Who wants to play a game?

I need entertainment.  I've been up all night and I'm bored.

So I got this idea from a thread on the main board a couple days ago and thought we could have some fun with it here.  It's a Question and Answer game, sort of like a trivia game, but all the questions relate to RNY, of course.

We'll have three categories - Pre-ops, Early Post-ops, and those a year out or more.  Feel free to answer questions in any category, though.  If you're pre-op and you know the answer to some of the post-op questions, that just means you're ahead of your class.  But in general, the questions will be about things that someone should probably know at that stage in their journey.

Anyone can post questions.  Feel free to jump right in.  And give yourself a point for each question you get right.

And here are a couple questions to get us started.

Questions for Pre-ops:

1.      1.   Why do many surgeons ask patients to do a pre-op liquid diet?

2.     2.   When you shop for protein shakes for your post-op diet, what type of protein should you look for?  Whey isolate, whey concentrate, soy isolate or collagen?

3.     3.   Why do patients frequently develop gall stones after RNY, and what if anything can you do to reduce your risk?

Questions for Early Post-ops:

1.       1.  What kind of calcium should you be taking?  Calcium carbonate, calcium citrate or tricalcium phosphate?  Give yourself a bonus point if you can explain why you need that particular type of calcium.

2.      2.  Why is it recommended that you don’t drink with your meals?

3.      3.  What are the common symptoms of dumping syndrome?

Questions for Those a Year out or More:

1.       1.  Why shouldn’t we take NSAIDS?  Give yourself a bonus point if you can name at least three NSAIDS.

2.      2.  Which kind of vitamin D do we need, D2 or D3?  Bonus point if you can explain why.

3.     3.   Can carbonated drinks stretch your pouch?  Explain why or why not.

Questions for Those a Year out or More:

1) Why shouldn't we take NSAIDS? Can cause ulcers.
Names of NSAIDS: Ibruprofen, Aspirin, Acetaminophen, COX-II Inhibitors, Topical creams or gels.

 

2) What type of vitamin D and why? D3. It is absorbed well.

3) Can carbonated drinks stretch the pouch and why or why not? No.There is an opening at the top of your pouch where food and drinks go in and an opening at the bottom where you used to have a pyloric valve but don't anymore. As soon as you drink something, it starts running out of your pouch into your small intestine, so the gas from carbonated drinks cannot build up in your pouch. 

 

To clarify -- acetaminophen (e.g. Tylenol) is not an NSAID.  Post ops can take it as directed.  And if I may get on my soap box, always choose generic acetaminophen, it's the same as in the more expensive name brands.


 

• Acetaminophen is another common NSAID, which is commonly known by the brand name Tylenol. Stanford University School of Medicine says it's known to be an alternative to aspirin for parents who need to reduce fever or mild pain in their children but can't take other NSAIDs due to the health risks in children.
  
  *Please don't shoot the messenger. I got this online. LOL... 

 

LOL, I will not shoot the messenger, I promise!  But the wording you post is tricky -- Tylenol IS an alternative to taking NSAIDS.  It does reduce fever.  It does not pose a danger to children like Aspirin does.  However, acetaminophen is NOT an anti-inflammatory, steroidal or not.  (NSAID = nonsteroidal anti inflammatory).  It actually works primarily in the BRAIN and makes you THINK you have less pain.  NSAIDS and SAIDS work at the site of the inflammation to reduce it, and thus reduce pain as a side effect. 

Acetaminophen mechanism of action -- Although the exact site and mechanism of analgesic action is not clearly defined, acetaminophen appears to produce analgesia by elevation of the pain threshold. The potential mechanism may involve inhibition of the nitric oxide pathway mediated by a variety of neurotransmitter receptors including N-methyl-D-aspartate and substance P.

NSAIDS mechanism of action:  Most NSAIDs act as nonselective inhibitors of the enzymecyclooxygenase (COX), inhibiting both the cyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2) isoenzymes. COX catalyzes the formation of prostaglandins and thromboxane from arachidonic acid (itself derived from the cellular phospholipid bilayer by phospholipase A₂). Prostaglandins act (among other things) as messenger molecules in the process of inflammation. This mechanism of action was elucidated by John Vane (1927–2004), who later received a Nobel Prize for his work.

Acetaminophen is not an NSAID.  Here is a list of a bunch of NSAIDS (though not all): arthritis.emedtv.com/nsaids-%28nonsteroidal-anti-inflammator y-drugs%29/list-of-nsaids-p2.html

Found in more than 100 OTC preparations, including Sudafed®, Theraflu®, and Tylenol®, acetaminophen is used to reduce pain and fever. It has been available in the United States since 1960. Unlike NSAIDs, acetaminophen does not reduce inflammation or blood clotting or cause gastric complications (Roberts LJ et al 2001).  www.lef.org/protocols/appendix/otc_toxicity_01.htm

 I let this one slip right by me and I ought to know better since I have Rheumatoid Arthritis. I guess the online referencer got confused and then to top it off I followed right over the cliff...LOL 

you're right - about it not being and NSAID and about buying generic!  It's exactly the same thing, just a few bucks cheaper.

Questions for Early Post-ops:

1.       1.  What kind of calcium should you be taking?  Calcium carbonate, calcium citrate or tricalcium phosphate?  Give yourself a bonus point if you can explain why you need that particular type of calcium.
We should take calcium citrate.  Our bodies absorb it better.  It also should be taken separate from iron.

2.      2.  Why is it recommended that you don’t drink with your meals? 
It washes out the food from your pouch and makes you hungry faster.

3.      3.  What are the common symptoms of dumping syndrome?
Luckily at almost 6 months out I have not had any dumping (almost afraid to say that for fear it may happen), but I believe the symptoms are feeling like you have to throw up, feeling warm and faint.
 

You got it.