Did/does your surgeon tell you everything about WLS...

Shelly C.
on 4/30/12 12:44 pm
 I was told by my bariatric team that I would have to get chewable calcium tabs that are made with carbonate not phosphate due to the fact the phosphate is harder to absorb. 
MsBatt
on 4/30/12 12:52 pm
On April 30, 2012 at 7:44 PM Pacific Time, mcrb4434 wrote:
 I was told by my bariatric team that I would have to get chewable calcium tabs that are made with carbonate not phosphate due to the fact the phosphate is harder to absorb. 
I sincerely hope you misunderstood. Calcium carbonate is difficult to absorb for ANYONE, and after WLS most of us have far less stomach acid, so we really don't break down calcium carbonate at all. What you need is calcium citrate.

Which form of WLS are you having?
Shelly C.
on 4/30/12 1:34 pm
 Oops my bad yes sorry calcium citrate.   I had to buy tootsie roll calcium with d. Can't remember the name. The nausea w all the chewables has me cringing so I stay away from them as much as possible. I had rny on April 16.   I have an ice bag on my belly for the majority of my day and sleep with one at night.  I have my 2 week postoperative checkup with my surgeon tomorrow.  Want to tell him I continue to have black stools.  I'm quite concerned because of the fast heart rate whenever I stand up and walk to bathroom   Also I'm on puréed foods and can't eat more than one meal. I'm resorting back to broth right now.  Even the protein shakes prior to surgery that were good I cannot stomach.    
PatXYZ
on 4/30/12 1:43 pm
I don't wish to alarm you, but an elevated heart rate and black stools point towards a possible GI bleed. You need to get this checked out thoroughly and immediately.
Patiurple
on 4/30/12 10:38 pm - Wheatland, OK
First I am not a doctor but black stools can mean old blood in the body...meaning your intestinal area had like pockets of blood and the body is getting rid of it.
As for the pain..common OMG espeically if U r OPEN.
HMM u shouldnt be doing calicum until u r about 6 weeks out. And sweetie if u cant handle the next food stage go back to what u can. I stayed on each stage a week longer felt my pouch needed that time.
Dont rush yourself. My trick if I wanted the taste of meat. I chewed jerky but never swallowed the stuff just the juice. It helped. I also made taco broth. i used beef broth and added taco sesonings. Even when I am sick now I crave that.
PLEASE contact your surgeon dont wait!  and kindly let me know what he says..
being healthy has its rewards....take the challenge and just do it
PatXYZ
on 5/1/12 12:06 am
Why do you think they should not be supplementing calcium immediately post-op and waiting 6 weeks? The regular protocol now is to begin supplementing calcium, iron, B12, D and multivit ASAP after surgery.
Shelly C.
on 5/1/12 10:35 am
 Yes the drs told me to start after surgery.   
Shelly C.
on 5/1/12 10:33 am
 I didn't know not to start the calcium I thought that was something given right away.  They tried giving me it in the hospital but I refused them.  Saw my surgeon told him everything.  Ordered labs. I am anemic. Told me to take iron.  Hope that helps.  Also started on compazine three times a day for nausea.  He is fine with going back to clear/full liq.  I just agree its too soon for my body.   Am trying the protein shakes preop.  Will see.   Thanks for your input much appreciated.
AnneGG
on 4/30/12 10:14 pm
I'm grateful my surgeon and his staff were thorough with me regarding possible complications. And I'm grateful that so far I don't have any.

I sure support you getting adequate care and advice. It is essential for the long term, for the lab work if nothing else.

Please make sure you get adequately taken care of- be your own spokeperson. i also might report your surgeon if I were you.

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

jbird1972
on 5/2/12 8:54 am, edited 5/3/12 3:15 pm - Cary, IL
 Well, you know where I've been (still am), and you've read my blog, and I really appreciate your support and understanding. I guess there are doctors out there that probably are candid with their patients about ALL of the complications. Let's face it, death, leaks, blood loss, and infections all sound pretty bad; but my surgeon never told me that if he cut my vagus nerve it would disrupt the function of my digestive system causing severe abdominal pain, nausea, vomiting, PICC lines, central lines, vitamin/nutritional deficiencies, multiple surgeries "trying to find the problem", loss of function, diminished family life, career lost, friends lost, and still only a glimmer of hope ahead (thank you Cleveland Clinic, best decision to see Dr. Kroh there). I actually think there are more people out there than we think, they are either being told this is normal, are afraid to talk about it, or their surgeon has convinced them it's all in their head. I'm not trying to start a revolution, but it would be great if some advocacy exists for potential patients to truly tell them what specific questions to ask the surgeon. Here are some good ones (if you're new and haven't had WLS yet): What is your knowledge of digestive system and how it works? How will you isolate the vagus nerve so that it is not damaged or severed? How are you able to recognize signs/symptoms of delayed gastric emptying and how would you deal with it and find the cause? When keeping this all in mind, if I were a new WLS patient today, I would have a really good GI doc that is really knowledgeable about WLS and talk to them about all aspects of surgery. I know there will be a lot of people who may look at my post as sour grapes, but I truly still believe in the surgery, but I have also come to realize (very late) that these info sessions and support groups are a marketing machine, designed to make money, but disguised as support and information. I was also stifled at support group because I was going to scare the newbies. I'm a very positive person, but I'm also positive that this will continue to happen to people unless a change happens and more regulations are in place. This is all just my opinion based on my experience, but if you read the complications page, these problems are not that unique. Ask questions and be informed!

Jules RNY 10/30/2007

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