originally plan to go to Mexico to have surgery. My journey started out with the knowledge that the path I was on was not helping me to be successful in losing weight and becoming healthy. I knew WLS was a good option for people like me, so I started tentatively looking into it.

Then, one late night I stumbled across a You Tube video of someone who had WLS called the Gastric Sleeve (VSG). I liked that it was a restrictive operation and not a malabsorbtive (did I spell that right?) one. I looked into surgeons here in my area (outside DC there are ALWAYS options) and checked into my insurance. The insurance is where I hit a road block. My insurance coverage was minimum, required numerous hoops to jump through (that were not covered), and was likely to not cover the VSG in particular. I could not afford to pay what amounts to 15-20K out of pocket for surgery in this area.

However the idea of having the surgery stuck in my head, so I continued to troll the internet and You Tube for videos of people who had the VSG done. In this process, a number of people had mentioned Dr. Alvarez, and I found his videos as well, offering some really helpful information on all kinds of topics about the surgery, as well as before and after. So I researched Dr. Alvarez in Mexico, and I liked his personality and his background and training. I talked to a number of former patients, and even did a background search on him. I was nothing if not complete in my research… and I honestly wonder if I would have done the same amount of research on a US doctor. What I found was expert training, excellent patient care, complete and continued subject knowledge and superior experience. Dr. Alvarez is conservative with his patient care and surgical techniques, all in an effort to create the absolute best outcome for his patients. The small hospital, though older and still being updated, was clean and the staff well trained. The location in Mexico was quiet, and really similar to other small towns around the US. His entire team was wonderful, from phone conversations with Susan, who worked with me and answered all of my questions, to Rosy his driver, his patient coordinators in the hospital who spoke English, everyone was wonderful. My hand was held the entire time, and though I had someone with me, I feel confident I could have done this on my own.

Going to Mexico is not without it's drawbacks. The biggest issue in all of this was finding aftercare in the US. However I found a nutritionist covered by my insurance, a support group for WLS patients, and my GP (who is familar with WLS patients) agreed to support my medical needs, should any arise. I advise anyone considering going to Mexico to set these things up IN ADVANCE, so you are not wondering what to do after the surgery. Many US bariatric surgeons will not support aftercare if you have the surgery done in another country.

Though I chose to go across the border because I am what amounted to a mostly self pay patient (in Mexico I can pay less than half of what it would cost me in the US just for out of pocket costs for the surgery), in the end it is less about cost, and more about the doctor you choose… and I felt confident that Dr. Alvarez was the best doctor I could have chosen. I had my surgery over a month ago, and I have had ZERO problems! Thanks Dr. A!
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What do you say in an INTRO? I am a wife, mother, professional, currently a student, and I am fat – crept into that Morbidly Obese category in the last 5 years and despite my efforts to change (every diet known to man I think), I am back, again, to just under 300lbs. I have been considering WLS for all of those 5 years. I finally decided to go ahead with it, and chose the VSG. Due to insurance issues, I am going to go to Mexico to have the surgery with Dr. Alvarez on October 9th.  Wish me luck, and thanks for the words of wisdom I have found from the numerous veterans here!  

    

jjldh_va's Blog
jjldh_va's Blog


Surgery Story Continued – Sorry this took so long to...
on October 29, 2012 10:15 am

Day 3 I was up and walking, sucking on ice chips.  Tried to walk every 30 min.  Got my IV taken out… OUCH!  Sheesh the IV felt like it hurt more than the surgery.  Had a good day of walking and got my ice chips in without issue.  Later started allowing some of the liquid with the ice, but not full sips.  I saw the doctors (Dr. A and Dr. Gabe) more than once, and they continued to ask me how I was doing, and gave me a heads up on what would be coming… took a sleeping pill that night, per Dr. Orders, as he said rest was really needed.  They gave us some videos to view on YouTube (private ones) to reference what was going to happen the next day, and so we could have a quick reference on Dr. Instructions and aftercare.

Day 4, the doc came in and went over the medications, release instructions, and other information.  He gave us a “sleeve pillow” with a picture of the operation and the staff signed mine for me.  We got into the Van with Rosie for the trip back to San Antonio.  Going through the US border from Mexico was interesting.  There are 5 different points where they ask you questions, and they had us get out and the Van was X-rayed by border patrol.  It was interesting at least.  The drive was not that fun, mostly cause it is so bumpy… but Rosie did what she could to avoid them… she drives this trip often enough to be able to know where the worst ones were!  We got to San Antonio hotel, where we met Rosie to be picked up, and got checked into our rooms.  We did take a trip to the local mall, to walk and get out some, however I got tired quickly and we (Just to reiterate, my Mother in Law went with me, so this is the WE I talk about) went back to the room.  I had a pack of Unjury chicken soup in my suitcase (I highly recommend bringing at least 2 of both the soup and the shakes so you have something), which was dinner, and my cohort had picked up some regular food in the mall to bring back.  The hotel room did have a microwave.

Day 4 was tough also cause I had the worst case of the runs!!!  Doc said it could happen this or the other way, but still, agony.

Day 5 was the toughest yet… I flew home and due to flight delays, we did not arrive until after 1am.  I went home, popped a pain pill and crashed.  I know I did not get enough water that day since my urine was way too dark the next day, so I really had to focus getting in all the water I could for the next few days.  I worked hard to get protein in as well… but other than being much more tired than originally thought, I felt OK. 

The following week came with daily improvements in how I felt and my energy level.  I admit that I did start feeling better once I could get on regular liquids instead of just clear.  I think I was just getting more protein as well as more calories in general… its tough to get more than 300 calories when I am just sipping water and some clear soups.  When I could get more substantial soups and my good protein drinks, I just felt like I had more energy.  I was also able to get in more vitamins after this point, instead of just the liquid ones… so this may have helped! 

I have been off of work until today, and I noticed I have not been on the computer much, needing I think a real break from being attached to one while working.  I am back today and I can already feel my shoulders tensing up and my back hunching.  Fun.  At least there is 30lbs less of me to get tensed up!! 

So now I am heading into week 4, and soon will be able to start mushy foods.  I have sampled some as I was cooking some chicken salad and egg salad yesterday, and handled those well, though I will have to admit surprise after a bite or two was enough.  I know I will have to spend some time getting used to this new way of eating.  I am looking forward to it!

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My Surgery Story
on October 10, 2012 7:21 am

Day 1 – Travel Day!

I cannot believe it.  I am here.  I am in my hotel room in Eagle Pass TX, and will be having my surgery tomorrow.  I have come so close (due to other reasons) to having to cancel and reschedule things last week that the fact that I am here has not sunk in yet.

More things had to go wrong today as well… was on the plane having boarded our 2nd leg, and then told they were having mechanical difficulties and were going to put everyone on a different plane.  Got in 2 hours later, of course, but Rosy (Dr. Alvarez’s driver) waited for me after I called and let them know. 

Not focused on doing the tourist thing right now… so did not really pay attention to much of the scenery.  Looking out the window from the hotel and the only difference is that everything is just so brown.  Not used to that coming from such a green state like VA, but other than that, it looks like any other small town.  We passed through long stretches of road that reminded me of roads in Florida… very flat, with not much in between the towns.  I left extra time on Friday to get to our flight, so not sure how much we are going to want to, but in case we feel like taking a look around, we have plenty of time to do that.

I am focused tonight on relaxing, and having some Won Ton soup at the Chinese place nearby… and getting ready for tomorrow.  Wish me luck!!

 

Day 2 – Surgery Day!

Got picked up by Rosy at the hotel early in the morning.  Brought over to the clinic and meet with Dr. Alvarez.  (He is just as personable in real life as he is on the videos!)  My surgery buddy Susie and I agreed to the order, her nerves were bugging her so she went first.  I got my pre-op weight (with clothing, 280lbs), pre-op pictures, blood work, X-Ray, and IV and tried to rest a bit.  Then the anesthesiologist came in, gave me a check-up and ordered a shot to relax me… and that was all she wrote!  I was out.  Next thing I know I am waking up and being told everything went very well.  Surgery was great, Dr. A was very happy with how things turned out… my liver was in great condition. 

Not feeling any pain right now… but then I am being medicated.  I have gotten up and walked around a bit, but feel dizzy so not very steady on my feet yet.  It’s about 9:30pm now, and wanted to read or play Sims, but still loopy and tired, not likely for long.

Hospital is interesting… they are still remodeling bit by bit, replacing old beds and furniture.  They need to fix up the bathrooms… tiles are stained cause of age, but it gives the appearance of being dirty at first glance.  A test with a cleaning wipe (I always have them) shows that it is very clean, just old.  The nurses wash hands, use gloves, and do everything in a very proper way.  Electronic equipment is all very recent, like the X-Ray and I saw the MRI machine in another room, so this gives another level of confidence.

Just a recommendation, pick up a Spanish phrase book!  It really helps, and people have been very nice in helping me learn more!

Also, lesson learned – you really do not need to pack much!!

 

Day 3

Up for some reason at 4am… they continued to give me preventive pain and nausea meds in the night, though I have not felt any pain.  Walked around a bit twice this am.  I am starting to show obvious signs of swelling from the fluids and will be very happy to get the IV out and start sipping ice chips.  It’s about 5:30 am now, so I am going to try to rest some more. 

9:15am – Up again, IV out, now showered.  Starting to feel some pain, but it’s like others have said…. As if you overdid it on sit-ups in the gym.  I think someone else likened it to the day after getting punched in the stomach… not having felt that, I cannot confirm!!!  HAHA.  Shower was ok, just not enough water pressure or hot water, so it was kinda tepid, but I still felt more human after taking one.

Warning – the yellow betadine stains do not wash off.  It will take about a week and they should wear off on their own.

Finally got internet, so I am going to post this today and will update it as I can.

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My Story

I am a wife, mother, professional, currently a student, and I am fat – crept into that Morbidly Obese category in the last 5 years and despite my efforts to change (every diet known to man I think), I am back, again, to just under 300lbs. (I am 5'9")  I was over 300lbs I think, about a year after my son was born (just after ending breastfeeding him, but still eating like I was), but I kind of regulated out to about 293 or so. I have been considering WLS for those 5 years, but I just wanted to try something else before I did it, thinking it would be admitting failing. I did not want to get a Gastric Bypass because I did not want to be unable to absorb all of the nutrients from my food. I also did not like the band because it was not as effective, and re-operative rate for the band looks to be about 90% after 5 years.    Then, one late night a few months ago I stumbled across someone who had WLS called the Gastric Sleeve. I liked that it was a restrictive operation and not a malabsorbtive (did I spell that right?) one. I looked into surgeons here in my area (outside DC there are ALWAYS options) and checked into my insurance.  The insurance is where I hit a road block. My insurance pays only 50%, after deductable ($2500) and only up to 10K max, for anything and everything associated with the surgery (i.e. the pre-op testing, nutritionist, any therapy or psych evals). Then, in addition, it requires you to complete a 3 month multi-disciplinary diet program (which it will not cover) before they will approve you.  I have done 5 years of various different multi-disciplinary weight loss programs – and I do not want to pay what amounts to 15-20K out of pocket. So I researched and researched and researched and found Dr. Alvarez in Mexico, and I liked his personality and his background, and talked with former patients and got in contact with Susan.  I chose to go across the border because I am what amounts to a mostly self pay patient. In Mexico I can pay less than half of what it would cost me for out of pocket costs for the surgery, for what I feel are Doctors who are just as good as those in the US. I am still going to go to therapy on my own, cause I know my problems with food are mental, less than hunger related. However, all of these, the surgery and the therapy are tools I feel strongly now will help me succeed.  So, I shared this with my mother, my rock, the woman who has supported me (literally) through thick and thin, the person who I have gone to any time I felt like I needed help. She has similar problems with weight, as well as high blood pressure and diabetes, and her and I have commiserated over our physical and emotional struggle. At first, again, she supported me, even offering to loan me money to pay for the surgery. Then, within days, before she actually gave me the money, she had a complete turn around. I can understand the money side of it, she is having some financial problems so she cannot offer the additional funds. No problem. She is also now freaking out about me doing the surgery in the first place, much less in another country. She tried to prevent me from doing this by saying she will not be going with me, and thinking that I would not be able to get the funds from other sources. I was so disappointed, not in the money, but that she would so adamantly state she could not and would not support my decision. I know this is fear talking as well as lack of knowledge. She has always been so vehement about the fact that she would support me no matter what, if she agrees with me or not. Guess she did not mean that.  I will say this however – my husband, though he has his own concerns, is supporting me 100%. He will not be able to go with me to Mexico unfortunately, because he just started a new job, and we need someone home to take care of the kids, but he would be with me in a heartbeat. He is such a wonderful man, and has made so clear to me that he loves me now, and will always love me no matter what size I am. I feel so blessed to have found such a great guy! (I found him on the internet too!!) SO here I am, facing a momentous decision, with the potential for life long change. I have done some soul searching, as I do not want to make a decision in haste.   We all know, obesity is a big social ill – its just not acceptable to be fat. I have experienced some of this in looks and whispers people did not know I could hear... especially in places where I might be ordering food. This decision is not about making myself acceptable to others... its about how I FEEL. Yes, I know you can be fat and healthy and skinny and unhealthy, but I am trying to be comfortable and healthy, only because I feel like my weight is holding me back from what I want to do and how I want to be. I feel that I am held back in my career, not because of deliberate actions of people, but because I do not feel comfortable or as confident as I want to be. I want to get out and run and take my kids to the amusement park to ride roller coasters, but I feel so tired all the time and I do not fit into the seats. Hell, I barely fit into the car comfortably. When you are told that you are MORBIDLY OBESE... and you need to lose weight or you will begin to have some serious health problems, and when you see your mother have those same health issues and craziness about food... you become a bit warped emotionally about your weight and health. I want to focus on both outcomes, the weight loss and the improved health, and my concern is that I am not doing myself any favors with this yo-yo back and forth I have been doing over the last 5 years or so I have been really trying to lose weight. I do not want to try again only to fail again. I keep feeling like this will be the last diet, I can do it, and then I hit that wall... I am not sure what else to call it, but it’s at about 40-45lbs, where my body just goes WHOA NELLY. Everything screeches to a halt and I start feeling like I am STARVING. My sugar cravings go through the roof and next thing I know, here I am again.  You know when alcoholics or drug addicts hit bottom - they finally come to the realization that they cannot do this on their own and they need help or they will be right back on the drugs or alcohol? I have hit my proverbial bottom - AGAIN I am within single digit pounds of hitting 300 - and I promised myself I would not go there.  So here I am. Making a decision for me, about me.