Recent Posts
Topic: RE: No Surgeon or Bariatric Doctor
My WLS surgeon retired about 9 months after my surgery. He did see me at my one year anniversery but since then it has been my PCP. Like Traci I've done a lot of educating about WLS. You guys are lucky--all my doctors except my PCP are at least 1 1/2 hours away over the mountains. I have to truck through the snow in the winter to see my specialists. Wouldn't want to live any place else though.
Monna
Topic: RE: On Track - Tuesday, 10/16/07
Traci,
So glad you don't have MS. Sorry about the nutritional deficits. Those are hard.
At first I thought it was just lactose, but I used one of the whey based powders I have and got diarrhea. Happens everytime I have whey. On a vegan website I found a couple of soy-based protein powders and bars, but they are very high in carbohydrates. I do all right with the carbs, but it kind of defeats the purpose of the pouch challenge if my protein drink has 30 and more grams of carbs in each serving. I will continue to search. I could start on day three or modify the first two days. Oh well, I will work on it. Seem to be doing okay--losing a couple of pounds every other week or so.
Monna
Topic: Hey all, checking in again!
Goodafternoon ladies! My how I have missed this board. But life has been so busy its been hard to find the time. But I have to. I NEED support badly!! I'm with Denise in some of my weight has crept back on and I want to put a stop to it!!!
How has everyone been? Please check in and say HI!!!!
Michelle
Topic: RE: No Surgeon or Bariatric Doctor
As a matter of fact, I DO have a list!
Here ya go, this is what I have drawn every 6 months:
Comprehensive metabolic profile (sodium, potassium,
chloride, glucose, BUN, creatinine, calcium, total protein,
albumin, total bilirubin, alkaline phosphatase, aspartate
aminotransferase)
(Nc,K,C1,CO2,Glu,BUN,Cr,Ca,TP,Alb,Tbili,AP,AST,ALT)
LIPID PROFILE (cholesterol, HDL, LDL, triglycerides,
chol/HDL ratio) Tchol,Trig,HDL,Calc,LDL)
GGT (* a liver function test not in a comp panel)
LDH
Prealbumin (tells you protein status recently)
PHOSPHORUS - INORGANIC
URIC ACID
Copper
CBC (HEMOGRAM/PLT/DIFF)
B-12 & FOLATE,
B-6
B1(Thiamine)
IRON, TIBC, % SAT
FERRITIN
VITAMIN A
Vitamin D (25-hydroxy),
VITAMIN E
VITAMIN K
THYROID PANEL (T3, T4, TSH)
ZINC
MAGNESIUM
SERUM INTACT PTH (PARATHYROID)
Homocystine, MMA
HGB A1C
NOTE about having your labs drawn: you should go in FASTING, and you should stop taking any supplements about two days before you go in to have them drawn. Taking supplements within 2 days or so of having them done can skew the vitamin testing results (or so the lab tech informed me).

IrishIze
on 10/17/07 2:05 am - NJ
on 10/17/07 2:05 am - NJ
Topic: RE: On Track Wed. 10/17/07
Thanks for the support Denise!! Hey, if I can do it, anyone can do it. I think it was important that I kept myself busy - not too much time to sit around and feel hungry....
You know I'll be here for you when you decide to bite the bullet!!!
Hugs,
N.


IrishIze
on 10/17/07 2:01 am - NJ
on 10/17/07 2:01 am - NJ
Topic: RE: No Surgeon or Bariatric Doctor
Thanks Traci - that makes me feel a little better.
I used to have a prescription that my surgeon had written with all of the tests I should have done, but I lost it. Do you have a list?

Topic: RE: On Track Wed. 10/17/07
I am soooooo proud of you! Keep up the good work... Don't be afraid to gingerly bring solids back into your diet. From what I understand, once you've detoxed from carbs by doing all liquids, it's easy to behave yourself with protein from their on out. Your pouch has shrunk and it's all good.
You're inspiring me to get on board. I'll start Saturday!
HUGS & KISSES!
ME
Topic: RE: No Surgeon or Bariatric Doctor
When I first had my surgery, my surgeon was only about 30 minutes from me - since then I moved, and so did he and now he's 1.5 -2 hours from me. While probably doable I suppose, not my preference so I have chosen to have my labs drawn through my primary care family doc. I give him a list of the labs I need done and he does them. I'm basically educating him on WLS post-ops and since most of it involves nutrition and supplementing and well, IMHO, most bariatric surgeons seem to fall short in this area as well - I can do just as well with my PCP as with my surgeon.
The more important thing is to get those labs done - all of them, so you know what's going on. Any doctor can orders those. Take your supplements to keep those levels where they need to be. Some folks travel out of state to have their surgeries and all of their follow-up care is done through their PCP, so it is very possible for you to do this too.
IrishIze
on 10/16/07 10:25 pm - NJ
on 10/16/07 10:25 pm - NJ
Topic: No Surgeon or Bariatric Doctor
I have a concern. My surgeon left my insurance about a year ago. I did go to see him once and paid out of my own pocket. He has since moved out of the area, so I'm really without a bariatric doctor. My family doctor will run the bloodwork for me, but he really isn't looking for the same thing my bariatric surgeon looked for. Any suggestions as to what I should do? I checked my insurance and the closest surgeons are in Staten Island which is very difficult for me to get to.
I was thinking of calling insurance and telling them that they approved the surgery, but now I'm unable to get follow-up care, and what would they suggest....
Hugs,
Nancy


IrishIze
on 10/16/07 10:14 pm - NJ
on 10/16/07 10:14 pm - NJ
Topic: RE: On Track Wed. 10/17/07
Good morning!
Well, much to my surprise I made it through two days of liquids!! I had planned on starting soft protein early last night because we usually go to dinner after tap dance class, but we ended up not going, so I just had some of my Carb Countdown mushroom soup. I started off on Monday at 186.8, this morning I was 182.0 - not too shabby and very motivating to continue on.
I've been exercising at least 30 - 40 minutes on the treadmill every morning, close to 3 miles. I start off at 2% incline and walk about 4 mph. Then every 4 minutes I raise the incline to 6% for two minutes. I also went to tap class for an hour last night - that's quite a workout!!
The water is a problem right now. I feel like I've certainly increased my water, but I'm only getting in about 3 - 12 oz. bottles a day. Of course I was on a liquid diet so there were a couple of shakes and soup too. The problem is mostly having to run to the bathroom so much. The only 'small' thing the good Lord gave me is my bladder.....
BUT, I'm working on getting in a little more every day.
I start on soft protein today. Funny, I'm not really hungry. I am apprehensive about putting solid food in. I have found that I have some sort of mechanism in me that once I start eating solid foods, it's hard to stop. I'm hoping the two days on liquids has stopped that and that eliminating white carby foods will also help.
Hugs,
Nancy

