Foxbins

I'm so sorry he treated you like that, he's about thirty years behind the times and the obesity research, to say nothing of surgical interventions. Time for a new doc!

I had a sleeve with GERD too, and my surgeon in the first appointment had LINX as an option. Having read about the trouble lapbanders have, with esophageal erosion and slippage and other nasty complications I was not enthusiastic about a foreign body being placed around my esophagus. It turned out I was not a LINX candidate due to other conditions so I revised to bypass.

I had an esophageal stricture, and yes, sometimes stuff went down and sometimes it didn't. It would be frustrating to eat solids one day and be unable to swallow soup the next. My stricture was due to GERD and so when I converted from sleeve to bypass I had a myotomy to cut the stricture because the EGD dilation didn't work all that well.

I did a little research on it; it sounded interesting. However, it looks like leaving the sleeve in longer than a year causes a number of serious adverse events--pancreatitis, liver abscess, upper GI bleeds, and cholangitis. So my question would be, what happens to your weight loss after the sleeve is removed? Yes, apparently you'll lose weight while it's there, but it has to be removed sometime and then I think you may find yourself, after some time, right back where you started. This is the same problem I see with Lapbands and gastric balloons--they have to come out at some point. The study I read was done in Chile, by a Doctor Quezada. He's published quite a bit about it.

Have you seen a gastroenterologist? If I were you, that would be my next step. If you have, and your diet, medication, and behavioral interventions are not working, I think the next step would be a surgeon. There is a surgery for GERD called Nissen fundoplication, where the stomach is folded around the esophagus to keep the acid from moving up.

I'm so happy for you. Finally!

I drink regular coffee every morning. My doctor didn't have any prohibition against it.

Okay, weight is 137.6, BMI 21. "Gentle" iron gives me diarrhea every morning. I think it's kind of funny that most everyone else has constipation with an RNY, and I have had to buy a new bottle of Spray N Wash because of liquid farts. My GP suggested taking iron every other day and I may try that next week. I take it at lunch, sandwiched between bites--eat about half my lunch, take the iron and my vitamin, and eat the rest of my lunch--so the irritation isn't in the pouch but in the intestines. Reflux is still happening, about three times at night this past week. Sriracha, even in small quantities, is a definite food for producing reflux at night. Vinegar also seems to be a culprit. However, reflux seems to be improving with the cog/beh interventions and dietary management.

Your sleeve can't be reversed, the excess portion of your stomach was removed and discarded after your sleeve surgery, but there are other revision surgeries that can work with the stomach that remains. RNY, Mini-Bypass, and DS or SIPS are all possible with a sleeved stomach. Look in the Revision forum for people's stories.

There are a number of threads, including mine, about having RNY for GERD in the Revision forum.

It would be unethical for her to retaliate. You could sue her. Of course, that would take money and time...if you have called her supervisor it sounds like you have done all you are comfortable doing. However, I strongly encourage you to leave her poor reviews on social media and implore your surgeon's office not to refer patients to her. If they want a psych eval so badly, they should find a clinician who can get them done in a timely manner. Are you in a small town where there is only one psychologist? I'm wondering why the surgeon's office only refers to one person.

Call her office and tell her you will report her to the state Board of Psychology if she doesn't send in the report within 72 hours. I'd also flag her on Yelp, Facebook, Twitter, etc. 30 days is ample time to write this type of report.

137.8 today. I am happy that I seem to have stabilized around 136-138. My BMI is 21, so I'm thin but not scrawny. Only one episode of reflux this week at night, but I was sick too, with a splitting headache that wasn't relieved by Tylenol. I rooted through the medicine cabinet and found some Vicodin from a long-ago dental procedure and took one of those. I finally went to sleep but woke up feeling pretty crummy, no appetite and still a bit of a headache, so I rested most of the day. I got the gentle iron yesterday, I will start next Sunday because I just reduced my omeprazole dose again and I don't want to change too many variables at once.

The Ontario Psychological Association website has a "find a psychologist" feature. You can enter a number of parameters to narrow down the options. Good luck to you!

I had little red bumps on my stomach, I figured out they were from whatever they scrubbed my stomach with before surgery. For stomach pain, talk to the doc. I'd personally call your doctor's office, as often the staff know the answer to your questions and if they don't, they will make sure your surgeon answers you.