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It has been an adjustment!! on February 13, 2011 4:54 pm
Sorry that I haven't updated my profile in the last two months. These last two months have been CRAZY!! and not what I expected. When I first had surgery in 2003, I had issues that made me stay in the hospital for 7 day. Same thing happened with this surgery. With my first surgery I never had problem eating or taking my pills. Nothing bothered me. Now I have been having issues with eating certain foods and taking my pills. Everything would get stuck and have to come back up/ They told me that this could happen, but since it didn't happen with the first surgery, I don't know what I thought would happen, but I guess having my RNY completely redone, to another RNY changed everything.
During these two months, I went into a deep depression. All I wanted to do was sleep. I didn't want to talk to anyone, or go out. Finally towards the end of January, I called my psychiatrist and explained how I was feeling and I couldn't wait until March to see her. She didn't know that I had surgery, when I told her that I did it she was very happy that I did. She has increased the dose of my anti depressant and it seems to be helping.
Since my meds have been increased, I have been feeling better. I have lost 66 lbs. I never expected to lose this much weight. I thought it was going to be like my first surgery and the weight loss was going to be very slow. I know that it will slow down. I have noticed that my eating has been getting better. I have been really trying to find alternatives to beef and chicken breast. I have been eating ground turkey and chicken and meatless chicken, I haven't tried the beef yet. Some days I still have difficulty with the pills. I hope I will be off of most of them soon.
I have been going to gym and that has been making me feel better. I would really like to work with a personal trainer. I felt like it helped me when I surgery the first time. So when all of my bills are paid off, I think might try that again.
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Finally home from the hospital on December 9, 2010 5:17 pm
12/9/10: After having my revision surgery on 11/29/10 I went from a bypass to a bypass, I finally got to go home on 12/6/10. I have never been so happy to see my big comfy bed and to take a shower. My mom and I got Lenox Hill at 6:00 am and we went to the surgical waiting area. I filled out some paperwork, and was then called into the back, and they started talking to me and asking questions. During this time, they started taking blood and I was told, that my potassium levels were low. I was like "what", I just met with the dr b/c of that and she had given me potassium to take to get the levels back up. I had spoken to my doctor after having repeat blood work and she told that the levels were normal but I don't think the results were ever sent to the hospital. "i was like OMG, I am not going to have surgery!" The nurse came back after about 20-30 minutes and said that my potassium was fine.
Around 7:30 -7:45 they weighed me and I saw that I weighed 253.7. Pretty much what I weighed that last time I saw the NUT in Dr. Roslin's office., At around 8:15- 8:30 I met with the nurses, the anesthesiologist and my surgeon. I was explained what was going to happen today and I signed the papers. My surgeon told my mom that the surgery should last 3-4 hours. It wound up lasting 7 HOURS. I was not expecting that nor was my family. The nurses started walking me to the operating room and I kissed my mom good bye. I was brought to the operating room and they started an IV and gave me some medication, put a mask over my face and told to think about happy thoughts.
The next thing I remember is waking up in the recovery room with my mom and sister over me. They told me that my surgery lasted 7 hours, I was in shock. I know I saw Dr. Roslin. At least this time, I wasn't screaming when I had my RNY in 2003. My sister told me I was making faces. They brought me up to my room, and I started hitting the pain pump. I had some crazy pain management doctor trying to talk to me and ask me questions about the medications I am taking. I could not get the words out of my mouth and she was like "I can't understand you." I was like "lady, I just had 7 hours of surgery, give me a break. I did see my surgeon and he told me that my old bypass was crooked, and when he saw the pouch, he said it was "horrible" he had to take it down and redo it. He also explained that he had to take out a piece of intestine and sew the ends back together and he also removed the other part of my stomach. Dr. Roslin said he would not do my upper GI until Friday b/c everything was so swollen.
The next day is when things started to go down hill. My mom and my roommates daughter noticed that my breathing was very shallow and I was breathing very fast. My roommates daughter asked for someone to come in a look at me. All that doctor did, was stand by the door and look at me. My mom said to the nurse and the doctor, something is wrong. They actually listened to her this time, instead of saying that my heart rate was my base line rate and waiting 3 days. They decided that I needed to go for CT scan and I had to drink contrast fluid. I got it down without any problems. I had the test and they saw that either I had a lung collaspe or pneumonia. I has a lung collaspe when I had my RNY in 2003. So I was started on antibiotics, put on breathing treatments. During the next couple of days, the nurse comes in and tells me that I have to have IVs of magnesium and potassium b/c my levels were low. The IV of magnesium was fine, when I got the potassium, it burned so badly, that I felt like someone was breaking my wrist.
So this was the treatment I was getting until I finally left on Monday. On Thursday, they started giving me ice chips, thank god for that!!! On Friday, they told me that I could start having clear liquids (I am so glad that I had Diet Snapple with me. It went great with the ice chips lol) The broth was tasteless, but the jello wasn't bad. The hardest thing about being in the hospital was getting comfortable. My butt was getting so numb and so were the tops of my thighs. I didn't understand what was going on. Dr. Roslin's associate came in and spoke to me. He told me that he was helping out during the surgery and I had a ton of scar tissue. He said that what was happening in my legs, was probably due to the fact that I was lying in the same position for 7 hours.
On Monday, my surgeon came in and asked if I wanted to go home? He said "that he was surprised when he called during the weekend and found out that I was still in the hospital. During the weekend, the attending and the resident kept looking at the drains and were not comfortable at pulling them out and letting me go home. I was so happy that I would be able to go home. The pulmonologist came and he decided that he was going to take me off the antibiotics b/c I didn't have a temp anymore. I asked if indeed my lung had collasped? He said he thinks that it did, but we would never really know b/c it was so small. He also said that I am very prone to this.
I finally got home and I found that they pumped me up so much fluid, that I gained 10 pounds. I was really annoyed!! I had edema before surgery and I was prescribed water pills. So I took some of those and started drinking and I lost the 10 pounds I gained in about 2 days. On Tuesday, I started feeling crappy and I took my temp and I found that it was 100 - 101. I called my surgeon and he called me back. He asked if I had any pain, I said in one incision area, he asked me to cough and said I sounded fine, but I needed to cough more to get the junk out of my chest. I also explained about the pain and swelling in my feet and thighs. He said something about a nerve in my thighs and I needed to get up and walk. During that night, I noticed that my mouth felt very strange and I was having trouble swallowing. I was telling my mom the next day and she looked into my mouth and told me that I had thrush. I went to my PCP yesterday and it was confirmed that I had thrush. She did blood work to check my magnesium and potassium levels and sent me for a doppler ultrasound of my legs to rule out a blood clot. I am hoping that they worst is over and I can start feeling better.
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Surgery time comfirmed on November 26, 2010 11:36 am
I just spoked to the hospital. My surgery is at 8:30 am. I have to be at the hospital at 6:00 am. I will be leaving my house at 4:00 am. I hope some person in NYC is pulling their car out a spot so my mom does not have to put it in a garage. I have to start clear liquids on Sunday.
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Pre-Registration on November 19, 2010 12:19 pm
I just got a phone call from Lenox Hill Hospital for my pre-registration for my surgery on 11/29. Wow it is really hitting me that I am going to have my revision surgery. I can't believe that it is happening in 10 days!!
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11/11/10: Well I am back on Obesity Help again after seven years. I had RNY surgery in August of 2003 with Dr. Leitman. I started out at 304 lbs and I lost 120 lbs and got down to 187 pounds. When first thought about having surgery in 2002, it was the craze and everyone was doing it. I thought I was very mature at 30 to make this decision, but I realize now after seven years and two surgeries later, that I was not very mature. I was very naive and stupid and I thought this surgery would be the magic bullet. Well its is not.
After I had my RNY, I was a very slow loser and I would gain and lose, gain and lose. I was becoming very frustrated. I did lose 120 pounds, but as soon as I lost it all. I started gaining it back. I wasn't eating right. I don't think I ever learned how to eat right after this surgery. They only thing, I learned from the first nutritionist, is that "I would become a cheap date." (because we can't eat so much after surgery) In Sept of 2008 I had Stomaphyx after gaining back 50 lbs and that surgery did not work. I only lost 20 lbs and as soon as I was allowed to eat, I gained all the weight back plus more. Dr. Leitman performed both surgeries and has been such a supportive surgeon for the past seven years. He gave me back my life in 2003 and I will never forget that.
In January of 2010 Dr. Leitman and I started talking revision surgery again. He has always told me that he will make sure "that I will never get back up to 300 lbs again. He told me that was not going to perform another Stomaphyx b/c it doesn't work. I told him, that I didn't want one. We have been going back and forth for the last 10 months discussion revision surgery. In August my insurance changed to Medicare. He is a provider, but the hospital that he is in, is not a center of excellence for any bariatric surgery to be performed in. In Sept he told me that he would not performing bariatric surgery at the hospital that he was in. He gave Dr. Roslin's name (they used to work in the same office at Lenox Hill) Dr. Roslin does a lot of revisions and Dr. Leitman felt that a lapband might help me.
I went to see Dr. Roslin on Oct 13. He told me that my options were either a Lapband or revising my RNY. He said with the way that Dr. Leitman did my surgery, there was no was that he could do a DS or sleeve. I thought originally, I would be getting a band. But after going through the testing he requires Upper GI, CT scan and endoscopy and finding out that my pouch has stretched back to an original stomach and the stoma has stretched. We decided that the band would not work ( I wasn't excited about having plastic in my body) and since I can't have a DS or sleeve, the only surgery I can have is revising my original RNY to another RNY. I know it sounds crazy. But I have complete confidence in him. I am scheduled to have surgery on 11/29/10. The only people that know are my mom, sister, psychologist and 1 close friend. I don't feel like telling a lot of people.
11/15/10: I met with my nutritionist today for my final meeting before my surgery on the 29th. We went over what I would be eating after surgery. When I started this process with Dr. Roslin, on 10/13/10, he told me that I needed to be put on a low sugar, low fat, high protein diet. I started at 265 lbs and after the first two weeks, I lost five lbs. When I went today, I lost another 7 lbs for a total of 12 lbs. My nutritionist was very happy with my progress and the change in mindset that I am having. I am going to see how much more weight I can loose before my surgery. I hope that this is shrinking my liver and it will make the surgery easier for Dr. Roslin. I emailed him over the weekend to ask some questions about my surgery. Since he is redoing my bypass, I wanted to find out what is going to happen to the intestines and about the stoma. He explained that they have to make an entire new attachment and I will have a new stoma. He said that he will be removing the other part of my stomach. After hearing this, reality set in!! I started getting a little nervous, but I am not backing down. I want to be healthy again. I know that this is MAJOR surgery, but I have a lot of confidence in Dr. Roslin.
After my appointment, I went to pick up some ready to drink protein shakes that the NUT recommended. I have no desire to buy a huge container of protein powder. On post op day two I will be allowed to drink protein shakes. The NUT says that they will give them to me in the hospital, but that they don't taste that great. So I figured I would rather bring my own.
I have gotten all of my pre op testing done. My PCP office is being so difficult. When I called to make an appointment, they asked if I was going to have any testing done. I explained that I needed blood work, ekg, chest xray. They office told me that I would have to get prescriptions from my surgeon for these tests. My first thought was that if he gives me these scripts, the results are going to him and not to my PCP. I finally got Moira his surgical coordinator on the phone. She thought is was very strange. She said I could pick up the scripts from her and go over the Lenox Hill and have those tests done and they will fax them over to my PCP. I hope they will be there when I go for my medical clearance on Wednesday.
11/17/10: I went to my PCP office for medical clearance. I called Dr. Roslin's office the day before to find out if they had received my testing results. They said they hadn't. I was like " I have to go to the doctor tomorrow. I wound up talking to Mary another surgical coordinator and she said that they would put a rush on getting the testing faxed to their office and then faxed to my PCP. When I went to my PCP, I found that all the testing had been sent over. My PCP told me that my potassium was low (its 3.0 and it should be 3.5) So she put me on potassium pills and my friend told me that I should try drinking coconut water which has a lot of potassium in it. So I am doing both and I have to go to the lab on Sat to get my blood tested. I hope my levels go up. I also had to have my EKG repeated, b/c when they did it at the hospital, my heart rate was very high (it was beating 114 beats per minute) I was nervous and she said that she figured that I was. She repeated the EKG and it was fine (now it was beating 84 beats per minute) My PCP said she would fill out the forms and fax them back to Dr. Roslin. Now it is just a waiting game. I have to call the hospital on 11/26 to find what time I have to go in on 11/29. I start my clear liquids on 11/28.