Leaderboard

I would say for you don't commit to the surgery YET. I wish I would have done something about my weight sooner. However I think I did surgery at the right time. I had to work out the emotional issues I had and process childhood abuse first to understand why I ate. I didn't do that until I was past 30. Once I did that I was in a better space to get surgery. What I wish I would have done way sooner would have been sought therapy and worked with a dietitian back when my weight was still lower. If you haven't done other serious interventions to lose weight, then maybe surgery is right.

I haven’t gotten rid of anything yet. I’ve lost about 85 pounds so far. I did move some of them from my closet to the basement though! I bought new tops and a few new shorts to get me through summer. I will need new jeans for sure but I probably won’t consider buying a pair until it starts to get cool mid-sept where I live. I haven’t accepted I lost weight yet. It’s been almost 11 weeks since surgery and I really needed new sizes just 4 weeks ago.

In recent years I’ve noticed a spike in the “Hiatal Hernia Surprise surgery” stories shared on the forums. That’s when you wake up to your surgeon telling you he fixed a “surprise hernia” while doing your sleeve. What gives? My 15 years of suffering with GERD after VGS, (I never ate a Tums before sleeve) has lead me to extensive research on this topic. I’ve read ever medical paper, report, blog I can get my hands on. I’ve met with and spoken to MANY surgeons on this subject. THEORY ABOUT “THE SURPRISE” I have a sneaking suspicion that the sleeve surgery itself leads to a hernia in many patients. (See stats about De Novo GERD and VGS). The new stomach is lighter and thinner, with more internal pressure and can now easily slide into the esophageal area past the diaphragm to create a HH because the new shape allows it to. I wonder if VSG surgeon don’t want to scare patients with the stats (30-40% chance of GERD without HH repair), so they just throw in the “hernia surgery surprise” to skirt the conversation. if this happened to you, please share the details- so many would benefit from your story. Knowledge is power! For those who haven’t had it yet - have the convo with your surgeon- let’s eliminate the “surprise”. I’m also sharing my journey to find a solution for those currently suffering from GERD after VSG. Not sure why post VLS GERD is still the “Wild West”. So many different opinions on how to fix it - sheesh. What I’ve been told to do by different surgeons over the years, and what I’ve learned: 1) “convert to rny” This was an instant turn off, but I get why so many do it. The pain is that bad for some. A seasoned WL surgeon recently told me the conversion to RNY is problematic long term (yet many still recommend it). He doesn’t do it anymore. He’s fixed hundreds of these HH post sleeve with a basic HH repair, no- and only had to covert 1 stubborn case. He said the conversion often leads to gas, malabsorption, vomiting, exhaustion, nausea, with many converts still ending up with GERD! If you’ve had the conversion and are a few years out - please share your experience. 2) “go with a partial wrap” This particular Doc said he’d “figure out what was best to do once he was in there.” I lost all confidence in him with that last statement, but I didn’t even realize this was a possibility if your fundus has expanded. 3) “get the LINX” I’m allergic to fake metals (I get hives), yet this particular surgeon was ready to slap this metal puppy around my esophagus. Luckily, the maker ( J&J) posted a warning on their site for sensitive skin types: “do NOT, under any circumstances, put this in your body”. I might have considered it if I didn’t have the allergy, although it seems very problematic for some. 4) “get the ligamentum procedure with repair” This is an old surgery for GERD that involves using your internal umbilical cord. Because it’s so new for WLS GERD, I asked the surgeon if one of his success stories could call me. He obliged. A very sweet women called me, and went on and on about how great the surgeon was. But then she told me she was still on PPI’s and now had chronic diarrhea and dumping syndrome…sooo…back to the drawing board. 5) “Get the basic HH repair”. I’ve consulted with 3 seasoned WLS surgeons who are all on the same page (finally). These 3 say that they pull my stomach back into the right spot, tighten the diaphragm, and call it a day. One uses mesh, but the other 2 sited a recent research paper saying there is no advantage to mesh. They all said I’d have a 80-90% chance of being able to go off the PPI’s. Sorta a fantasy promise- but I’m liking those odds. Of course I’ve done my research and discovered the fail rate over the long term is high (30-40%) after 10 years. and I might have minor swallowing problems, and bloating- yea! But I can have it adjusted if it gets bad, so that’s reassuring. So I’m going in with my eyes wide opened and doing the basic repair, I hope it works. The recovery is long and difficult, but my alternative is PPI’s that are cancerous. Wish me luck and thanks for reading my rant:) I hope it helped a few of my Gerdy sisters, and if you’ve had the “surprise”, please share your experience!

I think it's important to talk about what we're eating. We do a lot of that. In minutia. We lable foods good and evil. We obsess about the "right" diet, calories, choices, etc.... But that's really the easy part. The hard part is figuring out WHY we're eating. WHY we ate ourselves to morbid obesity, and what need we were trying to address when we put that food in our bodies. I feel like if those needs aren't figured out and meaningfully delt with this whole process is really vulnerable to failure. I feel like we never talk about why we ate so much. I'm not saying we need pity party hour with extensive confessionals chronicallying every challenge, insecurity and poopy life event...lol. But I feel like sharing those little eureka moments were we've identified some little unmet need that resulted in bad choices....would be a good thing. For instance.... I used to get the KFC six million calorie dinner with the 12 pieces of chicken, 3 sides, biscuits and the chocolate chip cake....after grocery shopping. It was almost an unwritten thing. I deserved it. In some weird justification, I figured that I was shopping, carrying stuff in, putting things away, selflessly giving up time to a task I sort of despised for my family. Of course I deserved chicken! But really, what I wanted at the core of things....was support. I wanted to feel appreciated, and rewarded for being a good doobie. I wanted to feel nurtured after a stressful task that I hated. These days....we have a new rule at the house. The person who does the grocery shopping gets to relax and take a bath while the other person does the cooking. And you know what? It works. I feel appreciated, supported. And I eat a more balanced decent dinner and have a win. That feels good. I learned that I geninely don't like asking for help...and that I need to more often. Just writing that makes me cringe. My bariatric therapist did a lot of talking about the "whys" of over eating, and finding ways to get the desired needs met that aren't self sabotaging. I wish we talked about the "whys" more.

Yes, makes perfect sense. When I do what I'm supposed to do I can take off weight fairly easily but not as easily with the band and I haven't been as motivated to keep it off. I had my band removed in 2018 and I am now 2 weeks post op VSG. I'm glad to hear that you have done the work and have a supportive circle. Now, it's up to us to commit, remain consistent and do what we know to do.

I can handle the protein shakes, fortunately. I get 60 grams of my prescribed 60 to 80 from to of the Pure Protein brand shakes. Eight or so more from 3 ounces of cottage cheese. I may still try the GENEPRO to see whether it's palatable mixed in oatmeal. For me, water doesn't taste bad, I just can't drink very much at once.

Thank You. Yes I'm home and recovering. Trying to slowing take in my liquids, but Thank Goodness everything went well and I'm home with my boys . Thank you so much

Nope… I consistently lost 15 pounds a month for like the first 4-5 months. I thought I was going to be a slow loser since I “only” lost 15 that first month, but it just kept happening. Usually weight loss does slow after the first month or two, but if you stick with your plan you will keep losing and it adds up quick. We all lose at our own rates, so try not to compare yourself to others. 21 pounds the first month is awesome. You are doing great! Just keep on keeping on, and stick with your plan. 😊

I agree - "why" is a key question. I expressed it this way in an earlier post:

I have not yet received any bills for the two issues I'm about to discuss, just the EOBs (Explanation of Benefits). For non-US readers, this is a notice that an insurance company must send the patient whenever the insurance has received a bill. It explains to the patient about the bill: the medical provider, the service rendered to the patient, the charge from the medical provider, how much of that charge will be covered by insurance, and how much the patient can expect to self-pay. My original surgery date was delayed/changed due to the hospital's COVID-related closure to elective procedures. I therefore ended up having surgery about 6 weeks after my original date. I just received the EOB relating to the hospital's $55,000 charge. The EOB states the charge has been denied due to "preauthorization was not obtained". I went through all the paperwork I've collected since my journey began and found the preauthorization approval notice for the original date of surgery... but it seems I never got a preauthorization approval notice for the new surgery date. Naturally, the surgeon's office has several people whose job it is to get insurance approvals/preauthorizations prior to surgery... I'm worried that the person handling my case dropped the ball... The second billing issue concerns an EOB that shows I will owe $900 for the nurse anesthetist's bill ($500 deductible plus 50% copay). The anesthesiologist's bill was covered at 100%, but the issue is that his assistant (the nurse anesthetist) apparently doesn't participate with my insurance so I'd be responsible for the high out-of-network charges! Naturally, I as the patient only get to pick my surgeon... I don't get to pick the anesthesiologist or the nurse anesthetist or any of the nurses, for that matter. Again, the team used for my procedure is something that my surgeon's office and the hospital should have put together properly. I called my surgeon's office a week ago and was transferred to the insurance specialist's voicemail. I've not received a call back. I'll try again tomorrow (Monday) but I'm worried... should I be? I know a lot of people here have had their surgery dates moved around due to COVID, so this can't be the first time this issue has come up...? I'd appreciate advice and opinions. Thank you!