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Tammy R.
on 4/26/11 3:23 am - Covina, CA
Topic: RE: psych eval should i tell the truth

You will be happy to know I did. I told the truth. And they were concerned over something I did not think about. I need a doctor to monitor my meds after surgery because of absorbtion levels may be different.

lapband 7/08 revised to rny 7/11
    
sjbob
on 4/26/11 1:02 am - Willingboro, NJ
Topic: RE: My post on Main Forum about morbid obesity and bi-polar
 Confide you early post-op problems to both your shrink and to your primary doctor.  I've ready that many people (including men) get spikes of estrogen and may have to sit down with someone to discuss what meds to take for that problem.  Many people who don't have any mental problems are put on anti-depressants for a few months following WLS.  It's possible that any hormonal changes you are facing may be affecting your bi-polar condition.  Discuss this twith your shrink.  Since you recently had RNY, you should keep your surgeon's office up to date to see if any additional meds may affect your pouch.
Michellem8991
on 4/25/11 1:06 pm - CT
Topic: RE: My post on Main Forum about morbid obesity and bi-polar
I know the feelings. I am bi-polar and had my rny about 6 weeks ago. I know when I go into a manic phase I feel really good and I do everyting to the exses. I also know that includes everything food, sex, spending money, gambling it all. Then when I crash I can't move. I have been struggling with med combos its hard to tell what works and what doesn't. I am tired of taking the meds and I know what will happen if I don't. Wish there was an easier way.

sylvan
on 4/25/11 12:39 pm
Topic: RE: Bi Polar and having trouble with my meds.
My bet would be on the lithium being the cause of your tummy troubles.  Lithium does come in liquid. 

There are two formulations of lithium-- lithium citrate and lithium carbonate.  Typically, lithium carbonate is easier on your stomach but it really is an individual thing.  Depending on which one you are on currently, you might want to try the other if your doctor won't give you the liquid.
sylvan
on 4/25/11 12:24 pm
Topic: RE: psych eval should i tell the truth
Absolutely, you should tell the truth.  No question about it.  If you get into trouble and you aren't honest then they won't be able to help you in the way that you need.  Lying or keeping information from your doctor is not in your best interest.
sylvan
on 4/25/11 11:59 am
Topic: RE: Has anyone had there surgery pushed back b/c of there psychiatric illness
Find out his definition of stable.  It might just be staying on your meds and out of the hospital.  If that's what he's looking for, that's reasonable.  If he is looking for 24 months with no mood issues then that's going to be harder.  Actually, that may be impossible.  Do you have a good pdoc?  Could you get your pdoc to write a convincing letter documenting your stability?  That's what I did.  So far, so good.  I'm waiting for them to turn everything in to insurance later this week.
sjbob
on 4/25/11 12:46 am - Willingboro, NJ
Topic: RE: Has anyone had there surgery pushed back b/c of there psychiatric illness
 I just want to add that I read apost on another forum this morning that stated that the lap band requires a lot more work on the patient's part.  I know that I would have a hard time with that.  You and your doctor(s) can evaluate all of the WLS options that are out there.
sjbob
on 4/24/11 11:55 am - Willingboro, NJ
Topic: RE: Has anyone had there surgery pushed back b/c of there psychiatric illness
 I don't know mushc about most types of WLS, but I do have a friend who had one of the band surgeries and he occasionally goes in for "fills."  That may be a less intrusive form of WLS.  Maybe you should discuss that with your primary and your shrink.  It would probably involve dealing with a different surgeon.   I really don't know.  I would like to give you some hope regarding your chances for WLS.  
Catnip
on 4/24/11 5:51 am - Ottawa, Canada
Topic: RE: Bi Polar and having trouble with my meds.
 Are you taking your supplements crushed at this point as well?  You are taking some supplements, right?  mulit vitamin, calcium, B12,  iron???

You are almost 6 weeks out, I would call the surgeons office and see if you can take half or quater pills.

Also can you spread the doses out more?  I.e. a quater of each regular dose but take them 4 times a day?   Less in your stomach might be better.   or taking half a dose of each one but only taking one kind every hour?  Means you are taking a half pill every hour but it might be easier on your stomach?

CNC

Citrate or Bust (a few bones) !
catnip.gif picture by catnipcook

    
shellbell4955
on 4/24/11 12:00 am - GA
Topic: RE: Has anyone had there surgery pushed back b/c of there psychiatric illness
Thank you sjbob on for your help. I know wls is not a magic bullet just a tool to help me this is something I have been researching and thinking about for 6 years now I HAVE HAD A ROUGH GO OF PSYCHIATRIC INCIDENTS THOUGH so my surgeon will probably deny me but he said he will work with me to go ahead and get the ball rolling and we will go from there so mabye he will see improvment and it wont be such a long wait, but again I enjoy and want any feedback from u guys I welcome it

Shelley Belley
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