Poll about following your doctor's guidelines

poet_kelly
on 5/23/12 4:01 am - OH
I trusted my surgeon to be very good at operating.  I just didn't trust him to be an expert at everything.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

exohexoh
on 5/23/12 3:56 am - West Chester, PA
 i would say about 75% of the time. i don't get many veggies in because i don't really like them, and usually don't have room for them. i also still drink shakes/eat bars because i often need more protein/calories and it's an easy way to do it, even though they wanted me off of protein supplements by 2-3 months out. i am honest with them about it, and they've said if it works for me it's fine. they would like me to get more veggies in, i just don't see it happening. i have made an effort with fruit though and am doing well with it.

                                                                       <3 jen <3

               

                                    <3 starting weight: 252 <3 goal weight: 135 <3 current weight: 151 <3

                                      RNY: 9/27/10 <3 Extended Tummy Tuck w/hip & thigh lipo: 6/6/13

Jennifer M.
on 5/23/12 4:07 am - MN
RNY on 02/17/12
 1.  Would you say that you follow your doctor’s guidelines at least 75% of the time, between 50 and 75 % of the time, about 50% of the time, or less than 50% of the time?

I make an active attempt to follow the guidelines between 75-80% of the time.  I'm not always successful, so I guess that makes me compliant between 50-75% of the time.

2.  
When you decided not to follow the guidelines, are you honest with your doctor about it? 

It hasn't come up.  I
 have communicated my major concerns about attempting and failing to comply in order to seek guidance.  With respect to the 25% of advice I have decided not to be adherent to, I have good reasons for all of it, and I am convinced that my approach is valid, so I would definitely be honest.  

3.  
What are the reasons you don’t follow your doctor’s guidelines?

My biggest reason is that my stomach doesn't allow me to follow some of the guidelines.   Sometimes, the guidelines don't make physiological sense (such as not drinking before eating and sodas).   When I do choose not to follow the guidelines, I
 do my best to educate myself on the reason for the guideline before I make a decision.  

    
Oxford Comma Hag
on 5/23/12 4:15 am
The only guideline I don't follow that I can think of is that I do not wait 15 minutes after drinking before eating. I don't do that because liquid funnels out quickly and I would have a harder time getting in my liquids if I did.
aaaaaaa
on 5/23/12 4:16 am
 I have to say that I was given great guidelines through the pre-surgery mandatory meetings, and a great folder with very clearly spelled out guidelines afterwards, whi*****luded the "phase" meal plans for each wee****il "normalcy" was reached. It had lists of medicines NOT to take, and medicines that would be fine for RNYers for different ailments, as well as the RIGHT vitamins and supplements for RNYers.  It also had recipies that had been successful for previous RNYers, and many tips and "hints" for problems others had encountered and things that had made others successful.    

I followed the guidelines.  Everyone I know that had this surgeon had done well, so I felt he and his staff knew what they were talking about.  I know some people still experienced things like strictures and gall bladder problems, but they weren't from the guidelines.  

Now....I do have sugar sometimes, though I'm trying to wean off it again right now, and I do have the "bad" carbs more often than I should, weaning off these now as well.  When I see him for my "yearly", I tell him all.  :D   (tmi at times)    He has always been someone who guides and gives advice from his medical perspective, but doesn't belittle, so I'm comfortable telling him whatever needs to be said.    I feel very glad with my choice of surgeon when I hear about some of the misinformation that is out there.  It worries me that not all doctors seem to understand what we need for health afterwards.  Good thing people like you, Kelly, are out there helping too! :D
  
poet_kelly
on 5/23/12 4:21 am - OH
I got a big binder of info from my surgeon but it sounds like yours had better info in it than mine.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

BWB
on 5/23/12 6:04 am, edited 5/23/12 6:11 am
 I was fortunate to have had the same kind of bariatric care pre-op, with the large booklet filled with guidelines for everything from menus to physical fitness after care. I do get the feeling that every one is not as lucky with with their experience.   I have frequent follow-ups with the PA and nutritionist too.

 I'm sure that every doctor and nutritionist know that we stray off course from time to time.  Your stats will tell the truth.  As far as percentages go...I don't know how to calculate that and as long as I am losing weight I don't bother.
               
CarolBeth
on 5/23/12 4:27 am - SoCal, CA

I follow my surgeon's guidelines at least 75% of the time.
I am honest when I don't follow the guidelines.
I don't follow some because I believe they can be harmful to my health. 
Examples:
They say a Vitamin D level of 40 is ok.  I want mine closer to 90.
They don't test for Vitamins K or A, so I added them.  I was VERY low on K1, and they had no idea what to do with me...thought it was an unheard of deficiency for a bypassed person.
Others I don't follow because I just don't agree with them.
Examples:
I drink caffeine in my black tea every day.  They want you to never touch it again.
I drink through straws.
I eat more complex carbs than they recommend.

Carol - RNY July 11, 2011
          
gm8376
on 5/23/12 5:02 am
On May 23, 2012 at 10:17 AM Pacific Time, poet_kelly wrote:

I’m curious about how often people follow their doctor’s guidelines after RNY and about the reasons why people sometimes don’t follow their doc’s guidelines.

  1.  Would you say that you follow your doctor’s guidelines at least 75% of the time, between 50 and 75 % of the time, about 50% of the time, or less than 50% of the time?
  2. When you decided not to follow the guidelines, are you honest with your doctor about it?
  3. What are the reasons you don’t follow your doctor’s guidelines:

A.     Just don’t like the guidelines

B.     They are too hard to follow

C.     They don’t make sense

D.    You think following them may actually be harmful to your health

E.     Other people get different guidelines from their doctors and you like their guidelines better

F.      You just want to see what will happen if you do something different

G.    Other reasons – please explain

 

I would say that I follow my doctor’s guidelines between 50 and 75% of the time. When I don’t follow my doctor’s guidelines, I am honest about it (even though sometimes I don’t want to be).

The main reasons I don’t follow my doctor’s guidelines are when they don’t make sense or when I think following them will actually be harmful to my health.

For instance, my surgeon said drinking soda would stretch my pouch.  Since a basic understanding of anatomy and physiology tells me that is impossible, I drink soda if I want to.  My surgeon also instructed me to take calcium carbonate, but when I learned that we can’t absorb that after RNY, I decided to take calcium citrate instead because I thought following his advice would likely cause me to end up with osteoporosis.

 1. I'm probably in the 75% range.

I've been very good on the stuff that seems really important, like, no soda, no coffee for 6 months, no booze for a year. Have I eaten some things that they probably wished I hadn't? Sure. Why? Because I really wanted a taste of them, and I don't feel bad about it.

2. I'm very good about confessing my sins.

3. Kind of all of the above.
    
poet_kelly
on 5/23/12 5:04 am - OH
Did your doc's guidelines say you could never eat a treat again?  My doc's guidelines pretty much said most things would be OK, after the initial post op healing period, as long as treats were only an occasional thing.  I think for most people, it's just not realistic to think they will never eat a cookie or a piece of bread again.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

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