Follow Up Appt

Barbara C.
on 4/12/11 11:42 pm - Raleigh, NC

I am nearly 4 years post op and I honestly think that one of my keys to success is that I go in to see my surgeon/RNP for my follow up appointments no matter how I'm doing. What I mean, is that it's easy to go back in and see them when you are losing weight and want to celebrate your achievements, but it can be more challenging to go back when you feel like there isn't anything to celebrate, are worried that you might get bad news because you either weren't taking care of yourself by not taking your supplements, not exercising or may have experienced some regain. To be honest, I have all of those scenario's occur during the past couple of years, but I keep going and as I said, I think it's a key to my success. Not only my success in keeping the weight off, but also my success in taking care of myself because when I go in and I'm having a problem they are able to help me get back on track.

When I went in this time my weight was stable and while my pulse and BP where in 'normal' ranges they were somewhat high for me... I have fractured vertebrae in my back that are causing some significant pain and it's likely the reason for the escalated BP/pulse. We discussed pain management issues; I let her know that I was having issues with my oral pain meds not working well for me and that I'm certainly not drug seeking, but needed a better solution and that transdermal pain patches seem to help with pain medication delivery, bypassing the gut when managing the delivery of pain meds. We discussed treatment plans to manage my osteoporosis considering that I'm a RNY bariatric patient. I was focused on the serum ferritin number and she helpedme see the bigger picture. I have a somewhat unusual condition called Hemochromatosis and my serum ferritin was lower than most and I was concerned that it was becoming a problem, but she showed me that I have the iron stores and platelet counts that let them know that my body is doing just what it needs to do to produce plenty of iron to take care of my needs. I also have had some low D readings and she was able to talk to me about the course of action my PCP has recommended and she concurs with the direction we are taking. We also looked at things like my B12 readings and other details that are important to a bariatric patient. She sees my labs through a slightly different, more specialized view than my PCP does and I really appreciate her perspective and advice on what we are doing to keep me healthy.

So, I hope that weather you are celebrating your weight loss or working to maintain, that you are making sure that you go see your Bariatric specialist to help you maximize your health in the long term.

Barbara
ObesityHelp Coach and Support Group Leader
http://www.obesityhelp.com/group/bcumbo_group/
High-264, Current-148, Goal-145

(deactivated member)
on 4/13/11 12:26 am - Charlotte, NC
YOU ROCK! I love it when people take great care of their "tool" and are informed because they choose to be! It's a team effort and a life long process. We have to know those numbers, AND what they represent long term.
BRAVO!
Barbara C.
on 4/13/11 12:51 am - Raleigh, NC

Thanks!.... and I couldn't have summed it up better myself!

BTW... please wander over to the NC forum now and then. We'd love to have you stop by for a visit. :-)

Barbara
ObesityHelp Coach and Support Group Leader
http://www.obesityhelp.com/group/bcumbo_group/
High-264, Current-148, Goal-145

(deactivated member)
on 4/13/11 1:59 am - Charlotte, NC
Thnks, Barbara. I will try to get over to the NC forums soon. It's all I can do to sit for 15 min at a time, right now.
martitalinda
on 4/13/11 3:35 am
 This is so true Barbara, thanks for posting this .. I am certain it IS key to your success on this journey.  Congrats.  I do hope you get better resolution to your pain management issues..... I look forward to those follow-up appointments also and I show up no matter what.  My group of docs is awesome and thorough and of course they have me spoiled LOL....

View more of my photos at ObesityHelp.com

autumnsiggy2RNY 2/5/07 no regain having implemented lifestyle changes....

 

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