Would the doctor "bluff" about an enlarged liver or really reschedule?

magicscroller
on 2/21/09 6:30 am
I don't think your doctor would bluff you about that.  I had the same issue.  My doctor told me that about once a year, he goes in and has to close up without doing the surgery because he just can't get to the stomach.  I followed the liquid diet religiously and lost 21 pounds in the week prior to surgery and he was very happy about that, and said that even though I have a large liver the surgery went well.  Hopefully things will go just as well for you.
Jason S.
on 2/21/09 12:00 pm - Williamston, NC
Was this your only slip?  If so, you'll probably be ok.  I think everybody has an episode or two like this during the preop period.  Don't worry about it right now, just don't do it between now and then. 
sjbob
on 2/21/09 4:34 pm - Willingboro, NJ
Let me get this right.  Your surgery is in 2 days and you had one greasy Taco meal?  Let the surgeon decide if it will make a difference.  I personally doubt that one meal would have that much affect on the size of your liver.  Calm down.  You'll probably go through WLS without a hitch.

I'd be worried if you continually messed up the liquid diet.  I know my surgeon just didn't believe in controlled diets prior to surgery, but I had my RNY with him way back in Nov, 2000.
jimD
on 2/21/09 10:32 pm
I have always wondered about this subject.  I went into my surgery at 384.  My doc did not have me lose any weight pior to surgery and showed little concern over the liver.  I also don't recomend my strategy of having a 3 mointh long last meal!  I had an uneventful surgery and recovery.
I guess its always best to do what the doc says but the variety of instructions can be confusing.  I can't imaone meal hurting the size of ur liver.
JIm D
Batwingsman
on 2/22/09 11:05 am, edited 2/22/09 11:05 am - Garland, TX
I thought it strange that my surgeon doesn't usually require a pre-op liquid diet for weeks or any kind of actual weight loss before surgery ..   He did, however, suggest going a week on liquids beforehand would be a good idea, to help with the "maneuvering room" under there b/c of the liver.  However, this seems to only be necessary for a week pre-op.   I guess it can make that much of a difference in that short of time.  

 Come to think of it, I wonder why surgeons apparently don't require that we go on a bowel-cleanse thing the day before our WLS, drinking that "Go-Litely" nasty stuff to clear everything out down there ..  You'd think they'd want us to do that, to help minimize chances of infection ..  (?)   

Frank talk about the DS / "All I ever wanted to be was thin, like that Rolling Stones dude ... "

HW/461 LW/251 GW/189 CW/274 (yep, a DS semi-failure - it happens :-( )

NotDave (Howyadoin?)
on 2/22/09 11:11 am - Japan
On February 22, 2009 at 7:05 PM Pacific Time, Batwingsman wrote:
I thought it strange that my surgeon doesn't usually require a pre-op liquid diet for weeks or any kind of actual weight loss before surgery ..   He did, however, suggest going a week on liquids beforehand would be a good idea, to help with the "maneuvering room" under there b/c of the liver.  However, this seems to only be necessary for a week pre-op.   I guess it can make that much of a difference in that short of time.  

 Come to think of it, I wonder why surgeons apparently don't require that we go on a bowel-cleanse thing the day before our WLS, drinking that "Go-Litely" nasty stuff to clear everything out down there ..  You'd think they'd want us to do that, to help minimize chances of infection ..  (?)   
 That only cleanses the colon and certainly not of the bacteria in it. Not eating anything one day before surgery is a necessity. That clears the small bowel of food, or so I was told.

 

NotDave (Howyadoin?)
on 2/22/09 11:12 am - Japan
 My doc told me a bowel cleanse only increases the risk of having an electrolyte imbalance and is only necessary when doing surgery on the colon.

 

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