kiridoc

Send Message

Block

Add Friend

Not to be construed as medical advice, this list includes labs we have had performed as gastric bypass patients (Note this list is not specifically geared toward DS)

copper
vit E
vit K
AND vit K2, (osteocalcin)





* 10231 - comprehensive metabolic profile (sodium, potassium, chloride, glucose,BUN, creatinine, calcium, total protein, albumin, total bilirubin, alkaline phosphatase, aspartate aminotransferase)

* 84134 - pre-albumin

* 7600 - lipid profile (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio)

* 10256 - (hep panel, includes ALT (SPGT) & GGT)

* 593 - LDH

* 718 - phosphorous – inorganic

* 83735 - magnesium

* 905 - uric acid

*7444 - thyroid panel (T3U, T4, FTI, TSH)

* 1759 - hemogram with platelets

* 7573 - iron, TIBC, % sat

* 457 - ferritin

* 945 - zinc

* 921 - vitamin A

* 680 – D (25-hydroxy)

* 4052 - vitamin B-1 (thiamin)

* 84207 – vitamin B-6 (Pyridoxine)

* 7065 - B-12 & folate

* 83970 - serum intact PTH

*31789 - homocysteine, cardio

* 83921 - MMA

* 367 – cortisol

* 84255 - selenium



For diabetics: *496 - HEMOGLOBIN A1C





DIAGNOSIS CODES:
269.2 hypovitaminosis

244.9 hypothryoidism

268 vitamin D deficiency

250.0 diabetes

401.9 hypertension

276.9 electrolyte and fluid disorders

579.8 calcium malabsorption

579.8 intestinal malabsorption

272.0 hypercholesterolemia

275.40 calcium deficiency

266.2 cyanocobalamin deficiency

280.9 iron-deficiency anemia

269.3 zinc deficiency

281.0 pernicious anemia

281.2 folate deficiency anemia

281.1 other B12 deficiency anemia

285.9 anemia, unspecified





*579.3 surgical malabsorption*

IN MY OPINOIN:
As a medical professional that has worked in more than 50 healthcare facilities and hospitals around the country, let me just say that (1) CIMA hospital is clean and professional and (2) Dr. Ungson is a caring, skilled, not infallible and responsible professional.  This is my experience with him and the hospital.  I would not hesitate to recommend him to anyone who has done their research and can handle the increased responsibility of self-medical management without your surgeon close by.

Okay so here is the link to the yummy Crystal Light-like stuff I loved so much right after surgery. 15g protein (it’s really good, but I’ve graduated to stuff with more protein in it).

 http://www.nashuanutrition.com/store/index.php?target=manufacturers&manufacturer_id=1 If you scoll down a little you’ll see the grape, and pineapple (my two faves) … all the different flavors.  The same site sells Protidiet brands that have Pink Lemonade as well.

I’m also a big fan of Banana Scream.  I got mine at www.vitalady.com .  I also got the Cocoa Mochachino there- YUMMO!

I’ve never used the little vials of protein (protein bullets they’re called).  I’ve never heard them described as anything but yucky. (You can get them at GNC if you want to try some out though!)

My main sources of protein right after surgery were string cheese (still a staple in my diet), cottage cheese, ham cubes, protein drinks and umm… I really don’t remember what else!  Lori has a great list of what she was eating 1 and 2 weeks out of surgery if you want to check her profile (she’s so much more organized than I am!).  Had I tried it then, I think I would’ve liked ricotta fluff too (Valgroce’s profile has it).

Supplements: I know it seems like a lot- but it’s not too bad once you get used to it.  We all have our own systems. 
Here is my current regime: 
AM:      2 1000mg Calcium Citrate*  Best absorbed on an “empty” stomach 
        3 5000mg Dry D3 from Vitalady (and yes it HAS to be DRY D- regular vitamin D tablets are formed in oil so we don’t absorb it)

Breakfast:         MVI (Bariatric Advantage ADEK chewable for DS) available at Vitalady 
                        2 Flaxseed oil capsules (Nature Made brand- BOGO at Walgreens)

 Lunch:              Same as Breakfast 
                         A few Folic Acids (needed b/c of an unrelated health issue)

Somewhere in the middle:  Calciums as above

Supper:             MVI et al

Evening: Calciums as above

Before bed:        Prescription meds 
                        Tender Magnesium (from Vitalady)
                        2 1000 mcg Vitamin C

At bed:              Slow Fe Iron pill (every other night)

Once in awhile I’ll take a sublingual B12 too- just for good measure.

Previous regime: 
Before surgery I took prenatal vitamins. 
It was nearly 6 months before I could take pills well- remember our tummies stay swollen for quite sometime- so until I could take “big kid” supplements I took: 
     2 Flintstone chewables 3 times a day.  1 with iron and 1 with “bone support” (I hadn’t tried the Bariatric Advantage chewables yet- but I highly recommend them to new post-ops). 
     1 Viactive calcium chew after every meal (this is calcium carbonate- not absorbed as well but better than nothing.  Just remember, unabsorbed calcium is what kidney stones are made of!) 
I would take “extras” whenever possible.  A B-complex here, vitamin D there…

Okay, so, everyone, including myself, always wants to know "What will I need in the hospital?"... well here's my list of the top 10 things to bring with you for this surgery.

10.  Good quality Chapstick/lip moisturizer
9.  A buddy.  Nurses simply cannot be at your whim constantly, and when you gotta go, you gotta go.  I really recommend having friends with you during the day for the 2 and 3rd days after surgery.
8. Your favorite pillow
7. Even better than #8 because your positioning is going to be so "off"- a good quality neck pillow.  Like the ones for travelling- you can sleep in just about any position with these babies!
6. Underwear a size larger than you now wear- you get really swollen!
5. A closely cropped (not shaved) va jay-jay.  Lets be honest ladies- your gonna wanna look good AND who needs all that hair getting in the way while you're trying to do your own peri-care.  This may not be standard practice for all- but I highly recommend it pre-op!
4. A pad of paper to write down your questions for your doctors as you think of them- otherwise when they come to see you you'll forget them all!
3.  Also, try to write down or keep track of (and this is where a good buddy comes in too)- when you get your pain medications.  No matter how good your nurse is, mistakes and miscommunications happen- and it's not good when your pain meds get missed!
2. Flushable baby wipes... ahhh!
and my #1- wouldn't-be-without-it.... SALAD TONGS!  yep, salad tongs.  For wiping myself.  I got the 2 for $2.99 metal ones at Meijer.  They've got the little ring that slides down to lock them closed.  It took almost a week before I could reach the front to wipe- but these babies gave me some degree of independence in that "area" and have worked great the whole time.  You just wrap the TP or Wipe around them and "dig in"!

Good luck you!

Okay, so I typed a whole big long diatribe in here yesterday, then had internet issues and apparently the whole blasted thing got gone. 

I'm getting tired so here are the high points until I get another chance...

Erika and Lourdes:  Erika is leaving to spend more time with her daughter who is about 1 year old.  She is currently working with Lourdes, her replacement, to get her fully trained and "up to speed".
Lourdes is every bit as caring, nurturing and skilled as Erika.  Apparently, Lourdes and Dr. Ungson have been friends for some time as her husband is a surgeon as well (ENT).  She used to be a scrub nurse for gynecological surgery and orthopedic surgery.  She is sweet, and eager to give caring love and attention to her patients. Her English is also very good, so it's great to have another translator and clarifier down here for us!
While Erika will be greatly missed, I hope you will find great comfort in knowing that Lourdes will be giving great care as well.  They have both been a real blessing to myself and my mother.